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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.
Development and Evaluation of a Muscle Atrophy Scoring System (MASS) for Horses.
Journal of equine veterinary science    September 20, 2021   Volume 110 103771 doi: 10.1016/j.jevs.2021.103771
Herbst AC, Johnson MG, Gammons H, Reedy SE, Urschel KL, Harris PA, Adams AA.Loss of skeletal muscle mass likely compromises performance and welfare in horses and thus routine monitoring would be valuable. Currently available methods to assess muscle mass require expert knowledge and are often expensive. To provide a simple method, a muscle atrophy scoring system (MASS) was created and tested by three evaluators (raters) in 38 horses of varying age, breed, and health status. Inter-rater agreement on atrophy scores was in the good-to-excellent range for ratings of the neck (ICC = 0.62), back (ICC = 0.62) and hind (ICC = 0.76) regions but was poor for the abdominal...
Comparing two surgical techniques for repairing third-degree perineal lacerations in postpartum broodmares.
The Veterinary record    September 11, 2021   Volume 189, Issue 5 e907 doi: 10.1002/vetr.907
Sheard L.No abstract available
Clinical Insights on Pre- and Novel Postconditioning in Equine Jejunal Ischemia.
Medical archives (Sarajevo, Bosnia and Herzegovina)    September 7, 2021   Volume 75, Issue 3 237-238 doi: 10.5455/medarh.2021.75.237-238
Sengul I, Sengul D.No abstract available
Copper Toxicity in Horses: Does it Exist?
Journal of equine veterinary science    August 30, 2021   Volume 106 103752 doi: 10.1016/j.jevs.2021.103752
Belli CB, Fernandes WR, Torres LN, Sucupira MCA, de Sá LRM, Maiorka PC, Neuenschwander HM, de Barros AMC, Baccarin RYA.Copper toxicity is thought to be a rare condition in horses. However, the number of cases diagnosed in Brazil is growing. This article aims to describe cases of copper toxicity involving horses from different geographic locations and discuss findings of physical examinations, differential diagnoses and potential causes. Five cases referred from 4 different properties where at least 15 other horses were affected were described. Hemolytic anemia and hemoglobinuria, presence of Heinz bodies and elevated aspartate aminotransferase and gamaglutamil transferase levels were detected in all cases. The...
Real-time fluorometric and end-point colorimetric isothermal assays for detection of equine pathogens C. psittaci and equine herpes virus 1: validation, comparison and application at the point of care.
BMC veterinary research    August 19, 2021   Volume 17, Issue 1 279 doi: 10.1186/s12917-021-02986-8
Jelocnik M, Nyari S, Anstey S, Playford N, Fraser TA, Mitchell K, Blishen A, Pollak NM, Carrick J, Chicken C, Jenkins C.C. psittaci has recently emerged as an equine abortigenic pathogen causing significant losses to the Australian Thoroughbred industry, while Equine herpesvirus-1 (EHV-1) is a well-recognized abortigenic agent. Diagnosis of these agents is based on molecular assays in diagnostic laboratories. In this study, we validated C. psittaci and newly developed EHV-1 Loop Mediated Isothermal Amplification (LAMP) assays performed in a real-time fluorometer (rtLAMP) against the reference diagnostic assays. We also evaluated isothermal amplification using commercially available colorimetric mix (cLAMP), and...
Summer Sores Secondary to a Hoof Crack in an Andalusian Stallion.
Pathogens (Basel, Switzerland)    August 16, 2021   Volume 10, Issue 8 doi: 10.3390/pathogens10081038
Palozzo A, Traversa D, Marruchella G, Celani G, Morelli S, Petrizzi L.Cutaneous habronemosis in horses is caused by larvae of the spirurid nematodes Habronema microstoma and Habronema muscae. These lesions, also known as "summer sores'', are often severe and disfiguring. Although Habronema-caused lesions at the coronary grooves have been described, cases of hoof cracks with secondary summer sores have never been reported. The present case describes clinic-pathological and surgical features of a quarter crack case complicated by cutaneous habronemosis at the dermal layers. A 15-year-old, Andalusian stallion was referred to the Veterinary Teaching Hospital of the ...
Use of Polyamide (Nylon) Cable Ties for Vascular Ligation of Healthy Equine Jejunal Mesentery.
Frontiers in veterinary science    August 12, 2021   Volume 8 639424 doi: 10.3389/fvets.2021.639424
Hurcombe SD, Roessner HA, Klein CE, Engiles JB, Hopster K.Jejunal vascular ligation is an essential step in performing jejunojejunostomy. Hand sewn ligation is typically used and can increase operative time with long sections of bowel to be removed. Nylon cable ties (NCT) have been used for vascular ligation in horses but are yet to be investigated for application on the mesenteric vasculature of the gastrointestinal tract. Our objective was to evaluate the efficacy and short-term safety of NCT jejunal mesenteric vessel ligation in healthy horses. Eight healthy adult horses underwent midline celiotomy. A segment of jejunal mesentery was identified (â...
Clinical insights: Recent advances in donkey medicine and welfare.
Equine veterinary journal    August 7, 2021   Volume 53, Issue 5 859-862 doi: 10.1111/evj.13471
Rickards K, Toribio RE.No abstract available
A critical evaluation for validation of composite and unidimensional postoperative pain scales in horses.
PloS one    August 5, 2021   Volume 16, Issue 8 e0255618 doi: 10.1371/journal.pone.0255618
Barreto da Rocha P, Driessen B, McDonnell SM, Hopster K, Zarucco L, Gozalo-Marcilla M, Hopster-Iversen C, Esteves Trindade PH, Gonzaga da Rocha TK....Proper pain therapy requires adequate pain assessment. This study evaluated the reliability and validity of the Unesp-Botucatu horse acute pain scale (UHAPS), the Orthopedic Composite Pain Scale (CPS) and unidimensional scales in horses admitted for orthopedic and soft tissue surgery. Forty-two horses were assessed and videotaped before surgery, up to 4 hours postoperatively, up to 3 hours after analgesic treatment, and 24 hours postoperatively (168 video clips). After six evaluators viewing each edited video clip twice in random order at a 20-day interval, they chose whether analgesia would b...
Electrical impedance tomography to measure lung ventilation distribution in healthy horses and horses with left-sided cardiac volume overload.
Journal of veterinary internal medicine    August 4, 2021   Volume 35, Issue 5 2511-2523 doi: 10.1111/jvim.16227
Sacks M, Byrne DP, Herteman N, Secombe C, Adler A, Hosgood G, Raisis AL, Mosing M.Left-sided cardiac volume overload (LCVO) can cause fluid accumulation in lung tissue changing the distribution of ventilation, which can be evaluated by electrical impedance tomography (EIT). Objective: To describe and compare EIT variables in horses with naturally occurring compensated and decompensated LCVO and compare them to a healthy cohort. Methods: Fourteen adult horses, including university teaching horses and clinical cases (healthy: 8; LCVO: 4 compensated, 2 decompensated). Methods: In this prospective cohort study, EIT was used in standing, unsedated horses and analyzed for convent...
Some Genetic and Environmental Effects on Equine Asthma in Polish Konik Horses.
Animals : an open access journal from MDPI    August 3, 2021   Volume 11, Issue 8 2285 doi: 10.3390/ani11082285
Borowska A, Wolska D, Niedzwiedz A, Borowicz H, Jaworski Z, Siemieniuch M, Szwaczkowski T.Current knowledge of the genetic and environmental backgrounds of equine asthma seems to be insufficient, especially for primitive horse breeds. The main objectives of this study were to estimate the effects of sex, birth period, stud, parentage line and inbreeding on asthma morbidity in Polish Konik horses. Records of 274 horses (housed in two studs) were analysed. These animals were allocated to maternal and paternal lines. Individual inbreeding coefficients were extracted from the additive relationship matrix. Horses underwent diagnosis based on observation of the basic symptoms (high frequ...
Evaluation of a new portable 1-lead digital cardiac monitor (eKuore) compared with standard base-apex electrocardiography in healthy horses.
PloS one    August 3, 2021   Volume 16, Issue 8 e0255247 doi: 10.1371/journal.pone.0255247
Vitale V, Vezzosi T, Tognetti R, Fraschetti C, Sgorbini M.Recently, the use of smartphone ECG devices has been reported in humans and animals. Nevertheless, as the electrodes of these devices are inseparable, they can create only a precordial reading in veterinary species. Thus, although the smartphone ECG devices are considered valuable as a screening tool for the detection of some common arrhythmias, they are not always a reliable method for the measurement of the duration of the electrical deflections. The objectives of this study were to evaluate the feasibility of a novel smartphone ECG device, to report the readings obtained recorded simultaneo...
Repeated intra-articular administration of equine allogeneic peripheral blood-derived mesenchymal stem cells does not induce a cellular and humoral immune response in horses.
Veterinary immunology and immunopathology    August 2, 2021   Volume 239 110306 doi: 10.1016/j.vetimm.2021.110306
Van Hecke L, Magri C, Duchateau L, Beerts C, Geburek F, Suls M, Da Dalt L, Patruno M, Saunders J, Broeckx SY, Depuydt E, Spaas JH.The use of mesenchymal stem cells (MSCs) for the treatment of equine joint disease is widely investigated because of their regenerative and immunomodulatory potential. Allogeneic MSCs provide a promising alternative to autologous MSCs, since the former are immediately available and enable a thorough donor screening. However, questions have been raised concerning the immunogenic potential of allogeneic MSCs, especially after repeated administration. Methods: Current retrospective study assessed the cellular and humoral immunogenicity of ten jumping and dressage horses with naturally occurring d...
Development and Validation of an Instrument to Assess Horseback Mobility in Hippotherapy.
Perceptual and motor skills    August 1, 2021   Volume 128, Issue 5 2117-2131 doi: 10.1177/00315125211036578
Prieto AV, Ayupe KMA, Abreu ACA, Filho PJBG.Improvement in rider mobility represents an important functional gain for people with disabilities undergoing hippotherapy. However, there is no validated measuring instrument to track and document the rider's progress in riding activities. In this study, we aimed to develop and establish validity evidence for an instrument to assess hippotherapy participants' mobility on horseback. We report on this development through the stages of: (a) content validation, (b) construct validation, (c) inter- and intra-rater reliability and (d) internal consistency analysis. We evaluated its factor structure...
Use of Negative Pressure Wound Therapy in the Treatment of Limb Wounds: A Case Series of 42 Horses.
Journal of equine veterinary science    July 31, 2021   Volume 106 103725 doi: 10.1016/j.jevs.2021.103725
Launois T, Moor PL, Berthier A, Merlin N, Rieu F, Schlotterer C, Siegel A, Fruit G, Dugdale A, Vandeweerd JM.Traumatic limb injuries are common in horses. Negative pressure wound therapy (NPWT) has been proven to promote wound healing in human medicine. It has also been described for the treatment of wounds in horses. In this retrospective study, clinical records of 42 (n = 42) animals were assessed. Categories of wounds, duration of NPWT application, frequency of resetting the NPWT device, technical complications, and tolerance to the procedure were recorded. 42 wounds were classified as bony (n = 15; 36 %), articular (n = 14; 33 %), tenosynovial (n = 9; 21%), muscular (n = 2; 5%) and cuta...
Gentamicin-induced sensorineural auditory loss in healthy adult horses.
Journal of veterinary internal medicine    July 28, 2021   Volume 35, Issue 5 2486-2494 doi: 10.1111/jvim.16221
Aleman MR, True A, Scalco R, Crowe CM, Costa LRR, Chigerwe M.Irreversible sensorineural auditory loss has been reported in humans treated with aminoglycosides but not in horses. Objective: Investigate if auditory loss occurs in horses treated using the recommended IV daily dosage of gentamicin for 7 consecutive days. Methods: Ten healthy adult horses (7-15 years; females and males, 5 each). Methods: Prospective study. Physical and neurological examinations and renal function tests were performed. Gentamicin sulfate was administered at a dosage of 6.6 mg/kg via the jugular vein on alternating sides for 7 days. Gentamicin peak and trough concentratio...
Retrospective and prospective assessment of butorphanol, azaperone and medetomidine (BAM™) for immobilisation of feral horses (Equus ferus caballus).
Equine veterinary journal    July 26, 2021   Volume 54, Issue 3 549-555 doi: 10.1111/evj.13490
Balko JA, Fogle C, Stuska SJ, Fogle JE, Posner LP.Butorphanol-azaperone-medetomidine (BAM™) has not been evaluated in horses. Objective: The objective of this study was to evaluate BAM™ for chemical restraint of feral horses. Methods: Retrospective and prospective descriptive studies. Methods: Data were collected retrospectively from medical records of 28 feral horses immobilised with BAM™ over a 6-year period. Prospectively, 0.0125 mL/kg bwt of BAM™ (butorphanol 27.3 mg/mL, azaperone 9.1 mg/mL and medetomidine 10.9 mg/mL) intramuscularly (im) was administered to eight stallions via dart, and once recumbent, 1.0 mg/kg bwt ketamin...
Accuracy of a heart rate monitor for calculating heart rate variability parameters in exercising horses.
Journal of equine veterinary science    July 20, 2021   Volume 104 103716 doi: 10.1016/j.jevs.2021.103716
Frippiat T, van Beckhoven C, Moyse E, Art T.Heart rate is evaluated in exercising horses to monitor the level of fitness to exercise, and it is usually acquired using heart rate monitors (HRM) or telemetric electrocardiograms (ECG). While HRM are commonly available and easy-to-use for horse's owners, ECG is a more expensive equipment requiring user's experience. Interest for heart rate variability (HRV) in horses is increasing for both research and clinical purposes. HRV is usually calculated from interbeat intervals (IBI) obtained by ECG. The aim of this study was to determine the accuracy of an HRM to detect IBI for the calculation of...
Segmental Cervical Aplasia in a Colombian Creole Mare with Mosaic X-Chromosome Aneuploidy.
Journal of equine veterinary science    July 18, 2021   Volume 105 103720 doi: 10.1016/j.jevs.2021.103720
Pinzón-Osorio CA, Cortés-Beltrán D, Sanchez-Isaza CA, Jiménez-Robayo LM, Lozano-Márquez H, Zambrano-Varón J, Jiménez-Escobar C.A 4-year-old Colombian Creole mare was presented for diagnosis because the external orifice of her cervix was not detectable when a uterine lavage as therapy for uterine fluid accumulation was attempted. Clinical and ultrasonographic evaluation of the genital tract revealed that ovaries were of normal size and showed structures suggestive of regular ovarian activity. However, granular free-floating fluid material distending the uterus was detected by ultrasound. Upon vaginal examination, the normal external cervical morphology was not evident. The vagina ended in a blind bag with a small papil...
Emergency Management of Equid Foals in the Field.
The Veterinary clinics of North America. Equine practice    July 11, 2021   Volume 37, Issue 2 407-420 doi: 10.1016/j.cveq.2021.04.009
Swain O'Fallon EA.Foal emergencies can be intimidating to manage in the field, yet many conditions will respond well to the supportive care possible on the farm. Triage of the foal targets focused supportive care to stabilize the foal before referral to a hospital or to facilitate the management in the field. There are many diagnostic and therapeutic options available in the field setting to support a successful outcome on the farm.
Management of Colic in the Field.
The Veterinary clinics of North America. Equine practice    July 11, 2021   Volume 37, Issue 2 421-439 doi: 10.1016/j.cveq.2021.04.010
Rhodes DM, Madrigal R.Colic is one of the most frequent emergencies necessitating veterinary attention. Referral is not an option in many cases; therefore, the ability to diagnose and treat colic in an ambulatory setting is paramount. Portable imaging and point-of-care testing has improved the ability to identify lesions and assess the patient's status. In cases when field management is the only option, practitioners should be aware of the various treatment options available.
Managing Reproduction Emergencies in the Field: Part 1: Injuries in Stallions; Injury of the External Portion of the Reproductive Tract and Gestational Conditions in the Mare.
The Veterinary clinics of North America. Equine practice    July 11, 2021   Volume 37, Issue 2 339-366 doi: 10.1016/j.cveq.2021.04.007
Sprayberry KA, Lu KG.Selected emergency conditions of male and female reproductive tracts in horses are described, including injuries affecting the external genitalia of male horses and emergent conditions arising during gestation in mares. Conditions affecting male horses are discussed in the context of breeding stallions, but kicks or other mechanisms of trauma in the groin can also affect geldings. Priapism, paraphimosis, trauma to the scrotum and testicles, and penile injury are discussed. In mares, traumatic vestibular injury, placentitis, hydropsic conditions, prepubic tendon and abdominal wall compromise, a...
3D kinematic of the thoracolumbar spine in Mangalarga Marchador horses performing the marcha batida gait and being led by hand-A preliminary report.
PloS one    July 6, 2021   Volume 16, Issue 7 e0253697 doi: 10.1371/journal.pone.0253697
Simonato SP, Bernardina GRD, Ferreira LCR, Silvatti AP, Barcelos KMC, da Fonseca BPA.This study aimed to provide a preliminary description of the sagittal and transverse plane kinematics of the thoracolumbar spine of Mangalarga Marchador (MM) horses performing the marcha batida gait, led in-hand. We evaluated the pattern of angular movement and the mean amplitude of six specific angles. An optoelectronic system was used for 3D kinematic analysis (19 cameras, 250 Hz). They were positioned around the horses and an acquisition volume of 16 × 4.8 × 3 meters was used. Eight retroreflective markers were fixed on the spine of the animals over thoracic vertebrae 8 (T8), 12 (T12), 15...
Evaluation of Plasmatic Procalcitonin in Healthy, and in Systemic Inflammatory Response Syndrome (SIRS) Negative or Positive Colic Horses.
Animals : an open access journal from MDPI    July 6, 2021   Volume 11, Issue 7 2015 doi: 10.3390/ani11072015
Colic horses show systemic inflammatory response syndrome (SIRS) clinical signs. Procalcitonin (PCT) showed increased circulating levels in sick horses. This study compares plasma PCT concentrations in healthy vs. SIRS negative/positive colic horses over time, and evaluates PCT and SIRS score potential correlation, to verify the usefulness of PCT for the evaluation of SIRS severity. Ninety-one horses were included; 43/91 were healthy, on basis of physical examination, blood work and SIRS score (score = 0), while 48/91 were sick colic horses, classified as SIRS-negative (score < 2) and posit...
Effect of Topical Cyclopentolate 1% on Ocular Ultrasonographic Features, Intraocular Pressure, Tear Production, and Pupil Size in Normal Donkeys (Equus Asinus).
Journal of equine veterinary science    July 2, 2021   Volume 104 103700 doi: 10.1016/j.jevs.2021.103700
Hussein KH, Elmeligy E, Khalphallah A, Al-Lethie AA.This study was performed to investigate the effects of cyclopentolate on ultrasonographic parameters of eye structures, intraocular pressure (IOP), tear production, and pupil size in normal donkeys. Sixteen eyes of eight clinically healthy adult donkeys (2-2.5 years old) weighing 295 ± 34 kg (mean ± standard deviation) were used in this study. Cyclopentolate hydrochloride 1% was instilled in a randomly selected eye and the other eye received normal saline drops as a control. The effect of cyclopentolate was evaluated by ultrasonography. Additionally, changes in IOP and tear production were ...
Rickets in a Thoroughbred-cross foal: case report and review of the literature. Asin J, Murphy BG, Samol MA, Polanco J, Moore JD, Uzal FA.Rickets is a metabolic bone disease associated with failure of endochondral ossification and impaired osteoid mineralization in growing animals. As a consequence, affected individuals can develop gross and microscopic bone malformations. The most common causes of rickets in domestic species include vitamin D and phosphorus deficiency. Rickets has been described in multiple species; however, comprehensive postmortem characterizations with confirmatory histopathology in equids have not been published. A 6-mo-old, Thoroughbred-cross foal was diagnosed with rickets based on gross autopsy findings ...
Accelerometry-Based Step Count Validation for Horse Movement Analysis During Stall Confinement.
Frontiers in veterinary science    June 22, 2021   Volume 8 681213 doi: 10.3389/fvets.2021.681213
Steinke SL, Montgomery JB, Barden JM.Quantitative tracking of equine movement during stall confinement has the potential to detect subtle changes in mobility due to injury. These changes may warn of potential complications, providing vital information to direct rehabilitation protocols. Inertial measurement units (IMUs) are readily available and easily attached to a limb or surcingle to objectively record step count in horses. The objectives of this study were: (1) to compare IMU-based step counts to a visually-based criterion measure (video) for three different types of movements in a stall environment, and (2) to compare three ...
Modified Z-bar shoe eliminates occasional frog bruising accompanying Z-bar shoeing for navicular syndrome management in underrun-heeled horses.
Journal of equine science    June 18, 2021   Volume 32, Issue 2 55-60 doi: 10.1294/jes.32.55
Chanda M, Puangthong C, Pathomsakulwong W, Apichaimongkonkun T, Leklub J.Two horses diagnosed with underrun heels leading to navicular syndrome were fitted with Z-bar shoes. They occasionally showed moderate lameness on the affected legs after the sixth and tenth consecutive farrier adjustments. The affected hooves were sensitive to compression of the frog and sole in their palmar regions. Modified Z-bar shoes were created and shod on the lame legs based on previous with regional anaesthesia and recent clinical examination. The lameness scores were slightly improved at the first shoeing with the modified Z-bar shoes but were markedly improved at four and eight week...
Objective Assessment of Chronic Pain in Horses Using the Horse Chronic Pain Scale (HCPS): A Scale-Construction Study.
Animals : an open access journal from MDPI    June 18, 2021   Volume 11, Issue 6 1826 doi: 10.3390/ani11061826
van Loon JPAM, Macri L.The objective assessment of chronic pain is of utmost importance for improving welfare and quality of life in horses. Freedom from disease and pain is one of the 'five freedoms' that are necessary for animal welfare. The aim of this study was to develop a pain scale for the assessment of chronic pain in horses (Horse Chronic Pain Scale; HCPS), which is based on behavioural and facial expressions. The scale was used to assess 53 horses (26 horses diagnosed with chronic painful conditions by means of clinical examination and additional diagnostic procedures (consisting of osteoarthritis, chronic...
Design and preliminary experience of a transportable equine operating theatre.
Equine veterinary journal    June 15, 2021   Volume 54, Issue 2 438-443 doi: 10.1111/evj.13458
Riggs CM, Riggs SJ, Cheung TY, Tsang F, Oldaker L.Equine surgical facilities are not always available, even in situations where high-value horses are involved in relatively high-risk activities. Objective: To develop a self-contained equine surgical unit that can be relocated and transported by road. Methods: Proof of concept. Methods: A modular operating suite for horses, which included a theatre, scrub room, instrument preparation and storage room, and an anaesthetic induction/recovery box: Transportable Equine Operating Theatre (TEOT) was designed, constructed and tested. A second, larger unit was then built following the same design crite...
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