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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.
DrugCentral 2023 extends human clinical data and integrates veterinary drugs.
Nucleic acids research    December 10, 2022   Volume 51, Issue D1 D1276-D1287 doi: 10.1093/nar/gkac1085
DrugCentral monitors new drug approvals and standardizes drug information. The current update contains 285 drugs (131 for human use). New additions include: (i) the integration of veterinary drugs (154 for animal use only), (ii) the addition of 66 documented off-label uses and iii) the identification of adverse drug events from pharmacovigilance data for pediatric and geriatric patients. Additional enhancements include chemical substructure searching using SMILES and 'Target Cards' based on UniProt accession codes. Statistics of interests include the following: (i) 60% of the covered drugs are...
The optimal PEEP after alveolar recruitment maneuver assessed by electrical impedance tomography in healthy horses.
Frontiers in veterinary science    December 9, 2022   Volume 9 1024088 doi: 10.3389/fvets.2022.1024088
Andrade FSRM, Ambrósio AM, Rodrigues RR, Faccó LL, Gonçalves LA, Garcia Filho SG, Dos Santos RT, Rossetto TC, Pereira MAA, Fantoni DT.Electrical impedance tomography (EIT) has been an essential tool for assessing pulmonary ventilation in several situations, such as the alveolar recruitment maneuver (ARM) in PEEP titration to maintain the lungs open after atelectasis reversion. In the same way as in humans and dogs, in horses, this tool has been widely used to assess pulmonary aeration undergoing anesthesia, mechanical ventilation, recruitment maneuver, standing horses, or specific procedures. Unassigned: The present study aimed to evaluate the distribution of regional ventilation during ARM based on lung monitoring assessmen...
What is your diagnosis? Scraping from a corneal ulcer in a horse.
Veterinary clinical pathology    December 7, 2022   Volume 52 Suppl 2 138-141 doi: 10.1111/vcp.13180
Conrado FO, Richardson R, Craft SL, Herrmann J, Hamor RE.No abstract available
A seasonal idiopathic hepatitis syndrome in horses presented to a Midwestern veterinary teaching hospital.
Journal of the American Veterinary Medical Association    December 7, 2022   Volume 261, Issue 2 266-272 doi: 10.2460/javma.22.08.0368
Taylor SD, Kritchevsky JE, Huang P, Olave C, Waxman SJ, Miller MA.To report history, clinical examination findings, clinicopathologic findings, diagnostic test results, treatment, and outcome in horses with a novel idiopathic hepatitis syndrome. 13 client-owned horses. Medical records of horses that were presented with fever and increased blood liver enzyme activity over a 16-month period were reviewed (December 1, 2020, to April 1, 2022). Collected data included signalment, history, clinical and clinicopathologic findings, diagnostic test results, treatment, clinical progression, and short-term outcome. Affected horses were presented between December and Ap...
Non-surgical correction of nephrosplenic entrapment and colitis in a Quarter Horse.
The Canadian veterinary journal = La revue veterinaire canadienne    December 6, 2022   Volume 63, Issue 12 1255-1257 
Normandeau J.A 16-year-old Quarter Horse was examined and observed to have acute signs of colic, pyrexia, and diarrhea. A nephrosplenic entrapment was detected via rectal palpation and confirmed with abdominal ultrasound. The nephrosplenic entrapment was resolved non-surgically with jogging and anti-inflammatory medication. Concurrent colitis, toxic laminitis, and inappetence were managed and the horse made a full recovery. Correction non chirurgicale d’emprisonnement néphro-splénique et de la colite chez un Quarter Horse. Un Quarter Horse âgé de 16 ans a été examiné et on a observé des signes ai...
Intracranial medulloblastoma as the cause of progressive ataxia in a 6-month-old draft horse cross gelding.
Journal of veterinary internal medicine    November 25, 2022   Volume 37, Issue 1 361-365 doi: 10.1111/jvim.16592
Palmisano M, Bender S, Johnson AL.We describe the unique clinical presentation of a central nervous system neoplasm in a 6-month-old draft horse cross gelding. Based on the neurologic examination at admission, neurolocalization was most consistent with a mildly asymmetric cervical, multifocal, or diffuse myelopathy. Mild vestibular involvement also was considered, but no cranial nerve deficits were observed. The gelding was negative for Sarcocystis neurona or Neospora hughesi based on paired serum and cerebrospinal fluid (CSF) samples analyzed, with no evidence of cervical compression based on contrast myelography. The horse w...
Variations in the application of equine prosthetic laryngoplasty: A survey of 128 equine surgeons.
Veterinary surgery : VS    November 24, 2022   Volume 52, Issue 2 209-220 doi: 10.1111/vsu.13913
Byrne CA, Hotchkiss JW, Barakzai SZ.To document variations in the application of equine prosthetic laryngoplasty among equine surgeons. Methods: Cross-sectional survey. Methods: Six hundred and seventy-eight equine surgeons performing prosthetic laryngoplasty. Methods: An online questionnaire was sent to equine surgeons, including diplomates of the American College of Veterinary Surgeons and European College of Veterinary Surgeons. Questions focused on participant profile, surgical technique, antimicrobial therapy, and concurrent procedures. Descriptive statistical analysis was performed on the survey output. Results: Complete r...
Complications following transcutaneous cecal trocarization in horses with a cattle trocar and a cecal needle.
PloS one    November 23, 2022   Volume 17, Issue 11 e0277468 doi: 10.1371/journal.pone.0277468
Dória RGS, Reginato GM, Hayasaka YB, Fantinato Neto P, Passarelli D, Arantes JA.Percutaneous decompression of the cecum is a procedure that could be considered for horses with cecal gas distension. The aim of this study was to identify complications such as peritonitis and clinically relevant peritonitis (CRP) after transabdominal cecal trocarization in healthy horses using a cattle trocar and a cecal needle. Mixed breed horses were assigned to three groups (n = 6): horses that underwent trocarization with a cecal needle (G1) or a cattle trocar (G2), and a control group (CG) without cecal trocarization. The same horses were used in each group, respecting a three-month was...
Impact of Different Diagnostic Procedures on Diagnosis, Therapy, and Outcome in Horses with Headshaking: Recommendations for Fast-Track Advanced Diagnostic and Therapeutic Protocols.
Animals : an open access journal from MDPI    November 13, 2022   Volume 12, Issue 22 doi: 10.3390/ani12223125
Kloock T, Hellige M, Kloock A, Feige K, Niebuhr T.Most horses affected by headshaking (HS) are diagnosed with idiopathic trigeminal-mediated headshaking (i-TMHS) when no underlying disease is found. Diagnosis is made by the exclusion of differentials considering history, clinical signs, and diagnostic investigations. Therefore, in horses presented with headshaking, many diagnostic procedures and therapies are conducted. Retrospectively, the digital patient records of 240 horses with HS were analysed regarding the impact of diagnostic procedures on diagnosis, therapy, and outcome. Horses were extensively examined using a standardised protocol ...
Application of Two-Dimensional Entropy Measures to Detect the Radiographic Signs of Tooth Resorption and Hypercementosis in an Equine Model.
Biomedicines    November 13, 2022   Volume 10, Issue 11 2914 doi: 10.3390/biomedicines10112914
Górski K, Borowska M, Stefanik E, Polkowska I, Turek B, Bereznowski A, Domino M.Dental disorders are a serious health problem in equine medicine, their early recognition benefits the long-term general health of the horse. Most of the initial signs of Equine Odontoclastic Tooth Resorption and Hypercementosis (EOTRH) syndrome concern the alveolar aspect of the teeth, thus, the need for early recognition radiographic imaging. This study is aimed to evaluate the applicability of entropy measures to quantify the radiological signs of tooth resorption and hypercementosis as well as to enhance radiographic image quality in order to facilitate the identification of the signs of E...
Malocclusions and Dental Diseases in Privately Owned Horses in the Mazovia Region of Poland.
Animals : an open access journal from MDPI    November 11, 2022   Volume 12, Issue 22 3120 doi: 10.3390/ani12223120
Górski K, Stefanik E, Turek B, Bereznowski A, Czopowicz M, Polkowska I, Domino M.Dental disorders, a term encompassing both malocclusion and dental disease, constitute a serious health problem in horses worldwide. As horse populations differ among countries and regions, a geographically specific characterization of the occurrence of various dental disorders may be helpful for local equine practitioners. This study investigated the prevalence and frequency distribution of selected malocclusions and dental diseases in horses housed in the Mazovia region of Poland, with attention paid to variations among age, gender, and breed categories. Routine dental examinations were cond...
Methods Used for Endotracheal Tube Cuff Inflation and Pressure Verification in Veterinary Medicine: A Questionnaire on Current Practice.
Animals : an open access journal from MDPI    November 8, 2022   Volume 12, Issue 22 3076 doi: 10.3390/ani12223076
Veen I, de Grauw JC.Endotracheal intubation is a routine procedure in veterinary anaesthesia, yet no consensus guidelines exist for endotracheal tube (ETT) cuff inflation and pressure measurement. The aim of this study was to assess current practice of ETT cuff inflation and seal verification in veterinary medicine. An online questionnaire was distributed among veterinary professionals who administer anaesthesia, comprising six demographic and twelve ETT cuff-related questions per species. N = 348 questionnaires were completed. Cuff pressure was measured by 30% of respondents in cats, 32% in dogs and 9% in both f...
Changes in Acute Phase Response Biomarkers in Racing Endurance Horses.
Animals : an open access journal from MDPI    October 31, 2022   Volume 12, Issue 21 doi: 10.3390/ani12212993
Mihelić K, Vrbanac Z, Bojanić K, Kostanjšak T, Ljubić BB, Gotić J, Vnuk D, Bottegaro NB.This study aimed to evaluate if exercise-induced acute phase response (APR) occurs in endurance horses in response to the race. The study included 23 horses competing in an endurance competition with a successfully passed clinical examination before the race. Blood samples were collected before the start and within 30 min after the end of the race. Haematological and biochemical tests were performed and correlated to acute phase biomarkers changes. Values of calprotectin and haptoglobin (Hp) decreased after the races compared to values before, while concentrations of ceruloplasmin and albumin ...
Equine shock wave therapy – where are we now?
Equine veterinary journal    October 28, 2022   Volume 55, Issue 4 593-606 doi: 10.1111/evj.13890
Johnson SA, Richards RB, Frisbie DD, Esselman AM, McClure SR.Over the past three decades, electrohydraulic extracorporeal shock wave therapy (ESWT) as a treatment modality for equine orthopaedic disorders has sparked exponential interest among practitioners, but its clinical applications are quickly evolving and a current review highlighting modernised equine clinical use is lacking. The objective of this review is to summarise the most current ESWT technology, evidence for its use, proposed mechanisms of action and clinical applications in horses while also highlighting the areas requiring further investigation. The three ways to generate a shock wave ...
Cartilaginous Intrusion of the Atrioventricular Node in a Quarter Horse with a High Burden of Second-Degree AV Block and Collapse: A Case Report.
Animals : an open access journal from MDPI    October 24, 2022   Volume 12, Issue 21 2915 doi: 10.3390/ani12212915
Nissen SD, Saljic A, Kjeldsen ST, Jespersen T, Hopster-Iversen C, Buhl R.Second-degree atrioventricular (AV) block is the most common cardiac arrhythmia in horses, affecting 40-90% depending on breed. Usually, the AV blocks occur while the horses are resting and disappear upon exercise and are, therefore, considered to be uneventful for horses. However, if the AV blocks occur frequently, this may result in syncope and collapse. Identifying the cause of second-degree AV block is difficult and often subscribed to high vagal tone. In this report, we present an eight-year-old Quarter horse with a high burden of second-degree AV blocks and multiple collapses. The clinic...
Comparison Between Gynecological Examination Methods and Sample Collection Techniques for the Diagnosis of Endometritis in Subfertile Mares.
Journal of equine veterinary science    October 23, 2022   Volume 119 104147 doi: 10.1016/j.jevs.2022.104147
Teixeira-Soares CM, Viana AGA, Ribeiro IM, Silva KDP, Sancler-Silva YFR, Machado-Neves M.Endometritis is a relevant cause of subfertility in mares. However, the accurate diagnosis, essential for effective treatment, can be difficult due to the variability of results and interpretations resulting from different examination methods and sample collection techniques. The present work compared gynecological evaluation methods and sample collection techniques to diagnose endometritis in subfertile mares. Forty animals with a history of subfertility were selected for gynecological evaluation using clinical methodologies, such as perineal conformation, transrectal palpation and ultrasonog...
Race-Level Reporting of Incidents Using the New Online System During Two Seasons (2019/2020-2020/2021) of Harness Racing in New Zealand.
Journal of equine veterinary science    October 20, 2022   Volume 119 104142 doi: 10.1016/j.jevs.2022.104142
Gibson MJ, Legg KA, Gee EK, Rogers CW.After establishing a baseline of stipendiary stewards' reporting using the paper-based system in the 2015/16 and 2016/17 seasons of harness racing, it is important to examine if the implementation of an online system has altered frequency and descriptors used for clinical outcomes. The objective of this study was to describe the race level injury and reporting outcomes, and horse- and race-level variables associated with the rate of the reporting of these outcomes during the 2019/20 and2020/21 harness racing seasons in New Zealand. The introduction of the online system was associated with few ...
Cross-sectional comparison of superficial swab and fine-needle aspiration: Improving the diagnostic workup of horses with sarcoids.
Veterinary journal (London, England : 1997)    October 19, 2022   Volume 289 105916 doi: 10.1016/j.tvjl.2022.105916
Gysens L, Martens A, Haspeslagh M.Although bovine papillomavirus (BPV)-induced equine sarcoids are often identified solely by clinical examination, confirmation of the clinical diagnosis is essential for correct treatment selection. Only few approaches are presently available for this purpose. PCR-based screening for BPV in superficial swabs is widely-used to support clinical suspicion. While this method effectively detects sarcoid involvement in ulcerated lesions, sensitivity is lower in tumors with intact epithelium. This cross-sectional study compared the diagnostic characteristics of superficial swabs and fine-needle aspir...
Integrative Approach to Neck Pain and Dysfunction.
The Veterinary clinics of North America. Equine practice    October 13, 2022   Volume 38, Issue 3 485-492 doi: 10.1016/j.cveq.2022.06.006
Story MR.Equine cervical pain and dysfunction may be difficult to diagnose and effectively manage. Understanding techniques in integrative medicine often allows the practitioner to observe and palpate areas of pain and dysfunction in the horse being evaluated in ways often not taught or used in conventional medicine. There are many integrative therapies that also may be utilized to more effectively manage these horses, resulting in a more comfortable and functional horse.
Spinal Mobilization and Manipulation in Horses.
The Veterinary clinics of North America. Equine practice    October 13, 2022   Volume 38, Issue 3 509-523 doi: 10.1016/j.cveq.2022.06.008
Haussler KK, Holt TN.There is a growing body of evidence to support the use of spinal mobilization and manipulation techniques in equine practice. Outcome parameters reported across studies include measures of joint motion, nociception, muscle tone, and performance. Spinal examination procedures include static and dynamic assessments of the quantity and the quality of both active and passive movements. Tiered treatment approaches are recommended to stage the application of various therapies based on ease, cost, and efficacy.
Clinical Application of Myofascial Therapy in Horses.
The Veterinary clinics of North America. Equine practice    October 13, 2022   Volume 38, Issue 3 493-507 doi: 10.1016/j.cveq.2022.06.007
Luomala T.Fascia is a complex and intriguing tissue, which can take on structural properties of being loose or dense, irregular or regular. Fascia functions by connecting, separating, and uniting different structures of the body. Myofascial dysfunction can be a significant source of pain and can be categorized as densification, adhesion, and fibrosis. Digital palpation and treatment of myofascial disorders can be provided via superficial or deep techniques. Different myofascial treatment techniques include slow and fast techniques, which can be applied at different depths, angles, and rhythms.
Therapeutic Exercises for Equine Sacroiliac Joint Pain and Dysfunction.
The Veterinary clinics of North America. Equine practice    October 13, 2022   Volume 38, Issue 3 569-584 doi: 10.1016/j.cveq.2022.07.002
Goff L.This article provides the equine practitioner with a review of sacroiliac joint pain and dysfunction and outlines the importance of providing a specific prescription for a safe and effective therapeutic exercise program. The continuum of clinical dysfunction associated with the sacroiliac region is presented with prescribed interventions. The intent is to encourage the practitioner to perform a thorough assessment of the sacroiliac joint and the adjacent soft tissues and to use sound clinical reasoning to formulate a therapeutic exercise plan.
Retrospective Study on Risk Factors and Short-Term Outcome of Horses Referred for Colic from 2016 to 2022.
Veterinary sciences    October 3, 2022   Volume 9, Issue 10 545 doi: 10.3390/vetsci9100545
Straticò P, Varasano V, Palozzo A, Guerri G, Celani G, Revelant O, Petrizzi L.(1) Background: colic syndrome is a multifactorial life-threatening condition in equids. Awareness of predisposing and prognostic indicators is useful to adequately inform the owner of the outcome and plan the best treatment. The aim of the study was to identify the variables associated with short-term survival in a cohort of horses referred for colic to a veterinary teaching hospital; (2) Methods: medical records of horses referred for colic from 2016 to 2022 were retrospectively reviewed. Univariate and multivariate regression models were built to assess the odds ratios of discharge from the...
Thoracic and Abdominal Mesothelioma in an Older Horse in Lazio Region.
Animals : an open access journal from MDPI    September 25, 2022   Volume 12, Issue 19 2560 doi: 10.3390/ani12192560
A Quarter Horse, a gelding aged 22, was subjected to a clinical examination for colic syndrome. During admission to the clinic, blood counts and ultrasound examination were performed. Ultrasound revealed abdominal masses and abundant accumulation of pleural (50 L) and abdominal fluid (100 L). Cytology was performed on the aspirated fluid. The patient was euthanized. The autopsy examination revealed abundant effusion and nodular masses on the peritoneum, omentum, lungs, heart, and mediastinum. A diagnosis of epithelioid mesothelioma was made via histopathology and confirmed with immunohistochem...
Single-incision drilling technique to achieve hemiepiphysiodesis of the distal metacarpus – complications and outcome in 207 foals with metacarpophalangeal varus deformities.
Veterinary surgery : VS    September 25, 2022   Volume 52, Issue 1 26-32 doi: 10.1111/vsu.13888
Boorman S, Rodgerson DH.To report the outcome of foals treated for metacarpophalangeal varus deformity with a single-incision drilling technique for hemiepiphysiodesis of the distal lateral metacarpal physis. Methods: Retrospective case-control cohort study. Methods: Thoroughbred foals (n = 207), 171 age- and sex-matched maternal siblings. Methods: Medical records (2017-2020) were reviewed for signalment, limb(s) treated, location of the surgery, and any reported complications. Follow-up radiographs obtained for the yearling sale were assessed for abnormalities. Horses were matched to maternal siblings using an onl...
Equus caballus Papillomavirus Type-9 (EcPV9): First Detection in Asymptomatic Italian Horses.
Viruses    September 15, 2022   Volume 14, Issue 9 2050 doi: 10.3390/v14092050
De Paolis L, De Ciucis CG, Peletto S, Cappelli K, Mecocci S, Nervo T, Guardone L, Crescio MI, Pietrucci D, Fruscione F, Gabbianelli F, Turco S....Papillomavirus (PV) infections may be related to anogenital lesions and cancer development in humans and several other animal species. To date, 11 different PVs have been reported in horses. Among them, a newly described PV named Papillomavirus Type9 (EcPV9) was thus far only reported in the semen of a stallion with penile lesions in Australia. This study reports for the first time the presence of EcPV9 in asymptomatic Italian horses. From July 2020 to January 2022, genital brush samples were collected from 209 horses with no apparent signs of neoplastic disease and no PV-associated lesions, ...
Clinical effects and pharmacokinetics of nebulized lidocaine in healthy horses.
Frontiers in veterinary science    September 15, 2022   Volume 9 984108 doi: 10.3389/fvets.2022.984108
Minuto J, Bedenice D, Ceresia M, Zaghloul I, Böhlke M, Mazan MR.Nebulized lidocaine appears promising as a novel corticosteroid-sparing therapeutic for equine asthma, but its safety and pharmacokinetic behavior have yet to be confirmed. Unassigned: To describe the effect of nebulized lidocaine on upper airway sensitivity, lung mechanics, and lower respiratory cellular response of healthy horses, as well as delivery of lidocaine to lower airways, and its subsequent absorption, clearance, and duration of detectability. Unassigned: Six healthy university- and client-owned horses with normal physical examination and serum amyloid A, and no history of respirato...
Assessing the cardiac valves conditions in athletic horses with poor performance.
Veterinary research forum : an international quarterly journal    September 15, 2022   Volume 13, Issue 3 423-429 doi: 10.30466/vrf.2021.130366.2997
Khalesi H, Sakha M, Veshkini A, Rezakhani A.Heart murmurs and valvular regurgitation are common in horses and often have no effect on their performance. However, when structural changes occur in the heart size, they can affect performance adversely. This study aimed to examine the correlation between cardiac valves disease and poor performance in athletic horses. A total of 300 athletic Thoroughbred and mix-breed horses including 164 mares and 136 stallions, with a history of poor performance, were selected. Horses with cardiac murmurs were identified and further cardiac examination including precise auscultation, base-apex electrocardi...
What is your diagnosis? Ovarian mass in a mare.
Veterinary clinical pathology    September 9, 2022   Volume 52 Suppl 2 134-137 doi: 10.1111/vcp.13161
Parsley AL, Rasche BL, Yang TS, Gruber EJ.No abstract available
Intra- and Interexaminer Measurement Variability Analysis of an Orthodontic Gauge Device to Determine Incisor Occlusal Surface Angles in the Horse.
Veterinary sciences    September 7, 2022   Volume 9, Issue 9 481 doi: 10.3390/vetsci9090481
Kau S, Motter KS, Moser VJ, Kunz JR, Pellachin M, Hartl B.Incisor malocclusions are common in horses. As yet, an evidence-based understanding of incisor occlusal surface angle dynamics and normocclusal range is missing. Orthodontic measuring devices could help unravel this information objectively but imply measurement validation. We evaluated intra- and interexaminer variability of repeated sagittal and transversal incisor occlusal surface angle measures using a commercial orthodontic gauge device (). Five examiners (two experienced, three inexperienced) measured six cadaver heads on 2 consecutive days in a blinded block-randomization design, resulti...
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