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Topic:Clinical Examination
Clinical examination in horses involves a systematic evaluation of the animal to assess its health status and identify any potential medical issues. This process typically includes a thorough physical assessment, which may cover observation of behavior and posture, palpation of body structures, auscultation of heart and lung sounds, and examination of the skin, eyes, and mucous membranes. Additional diagnostic tools such as thermography, endoscopy, or imaging techniques may be utilized to gather more detailed information. Clinical examination serves as a foundational step in veterinary diagnostics, aiding in the detection and management of diseases or injuries in horses. This page compiles peer-reviewed research studies and scholarly articles that explore methodologies, advancements, and findings related to clinical examination practices in equine medicine.
Investigating horse owners’ confidence, ability and knowledge-seeking behaviour in recognising equine lameness. Undiagnosed lameness is common in horses, but little is known about which aspects of lameness identification owners find difficult. Objective: To explore horse owners' confidence and ability to identify equine lameness, and their knowledge-seeking behaviour. Methods: In this cross-sectional online survey, 509 UK horse/pony owners identified lameness from videos of sound, forelimb, hindlimb and bilaterally lame horses, reported their knowledge of clinical signs and knowledge-seeking behaviour, and rated their confidence (1, not confident at all, to 5, very confident). Mixed-effects logistic reg...
Colonic adenocarcinoma with osseous metaplasia and systemic metastasis in a horse. A 12-year-old thoroughbred mare was presented with colic and diarrhea. Clinical examination revealed mild tachycardia with injected mucous membranes. Abdominal ultrasonography identified thickened colon walls, an irregular, mottled liver, and free fluid. The mare had elevated liver enzymes and electrolyte abnormalities that continued to worsen during hospitalization and included hypoalbuminemia. Despite intensive and varied medical treatments, the mare's condition deteriorated and she was humanely euthanized. Postmortem examination revealed a large adenocarcinoma with osseous metaplasia in the...
Inter- and intra-rater reliability of two grading systems for equine gastric glandular disease. The recommended combined descriptive terminology scoring system for equine gastric glandular disease has poor reliability whereas a published numerical scoring system has substantial reliability. Descriptive terminology appears more affected by clinical experience than numerical scoring. Individual descriptive terminologies have previously correlated with descriptions of severity. Objective: To compare the reliability of two scoring systems across varied clinical experience and between numerical scores and descriptive terms. The hypothesis was that the numerical scoring system would have bette...
Auscultation for pre-exercise screening in the horse. To describe the highlights of cardiac auscultation of the equine athlete in the context of pre-exercise screening for cardiac adverse event prevention. Unassigned: Horses. Unassigned: Tutorial description. Unassigned: Description of the highlights of cardiac auscultation of the equine athlete in the context of pre-exercise screening for cardiac adverse event and exercise-associated sudden death prevention. Unassigned: Cardiac adverse events and exercise-associated deaths are problems that affect horses' health, riders' safety, and the public perception of welfare during equestrian sports. Scre...
Incidence of omphalitis in foals with different umbilical disinfection protocols. Omphalitis, a common umbilical disorder in foals, can lead to complications and systemic diseases. An adequate disinfection protocol of the umbilical stump after birth is recommended to prevent infection. Objective: Comparison of different disinfection solutions and their efficacy in preventing omphalitis in foals. Methods: A total of 288 clinically healthy foals were included in this prospective, blinded cohort study during the foaling seasons of 2023 and 2024 on one stud farm. Foals were randomly allocated to one of six disinfection groups. The umbilical stump was examined clinically during ...
[Atlantoaxial luxation in a neonatal Warmblood foal]. Atlantoaxial luxation represents a rare but clinically relevant differential diagnosis in neonatal foals presenting with neurological abnormalities or dysphagia. This case report describes a newborn filly without apparent ataxia, but presenting with a stiff head-neck posture and milky nasal discharge. Clinical examination revealed a compromised general condition and abnormal swelling in the region of the fossa retromandibularis. Radiographic examination confirmed the diagnosis of an atlantoaxial luxation. Due to the poor prognosis the foal was euthanized. This case highlights the diagnostic ap...
Novel serum biomarkers provide evidence for an involvement of the CCL3:CCL5 axis in fatal musculoskeletal injuries in Thoroughbred racehorses. Fatal musculoskeletal (MSK) injuries in Thoroughbred (TB) racehorses adversely affect equine welfare, negatively impact public acceptance of horse racing, and cause severe economic losses for the racing industry. Biomarker assays predicting the risk of MSK injuries are currently not available. Our hypothesis was that immune system and inflammatory markers are indicators of fatal MSK injuries in TB racehorses. Unassigned: Serum samples from TB racehorses with fatal (n = 44) and nonfatal injuries (63) were collected. Serum from 2- to 5-year-old TBs submitted for annual equine infectious anemia t...
Mandibular fracture with subsequent sequestrum formation and tooth-root abscess in a 3-year-old mare. A 3-year-old quarter horse cross mare was presented to the Atlantic Veterinary College (Charlottetown, Prince Edward Island) for evaluation of a persistent draining tract on the ventral aspect of the left mandible, associated with a previous fracture. Radiography and ultrasonography confirmed the presence of a chronic sequestrum separated from the parent bone. Sequestrectomy and surgical debridement of the mandible were carried out, and the horse was discharged. Three months later, the mare was presented again to the Atlantic Veterinary College, as the draining tract had not resolved. A CT sca...
Low-Field Magnetic Resonance Imaging Features of Axial Proximal Sesamoid Osteomyelitis and Intersesamoidean Ligament Rupture in a Horse. A 7-year-old Warmblood mare used for show jumping was evaluated for progressive left hindlimb lameness of 5 weeks' duration, localized clinically to the metatarsophalangeal region. Radiography revealed ill-defined osteolysis of the axial apical regions of both proximal sesamoid bones (PSBs). Due to rapid clinical deterioration, low-field magnetic resonance imaging was performed and demonstrated aggressive axial osteomyelitis of both PSBs, partial rupture of the intersesamoidean ligament and proximal scutum with herniation of synovium of the plantar joint recess, and an occult penetrating tract...
Serological and molecular detection and phylogenetic characterization of Taylorella equigenitalis in horses in Iraq. Contagious equine metritis caused by is an important venereal disease of equids that can impair reproductive performance and facilitate transmission through clinically inapparent carriers. Information on infection in Iraqi horses remains limited. This study aimed to determine the serological and molecular occurrence of in horses in Iraq, evaluate associations with clinical and epidemiological factors, and characterize PCR-positive isolates using sequencing and phylogenetic analysis. Unassigned: A total of 157 adult horses from Baghdad, Babylon, Nineveh, and Wasit provinces were examined ...
Association of submaximal exercise test variables with diagnosis of asthma in a mixed-breed cohort of leisure horses. Submaximal exercise tests (SET) are used to assess respiratory health in various contexts. The diagnostic value of SETs for the assessment of asthma in the field remains uncertain. Objective: A SET helps distinguish healthy horses and asthma phenotypes. Methods: Twenty-six privately owned mixed-breed leisure horses of a clinical cohort. Horses were healthy (8) or diagnosed with mild (miEA) (4), moderate (modEA) (7), or severe asthma (sEA) (7) according to history, clinical examination, and bronchoalveolar lavage fluid (BALF) cytology. Methods: Cross-sectional study using clinical data and samp...
Use of clinical findings to distinguish between intestinal lymphoma or inflammatory bowel disease in horses. Identifying clinical findings that are distinct between inflammatory bowel disease (IBD) and intestinal lymphoma could be helpful for providing preliminary guidance for clients regarding their horse's prognosis while awaiting histopathologic results. Objective: To describe and compare the clinical findings of horses with a final histopathologic diagnosis of IBD vs intestinal lymphoma. Methods: Forty-six adult (≥1-year-old) horses with a final histopathologic diagnosis of IBD or intestinal lymphoma on endoscopic duodenal biopsy, surgical biopsy, or necropsy. Methods: Retrospective single-cent...
Significant changes occur in the ultrasonographic appearance of the lungs in horses following exploratory celiotomy. General anesthesia for short periods of time in healthy horses for elective procedures produces minimal ultrasonographic changes in the lungs, but the effect of general anesthesia for exploratory celiotomy in horses has not previously been investigated. The objective of this study was to identify the degree of ultrasonographic changes in the lungs of horses following exploratory celiotomy and to identify risk factors that could increase the magnitude of change. 63 horses ≥ 2 years of age undergoing exploratory celiotomy were initially enrolled in a prospective observational study. Signalme...
Scintigraphic Characteristics of the Occipitoatlantoaxial Region in Clinically Sound Horses. The equine occipitoatlantoaxial (OAA) region is biomechanically complex, yet normative scintigraphic reference data for this area are lacking. This retrospective study characterized the physiological radiopharmaceutical uptake pattern in the OAA region of 60 clinically sound horses, assigned equally into four age groups: under 6 years (Group A), 6-10 years (Group B), 11-15 years (Group C), and over 15 years (Group D). A standardized, semiquantitative analysis of lateral bone-phase scintigrams was performed using region of interest (ROI) ratios to determine uptake patterns. A highly consist...
Five Domains, Multiple Realities: A Multidimensional Analysis of Equine Welfare in Equestrian Events in Brazil. Welfare assessments at traditional equestrian events in Brazil are scarce. This study aimed to systematize and stratify assessments based on the Five Domains (5DMs) model into subdomains (sDMs) for vaquejada and gait events and to adapt them to reflect local conditions and resource availability. Subsequently, the sDMs were classified and scored on a 5-level scale (1 to 5, where 1 = very poor and 5 = excellent), and assessments were conducted at three vaquejada and five gaited horse competitions. Assessments took place during morning, afternoon, and evening periods over two or more days and wer...
Characterization of the Healthy Ocular Mycobiome of Purebred Lusitano Horses Using Oxford Nanopore Long-Read Sequencing. The ocular surface represents a unique microbial ecosystem continuously exposed to environmental microorganisms; however, the fungal component of the healthy equine ocular microbiome remains poorly characterized. This study aimed to characterize the ocular surface mycobiome of 12 clinically healthy Purebred Lusitano horses from three geographical regions in Portugal kept in two housing systems using Oxford Nanopore long-read sequencing and conventional fungal culture. Sequencing revealed a highly diverse fungal community with marked inter-individual variability. The most abundant genera were ,...
Historical, clinical and nasal endoscopic findings in 1600 cases of equine sinonasal disease and associations with case outcome. No large study has described the signalment, pre-referral management or clinical and nasal endoscopic findings in equine sinonasal disease. Objective: To explore associations between case outcome and signalment, pre-referral treatments, clinical and nasal endoscopic variables in sinonasal disease. Methods: Retrospective case series. Methods: Data were collected from medical records of 19 equine hospitals on sinonasal disease cases they had examined and which had undergone computed tomographic (CT) imaging. Case outcome was obtained from clinical records and/or by contacting clients and referri...
Musculoskeletal Assessment of Forelimbs and Hindlimbs in Mounted Police Horses using Infrared Thermography. Infrared thermography (IRT) has become established as a complementary tool in equine veterinary medicine, allowing for the early detection of thermal changes associated with musculoskeletal inflammatory processes. Objective: This study aimed to apply infrared thermography to characterize the surface thermal profile of the forelimbs and hindlimbs of mounted police horses, considering clinical classification, anatomical region, body side, and repeated evaluations over time. Methods: The research was conducted at the Military Police Cavalry in Manaus (AM), Brazil, involving 20 adult horses submit...
Context-aware machine learning for lameness side and severity prediction in trotting horses: A proof-of-concept study. In clinical practice, lameness evaluation often relies on visual assessment under different examination conditions, including ground and figures, and remains subjective. Although objective symmetry indices provide quantitative measures of gait asymmetry, their interpretation across multiple conditions remains challenging because several complementary indices are required and their thresholds vary with context. Objective: To assess the ability of a context-aware machine learning approach to predict lameness side and severity at the trot using trunk-mounted IMUs. Methods: Retrospective observati...
Clinical Signs as an Indication of the Presence of Gastric Ulcers in Horses: True or False? Equine Gastric Ulcer Syndrome (EGUS) and its related diseases, Equine Squamous Gastric Disease (ESGD) and Equine Glandular Gastric Disease (EGGD), can be found in horses worldwide, with increased prevalences in racehorses and animals subjected to heavy training loads. Clinical signs of the disease are vague and nonspecific, and most horses affected by the disease are asymptomatic. In this retrospective study, our aim was to determine the percentages of pleasure and breeding horses showing signs compatible with gastric ulcers, and to correlate these signs with the presence of ESGD, EGGD, and bo...
Beyond Body Condition Score: A Proposed Interspecies Framework for Tissue-by-Tissue Nutritional Assessment in Veterinary Practice. In clinical veterinary medicine, the Body Condition Score (BCS) serves as a validated, semi-quantitative estimation of subcutaneous adipose reserves, yet it cannot by itself detect systemic nutrient deficiencies or excesses that do not necessarily imply energy storage. Human clinical dietetics addressed an analogous diagnostic gap through the Nutrition-Focused Physical Examination (NFPE), but veterinary medicine still lacks a unified, multi-species physical examination sequence for nutritional screening. This narrative review synthesizes the comparative and clinical nutrition literature into a...
Fatal equine gas gangrene associated with Clostridium septicum in the Brazilian Amazon: clinicopathological and molecular characterization of a 20-case series. Clostridial gas gangrene is an acute necrotizing infection of skeletal muscle characterized by rapid tissue destruction and severe systemic toxemia in horses; however, systematically documented case series from tropical settings remain scarce. Here, we describe a clinicopathological and molecularly confirmed series of 20 fatal equine gas gangrene cases diagnosed in the eastern Brazilian Amazon (Pará State) between 2018 and 2026. Horses presented with abrupt onset of severe lameness, rapidly progressive swelling of a limb or muscle group, and palpable subcutaneous crepitus, frequently followin...
Electrocardiographic recording in horses at rest: a concordance analysis of two methods. Cardiac arrhythmias are frequently detected during routine auscultation in athletic horses. Assessment of their clinical significance requires electrocardiography (ECG) to analyze waveforms and intervals. In recent years, portable ECG devices have been introduced to simplify electrocardiographic examination, offering advantages such as ease of use and the ability to review results via a smartphone. This study evaluated the utility and accuracy of a portable ECG device compared with a standard electrocardiograph. Simultaneous ECG recordings were obtained from 28 healthy adult horses at rest usi...
Hidden Tarsal Lesions: The Role of Flexed and Oblique Radiographs in Young Horses. Radiographically apparent tarsal lesions associated with developmental orthopedic disease and joint sepsis are common in young horses. Standard radiographic projections are routinely used to identify osseous changes but may fail to detect lesions due to superimposition and complex anatomy. This retrospective case series describes plantar trochlear ridge lesions in young horses that were not identified on standard four projection radiograph series but were detected using flexed lateromedial and flexed oblique projections. Cases were selected based on persistent clinical signs localizing to the ...
An atypical extrapulmonary presentation of rhodococcus equi infection in a foal: a case report. Rhodococcus equi infection in foals is primarily associated with pulmonary disease but may also present with extrapulmonary manifestations (Giguère et al. 2011; Reuss et al. 2009). Hemolytic anemia is a rare and poorly described complication, with only a single previous report of presumed immune-mediated hemolytic anemia in foals affected by R. equi. This case report describes the clinical presentation, diagnostic findings, disease progression, and postmortem examination of a 4-month-old Holsteiner foal with confirmed R. equi infection and severe anemia consistent with a presumed immune-media...
Osteosynthesis of bilateral, displaced incisive bone fracture in a horse. A nine-year-old Trakehner mare was presented three days after an episode of severe epistaxis, showing intermittent foul-smelling nasal discharge with feed material and rostral displacement of the upper incisor teeth. Radiographic and computed tomography examinations revealed a complete comminuted fracture of the right side and an oblique complete fracture of the left side nasal processes of the incisive bone and maxillary bone, as well as open fractures of the nasal septum and palatine bone with displacement of the incisor part rostrally and development of an oronasal communication. The fractu...
Guttural pouch tympany or empyema in 38 ٍStraight Egyptian Arabian foals: clinical presentation, diagnostic features and outcome. As a breed, Straight Egyptian Arabian horses are susceptible to many disorders that mostly affect the head, such as guttural pouch (GP) tympany and empyema. This retrospective study evaluated the findings of clinical examination, ultrasonography, endoscopy, laboratory analyses and outcome of treatment of 38 Straight Egyptian Arabian foals with GP tympany and empyema. Methods: Data from medical records of foals diagnosed with GP tympany or empyema over a 2-year period (2024-2025) were reviewed. Foals with verified GP tympany or empyema who had complete medical records and had not previously rec...
Semi-extensive management system drives lower prevalence of equine orodental disorders. The prevalence of orodental disorders in horses kept under different management systems is lacking. More detailed knowledge is needed to support targeted therapeutic and prophylactic approaches, as these conditions play a crucial role in maintaining equine health and welfare. This study aimed to compare the prevalence of orodental disorders in horses raised, kept, and fed under extensive, semi-extensive, or intensive management systems. Unassigned: Sixty-nine clinically healthy adult crossbred horses with no history of dental treatment were examined, with 23 horses included in each study group...
Factors affecting veterinary perception of the prevalence of back pain and dysfunction in dogs and horses. The prevalence of back pain in humans has been extensively reported, but in dogs it is unknown. In horses, research on the prevalence of back pain exists, but with reports ranging from 1% to 94%, indicating a data deficiency. Unassigned: Veterinarians were surveyed about their perception of the prevalence of back pain and dysfunction in dogs and horses for 6 different clinical scenarios. The respondents' education background and physical examination techniques were recorded. Unassigned: Perceptions of the prevalence of back pain and dysfunction varied widely both within and between education g...
