Equine Pre-Purchase Assessment Template

Patient Information:
- Patient name: Bella
- Patient age: 8 years
- Patient gender: Mare
- Patient breed: Thoroughbred
- Patient owner name: John Smith
- Patient owner contact information: (555) 123-4567
History:
- Bella is undergoing a pre-purchase evaluation. The owner is worried about her recent performance and possible lameness.
- Past medical history includes colic surgery 3 years ago and a minor tendon injury last year.
- Currently taking joint supplements and a daily multivitamin.
- Bella has primarily been used for show jumping and has a history of moderate exercise.
- No known allergies.
Physical Examination:
- General appearance and demeanor: Alert and responsive, good body condition.
- Vital signs: Temperature 100.5°F, Heart rate 36 bpm, Respiratory rate 12 breaths per minute.
- Head to tail examination: No abnormalities noted in the head, neck, or back. Limbs show no signs of swelling or heat.
- Cardiovascular examination: Normal heart sounds, no murmurs detected.
- Respiratory examination: Clear lung sounds, no wheezing or crackles.
- Gastrointestinal examination: Normal gut sounds, no signs of discomfort.
- Musculoskeletal examination: Mild stiffness in the left hind limb.
- Neurological examination: Normal reflexes and coordination.
Soundness and Fitness for Riding:
- Overall soundness and fitness for riding: Generally sound but shows mild stiffness in the left hind limb.
- No significant lameness detected during the examination.
- Recommend further evaluation with a lameness specialist and consider a trial period before purchase.
Lameness Findings:
- Specific lameness findings: Mild stiffness in the left hind limb.
- Diagnostic tests performed: Flexion test on the left hind limb showed mild discomfort.
- Treatments or interventions recommended: Recommend rest and anti-inflammatory medication.
Additional Findings:
- No additional findings noted.
Recommendations:
- Further evaluation by a lameness specialist.
- Consider a trial period before finalizing the purchase.
- Follow-up visit in 2 weeks to reassess the left hind limb.
Conclusion:
- Bella is generally in good health with mild stiffness in the left hind limb.
- Recommend further evaluation and a trial period before purchase.
- Final advice: Ensure a thorough lameness evaluation and consider the horse's history of injuries before making a final decision.