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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 Validation of a Three-Dimensional Printed Training Model to Teach Ultrasound-Guided Injections of the Cervical Articular Process Joints in Horses.
Journal of veterinary medical education    June 11, 2021   Volume 49, Issue 4 442-453 doi: 10.3138/jvme-2020-0137
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 ...
A retrospective preliminary histomorphometric and clinical investigation on sinus augmentation using enzyme-deantigenic, collagen-preserving equine bone granules and plasma rich in growth factors.
International journal of implant dentistry    June 11, 2021   Volume 7, Issue 1 60 doi: 10.1186/s40729-021-00336-9
Di Stefano DA, Vinci R, Capparè P, Gherlone EF.Enzyme-deantigenic equine bone (EDEB) is a substitute of autogenous bone. Mixing it with plasma rich in growth factors (PRGF) seems a viable option to achieve enhanced bone formation in alveolar bone augmentation surgeries. This retrospective study aims to first report the histomorphometric and clinical outcomes achieved when using the EDEB/PRGF mixture for performing sinus augmentation procedures followed by delayed implant placement. Records of 11 patients who underwent 14 sinus augmentation surgeries using EDEB/PRGF followed by delayed implant placement were retrospectively collected and an...
Acute Central Nervous System Trauma in the Field.
The Veterinary clinics of North America. Equine practice    June 10, 2021   Volume 37, Issue 2 245-258 doi: 10.1016/j.cveq.2021.04.001
Estell K.Acute central nervous system (CNS) trauma in the field is best approached by a systematic and thorough physical and neurologic examination that allows the practitioner to localize the brain or spinal cord injury. The skull and vertebral canal are complex 3-dimensional structures, and orthogonal radiographic views are necessary for an accurate diagnosis. Therapeutics aimed at decreasing pain, inflammation, and edema or increased intracranial pressure in the case of traumatic brain injury should be administered. Survival and return to athleticism can be achieved even in moderate-to-severe trauma...
Movement asymmetries in horses presented for prepurchase or lameness examination.
Equine veterinary journal    June 9, 2021   Volume 54, Issue 2 334-346 doi: 10.1111/evj.13453
Hardeman AM, Egenvall A, Serra Bragança FM, Koene MHW, Swagemakers JH, Roepstorff L, van Weeren R, Byström A.The increasing popularity of objective gait analysis makes application in prepurchase examinations (PPE) a logical next step. Therefore, there is a need to have more understanding of asymmetry during a PPE in horses described on clinical evaluation as subtly lame. Objective: The objective of this study is to objectively compare asymmetry in horses raising minor vet concerns in a PPE and in horses raising major vet concerns with that found in horses presented with subtle single-limb lameness, and to investigate the effect of age/discipline on the clinicians' interpretation of asymmetry on the c...
Respiratory Distress in the Adult and Foal.
The Veterinary clinics of North America. Equine practice    June 9, 2021   Volume 37, Issue 2 311-325 doi: 10.1016/j.cveq.2021.04.005
Boyle AG.Respiratory distress in the horse and foal is an emergency. Managing equine respiratory distress in the field starts with appropriate assessment of the patient to determine whether the breathing obstruction stems from the upper or lower respiratory tract or is nonrespiratory in origin. From a thorough, but efficient, physical examination to point-of-care ultrasound and endoscopy, the veterinarian has many tools in the field to help diagnose the patient.
Fracture Stabilization and Management in the Field.
The Veterinary clinics of North America. Equine practice    June 9, 2021   Volume 37, Issue 2 293-309 doi: 10.1016/j.cveq.2021.04.004
Morgan JM, Galuppo LD.Management of fractures in the field starts with successful assessment and stabilization of the patient by the practitioner on the front lines. A careful examination is vital to succesful patient management. This includes identifying the fracture location and severity, evaluating skin integrity and potential contamination of the fracture, and treating any ongoing hemorrhage, hypovolemia or stress. Appropriate application of splints in the field will minimize ongoing tissue damage and improve patient comfort. This ultimately aids further assessment, facilitates referral, and improves opportunit...
Rater agreement for assessment of equine back mobility at walk and trot compared to quantitative gait analysis.
PloS one    June 4, 2021   Volume 16, Issue 6 e0252536 doi: 10.1371/journal.pone.0252536
Spoormakers TJP, Graat EAM, Serra Bragança FM, Weeren PRV, Brommer H.Lameness assessment in horses is still predominantly performed using subjective methods. Visual assessment is known to have moderate to good intra-rater agreement but relatively poor inter-rater agreement. Little is known about inter- and intra-rater agreement on the evaluation of back motion, for which no objective measurement technique in a clinical setting is available thus far. To describe inter- and intra-rater agreement of visual evaluation of equine back mobility. Rater reliability study using a fully crossed design in which all horses are rated by all observers. This data is compared w...
Pocket-Sized Ultrasound Versus Traditional Ultrasound Images in Equine Imaging: A Pictorial Essay.
Journal of equine veterinary science    June 3, 2021   Volume 104 103672 doi: 10.1016/j.jevs.2021.103672
Deacon LJ, Reef VB, Leduc L, de Solis CN.This pictorial essay aims to display the image quality of pocket-sized ultrasound devices and hospital-based equipment to provide clinicians visual information about the potential uses of point-of-care ultrasonography (POCUS) in equine practice. Twenty-two paired images were obtained using traditional ultrasound equipment and pocket-sized ultrasound devices from patients evaluated at veterinary teaching hospitals. Images of many common ultrasound windows and miscellaneous sonographic abnormalities were obtained using pocket-sized ultrasound equipment.
Smartphone-Based Pelvic Movement Asymmetry Measures for Clinical Decision Making in Equine Lameness Assessment.
Animals : an open access journal from MDPI    June 3, 2021   Volume 11, Issue 6 1665 doi: 10.3390/ani11061665
Marunova E, Dod L, Witte S, Pfau T.Visual evaluation of hindlimb lameness in the horse is challenging. Objective measurements, simultaneous to visual assessment, are used increasingly to aid clinical decision making. The aim of this study was to investigate the association of pelvic movement asymmetry with lameness scores (UK scale 0-10) of one experienced veterinarian. Absolute values of pelvic asymmetry measures, quantifying differences between vertical minima (AbPDMin), maxima (AbPDMax) and upward movement amplitudes (AbPDUp), were recorded during straight-line trot with a smartphone attached to the sacrum ( = 301 horses). O...
Postmortem diagnoses of spinal ataxia in 316 horses in California.
Journal of the American Veterinary Medical Association    June 2, 2021   Volume 258, Issue 12 1386-1393 doi: 10.2460/javma.258.12.1386
Hales EN, Aleman M, Marquardt SA, Katzman SA, Woolard KD, Miller AD, Finno CJ.To determine period prevalences of postmortem diagnoses for spinal cord or vertebral column lesions as underlying causes of ataxia (spinal ataxia) in horses. Methods: 2,861 client-owned horses (316 with ataxia [ataxic group] and 2,545 without ataxia [control group]). Methods: The medical records database of the University of California-Davis Veterinary Medical Teaching Hospital was searched to identify horses necropsied between January 1, 2005, and December 31, 2017. Results were compared between the ataxic and control groups and between various groups of horses in the ataxic group. Period pre...
Influence of multiple factors on hematologic reference intervals in horses residing in livery yards in Spain.
Veterinary clinical pathology    May 30, 2021   Volume 50, Issue 2 273-277 doi: 10.1111/vcp.12965
Buendia A, Teng KT, Camino E, Dominguez L, Cruz-Lopez F.The hemogram is a routine analysis for equine veterinary practitioners in the assessment of patient clinical status. Reference intervals (RIs) of hematologic constituents vary according to different horse populations and are often described for a particular breed or horse type. The aims of this study were to determine RIs for hematologic constituents in a mixed-breed horse population residing in livery yards in central Spain and evaluate the associations between estimated RIs and multiple phenotypic and management characteristics. A total of 122 healthy horses from different breeds in central ...
Equine “Idiopathic” and Infundibular Caries-Related Cheek Teeth Fractures: A Long-Term Study of 486 Fractured Teeth in 300 Horses.
Frontiers in veterinary science    May 28, 2021   Volume 8 646870 doi: 10.3389/fvets.2021.646870
Dixon PM, Kennedy R, Reardon RJM.Background: Limited objective information is available on the prevalence of non-traumatic equine cheek teeth fractures, the signalment of affected horses, and the clinical features and treatment of these fractures. Objectives: This study aims to document patterns of idiopathic and infundibular caries-related cheek teeth fractures in a referral population and evaluate associations between fracture patterns and horse age, Triadan position of affected teeth, clinical signs, and deemed necessity for treatment. Study Design: A retrospective case review. Methods: The clinical records at Edinburgh Un...
Relationship between endogenous plasma adrenocorticotropic hormone concentration and reproductive performance in Thoroughbred broodmares.
Journal of veterinary internal medicine    May 24, 2021   Volume 35, Issue 4 2002-2008 doi: 10.1111/jvim.16145
Tsuchiya T, Noda R, Ikeda H, Maeda M, Sato F.Pituitary pars intermedia dysfunction (PPID) is an endocrine disorder the clinical signs of which include infertility, but few reports have examined the relationship between PPID and reproductive performance in broodmares. Objective: Broodmares with infertility of unknown etiology were screened for PPID using baseline endogenous plasma ACTH concentrations, and its relationship with subsequent reproductive performance was analyzed. Methods: Sixty-seven Thoroughbred broodmares. Methods: Adrenocorticotropic hormone concentrations were measured in autumn. The broodmares were divided into 3 groups ...
Three Manual Noncommercial Methods to Prepare Equine Platelet-Rich Plasma.
Animals : an open access journal from MDPI    May 21, 2021   Volume 11, Issue 6 doi: 10.3390/ani11061478
Segabinazzi LGTM, Podico G, Rosser MF, Nanjappa SG, Alvarenga MA, Canisso IF.In light of PRP's increasing popularity in veterinary practice, this study aimed to compare three manual methods to prepare and cool equine PRP. The blood of 18 clinically healthy mares was collected via venipuncture in a blood transfusion bag (method 1), blood tubes (method 2), and a syringe (method 3). In method 1, samples were double centrifuged; method 2 involved one centrifugation, and in method 3 the syringe was kept in an upright position to sediment for 4 h. After processing with three methods, PRP and platelet-poor plasma (PPP) were extracted and assessed for red (RBC) and white blood...
A Pilot Randomised Clinical Trial Comparing a Short-Term Perioperative Prophylaxis Regimen to a Long-Term Standard Protocol in Equine Colic Surgery.
Antibiotics (Basel, Switzerland)    May 16, 2021   Volume 10, Issue 5 doi: 10.3390/antibiotics10050587
Stöckle SD, Kannapin DA, Kauter AML, Lübke-Becker A, Walther B, Merle R, Gehlen H.For surgical interventions classified as clean or clean-contaminated, including laparotomy, guidelines in human and veterinary medicine recommend a short-term perioperative antibiotic prophylaxis (PAP). In equine colic surgery, however, PAP commonly exceeds 24 h. Objective: The aim of this study was to compare a single-shot to a 5-day lasting PAP considering surgical site infections (SSI) and other adverse effects probably associated with the particular antimicrobial regimen. Methods: The study was designed as a randomised non-inferiority pilot study including horses subjected to colic surgery...
Dentigerous Equine Teratoma in a Stallion: Surgical Management and Clinicopathology.
Veterinary sciences    May 13, 2021   Volume 8, Issue 5 doi: 10.3390/vetsci8050084
Leonardi L, Bertoletti A, Bellezza E, Pettinari I, Gialletti R.Teratoma is a rare germ cell testicular cancer composed of cells that are not normally present in the site where it originates. These tumors are rarely described in horses, where they may develop due to cryptorchidism. Teratomas consist of cells originating from different germinal layers, arising from germinal multi-potential cells with differentiation defects, and can simultaneously contain several tissues from two or more embryonic layers. Testicular teratomas are described in horses, cats, dogs, wild boars, bulls, and humans. In the rare descriptions found in literature of testicular terato...
Effect of topical cyclopentolate alone or combined with phenylephrine in healthy horses.
Veterinary ophthalmology    May 12, 2021   Volume 24, Issue 6 582-590 doi: 10.1111/vop.12896
Bessonnat A, Vanore M.Evaluate the effect of repeated doses of topical 1% cyclopentolate hydrochloride alone and in combination with topical 2.5% phenylephrine on pupil diameter (PD), tear production (STT-1), intraocular pressure (IOP), digestive function (gut motility and feces production), and heart rate (HR). Methods: Six healthy mares. Methods: In a prospective, randomized, controlled, and crossover design study, the left eye of six healthy mares was administered 0.2 mL of cyclopentolate alone and in combination with 0.2 mL of phenylephrine. The drugs were administered 3 times a day for 1 day, twice a day fo...
Type, prevalence, and risk factors for the development of orthopedic injuries in endurance horses during training and competition.
Journal of the American Veterinary Medical Association    May 5, 2021   Volume 258, Issue 10 1109-1118 doi: 10.2460/javma.258.10.1109
Paris A, Beccati F, Pepe M.To report the type, prevalence, and risk factors for the development of orthopedic injuries in endurance horses. Methods: 235 endurance horses. Methods: Medical records of horses examined between January 2007 and December 2018 were reviewed. Recorded data were birth; breed; sex; dates of first and last examinations; presence of any conformation fault, lameness, positive flexion test result, and orthopedic injury; starts in endurance competitions; level of athletic activity; professional status of trainer or rider; and whether an orthopedic injury developed in > 1 limb or during or within 2 day...
Evaluation of transpalpebral ultrasonographic measurement of optic nerve sheath diameter for indirect assessment of intracranial pressure in anesthetized and standing healthy adult horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    April 27, 2021   Volume 31, Issue 3 315-322 doi: 10.1111/vec.13061
Bramski JH, Reed RA, Diehl KA, Epstein KL, Ryan CA.To determine whether an association exists between direct intracranial pressure (ICP) measurement and ultrasonographic measurement of optic nerve sheath diameter (ONSD) in anesthetized and standing horses. Methods: Cross-sectional study performed on a convenience sample of healthy adult horses. Methods: University teaching hospital. Methods: Eight adult horses donated to the University. Enrolled horses were free of abnormalities on physical examination, CBC, neurological evaluation, and ophthalmological examination. Results: Horses were anesthetized in lateral recumbency for placement of an IC...
Inflammatory response of miniature horses subjected to open and half-closed orchiectomy techniques.
The Veterinary record    April 18, 2021   Volume 189, Issue 7 e240 doi: 10.1002/vetr.240
de Moura Alonso J, de Melo-Neto GB, Dos Santos B, Mogollón García HD, Paim KP, Pinheiro Ferreira JC, Santos Schmidt EM, da Silva ANF, da Cunha GM....This study aimed to evaluate the inflammatory response of miniature horses subjected to open and half-closed orchiectomy by physical examination, blood cell count, peritoneal fluid evaluation, total plasma protein, fibrinogen, and serum amyloid A (SAA) concentrations. Methods: Thirteen male healthy miniature horses were divided into two groups, according to the surgical approach: half-closed technique (HCT) and open technique (OT). The HCT group was subjected to ligation of the spermatic cord followed by its sharp incision, and closure of the vaginal tunic, and the OT group was only submitted ...
Midbody penile urethrocutaneous fistula repaired by fistulectomy and urethral anastomosis in a stallion.
Journal of the American Veterinary Medical Association    April 16, 2021   Volume 258, Issue 9 1007-1010 doi: 10.2460/javma.258.9.1007
Sanclemente JL, Ragle CA, Lund CM.A 12-year-old Friesian stallion was examined because of a 1-year history of preputial injury and urination through a urethrocutaneous fistula located at the midbody of the ventral aspect of the penis. Results: Physical examination revealed an opening with a clearly apparent mucocutaneous junction 12 cm from the distal opening of the urethra on the ventral left side of the penis. Endoscopic examination of the distal portion of the urethra confirmed a blind pouch with no communication with the fistula or proximal portion of the urethra. Results: A temporary perineal urethrostomy was performed wi...
Effect of three different needle holders on gastrointestinal anastomosis construction time and bursting pressure in equine jejunal segments.
BMC veterinary research    April 15, 2021   Volume 17, Issue 1 167 doi: 10.1186/s12917-021-02871-4
Averay K, van Galen G, Ward M, Verwilghen D.Equine small intestinal resection and anastomosis is a procedure where optimizing speed, without compromising integrity, is advantageous. There are a range of different needle holders available, but little is published on the impact surgical instrumentation has on surgical technique in veterinary medicine. The objectives of this study were to investigate if the needle holder type influences the anastomosis construction time, the anastomosis bursting pressure and whether the bursting pressure is influenced by the anastomosis construction time. Single layer end-to-end jejunojejunal anastomoses w...
Clinical insights: Equine analgesia.
Equine veterinary journal    April 10, 2021   Volume 53, Issue 3 407-409 doi: 10.1111/evj.13421
Mackenzie C.No abstract available
Detection of Equine Hoof Motion by Using a Hoof-Mounted Inertial Measurement Unit Sensor in Comparison to Examinations with an Optoelectronic Technique – A Pilot Study.
Journal of equine veterinary science    March 26, 2021   Volume 101 103454 doi: 10.1016/j.jevs.2021.103454
Hagen J, Jung FT, Brouwer J, Bos R.This study aimed to determine whether a hoof-mounted inertial measurement unit (IMU) system would provide similar timing characteristics and step lengths, in walk and trot on different grounds, compared to those of an established optoelectronic motion system. The right hoof of one horse was equipped with an IMU sensor with an optical reference marker on top. Fifteen steps on firm ground, and five on penetrable ground, were performed at walk and trot. Level of agreement between the two measurement systems was determined by assessing the concordance correlation coefficients, accuracy, and precis...
Colonic Health in Hospitalized Horses Treated with Non-Steroidal Anti-Inflammatory Drugs – A Preliminary Study.
Journal of equine veterinary science    March 26, 2021   Volume 101 103451 doi: 10.1016/j.jevs.2021.103451
van Galen G, Saegerman C, Hyldahl Laursen S, Jacobsen S, Andersson Munk M, Sjöström H, Holm Lindmark S, Verwilghen D.Non-steroidal anti-inflammatory drugs (NSAIDs) can cause right dorsal colitis, but longitudinal clinical studies are lacking. This study investigates whether NSAID treated horses develop right dorsal colonic pathology in a clinical setting. Non-gastrointestinal hospitalized horses treated with NSAIDs >4 days, and untreated hospital-owned teaching horses and non-gastrointestinal client-owned hospitalized horses were included. All horses were monitored over time with clinical examinations (focusing on presence of colic, depression, reduced appetite, unstructured feces), ultrasonographic intestin...
Besnoitiosis in donkeys: an emerging parasitic disease of equids in Italy.
Parasitology research    March 16, 2021   Volume 120, Issue 5 1811-1819 doi: 10.1007/s00436-021-07089-9
Villa L, Gazzonis AL, Diezma-Diaz C, Perlotti C, Zanzani SA, Ferrucci F, Álvarez-García G, Manfredi MT.Besnoitiosis is an emerging parasitic disease of equids. Italy is one of the few European countries where the circulation of Besnoitia spp. antibodies was demonstrated. In this study, a case of clinical besnoitiosis in two donkeys in northern Italy is reported. The two animals were clinically examined. Serum and blood samples were analyzed for the detection of Besnoitia spp. antibodies and for hematology, biochemistry, and enzyme activity, respectively. ITS-1 PCR and sequencing were carried out on DNA extracted from skin biopsies. Clinical examination revealed numerous scleral pearls in eyes o...
Diagnostic Imaging and Cytological Analysis Aid the Clinical Investigation of Long Digital Extensor Tendon Subtendinous Bursitis in a Horse.
Journal of equine veterinary science    March 16, 2021   Volume 101 103449 doi: 10.1016/j.jevs.2021.103449
Lapjit C, Charoenchanikran P, Petchkaew P, Sukpipattanamongkol S, Yodsheewan R, Theerapan W, Chanda M.The fetlock joint is a high mobility structure that accommodates enormous loading during locomotion. An injury of the superficial constituent such as subtendinous bursitis may occur due to repeated trauma. An 8-year old school riding horse was presented with dorsomedial distension in the left hindlimb fetlock region. The lesion was noted following routine exercise. The horse demonstrated no lameness and a negative response to the fetlock flexion test. Radiographic findings revealed a smooth surface cortical thickening on the medial aspect of the distal third metatarsal bone. Furthermore, the u...
Study design synopsis: How to conduct, prepare, analyse and report equine biomechanical studies.
Equine veterinary journal    March 12, 2021   Volume 53, Issue 4 645-648 doi: 10.1111/evj.13439
Egenvall A, Marr CM, Byström A.No abstract available
The pharmacokinetics of a fentanyl matrix patch applied at three different anatomical locations in horses.
Equine veterinary journal    March 10, 2021   Volume 54, Issue 1 153-158 doi: 10.1111/evj.13424
Skrzypczak H, Reed R, Brainard B, Sakai D, Barletta M, Quandt J, Smyth C, Ruch M, Knych H.Matrix fentanyl patches have not been investigated in horses and may represent an effective means of providing analgesia over an extended time period without venous catheterisation. Objective: To describe the pharmacokinetics of a matrix transdermal fentanyl patch in horses. Methods: Randomised experiment, Latin-square design. Methods: Six adult horses were given each of three treatments with a 96-hour washout. For each treatment, two 100 µg/h matrix fentanyl patches were applied to the inguinal region (TXA), metacarpus (TXM) or ventral tail base (TXT) for 72 hours. Blood samples for fentan...
The Evaluation of Equine Allogeneic Tenogenic Primed Mesenchymal Stem Cells in a Surgically Induced Superficial Digital Flexor Tendon Lesion Model.
Frontiers in veterinary science    March 5, 2021   Volume 8 641441 doi: 10.3389/fvets.2021.641441
Depuydt E, Broeckx SY, Van Hecke L, Chiers K, Van Brantegem L, van Schie H, Beerts C, Spaas JH, Pille F, Martens A. Tendon injuries are very common in horses and jeopardize the athletic performance, and due to the high risk of reinjury may lead to early retirement. The use of mesenchymal stem cells for the treatment of equine tendon disease is widely investigated because of their regenerative potential. The objective of this study is to investigate the safety and efficacy of equine allogeneic tenogenic primed mesenchymal stem cells (tpMSCs) for the management of tendinitis in horses. A core lesion was surgically induced in the superficial digital flexor tendon of both forelimbs of eight horses. After 7 da...
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