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.
Verberne LR, Mirck MH.The toxicity of parbendazole in different doses was investigated with 52 horses and 16 ponies, in twelve groups. Side effects observed with the anthelmintic were laxation (soft dung, diarrhoea), anorexia, and listlessness. The seriousness of these symptoms depended greatly on the dose used. Half the therapeutic dose of parbendazole (2.5 to 3.75 mg/kg) administered on two consecutive days led, as a rule, to only slight toxic symptoms and proved highly effective with regard to gastro-intestinal nematodes occurring in horses and ponies. The utilisation of "standard powders" (not commercially avai...
Ricketts SW, Rossdale PD.The authors discuss the value of a practice laboratory to the equine clinician and its priorities. Laboratory examinations of particular value are described in relation to their clinical application. The need to establish normal values according to laboratory and horse population is stressed. Tables of normal parameters related to age groups of horses in the authors' practice are presented.
Heinze H.A method of endoscopic examination of the internal genital (pelvic) organs of the mare is described. Special emphasis is placed on the induction of artificial pneumoperitoneum and the installation of an endoscopic peritoneal fistula device for prolonged observation. The potential of pelviscopy in the mare as a diagnostic aid, a new device for research in equine reproduction and as an auxillary aid to teaching is discussed.
Azzie MA.The clinical effects and therapeutic value of a 500 mg implant of oestradiol benzoate was observed in thirty-nine Thoroughbred brood mares showing various abnormalities of the ovary and/or the reproductive tract. Sixteen similarly affected, untreated mares acted as controls. The implant was inserted during the early part of the normal anoestrous period and was removed 6 to 10 weeks later. The conception rate among the treated group (59%) during the onset of the ensuing breeding season was significantly higher (P less than 0-02) than that in the control group. The value of this form of treatmen...
Glazier DB, Farrelly BT, O'Connor J.A congenital heart defect characterised by persistent patency (open-ness) of the ventricular septum, permitting flow of blood directly between ventricles, bypassing the pulmonary circulation and resulting in various degrees of cyanosis (blue discolouration of the skin) due to oxygen deficiency. Clinical signs include systolic murmur and a palpable thrill on both sides of the chest, dyspnoea and poor tolerance of exercise.
León CA.The purpose of this study was the identification of possible sequelae of the infection of human individuals with Virus of Venezuelan Equine Encephalitis (VEE). Special emphasis was laid on exploring neurological, psychological and behavioural aspects and particularly on the search for a possible association of the disease with epileptic phenomena, brain damage and/or mental deficiency. A four-year period of observation was conducted on a sample of children from El Carmelo (Colombia) where an epidemic of VEE took place in 1967. A group of seven children who presented the encephalitic type of th...
Hördegen KM.115 horseback riders have undergone clinical and radiologic examinations of the spine. A minimum of 10 years' riding was required. Depending on intensity of training and number of riding hours, the subjects were divided into three groups: roughriders, sport riders and hobby riders. It was striking that of the bare half of cases (51) suffering from lower back, only 8 (about 15%) had had medical treatment and actually been disabled. Moreover, 47% of the riders with lower back pain were painfree in the saddle, i.e. when riding. No causal connection was found between riding and a higher incidence ...
Rapp HJ.During the combination of oral and intravenous application of saline solution for treatment of the COPD of horses the level of hydraemia basing on the total protein concentration in the serum, the urine production and the specific weight of urine was determined. Additionally the development of serum concentration and of renal excretion rates of potassium, calcium and magnesium were ascertained. The level of hydraemia resulting from the combined method is almost identical with the solely intravenous performed hyperinfusion therapy. Due to the excessive application of fluid an extremely high lev...
Caudle AB, Pugh DG.The object of restraint is to limit, restrict, and keep under control the animal's movement while performing different procedures. The author discusses the importance of evaluating the horse and its owner prior to employing any type of restraint, various concepts of restraint, and examples of situations in which restraint may be required.
Beaulieu A, Nykamp S, Phillips J, Arroyo LG, Koenig J, Zur Linden A.Intra-articular injections are routinely performed to alleviate pain and inflammation associated with osteoarthritis in horses. Intra-articular injections require accurate needle placement to optimize clinical outcomes and minimize complications. This study's objectives were to develop and validate a three-dimensional (3D) printed model of an equine cervical articular process joint to teach ultrasound-guided injections. Five identical models of an equine cervical articular process joint were 3D printed and embedded in 10% ballistic gelatin. Experts' and novices' ability to successfully insert ...
Bergman HJ, de Kruif A, van Dessel S.A review is given of treatment for 'problem' mares that do not become pregnant. To determine the best therapy, it is necessary to understand the defence mechanisms of the uterus and the pathogenesis of not getting in foal. A thorough clinical examination is absolutely necessary to come to a correct diagnosis. This examination will be explained in a practical way. In the second article the different therapies for treating problem mares are discussed. The therapeutic possibilities vary widely. They can be classified in: anatomical corrections, anti-infectious therapy, and treatment to enhance th...
Young RL, Linford RL, Olander HJ.Physical examination and exploratory celiotomy were performed on five neonatal foals presented with signs of acute colic. Atresia coli was confirmed in each foal during surgery. The most consistent finding on physical examination was the absence of meconium staining following repeated enemas. The large, transverse and/or small colon were involved in all foals. One eight month aborted foetus was submitted for necropsy and diagnosed as having atresia coli and congenital hydrocephalus. Atresia coli should be considered for neonatal foals with signs of acute colic.
Stromberg BR, Norberg AW.Forty-six horses were submitted to a thermographic screening test. Forty showed a reasonably uniform IR-emission pattern of the coronary corium of the forelegs. The 133Xe-disappearance rate was studied in six of these horses, and the wash-out curves were found to be almost similar between the two extremities of each horse, except for slight differences between individual horses. Six horses showed a different IR pattern. Three had both coronary bands, and three had one coronary band, showing lower temperature. All cases with less warm coronary bands showed a low 133Xe-disappearance rate at rest...
Becsek A, Schweizer A, Knutti B, Bollwein H.The aim of this study was to compare transrectal two-dimensional (2D) and three-dimensional (3D) ultrasound examination with regards to required time and accuracy of fetal sex determination in early pregnant mares. Methods: For this purpose 47 mares were examined transrectally once between days 58 and 115 of gestation. Initially, the fetal sex was determined by identifying the location of the genital tubercle (GT) or external genitalia using 2D-ultrasound. Subsequently, the ultrasound machine was switched to 3D-mode to obtain images for later computer-based evaluation. Results: The gestational...
Hoskinson JJ, Tucker RL, Lillich J, Bertone JJ.While many equine diagnostic imaging procedures can be done in field, some procedures require specialized facilities, equipment or expertise which are generally only available in referral or specialty practices. As client awareness of the availability and advantages of these diagnostic procedures increases, veterinarians are faced with the increasing opportunity to utilize these services to provide optimal patient care. A working knowledge of the value and limitations of these methods is required to help guide veterinarians and clients in the selection of additional, and sometimes costly, diag...
Little D, Keene BW, Bruton C, Smith LJ, Powell S, Jones SL.A 49-kg (107.8-lb) sexually intact male Arabian foal was evaluated at 3 days of age because of profuse watery diarrhea, anorexia, and signs of abdominal pain. Physical examination findings were unremarkable except for evidence of diarrhea. A catheter was placed in the right jugular vein for administration of antimicrobials and lactated Ringer's solution. The foal was discharged with instructions to the owner to continue antimicrobial administration and fluid therapy; at home, the owner inadvertently cut the catheter at the level of the hub during attempted removal, and the catheter fragment mi...
Fischer A, Lechner J, Kraft W, Hirschberger J.The QBC is a centrifugal haematology system. Modified haematocrit capillaries are measured optically. The parameters haematocrit, total leukocyte count, relative and absolute values of granulocyte and lympho-/monocyte fractions, and total thrombocyte count are stated. The microhaematocrit method, the counting chamber, and the differential blood count are reference methods. Blood samples of the dog, cat and horse were used for the study. As a screening method the QBC analysis meets all requirements for the veterinary practice.
Brokken MT, Schneider RK, Tucker RL.To describe a surgical approach for the removal of nonarticular base sesamoid fragments in performance horses and to report the outcome. Methods: Retrospective study. Methods: Horses (n=11), 7 months to 10 years of age, with lameness because of nonarticular base sesamoid fragments. Methods: Lameness was localized to the metacarpophalangeal/metatarsophalangeal region by clinical examination or response to diagnostic local anesthesia. Radiographs confirmed the diagnosis of a nonarticular base sesamoid fragment. Surgical removal was performed with an incision over the base of the affected sesamoi...
Poulos PW.Adequate radiographic evaluation of the horse relevant to purchase examination requires the successful integration of technique, interpretation, and reporting. A thorough knowledge of lameness and disease can be masked by incorrect interpretation resulting from poor-quality films or an incomplete examination. Thus, care must be taken to produce an adequate number of high-quality films on which to base a report, which allows you to describe changes that are present. This information, coupled with your physical examination, other laboratory data, and the knowledge of the expressed use of the hor...
Rantanen NW.Diagnostic ultrasound has allowed significant findings to be made in the investigation of cardiac disease in the horse. Because of the limited value of thoracic radiography in the adult horse with cardiac disease, ultrasound is the method of choice to document chamber enlargement, pericardial effusion, valvular abnormalities, and decreased contractility of the myocardium. The apparent changes in the flow characteristics and suspicion of abnormality in the right heart of racehorses need further investigation to fully document the etiopathogenesis of spontaneous contrast.
Booth LC.Delayed closure is an underutilized technique that can produce a good cosmetic result in lower leg wounds and can significantly shorten the healing time. To be successful, the surgeon should be able to utilize tension-relieving techniques and manage dead space. Scar revision should be limited to simple elliptical excision or modifications thereof until experience is developed. Sliding skin flaps, Z-plasties, and W-plasties are used infrequently and require adequate preoperative planning.
Reinhard F.The conformation of a foal's limbs is of interest beginning in the first days of life. The hoof also must not be neglected. Management and hoof care necessary for normal hoof development are discussed. In addition, pathological hoof shapes and their appropriate treatments are outlined.
Miller CL, Todhunter R.Osteochondrosis affecting the acetabula in horses is rarely reported. Osteochondrosis dissecans in foals only a few weeks old is also an uncommon finding. Lesions compatible with osteochondrosis dissecans in the acetabulum were found to be the cause of a chronic coxofemoral lameness in a 3-week-old Arabian filly. The history, physical examination findings, joint fluid analysis, gross pathologic and histopathologic findings are described.
Tschudi P.The technique of needle biopsy, the examination of aspirated bone marrow and the interpretation of bone marrow smears are described. The indications for a bone marrow biopsy are listed and the literature is reviewed. The significance of this examination is illustrated with some clinical cases.
Cooper MJ.Fluprostenol (ICI 81,008) is a 16-aryloxyprostaglandin, structurally related to PGF2alpha. It is a highly potent luteolytic agent, being effective in thoroughbred mares at a single intramuscular dose of 250 mug and having a wide margin of safety in this species. A total of 941 mares have been treated with fluprostenol in an international trial, for various forms of infertility associated with abnormal persistence of luteal function. These mares were selected for treatment on the basis of clinical examination and 760 (approximately 80 per cent) responded fluprostenol by showing oestrus within s...
Hall LQ, Senior JE, Walker RG. A technique involving thoracotomy for the implantation of polythene catheters through the left atrium into the pulmonary veins has been used in 2 ponies. In both animals the catheters enabled blood samples to be obtained from the pulmonary veins for more than 5 weeks. Post mortem examination after termination of the experiment showed the procedure and catheters produced the minimum of adverse effects.
Scharner D, Bankert J, Brehm W.The examination of patients suffering from an acute abdomen routinely comprises both clinical and rectal examinations, and is ever more frequently accompanied by an ultrasonographic abdominal examination. The aim of the study was to compare the findings as defined through rectal examination with the results of the ultrasonographic examination for different forms of colic. Methods: In a retrospective study, the patient records of the Large Animal Clinic of the University of Leipzig from 2012 and 2013 were analysed, and those of horses suffering from colic were included. Diagnoses made through r...
Brownlow MA.Cells in the peritoneal fluid from 179 horses were examined in Giemsa stained preparations using light microscopy. Mononuclear phagocytes were a common cell type observed in normal fluids. In the absence of stimulation they were morphologically similar to the peripheral blood monocyte and the unstimulated mesothelial cell. In acute inflammatory effusions their proportion decreased significantly but, as the condition resolved, monocytes began to migrate into the cavity gradually becoming more numerous, transforming into larger macrophages and assuming an increasing phagocytic role. They were of...
Journée HL, Journée SL.Depending on the localization of the lesion, spinal cord ataxia is the most common type of ataxia in horses. Most prevalent diagnoses include cervical vertebral stenotic myelopathy (CVSM), equine protozoal myeloencephalitis (EPM), trauma and equine degenerative myeloencephalopathy (EDM). Other causes of ataxia and weakness are associated with infectious causes, trauma and neoplasia. A neurologic examination is indispensable to identify the type of ataxia. In addition, clinical neurophysiology offers tools to locate functional abnormalities in the central and peripheral nervous system. Clinical...
Smith RL, Perkins NR, Firth EC, Anderson BH.To determine whether trauma to the larynx caused by nasotracheal intubation induced mucosal ulceration of the arytenoid cartilages of adult horses, and to determine the incidence of such ulceration in yearling Thoroughbred horses and its effect on athletic performance. Methods: Laryngeal trauma was induced in a group of 21 adult horses by introduction of a nasogastric tube into the trachea three times within 5 min. Injury to the arytenoid cartilages or vocal cords was subjectively assessed immediately after intubation, and thereafter at weekly intervals for 10 weeks. The outcome and athletic p...
Scrutchfield WL, Schumacher J.Techniques and equipment used to examine the oral cavity thoroughly are explained. Common routine dental procedures described include removal of enamel points, wolf teeth, and retained caps. Abnormalities of the incisors are discussed.
A four-year-old thoroughbred was presented with clinical manifestations of purpura haemorrhagica. Evidence of renal involvement consistent with glomerulopathy and nephrotic syndrome, characterized by heavy proteinuria and azotaemia, became apparent and may have been exacerbated by diuretic therapy. Autopsy revealed membrano- and mesangial proliferative glomerulonephritis and chronic pleuritis. Circulating immune complexes may have been responsible for the renal diseases and the purpura.
