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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.
An Unusual Case of Testicular Disorder in Sex Development of Arabian Mare (64,XX SRY-Negative).
Animals : an open access journal from MDPI    October 25, 2020   Volume 10, Issue 11 1963 doi: 10.3390/ani10111963
Peretti V, Satué K, Ciotola F, Cristarella S, De Majo M, Biondi V, D'Anza E, Albarella S, Quartuccio M.A 3-year-old Arabian mare underwent medical examinations due to the presence of abnormalities of the reproductive apparatus and stallion behavior (nervous temperament, aggressiveness, masculine attitude). During the clinical visit, an anovulvar distance shorter than normal was observed; moreover, vulvar lips were dorsally fused except for the lower neckline, showing a blind ending from which a penis-like structure protruded. The ultrasound examination revealed the presence of a cervix and corpus of a uterus, hypoplastic uterine horns, and small gonads with an echogenicity similar to a testis. ...
First report of pulmonary disease associated with Nicoletella semolina in a horse in New Zealand.
New Zealand veterinary journal    October 25, 2020   Volume 69, Issue 1 65-69 doi: 10.1080/00480169.2020.1811795
Riley CB, Aldrich ED, Pemberton SL, Mirza AA. A 9-year-old warmblood gelding with a history of chronic intermittent tachypnoea and dyspnoea was presented for evaluation and removal of a mass on the left side of the neck. A fibrous mass adherent to the left jugular vein developed and was removed surgically 6 weeks later, at which time the owner requested an evaluation of the cause of the persistent respiratory signs first noted on primary admission. Clinical findings included coarse lung sounds on thoracic auscultation, tracheal wheeze, and an abnormal trans-tracheal aspirate. These findings, in addition to the results of ultrasonographi...
What is your diagnosis? Transtracheal wash in a horse.
Veterinary clinical pathology    October 21, 2020   Volume 49, Issue 4 675-677 doi: 10.1111/vcp.12907
Mochizuki H, Eaton E, Breuhaus B, Stowe DM.No abstract available
Non-weight bearing ultrasonographic examination allows the diagnosis of longitudinal fiber disruption (split) in equine suspensory ligament branches not visible on weight bearing examination. Werpy N, Chapman K, Griffith L.When evaluating suspensory ligament branch splits, there is a discrepancy between high field MRI findings and weight bearing ultrasonographic imaging characteristics. In this descriptive and retrospective case series, ultrasonographic examination was performed on suspensory ligament branches with the limbs in weight bearing and non-weight bearing positions. Suspensory ligament branch splits were defined as linear regions of decreased echogenicity when imaged with the limb in a weight bearing position that increased in size and became anechoic with the limb in a non-weight bearing position. Thi...
Markers of long term silent carriers of Streptococcus equi ssp. equi in horses.
Journal of veterinary internal medicine    October 19, 2020   Volume 34, Issue 6 2751-2757 doi: 10.1111/jvim.15939
Pringle J, Venner M, Tscheschlok L, Waller AS, Riihimäki M.Difficulty in detection of silent carriers of Streptococcus equi is a key reason for its continued spread to immunologically naïve groups of horses. Objective: To determine whether clinical examination, markers of inflammation, or serology differentiate silent carriers of S. equi in recovered comingled horses. Methods: Ninety-eight warmblood yearlings and 72 unaffected mares on a large breeding farm (outbreak A), 38 mature Icelandic horses at a riding stable (outbreak B), and 27 mixed breed horses at a boarding stable (outbreak C). Methods: Prospective observational study 6 months to 2 year...
Equine Oral Endoscopy.
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 433-443 doi: 10.1016/j.cveq.2020.07.001
True CK, Dotzel AR.Oral endoscopy is a valuable addition to the equine dental examination process. It enables veterinarians to visualize subtle oral disorders and is a useful client education tool. There are several commercially available oral endoscopic systems on the market. Practitioners can also assemble their own systems. An oral endoscope is used to perform a thorough and systematic oral examination and to visualize normal oral structures as well as oral disorders. It is also used to guide instrument placement during oral surgeries and other dental procedures.
Equine Dental Floating (Crown Osontoplasty).
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 501-526 doi: 10.1016/j.cveq.2020.08.011
Earley ET, Reiswig JD.Odontoplasty (floating and occlusal equilibration) is the most commonly performed procedure in equine dentistry. From an anatomic perspective, an irregular occlusal surface, prominent cingula, transverse ridges, and enamel points all contribute to the function, form, and longevity of the equine cheek tooth. With limited reserve crown available and an average functional life range between 18 and 25 years, removal of tooth structure should be conservative. The authors consider a quality oral examination to be the most important dental procedure performed in the horse. Individual tooth evaluatio...
Improvement of the clinical signs of gait abnormality after treatment with levothyroxine in a horse with shivering and hypothyroidism.
Acta veterinaria Hungarica    October 13, 2020   Volume 68, Issue 2 147-153 doi: 10.1556/004.2020.00026
Saadi A, Dalir-Naghadeh B, Akbari H, Rashedi M, Mohammadi R.An 11-year-old Hanoverian gelding used for jumping was evaluated for gait abnormalities and hoof problems in the hindlimbs. Clinical examinations revealed signs consistent with shivers. A thyroid gland enlargement was noticed, baseline serum thyroid hormone (TH) concentrations were low, and a low response to thyrotropin-releasing hormone administration was observed. Hypothyroidism was suspected. The horse was treated with levothyroxine for 1 year. TH concentrations returned to the normal range by week 4 of treatment. Thirty weeks after the initiation of levothyroxine therapy, the gait abnormal...
Factors associated with the risk of positive blood culture in neonatal foals presented to a referral center (2000-2014).
Journal of veterinary internal medicine    October 12, 2020   Volume 34, Issue 6 2738-2750 doi: 10.1111/jvim.15923
Furr M, McKenzie H.Bloodstream infections (BSI) are common in sick foals and increase foal morbidity and mortality when they occur. Recognition of risk factors for BSI could be an important means to limit their occurrence, but studies on this topic are limited. Objective: Historical as well as maternal and foal physical examination findings will predict risk of BSI in neonatal foals. Methods: Foals <14 days of age admitted to a referral equine hospital for care. Methods: Retrospective case-control study with univariate and multivariable logistic regression analysis. Results: Four hundred twenty-nine (143 cases...
Evaluation of the effects of medial saphenous venous pressures as an indirect method of measurement of intra-abdominal pressures in the horse.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    October 8, 2020   Volume 30, Issue 6 660-669 doi: 10.1111/vec.13000
Munsterman AS, Gillen AM, Coleridge MOD, Hanson RR.To evaluate the effect of changes in intra-abdominal pressure (IAP) on medial saphenous venous pressure (MSVP) and hemodynamics in normal horses. Methods: Experimental, in-vivo study. Methods: University Teaching Hospital. Methods: Convenience sample of 7 mixed breed horses; 5 geldings, and 2 mares. Methods: Pneumoperitoneum was induced in horses under standing sedation with carbon dioxide gas using a laparoscopic insufflator for a total of 60 minutes to simulate clinical elevation in IAP. Pressure was increased stepwise to 20 mm Hg over 30 minutes, and maintained at that pressure for 30 minu...
An Epidemiological Study on Orodental Disorders in 3,791 Working Donkeys in Egypt: Prevalence and Risk Factors.
Journal of equine veterinary science    October 8, 2020   Volume 95 103274 doi: 10.1016/j.jevs.2020.103274
Serag RM, Abu-Seida AM, Abdelrahman HA, Samir A, Ibrahim IM, AbdElkader NA.Orodental disorders are common in equidae and can lead to serious clinical complications. This study determines the prevalence rate (PR) of orodental disorders in working donkeys in Egypt and their potential risk factors. During 4 years, 3,791 donkeys were examined in six Egyptian governorates. Full case history and thorough clinical and oral examinations were performed. Radiography and oroendoscopy were undertaken whenever possible. All data were statistically analyzed using Poisson generalized linear models to compare PR among governorates, sex, years, body condition score, and age groups an...
Science-in-brief: Equine Cardiology Virtual Retreat June 2020.
Equine veterinary journal    October 6, 2020   Volume 52, Issue 6 787-789 doi: 10.1111/evj.13335
Mitchell KJ, Schwarzwald CC, Bevevino K, Navas de Solis C.No abstract available
Clinical insights: Lameness diagnosis in sports horses.
Equine veterinary journal    October 6, 2020   Volume 52, Issue 6 775-778 doi: 10.1111/evj.13315
Nagy A.No abstract available
Irregular hearts and performance horses.
Equine veterinary journal    October 6, 2020   Volume 52, Issue 6 782-786 doi: 10.1111/evj.13316
Physick-Sheard PW, Slack J.No abstract available
Clinical insights: Ophthalmology in the eye of the beholder: Are we properly caring for horses with ocular disease?
Equine veterinary journal    October 6, 2020   Volume 52, Issue 6 779-781 doi: 10.1111/evj.13329
Hartley C.No abstract available
Ultrasonographic measurement of the adrenal gland in neonatal foals: reliability of the technique and assessment of variation in healthy foals during the first five days of life.
The Veterinary record    October 6, 2020   Volume 187, Issue 12 e117 doi: 10.1136/vr.106027
Lauteri E, Mariella J, Beccati F, De Graaf-Roelfsema E, Castagnetti C, Pepe M, Peric T, Barbato O, Montillo M, Rouge S, Freccero F.Adrenal gland ultrasonographic measurements are useful in clinical evaluation of patients with adrenal dysfunction in several species. In human healthy neonates, the ultrasonographic size of the adrenal glands decreases during the first days of life. Ultrasonography of adrenal glands was demonstrated to be feasible in neonatal foals. The aims of this study were to describe a technique for ultrasonographic measurement of adrenal gland size to test its reliability in neonatal foals, and to assess any variation of ultrasonographic measurements during the first five days of life in healthy foals. ...
Surgical excision of a malignant metastatic melanoma located in a skeletal muscle of the lateral thorax of a horse.
Veterinary medicine and science    September 29, 2020   Volume 7, Issue 2 297-302 doi: 10.1002/vms3.366
Billi T, Karadima V, Tyrnenopoulou P, Apostolopoulou EP, Brellou GD, Diakakis N.A 20-year-old grey Warmblood gelding that had history of dermal melanomatosis. To report surgical treatment of a 6-cm large malignant metastatic melanoma located in the cutaneous trunci muscle of the left lateral thorax of a horse. A 20-year-old grey Warmblood gelding was referred for evaluation of a large, rapidly growing, thoracic mass. Clinical examination revealed an ovoid, firm, non-painful, movable mass, approximately 6 cm in diameter, located in the cutaneous trunci muscle of the left lateral thorax. Multiple melanocytic nodules were also found at the perianal region and ventral tail. ...
Effects of an anti-IGF-1 receptor monoclonal antibody on laminitis induced by prolonged hyperinsulinaemia in Standardbred horses.
PloS one    September 29, 2020   Volume 15, Issue 9 e0239261 doi: 10.1371/journal.pone.0239261
Rahnama S, Vathsangam N, Spence R, Medina-Torres CE, Pollitt CC, de Laat MA, Bailey SR, Sillence MN.Currently, there are no registered veterinary drugs for the treatment of endocrinopathic equine laminitis, and although this form of the disease is known to be caused by prolonged hyperinsulinaemia, the mechanism of insulin toxicity is unclear. One possibility is that high concentrations of insulin activate IGF-1 receptors (IGF-1R) in lamellar tissue, leading to uncontrolled cell proliferation and epidermal lamellar dysregulation. An equinized version of a human anti-IGF-1R therapeutic monoclonal antibody (mAb11) was generated to test this theory, using a modification of the prolonged euglycae...
Metabolomics analysis of bronchoalveolar lavage fluid samples in horses with naturally-occurring asthma and experimentally-induced airway inflammation.
Research in veterinary science    September 29, 2020   Volume 133 276-282 doi: 10.1016/j.rvsc.2020.09.033
Albornoz A, Alarcon P, Morales N, Uberti B, Henriquez C, Manosalva C, Burgos RA, Moran G.The present work characterized the metabolomic profile of bronchoalveolar lavage fluid (BALF) in healthy horses, experimentally-induced airway inflammation by lipopolysaccharide (LPS) nebulization, and naturally-occurring asthma (n = 3 in each group). All animals underwent clinical and upper airway endoscopic examinations, and bronchoalveolar lavage. BALF supernatant samples were subjected to metabolic analysis based on gas chromatography-mass spectrometry (GC-MS). Overall, 67 peaks were obtained from BALF GC-MS analysis, corresponding to 53 metabolites which were categorized according to ch...
Nephrosplenic Space Ablation in Horses After Homologous Pericardium Implant Using a Laparoscopic Stapler.
Journal of equine veterinary science    September 25, 2020   Volume 95 103275 doi: 10.1016/j.jevs.2020.103275
Spagnolo JD, Castro LM, Corrêa RR, Garcia Filho SG, Ambrósio AM, Baccarin RYA, Hagen SCF, de Sá LM, Silva LCLC.This study aimed to describe and evaluate a laparoscopic technique to promote nephrosplenic space ablation in horses using a homologous pericardium implant, preserved in 98% glycerin and fixed using laparoscopic polydioxanone staples. In this experimental study, six Arabian horses without previous related abdominal diseases were used. The surgical procedures were performed in the standing position under sedation with alpha-2 agonists and opioids, associated with local infiltration of the local anesthetic in the portal sites. The horses were restrained in a stock, and the left flanks were clipp...
Horizontal bone grafting using equine-derived cancellous bone blocks is associated with severe complications: A prospective clinical and histological pilot study.
Clinical oral implants research    September 17, 2020   Volume 31, Issue 11 1149-1158 doi: 10.1111/clr.13661
Angermair J, Bosshardt DD, Nelson K, Flügge TV, Stricker A, Fretwurst T.The aim of this prospective, clinical study was to evaluate the clinical performance and histological outcome of a new equine hydroxyapatite collagenated bone block (eHAC) for horizontal bone grafting prior to implant placement. Methods: Five patients (two male/three female) with a mean age of 51.6 years (range 22-66 years) and a reduced horizontal bone width of the alveolar ridge (mean 3.5 mm) underwent horizontal bone grafting using eHAC at 10 grafting sites. Reentry was performed 6.9 months after the horizontal grafting procedure. Clinical follow-up (mean 28.9 month) considered width g...
Evaluation of the effects of intraabdominal hypertension on equine central venous pressure.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    September 15, 2020   Volume 30, Issue 6 653-659 doi: 10.1111/vec.13001
Munsterman AS, Gillen AM, Coleridge MOD, Hanson RR.To evaluate the effect of changes in intraabdominal pressure (IAP) on central venous pressure (CVP) in normal horses. Methods: Experimental, in vivo study. Methods: University Teaching Hospital. Methods: Convenience sample of 7 mixed breed horses-5 geldings and 2 mares. Methods: Pneumoperitoneum was induced in horses under standing sedation with carbon dioxide gas using a laparoscopic insufflator for a total of 60 minutes to simulate clinical elevation in IAP. Pressure was increased stepwise to 20 mm Hg over 30 minutes, and maintained at that pressure for 30 minutes to evaluate the effect of ...
Objective Assessment of Acute Pain in Foals Using a Facial Expression-Based Pain Scale.
Animals : an open access journal from MDPI    September 10, 2020   Volume 10, Issue 9 doi: 10.3390/ani10091610
van Loon J, Verhaar N, van den Berg E, Ross S, de Grauw J.Pain assessment is very important for monitoring welfare and quality of life in horses. To date, no studies have described pain scales for objective assessment of pain in foals. Studies in other species have shown that facial expression can be used in neonatal animals for objective assessment of acute pain. The aim of the current study was to adapt a facial expression-based pain scale for assessment of acute pain in mature horses for valid pain assessment in foals. The scale was applied to fifty-nine foals (20 patients and 39 healthy controls); animals were assessed from video recordings (30-6...
Objective Assessment of Acute Pain in Foals Using a Facial Expression-Based Pain Scale.
Animals : an open access journal from MDPI    September 10, 2020   Volume 10, Issue 9 doi: 10.3390/ani10091610
van Loon J, Verhaar N, van den Berg E, Ross S, de Grauw J.Pain assessment is very important for monitoring welfare and quality of life in horses. To date, no studies have described pain scales for objective assessment of pain in foals. Studies in other species have shown that facial expression can be used in neonatal animals for objective assessment of acute pain. The aim of the current study was to adapt a facial expression-based pain scale for assessment of acute pain in mature horses for valid pain assessment in foals. The scale was applied to fifty-nine foals (20 patients and 39 healthy controls); animals were assessed from video recordings (30-6...
Characterization of the use of shock wave therapy among equine veterinarians.
The Canadian veterinary journal = La revue veterinaire canadienne    September 4, 2020   Volume 61, Issue 9 990-993 
MacKay AV, McOnie RC, Riddell LP, Robinson KA.Extracorporeal shock wave therapy (ESWT) research has prioritized mechanism of action and efficacy. Data regarding frequency of use and clinical opinion are not available. A web-based survey was offered to members of the American Association of Equine Practitioners; 144 responses were obtained. Frequency of ESWT use by respondents was as follows: daily by 8.3% (12/144), at least once weekly by 36.8% (53/144), at least once per month by 22.9% (33/144), less than once per month by 19.4% (28/144), and never by 12.5% (18/144) of respondents. The most common reason for use was to treat ligamentous ...
Comparison of two rebound tonometers in healthy horses.
Veterinary ophthalmology    September 4, 2020   Volume 23, Issue 5 892-898 doi: 10.1111/vop.12819
Mustikka MP, Pietilä EM, Mykkänen AK, Grönthal TSC.To obtain a reference range for evaluation of intraocular pressure (IOP) in horses using Tonovet Plus , to compare the IOP readings obtained with Tonovet and Tonovet Plus , and to evaluate the repeatability of readings. Unassigned: Intraocular pressure of 30 client-owned horses (60 eyes) with no signs of illness or ocular disease was evaluated using Tonovet and Tonovet Plus rebound tonometers. Horses' mean age was 10.7 (range 6-17) years. Triplicate measurements were performed without using sedatives or local anesthetics, with minimal restraint. Results: Calculated reference intervals (the CLS...
What is your diagnosis? Prepubic mass in a mare.
Veterinary clinical pathology    August 27, 2020   Volume 49, Issue 3 500-502 doi: 10.1111/vcp.12891
Tecilla M, Gambini M, Pigoli C, Grieco V, Caniatti M.No abstract available
Concentration profiles and safety of topically applied betulinic acid and NVX-207 in eight healthy horses-A randomized, blinded, placebo-controlled, crossover pilot study.
Journal of veterinary pharmacology and therapeutics    August 26, 2020   Volume 44, Issue 1 47-57 doi: 10.1111/jvp.12903
Weber LA, Puff C, Kalbitz J, Kietzmann M, Feige K, Bosse K, Rohn K, Cavalleri JV.The naturally occurring betulinic acid (BA) and its derivative NVX-207 show anticancer effects against equine malignant melanoma (EMM) cells and a potent permeation in isolated equine skin in vitro. The aim of the study was to determine the in vivo concentration profiles of BA and NVX-207 in equine skin and assess the compounds' local and systemic tolerability with the intent of developing a topical therapy against EMM. Eight horses were treated percutaneously in a crossover design with 1% BA, 1% NVX-207 or a placebo in a respective vehicle twice a day for seven consecutive days with a seven-d...
Oral Supplementation with Ultramicronized Palmitoylethanolamide for Joint Disease and Lameness Management in Four Jumping Horses: A Case Report.
Animals : an open access journal from MDPI    August 21, 2020   Volume 10, Issue 9 doi: 10.3390/ani10091469
Gugliandolo E, Barbagallo A, Peritore AF, Cuzzocrea S, Crupi R.Background: Four show jumping horses were evaluated for non-responsive lameness, which caused their withdrawal from show jumping competitions. The clinical evaluation was performed by radiographic examination, flexion tests, diagnostic anesthesia and lameness evaluation using the American Association of Equine Practitioners (AAEP) scale. The diagnoses were a case of navicular syndrome, a complicated case of chronic navicular syndrome and arthrosis of the distal interphalangeal joint of the right anterior limb and two cases of distal intertarsal joint arthritis. Nutraceuticals are often an impo...
Impact of concurrent treatment with omeprazole on phenylbutazone-induced equine gastric ulcer syndrome (EGUS).
Equine veterinary journal    August 18, 2020   Volume 53, Issue 2 356-363 doi: 10.1111/evj.13323
Ricord M, Andrews FM, Yñiguez FJM, Keowen M, Garza F, Paul L, Chapman A, Banse HE.Phenylbutazone is commonly prescribed for treatment of various painful or inflammatory disorders in horses, but is associated with gastrointestinal (GI) adverse effects. Anecdotally, many practitioners prescribe omeprazole concurrently with phenylbutazone to reduce development of equine gastric ulcer syndrome (EGUS), but the efficacy and safety of this practice remains unknown. Objective: To evaluate the effect of omeprazole on phenylbutazone-induced equine glandular gastric disease (EGGD) and equine squamous gastric disease (ESGD). Methods: Randomised block experimental design. Methods: Twent...
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