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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.
Utility and accuracy of a smartphone-based electrocardiogram device as compared to a standard base-apex electrocardiogram in the horse.
Research in veterinary science    June 3, 2019   Volume 125 141-147 doi: 10.1016/j.rvsc.2019.05.018
Kraus MS, Rishniw M, Divers TJ, Reef VB, Gelzer AR.Evaluate accuracy and utility of a smartphone-based ECG device compared to a standard base-apex lead ECG in horses. Methods: ECGs were acquired prospectively from 28 client-owned horses at 2 equine referral hospitals. Twenty-five pairs of 30-s ECG recordings were acquired simultaneously from 23 horses with a smartphone ECG device (a bi-polar single lead recorder coupled to a smartphone with an ECG application) and with a standard base-apex lead ECG; 2 horses provided two pairs of simultaneously acquired ECGs. In one horse, the ECGs pairs were recorded immediately sequentially. An additional 7 ...
Fatal pulmonary hemorrhage in a horse during bronchoalveolar lavage – single case report.
BMC veterinary research    May 24, 2019   Volume 15, Issue 1 169 doi: 10.1186/s12917-019-1922-9
Varegg MS, Kløverød KM, Austnes MK, Siwinska N, Słowikowska M, Zak A, Madej JA, Kandefer-Gola M, Ciaputa R, Nowak M, Niedzwiedz A.Pulmonary hemorrhage is a rare cause of death in horses. Hemorrhage within the respiratory tract has many causes, including mycosis of the guttural pouch, invasive procedures causing serious trauma to nasal conchae, or lung biopsy. We report on a rare case of a fatal pulmonary hemorrhage in a horse after a severe cough during bronchoalveolar lavage. To the best of our knowledge, this is the first report of spontaneous hemorrhage in a horse during bronchoalveolar lavage. Methods: A 21-year-old mare which belonged to the didactic herd of The Faculty of Veterinary Medicine underwent BAL procedure...
Synovial sepsis of unknown origin in the adult Thoroughbred racehorse.
Equine veterinary journal    May 20, 2019   Volume 52, Issue 1 91-97 doi: 10.1111/evj.13127
Byrne CA, Lumsden JM, Lang HM, O'Sullivan CB.Synovial sepsis of unknown origin is a rare cause of lameness in the adult horse, and a haematogenous pathogenesis has been proposed in previous cases. Objective: To describe the features and outcome of synovial sepsis of unknown origin in adult Thoroughbred racehorses. Methods: Retrospective case series. Methods: Hospital records for admissions between 2005 and 2015 were reviewed to identify adult horses diagnosed with synovial sepsis of unknown origin. Presentation, clinicopathological, microbiological and diagnostic imaging findings were recorded. Treatment methods, surgical findings, compl...
Modified stall-side crossmatch for transfusions in horses.
Journal of veterinary internal medicine    May 18, 2019   Volume 33, Issue 4 1775-1783 doi: 10.1111/jvim.15519
Casenave P, Leclere M, Beauchamp G, Blais MC.After-hours or out-of-clinic crossmatches are often limited by the lack of access to specialized material and technical expertise. Objective: The goal was to adapt a stall-side crossmatch test for pretransfusion evaluation in horses. Methods: Twelve healthy mares (plasma and blood donors, teaching mares). Methods: In a prospective study, blood from 12 mares was used to compare the results of 132 crossmatches performed with a rapid gel assay to crossmatches performed with a microgel column assay, and with predicted compatibilities based on blood types and detection of antibodies at a reference ...
Evaluation of surgical models for training veterinary students to perform enterotomies.
Veterinary surgery : VS    May 17, 2019   Volume 48, Issue 6 985-996 doi: 10.1111/vsu.13228
Grimes JA, Wallace ML, Schmiedt CW, Parks AH.To compare surgical models for teaching enterotomies to students. Methods: Prospective, randomized study. Methods: Second-year veterinary students (n = 59) and faculty surgeons/surgery residents (n = 19). Methods: Participants performed an enterotomy on each of 3 models (equine cadaver intestine, SurgiReal small intestine simulator, and SynDaver canine bowel) and completed a survey comparing them to either an enterotomy on an anesthetized pig (students) or intestinal surgery experience (faculty/residents). Surveys results were compiled and analyzed. Results: Both student and faculty/resident g...
The Effects of Xylazine Administration on Peripheral Leukocyte Values in Thoroughbred Horses.
Journal of equine veterinary science    May 11, 2019   Volume 81 102738 doi: 10.1016/j.jevs.2019.05.004
Kinter CK, Gorko MA, Schaefer E.This study was conducted to determine whether xylazine administration is associated with clinically significant changes on leukocyte numbers in horses, as has been previously reported in other species. The study was designed to detect 20% changes in primary endpoint leukocyte parameters with 85% statistical power. No clinically significant changes in leukocyte numbers meeting the requirements of the statistical analysis were detected; no consistent changes capable of confounding a clinical diagnosis or treatment were detected. No gross changes in secondary endpoints including erythrocyte and p...
A Suspected Case of Rocky Mountain Spotted Fever in an Adult Horse in the Southeastern United States.
Journal of equine veterinary science    May 11, 2019   Volume 78 134-137 doi: 10.1016/j.jevs.2019.05.003
Freese S, Sheats MK.A 20-year-old Paint gelding was evaluated for fever of unknown origin. History and clinical signs were consistent with potential tick-borne disease. Samples were collected and submitted for tick-borne disease panel, herpes virus, complete blood count, and serum biochemistry. Based on physical examination findings and vaccination history, the gelding was treated for suspected tick-borne disease with oxytetracycline (8 mg/kg intravenously BID) for 5 days, followed by doxycycline (10 mg/kg PO BID) for an additional 5 days. Although titers to Borrelia burgdorferi, Anaplasma phagocytophilum, an...
Repeatability of the hyperglycaemic clamp for assessment of β-cell response and insulin sensitivity in horses.
Equine veterinary journal    May 8, 2019   Volume 52, Issue 1 126-130 doi: 10.1111/evj.13119
Lindåse S, Johansson H, Månsby M, Bröjer J.The hyperglycaemic clamp has been used for measurement of insulin sensitivity (IS) but not for measurement of β-cell response in the horse. However, the repeatability of this test has not been reported for horses. Objective: To determine the repeatability and reliability of measures for IS and β-cell response to glucose using the hyperglycaemic clamp in horses. Methods: Repeated measures, longitudinal study. Methods: Six healthy Standardbred mares underwent a 120-min hyperglycaemic clamp on two occasions with a 10-day washout period. Indices of repeatability and reliability were calculated f...
Occurrence of exercise-induced pulmonary haemorrhage in show jumping horses.
Veterinary journal (London, England : 1997)    May 6, 2019   Volume 248 91-94 doi: 10.1016/j.tvjl.2019.05.003
Bonomo CCM, Michelotto PV, Viccino C, Barussi FCM, Fernandes WR.Pulmonary haemorrhage occurs in sport horses performing high-intensity exercise, but the factors involved in the occurrence of pulmonary haemorrhage in jumping horses have not been elucidated. This study aimed to determine the occurrence of pulmonary haemorrhage and factors involved in competitive jumping horses. Fifty adult jumping horses competing in the city of São Paulo, Brazil, were included. The horses were divided into two groups based on jump height at competition: Low group (LG, n=26), with jump height between 1.00 and 1.20m, and High group (HG, n=24), with jump height between 1.30 a...
Clinical presentation, diagnostic findings, and outcome of adult horses with equine coronavirus infection at a veterinary teaching hospital: 33 cases (2012-2018).
Veterinary journal (London, England : 1997)    May 4, 2019   Volume 248 95-100 doi: 10.1016/j.tvjl.2019.05.001
Berryhill EH, Magdesian KG, Aleman M, Pusterla N.Equine coronavirus (ECoV) is a recently described enteric virus with worldwide outbreaks; however, there are little data available on clinical presentation, diagnosis, and outcome. The study objective was to document case management of ECoV in adult horses presented to a referral hospital and compare to a cohort of horses that tested negative for ECoV. A retrospective case series was performed based on positive real-time quantitative PCR results for ECoV on faeces from horses treated at the UC Davis Veterinary Medical Teaching Hospital from 1 March 2012 to 31 March 2018. Horses negative for EC...
A retrospective study of fecal output and postprocedure colic in 246 horses undergoing standing sedation with detomidine, or general anesthesia with or without detomidine.
Veterinary anaesthesia and analgesia    May 4, 2019   Volume 46, Issue 4 458-465 doi: 10.1016/j.vaa.2019.03.006
Thibault CJ, Wilson DV, Robertson SA, Sharma D, Kinsley MA.To determine time to first passage of feces, total fecal piles and incidence of colic in the first 24 hours postprocedure in horses undergoing standing sedation with detomidine, or general anesthesia with or without detomidine. Methods: Retrospective cohort study. Methods: A total of 246 horses. Methods: Records of all horses that underwent standing sedation or general anesthesia between December 2012 and March 2016 were reviewed. Horses aged <6 months, admitted for colic or cesarean section, with inadequate data, and those not administered xylazine and/or detomidine were excluded. Records inc...
Laser scanning in vivo confocal microscopic characterization of equine immune-mediated keratitis.
Veterinary ophthalmology    May 2, 2019   Volume 23, Issue 1 4-15 doi: 10.1111/vop.12677
Ledbetter EC, Irby NL.To describe the corneal in vivo confocal microscopy (IVCM) findings in horses with putative immune-mediated keratitis (IMMK). Methods: Sixty five horses with IMMK. Methods: Horses diagnosed with IMMK were examined with a modified Heidelberg Retina Tomograph II and Rostock Cornea Module. The findings from the IVCM examinations were correlated with clinical details from ophthalmic examination and diagnostic test results. Results: Eighty eyes from 65 horses were examined. Clinical IMMK lesions were categorized as epithelial (n = 17 eyes), superficial stromal (n = 38), midstromal (n = 18), a...
Effects of continuous positive airway pressure on respiratory function in sedated foals.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    May 2, 2019   Volume 29, Issue 3 269-278 doi: 10.1111/vec.12816
Raidal SL, McKean R, Ellul PA, Nielsen SG, Quinn CT.To characterize the effects of continuous positive airway pressure (CPAP) delivered by a commercial human CPAP device on respiratory function in foals with pharmacologically induced respiratory suppression. Methods: Prospective randomized, cross-over study comparing CPAP with spontaneous respiration and oxygen insufflation. Methods: University veterinary teaching hospital. Methods: Twelve foals born in consecutive seasons from a university teaching herd. Methods: Foals were randomized to receive 10 minutes of respiratory support by mask oxygen supplementation or CPAP as a first treatment after...
Epidemiological characterization of Leptospira spp. infection in working horses and in an occupationally exposed population in six Colombian police stations.
Biomedica : revista del Instituto Nacional de Salud    May 1, 2019   Volume 39, Issue s1 19-34 doi: 10.7705/biomedica.v39i1.4475
Calderón JC, Astudillo M, Romero MH.Introduction: Police working horses are in close contact with their managers and the general population during recreational and patrol activities, which can favor the transmission of leptospirosis among the horses and the occupationally exposed personnel. Objective. To characterize epidemiologically leptospirosis through serology, urine culture and PCR in working horses and in the occupationally exposed population in six police stations in Colombia. Materials and methods. We tested 153 castrated male horses and 123 people in six police stations in the municipalities of Manizales, Pereira, Arme...
A Computed Tomographic (CT) and Pathological Study of Equine Cheek Teeth Infundibulae Extracted From Asymptomatic Horses. Part 1: Prevalence, Type and Location of Infundibular Lesions on CT Imaging.
Frontiers in veterinary science    April 25, 2019   Volume 6 124 doi: 10.3389/fvets.2019.00124
Horbal A, Smith S, Dixon PM. Equine maxillary cheek teeth infundibulae are frequently affected by developmental and acquired disorders, but the computed tomographic (CT) imaging features of normal and abnormal infundibulae remain incompletely understood. To examine infundibulae with various grades of occlusal caries and control teeth by standard CT in order to assess the prevalence, type and location of subocclusal infundibular lesions present. original study. One hundred maxillary cheek teeth, including 82 with, and 18 without infundibular occlusal caries, were extracted from horses of different ages and imaged by s...
Evaluation of the foal survival score in a Danish-Swedish population of neonatal foals upon hospital admission.
Journal of veterinary internal medicine    April 19, 2019   Volume 33, Issue 3 1507-1513 doi: 10.1111/jvim.15487
Bohlin A, Saegerman C, Hoeberg E, Sånge A, Nostell K, Durie I, Husted L, Öhman A, van Galen G.It is highly desirable to assess the probability of survival in sick neonatal foals upon admission. The foal survival score (FSS) is a published scoring system used to estimate the probability of survival in hospitalized neonatal foals <4 days old. Objective: To evaluate the ability of the FSS to predict survival in older foals from a geographically different area compared to the original study. Methods: Five-hundred ninety hospitalized neonatal foals ≤14 days of age. Methods: Retrospective Danish-Swedish multicenter study that included details of signalment, history, clinical examinatio...
Continuous fluid infusion per rectum compared with intravenous and nasogastric fluid administration in horses.
Equine veterinary journal    April 12, 2019   Volume 51, Issue 6 767-773 doi: 10.1111/evj.13113
Khan A, Hallowell GD, Underwood C, van Eps AW.Rectal fluid administration may offer a simple, safe and inexpensive alternative to intravenous or nasogastric fluid therapy in equine clinical cases. Objective: To evaluate the tolerance and effects of rectally administered fluid and compare the measurements of haemodilution and intravascular volume with those during nasogastric and intravenous fluid administration. Methods: Randomised controlled experimental trial. Methods: Six clinically normal Standardbred geldings were used in a 4-way crossover study: each received three different fluid treatments (intravenous, nasogastric and rectal) at ...
Clinical insights: Equine dentistry.
Equine veterinary journal    April 6, 2019   Volume 51, Issue 3 277-279 doi: 10.1111/evj.13083
Barnett TP.No abstract available
Theriogenology Question of the Month.
Journal of the American Veterinary Medical Association    April 3, 2019   Volume 254, Issue 8 925-928 doi: 10.2460/javma.254.8.925
Gunn AJ.This study involves the case of a young Thoroughbred filly who exhibited symptoms like reluctance to stand and vulva hemorrhagic discharge. The physical examination revealed normal physiological parameters, but an […]
Systemic morphine administration causes gastric distention and hyperphagia in healthy horses.
Equine veterinary journal    March 28, 2019   Volume 51, Issue 5 653-657 doi: 10.1111/evj.13090
Tessier C, Pitaud JP, Thorin C, Touzot-Jourde G.There are no data investigating the effect of systemic morphine on the size of the stomach or the food consumption in horses. Objective: To evaluate gastrointestinal side effects of morphine administered systemically in healthy horses by the means of clinical and ultrasonographic evaluations. Methods: In vivo experiment. Methods: On day 1 of the experiment, six healthy French Trotter mares were evaluated clinically and an abdominal ultrasonography was performed three times 4 h apart to record the size of the stomach, the number of contractions per minute of the duodenum, jejunum, caecum, left...
Transcutaneous Ultrasonography Is a Feasible Method for Characterizing the Cricoarytenoideus Dorsalis Muscle in Horses.
Journal of equine veterinary science    March 21, 2019   Volume 77 121-124 doi: 10.1016/j.jevs.2019.03.007
Satoh M, Higuchi T, Inoue S, Miyakoshi D, Gotoh T.Assessment of the cricoarytenoideus dorsalis muscle (CAD) in horses using a transesophageal ultrasound, computed tomography, or magnetic resonance imaging is available in a limited number of hospitals. This study assessed the ease of ultrasonographic imaging of the CAD using an external transcutaneous technique in horses. After confirmation of the CAD in the cadavers, ultrasonography in twenty live horses was carried out using a transcutaneous approach. In live horses, ultrasonographic imaging of the CAD was possible by pushing the larynx from the opposite side with the other hand. It is belie...
Gastrointestinal effects of general anaesthesia in horses undergoing non abdominal surgery: focus on the clinical parameters and ultrasonographic images.
Research in veterinary science    March 13, 2019   Volume 124 123-128 doi: 10.1016/j.rvsc.2019.03.011
Salciccia A, Gougnard A, Grulke S, de la Rebière de Pouyade G, Libertiaux V, Busoni V, Sandersen C, Serteyn D.The ultrasonographic images of the gastrointestinal tract in horses can be influenced by fasting and sedation but the proper effect of general anaesthesia (GA) on them has not been determined yet. This study aimed to evaluate the effects of GA on ultrasonographic images of the gastrointestinal tract in horses and to compare these effects with a clinical evaluation. Twenty horses undergoing non-abdominal surgeries were evaluated by ultrasonography before and 4 times within 24 h after GA. Each ultrasonographic exam focused on the stomach, the duodenum and on 5 locations on the jejunum. The fou...
Clinical investigation of back disorders in horses: A retrospective study (2002-2017).
Veterinary world    March 12, 2019   Volume 12, Issue 3 377-381 doi: 10.14202/vetworld.2019.377-381
Mayaki AM, Intan-Shameha AR, Noraniza MA, Mazlina M, Adamu L, Abdullah R.Back disorder is an ailment that often affects athletic and riding horses. Despite the rapidly growing equine athletic and equestrian activities, there is no documentation on the nature of equine back disorder (EBD) in Malaysian horses. The purpose of this study was to characterize EBD cases presented to University Veterinary Hospital, Universiti Putra Malaysia, between 2002 and 2017. Methods: The compilation of data was based on signalment, case history, duration of clinical signs, anatomical location of the pain, method of diagnosis, type of EBD, treatment, and outcome. The diagnosis of EBD ...
Equine Electrocardiography.
The Veterinary clinics of North America. Equine practice    March 11, 2019   Volume 35, Issue 1 65-83 doi: 10.1016/j.cveq.2018.12.007
Mitchell KJ.Analyzing electrocardiographic (ECG) recordings, making a diagnosis and assessment of any arrhythmias present, is an important part of the workup of many equine cases. Accurate analysis requires a good-quality recording, free of as many artifacts as possible, with clear P-QRS-T complex morphology. For sustained arrhythmias, short-term recordings are sufficient to make the appropriate diagnosis before instigating treatment. Longer-term recordings are essential for arrhythmias that are paroxysmal, intermittent, or occurring infrequently, while exercising ECGs are required for arrhythmias associa...
Cardiovascular Causes of Poor Performance and Exercise Intolerance and Assessment of Safety in the Equine Athlete.
The Veterinary clinics of North America. Equine practice    March 11, 2019   Volume 35, Issue 1 175-190 doi: 10.1016/j.cveq.2018.12.002
Durando MM.Horses have a high prevalence of resting arrhythmias, cardiac murmurs, and valvular regurgitation, and training can increase the prevalence. This makes it challenging for equine veterinarians who are asked to evaluate horses for poor performance to determine the clinical relevance of some findings. In addition, cardiac disease has the potential to cause collapse or sudden death, putting both the horse and rider at risk. Further diagnostics, such as echocardiograms and resting and exercising ECGs can help to sort out the impact of an abnormality found on resting physical examination. However un...
Examination of Horses with Cardiac Disease.
The Veterinary clinics of North America. Equine practice    March 11, 2019   Volume 35, Issue 1 23-42 doi: 10.1016/j.cveq.2018.12.006
Keen JA.Despite advances, increased convenience, and availability of echocardiography and other diagnostic techniques in equine cardiology, a comprehensive history and clinical examination still forms the essential first step in any cardiac evaluation. This article summarizes the approach to the cardiac examination at rest, highlighting key areas for the clinician to assess, and stressing the importance of context for assessing the significance of any abnormalities detected. Ancillary techniques, such as blood pressure measurement and the laboratory assessment of cardiac disease in the horse, are also...
Assessment of the Cardiovascular System in Horses During Prepurchase and Insurance Examinations.
The Veterinary clinics of North America. Equine practice    March 11, 2019   Volume 35, Issue 1 191-204 doi: 10.1016/j.cveq.2018.11.002
Reef VB.Arrhythmias detected on prepurchase examination should be confirmed with an ECG. Exercising ECG determines if the arrhythmia is overdriven during exercise or is a safety concern. An echocardiogram is needed in all horses with a grade 3/6 or louder mid to late systolic, holosystolic, or pansystolic murmur or any holodiastolic decrescendo murmur to identify the cardiac abnormality and its hemodynamic impact. Most horses with arrhythmias and murmurs have a normal performance career and life expectancy and are insurable. Risks for sudden death and congestive heart failure associated with the commo...
Cardiac Monitoring in Horses.
The Veterinary clinics of North America. Equine practice    March 11, 2019   Volume 35, Issue 1 205-215 doi: 10.1016/j.cveq.2018.12.003
Shih AC.Monitoring variables of cardiac performance in horses is challenging owing to patient size, temperament, and anatomic peculiarities. Blood pressure is a major determinant of afterload, but it is not a reliable surrogate of cardiac performance and tissue perfusion. Cardiac output, together with arterial and venous oxygen content, provides insight as to the adequacy of delivery of blood and oxygen to the body as a whole and can be used to gauge the fluid responsiveness and cardiovascular status of the patient. Measurement of intracardiac pressures serves to assess cardiac filling pressures, myoc...
Pericardial Disease, Myocardial Disease, and Great Vessel Abnormalities in Horses.
The Veterinary clinics of North America. Equine practice    March 11, 2019   Volume 35, Issue 1 139-157 doi: 10.1016/j.cveq.2018.12.005
Decloedt A.Pericardial, myocardial, and great vessel diseases are relatively rare in horses. The clinical signs are often nonspecific and vague, or related to the underlying cause. Physical examination usually reveals tachycardia, fever, venous distension or jugular pulsation, a weak or bounding arterial pulse, ventral edema, and abnormal cardiac auscultation such as arrhythmia, murmur, or muffled heart sounds. The prognosis depends on the underlying cause and the disease progression, and ranges from full recovery to poor prognosis for survival. This article focuses on the etiology, diagnosis, prognosis,...
Cardiovascular Response to Exercise and Training, Exercise Testing in Horses.
The Veterinary clinics of North America. Equine practice    March 11, 2019   Volume 35, Issue 1 159-173 doi: 10.1016/j.cveq.2018.11.003
Navas de Solis C.The physiology of exercise and training is fascinating, and hundreds of interesting studies have given insight into its mechanisms. Exercise testing is a useful clinical tool that can help veterinarians assess poor performance, fitness, and performance potential and prevent injuries. The clinically applicable aspects of cardiovascular adaptions to training and exercise testing are highlighted in this review. Different exercise tests should be used to evaluate horses performing in different disciplines and levels. Exercise tests that simultaneously assess several body systems can be beneficial ...
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