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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.
Enterolithiasis in horses: analysis of 15 cases treated surgically in Saudi Arabia.
Iranian journal of veterinary research    February 12, 2020   Volume 20, Issue 4 270-276 
Turek B, Witkowski M, Drewnowska O.The equine colic, which is caused by the presence of enteroliths that are most often found in the small or large colon, is typical for certain geographical regions (dry and hot climate). A diet rich in alfalfa is one of the highest risk factors. The earliest symptoms include weight loss and repeated episodes of colic pain. To present the results of operative treatment of 15 horses with enteroliths in Saudi Arabia. Methods: Fifteen purebred Arabian horses in Saudi Arabia, aged between 2 and 18 years, were treated. Decision about the surgery was based on clinical exam, ultrasound and rectal exa...
Evaluation of histamine-provoked changes in airflow using electrical impedance tomography in horses.
Equine veterinary journal    February 12, 2020   Volume 52, Issue 4 556-563 doi: 10.1111/evj.13216
Secombe C, Waldmann AD, Hosgood G, Mosing M.Electrical impedance tomography (EIT) generates thoracic impedance images of the lungs and has been used to assess ventilation in horses. This technique may have application in the detection of changes in airflow associated with equine asthma. Objective: The objective was to determine if histamine-induced airflow changes observed with flowmetric plethysmography (Δflow) could also be explained using global and regional respiratory gas flow signals calculated from EIT signals. Methods: Experimental in vivo study. Methods: Six horses, sedated using detomidine were fitted with a thoracic EIT b...
Inter-user and intra-user variation of two tonometers in horses.
Equine veterinary journal    February 8, 2020   Volume 52, Issue 4 572-576 doi: 10.1111/evj.13208
Lewin AC, Liu CC, Camacho-Luna P, Alling C, Carter RT.It is currently unknown which of the two devices most commonly used in equine ophthalmology for intraocular pressure (IOP) estimation demonstrates the lowest inter-user and intra-user variation. Objective: To assess the inter-user and intra-user variation of two tonometers in sedated and unsedated horses. Methods: Randomised masked cross-over trial. Methods: Four examiners used the rebound (ICare TonoVet) and applanation (TonoPen ) tonometers to measure the intraocular pressure (IOP) in triplicate in 10 normal horses before and after sedation with xylazine. For inter-user variation, coefficien...
Accuracy of transcranial magnetic stimulation and a Bayesian latent class model for diagnosis of spinal cord dysfunction in horses.
Journal of veterinary internal medicine    February 6, 2020   Volume 34, Issue 2 964-971 doi: 10.1111/jvim.15699
Rijckaert J, Raes E, Buczinski S, Dumoulin M, Deprez P, Van Ham L, van Loon G, Pardon B.Spinal cord dysfunction/compression and ataxia are common in horses. Presumptive diagnosis is most commonly based on neurological examination and cervical radiography, but the interest into the diagnostic value of transcranial magnetic stimulation (TMS) with recording of magnetic motor evoked potentials has increased. The problem for the evaluation of diagnostic tests for spinal cord dysfunction is the absence of a gold standard in the living animal. Objective: To compare diagnostic accuracy of TMS, cervical radiography, and neurological examination. Methods: One hundred seventy-four horses ad...
Repair of an oronasal fistula with a two-layer closure method involving an autogenous fascia lata graft and oral mucosal flap in a pony.
Journal of the American Veterinary Medical Association    January 31, 2020   Volume 256, Issue 4 463-468 doi: 10.2460/javma.256.4.463
Lores M, Yarbrough T.A 9-year-old pony gelding was evaluated because it was suspected that a persistent oronasal fistula had developed after a fractured right maxillary second premolar tooth had been extracted via repulsion 6 months earlier. Results: Unilateral mucopurulent nasal discharge and malodorous breath were noted on clinical examination. Examination of the oral cavity revealed a 1 × 0.5-cm defect at the oral aspect of the right maxillary second premolar alveolus, from which feed material was extracted. Endoscopic examination revealed feed material in the rostral aspect of the right nasal cavity, confirmi...
Equine Inflammatory Markers in the Twenty-First Century: A Focus on Serum Amyloid A.
The Veterinary clinics of North America. Equine practice    January 30, 2020   Volume 36, Issue 1 147-160 doi: 10.1016/j.cveq.2019.12.005
Long A, Nolen-Walston R.Serum amyloid A (SAA) is a marker of inflammation and infection in the horse that can be assessed in the field, with rapid and marked changes seen following initiation of an inflammatory stimulus. This quality of SAA also makes its clinical use challenging, because even small inflammatory conditions can cause large changes in SAA levels. Review of the current literature provides guidelines for responses of SAA to various conditions, which can be applied to specific clinical cases. The practitioner is encouraged to use SAA in conjunction with physical examination and other diagnostic modalities...
Clinical safety of intratesticular transplantation of allogeneic bone marrow multipotent stromal cells in stallions.
Reproduction in domestic animals = Zuchthygiene    January 26, 2020   Volume 55, Issue 4 429-437 doi: 10.1111/rda.13624
Papa PM, Guasti PN, De Vita B, Nakazato NG, Maia L, Freitas Dell'Aqua CP, Scheeren VFDC, Segabinazzi LGTM, de Andrade Junior LRP, Silva LFMC....Although stem cell therapy is a promising alternative for treatment of degenerative diseases, there are just few reports on the use of stem cells therapy in horse's reproductive system. This study aims to evaluate the effect of intratesticular injection of bone marrow mesenchymal stromal/stem cells (MSCs) in healthy stallions, and its outcome on seminal parameters and fertility. In Experiment 1, 24 stallions were divided into treatment group (TG) and control group (CG). In the TG, an intratesticular application of MSC was performed, and in the CG, only PBS was used. Measurements of testicular ...
Diagnostic tenoscopy of the carpal sheath with a needle arthroscope in standing sedated horses.
Veterinary surgery : VS    January 25, 2020   Volume 49 Suppl 1 O38-O44 doi: 10.1111/vsu.13381
Miagkoff L, Bonilla AG.To investigate the use of a needle arthroscope for diagnostic tenoscopy of the carpal sheath in standing horses. Methods: Experimental study. Methods: Six forelimbs for the cadaveric part of the study and six horses for the in vivo part of the study. Methods: Six cadaveric limbs were used to perform carpal sheath tenoscopy with a 1.2-mm-diameter needle arthroscope (65 and 100 mm long), followed by tenoscopy with a 4-mm arthroscope through a standard proximolateral approach. Then, unilateral standing carpal sheath tenoscopy was performed in six healthy sedated horses with a 65-mm-long needle ...
Practical Tips on Sample Handling for Hematology, Chemistry, and Cytology Testing for Equine Patients:: Getting More Bang for your Buck.
The Veterinary clinics of North America. Equine practice    January 24, 2020   Volume 36, Issue 1 1-14 doi: 10.1016/j.cveq.2019.12.002
Newman AW.Clinical pathology results are only as good as the quality of samples and accompanying information submitted to the diagnostic laboratory. The frustration of nondiagnostic or equivocal test results can often be avoided by taking the time to follow sample handling and submission guidelines. This article discusses preanalytical errors that commonly affect the accuracy of hematology, chemistry, and cytology testing, and offers practical tips for preventing these errors and maximizing diagnostic yield.
Agreement between invasive and oscillometric arterial blood pressure measurements using the LifeWindow multiparameter monitor and two cuff sizes in anesthetized adult horses.
Veterinary anaesthesia and analgesia    January 24, 2020   Volume 47, Issue 3 315-322 doi: 10.1016/j.vaa.2020.01.001
Rousseau-Blass F, Pigé C, Pang DS.To assess agreement between oscillometric noninvasive blood pressure (NIBP) measurements using LifeWindow monitors (LW9xVet and LW6000V) and invasive blood pressure (IBP). To assess the agreement of NIBP readings using a ratio of cuff width to mid-cannon circumference of 25% and 40%. Methods: Prospective, randomized clinical study. Methods: A total of 43 adult horses undergoing general anesthesia in dorsal recumbency for different procedures. Methods: Anesthetic protocols varied according to clinician preference. IBP measurement was achieved after cannulation of the facial artery and connectio...
Effects of Transport Conditions on Behavioural and Physiological Responses of Horses.
Animals : an open access journal from MDPI    January 17, 2020   Volume 10, Issue 1 doi: 10.3390/ani10010160
Padalino B, Raidal SL.The regulations for minimal space and direction of travel for land transport in horses vary worldwide and there is currently no definitive guidance to promote equine health and welfare. This study evaluated the effects of bay size and direction of travel (forwards/backwards) in horses by comparing the behavioural, physiological, laboratory and gastroscopy parameters between transported and confined horses. A total of twenty-six mares took part in the study; 12 horses were confined for 12 h, and all mares underwent 12 hours' transportation, travelling in single (n = 18) or wide bays (n = 8), an...
Horses and zebras: probabilities, uncertainty, and cognitive bias in clinical diagnosis.
American journal of obstetrics and gynecology    January 16, 2020   Volume 222, Issue 5 469.e1-469.e3 doi: 10.1016/j.ajog.2020.01.010
Hirsch E.Medical diagnosis is typically an iterative process guided by integration and synthesis of data into a model of disease. However, facts are not the only inputs into this process. A case of medical mis-diagnosis is presented, in which systematic cognitive bias is considered to have played a role in generating error. Specific cognitive biases are cited, and measures that can be taken to minimize their negative impact are reviewed.
Reference Values and Repeatability of B-Mode and M-Mode Echocardiographic Parameters in Healthy Donkey (Equus asinus)-The Guide to Assess Healthy Heart.
Journal of equine veterinary science    January 16, 2020   Volume 88 102929 doi: 10.1016/j.jevs.2020.102929
Farag AMM, Ibrahim HMM.Donkey (Equus asinus), the cheapest form of agricultural power in Egypt, is used principally as draught or pack animals and may also be ridden, or used for threshing, raising water, milling, and other work. The aim of the present study was to provide B-mode and M-mode echocardiographic reference ranges from a sample of population of donkeys (E. asinus) based on the probability theory and statistics. In the present study, B-mode and 2-dimensional guided M-mode echocardiography were performed on 44 clinically healthy donkeys (E. asinus) (22 males and 22 females), without any neither clinical nor...
An atypical presentation of leiomyosarcoma causing extremity compartment syndrome of the crural region in a Dutch Warmblood mare: a case report.
Journal of veterinary science    January 16, 2020   Volume 21, Issue 1 e3 doi: 10.4142/jvs.2020.21.e3
Giacchi A, Marcatili M, Withers J, Knottenbelt D.A 12-year-old Warmblood mare was presented with an acute onset left hindlimb lameness associated with generalised soft tissue swelling of the entire limb and medial saphenous vein (MSV) thrombophlebitis. A presumptive diagnosis of extremity compartment syndrome (ECS) was made. Due to the clinical deterioration, emergency fasciotomy of the crural fascia and biopsy was performed. Histological and immunohistochemical examination of the samples confirmed a diagnosis of leiomyosarcoma likely originating from the tunica media of the MSV. This report is the first to describe an unique combination of ...
Long-term outcome and effect of diagnostic analgesia in horses undergoing interspinous ligament desmotomy for overriding dorsal spinous processes.
Veterinary surgery : VS    January 9, 2020   Volume 49, Issue 3 590-599 doi: 10.1111/vsu.13377
Brown KA, Davidson EJ, Ortved K, Ross MW, Stefanovski D, Wulster KB, Levine DG.To report the long-term outcome of horses treated with interspinous ligament desmotomy (ISLD) for pain associated with overriding dorsal spinous processes (ORDSP) and determine the influence of preoperative diagnostic analgesia on long-term outcome. Methods: Retrospective study. Methods: Eighteen horses. Methods: Data were collected from horses presenting for ISLD to the University of Pennsylvania New Bolton Center between January 2013 and May 2018. Follow-up of ≥3 months postsurgically was obtained from the owner, trainer, or referring veterinarian. Long-term improvement was compared betw...
Relationship between tracheobronchoscopic score and bronchoalveolar lavage red blood cell numbers in the diagnosis of exercise-induced pulmonary hemorrhage in horses.
Journal of veterinary internal medicine    December 27, 2019   Volume 34, Issue 1 322-329 doi: 10.1111/jvim.15676
Lopez Sanchez CM, Kogan C, Gold JR, Sellon DC, Bayly WM.Exercise-induced pulmonary hemorrhage (EIPH) is diagnosed and its severity assessed by post-exercise tracheobronchoscopy, and enumeration of bronchoalveolar lavage fluid red blood cells (BALFRBC). Minimal information is available regarding the relationship of tracheobronchoscopy score to BALFRBC number. Objective: Evaluate the relationship between BALFRBC number and tracheobronchoscopy scores and determine their diagnostic sensitivities. Methods: Nine sedentary horses, 21 fit Thoroughbreds, 129 Barrel Racers. Methods: Normal BALFRBC number and the effect of bronchoalveolar lavage (BAL) on it w...
An assessment of the utility and repeatability of the renal resistive index in horses.
PloS one    December 26, 2019   Volume 14, Issue 12 e0226941 doi: 10.1371/journal.pone.0226941
Siwinska N, Zak A, Slowikowska M, Szczepankiewicz B, Niedzwiedz A, Paslawska U.The aim of this study was to establish the value of the renal resistive index (RI) of intrarenal arteries in healthy warmblood non-racing horses of different ages to assess the influence of physiologic factors and repeatability of measurement. The kidney ultrasonography examination was performed in three age groups: 15 foals, 15 adults and 15 elderly horses. The procedure was performed in unsedated standing animals. RI values were measured using pulsed-wave Doppler at the medial part of each kidney in the intrarenal arteries. To evaluate repeatability, all measurements were repeated two hours ...
Surgical management of penile sarcoid in a stallion.
Journal of equine science    December 18, 2019   Volume 30, Issue 4 99-104 doi: 10.1294/jes.30.99
Saadi A, Azizi S, Farshid AA, Yousefi A.This report describes surgical management and breeding implications of a case of penile sarcoid associated with penis laceration in a 4-year-old Kurdish stallion. A large fleshy mass on the distal end of the penis that resulted in urethral meatus deviation and dysuria was detected in a physical examination. No evidence of local extent or metastasis was detected. Under general anaesthesia, the involved distal portion of the penis was removed through partial phallectomy. Histopathological examination of the mass confirmed a fibroblastic sarcoid. Partial phallectomy was successful for management ...
Effects of Low-Level Laser Therapy and Chiropractic Care on Back Pain in Quarter Horses.
Journal of equine veterinary science    December 10, 2019   Volume 86 102891 doi: 10.1016/j.jevs.2019.102891
Haussler KK, Manchon PT, Donnell JR, Frisbie DD.Low-level laser therapy has been used clinically to treat musculoskeletal pain; however, there is limited evidence available to support its use in treating back pain in horses. The objective of this study was to evaluate the clinical effectiveness of low-level laser therapy and chiropractic care in treating thoracolumbar pain in competitive western performance horses. The subjects included 61 Quarter Horses actively involved in national western performance competitions judged to have back pain. A randomized, clinical trial was conducted by assigning affected horses to either laser therapy, chi...
[Adenomatous hyperplasia of equine allantoic epithelium – a warning sign? – A case report].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    December 6, 2019   Volume 47, Issue 6 391-396 doi: 10.1055/a-1019-7454
Hülskötter K, Aurich C, Köhne M, Baumgärtner W, Wohlsein P.Adenomatous hyperplasia of the equine allantoic epithelium (EAAH) is an infrequently observed nodular or plaque-like change in the placenta of the mare which is presented as a case description. EAAH is most frequently diagnosed in cases of aborted fetuses and is associated with inflammatory changes of the placenta. Histologically, different degrees of EAAH may be distinguished; however, these are not associated with specific clinical signs, degree of inflammation, a particular pathogen, or the frequency of abortions. It is assumed that EAAH represents a secondary, reactive change and has per s...
Penetration Profiles of a Class IV Therapeutic Laser and a Photobiomodulation Therapy Device in Equine Skin.
Journal of equine veterinary science    December 4, 2019   Volume 85 102846 doi: 10.1016/j.jevs.2019.102846
Luna SPL, Schoen A, Trindade PHE, Rocha PBD.Photobiomodulation therapy (PBMT) effects depend on the energy settings and laser penetration. We investigated the penetration time profiles of two different light therapy devices, at the dark and light skin regions in horses. Six light skin and six dark skin adult clinically healthy Arab and Quarter horses were used. A cutometer was used to measure the width of the skin fold from both sides of the cervical area, followed by three measurements of the thickness of the same skin fold by transversal and longitudinal ultrasonography (US). The depth of light penetration was compared based on the pe...
Prenatal Diagnosis of Megacystitis and Hydronephrosis in an Equine Fetus: How Transabdominal Ultrasonography Can Help to Diagnose Fetal Abnormalities.
Journal of equine veterinary science    November 29, 2019   Volume 85 102877 doi: 10.1016/j.jevs.2019.102877
Denys M, Thomas-Cancian A, Tortereau A, Josson-Schramme A, Buff S.Premature udder development constitutes an alarm signal in pregnant mares. The objective of this clinical case report is to highlight the importance of transabdominal ultrasound examination of the fetus in these cases and to report a unique case of prenatal diagnosis of obstructive uropathy based on the observation of severe fetal hydronephrosis and megacystitis in utero. A 4-year-old French chaser primiparous mare was referred for evaluation of premature udder development during the ninth month of pregnancy. The mare had clinical signs within normal limits, a developed and sensitive udder wit...
Dynamic laryngeal collapse associated with poll flexion as a complication of laryngeal tie-forward surgery in three harness racehorses.
Veterinary surgery : VS    November 21, 2019   Volume 49, Issue 3 600-606 doi: 10.1111/vsu.13351
Vermedal H, Strand E.To report dynamic laryngeal collapse (DLC) associated with poll flexion as a potential complication of the laryngeal tie-forward procedure (LTFP) in harness racehorses. Methods: Short case series. Methods: Three harness racehorses. Methods: Preoperative and postoperative medical records of all harness racehorses that underwent the LTFP were reviewed, as were high-speed treadmill videoendoscopy recordings of 35 horses that returned for upper airway evaluation postoperatively. Results: One standardbred and two Norwegian coldblooded trotters in which dorsal displacement of the soft palate had bee...
Use of Physical Self-Experience for Teaching Lameness Evaluation: Short-Term Effects on Lameness Evaluation of Horses with Mild Forelimb Lameness by Novice Veterinary Students.
Journal of veterinary medical education    November 13, 2019   Volume 47, Issue 3 342-355 doi: 10.3138/jvme.0618-079r
Schieder K, Zsoldos RR, Dippel M, Siedler C, Tichy A, Licka TF.Lameness evaluation (LE) is an important veterinary skill, but it can be a challenging task to teach. Acoustic and visual input in conjunction with acting are the three major learning channels for acquiring new information. Acting (e.g., physical self-experience) has not been reported as a didactic tool for LE; therefore, we investigated two physical self-experience techniques, imitation of lameness during LE instruction and head nod during LE. Undergraduate veterinary students ( = 78) who had not yet received any instructions for LE underwent standard instruction for LE, followed by instructi...
Primary Hyperparathyroidism Associated With Atypical Headshaking Behavior in a Warmblood Gelding.
Journal of equine veterinary science    November 12, 2019   Volume 88 102840 doi: 10.1016/j.jevs.2019.102840
Schwarz B, Klang A, Schwendenwein I.A 14-year-old Zweibrücker Warmblood gelding was presented for evaluation of lethargy and headshaking. The horse had a history of bouts of lameness in different limbs and back problems. It also had many mild colic episodes in the past. Results of repeat laboratory tests had shown persistent hypercalcemia (4.8 mmol/L; reference interval [RI]: 2.0-3.2 mmol/L) for 1.5 years and later on hypophosphatemia (0.4 mmol/L; RI: 0.5-1.3 mmol/L) and mild hypermagnesemia (1.0 mmol/L; RI: 0.5-0.9 mmol/L). Parathyroid hormone (PTH) concentration was within the RI. Other causes of hypercalcemia, such as...
Season’s Effects on Some Clinical, Hematological Parameters and Blood Cortisol Level in Sedated Arabian Horses With Xylazine.
Journal of equine veterinary science    November 9, 2019   Volume 84 102835 doi: 10.1016/j.jevs.2019.102835
Shawaf T, Al Mubarak A, Eidi H, El-Bahr SM.Influence of heat or cold stress in sedated animals is unclear and requires further investigations. The present study aimed to evaluate the season's effects on some clinical, hematological parameters and blood cortisol level in sedated Arabian horses with xylazine. Therefore, seven Arabian horses were used to investigate heart and respiratory rates, and capillary refill time and serum cortisol level were recorded before (0) and at 5, 15, 60, and 180 minutes postsedation. Heparinized venous samples were collected before (0) and 3 hours postsedation for analysis of hematological analysis. Arte...
Radiographic tracheal lumen to vertebral ratios in the normal American Miniature Horse.
Equine veterinary journal    November 8, 2019   Volume 52, Issue 3 428-434 doi: 10.1111/evj.13189
Every LJ, Hostnik ET, Hostnik LD, Yardley J, Shore-Khirallah AT, Thompson A, Linn SC.Tracheal collapse in horses is reportedly uncommon; however, American Miniature Horses are more commonly affected. There is no description of the tracheal luminal diameter of American Miniature Horses, making early detection of tracheal luminal narrowing difficult. Objective: To 1) describe radiographic tracheal luminal diameter in clinically normal American Miniature Horses, 2) report the prevalence of subclinical tracheal collapse in a population of American Miniature Horses, and 3) use tracheal videofluoroscopy to quantify variation in tracheal luminal diameter throughout the respiratory c...
What is your diagnosis? Nasal lesion in a horse with exophthalmos.
Veterinary clinical pathology    November 7, 2019   Volume 48, Issue 4 771-773 doi: 10.1111/vcp.12790
Zibura AE, Manning LK, Gwynn A, Sharkey L, de Linde Henriksen M, Coppelman E, O'Brien TD.No abstract available
Skin Disorders of the Donkey and Mule.
The Veterinary clinics of North America. Equine practice    November 2, 2019   Volume 35, Issue 3 493-514 doi: 10.1016/j.cveq.2019.08.006
Knottenbelt DC.Skin disease in donkeys is less common than in horses, but is easily overlooked. Little published material exists on this important area of equine medicine. Skin tumors continue to challenge veterinarians working with donkeys. This article outlines the main disease entities that the author has encountered, although there are many other diseases and disorders that occur in different parts of the world that are not yet appreciated. When investigating a skin disease, a logical and comprehensive clinical approach should always be made; many conditions are similar in clinical presentation or are co...
Donkey and Mule Behavior.
The Veterinary clinics of North America. Equine practice    November 2, 2019   Volume 35, Issue 3 575-588 doi: 10.1016/j.cveq.2019.08.010
McLean AK, Navas González FJ, Canisso IF.Donkeys and mules often are misunderstood because of their behavioral differences compared with horses. Working with these animals requires more patience and ability to notice the slightest changes in behavior to diagnose disease. Mules and donkeys form strong bonds and trust with familiar people and other equids. Training mules and hinnies from an early age is key to modifying behavior and acceptance of unfamiliar people. Reproductive behavior is different from that of horses and requires more patience when collecting jacks. Practitioners working with mules and donkeys should take a methodolo...
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