1. Proud flesh is the overgrowth of granulation tissue in an open wound. It is a problem because it prevents the epithelial wound edges from migrating over the open wound and thereby healing it. Additionally the proud flesh, also called exuberant granulation tissue, will continue to grow and may become quite large. Proud flesh is most common on lower leg wounds. It is important to keep the granulation tissue level with the surrounding skin and to not allow it to exceed this level. Bandaging of wounds may prevent this overgrowth. If just beginning proud flesh may be treated with a number of topicals (we use DMSO and steroid solution). If more extensive the proud flesh may need to be surgically removed with a scalpel blade. This is generally a straightforward procedure that does not need anaesthesia because the granulation tissue has a very poor nerve supply, though it does bleed quite a bit. Once the graulation tissue is level with the skin it should heal with regular wound care.
Normal, healthy granulation tissue. Notice the granulation tissue is level with the skin and fills in the wound cavity. In this normal situation the epithelium will migrate across this level granulation bed and heal the wound
Proud flesh: notice the granulation tissue protrudes above the surrounding skin level
The proud flesh (exuberant granulation tissue} has been cut off level with the surrounding skin. The epithelium (skin cells) will now be able to migrate across the wound and complete healing
2. Sarcoids
Sarcoids may present in a variety of forms as illustrated in the following pictures.
3. Reasons for unilateral nasal discharge: a tumor in the sinus or nasal passage, a primary sinusitis, a diseased molar.
7. Studies have shown that 50% - 90% of performance horses have ulcers depending on the intensity of their activities. Signs can include being off feed, changing behavior, and even indications of discomfort.
8. Round bales can transmit the bacteria Clostridium botulinum which is usually fatally toxic to the horse. Round bales are not recommended but if they are used, three IM injections (a month apart) of the botulism vaccine are very strongly recommended.
9. It takes about one year for the hoof to regrow from coronary band.
10. These are two pain relievers. Analgesics block only pain while anesthetics block all sensations.