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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.
Equine Acquired Valvular Disease.
The Veterinary clinics of North America. Equine practice    March 11, 2019   Volume 35, Issue 1 119-137 doi: 10.1016/j.cveq.2018.12.001
Marr CM.Degenerative myxomatous disease is common and is associated with aging. Poor prognostic indicators for equine aortic regurgitation specifically include ventricular ectopy, increased pulse pressure, and hyperkinetic pulses. Valvular prolapse is a functional abnormality diagnosed echocardiographically, about which knowledge is limited. A better understanding of its role in valvular regurgitation is needed. Infective endocarditis presents with fever and other systemic signs accompanying valvular regurgitation. The prognosis is poor, warranting aggressive therapy. Other forms of valvular disease o...
Use of Intravitreal Injection of Gentamicin in 71 Horses With Equine Recurrent Uveitis.
Journal of equine veterinary science    March 6, 2019   Volume 77 93-97 doi: 10.1016/j.jevs.2019.02.018
Launois T, González Hilarión LM, Barbe F, Leurquin C, Bihin B, Hontoir F, Dugdale A, Vandeweerd JM.We report a retrospective evaluation of intravitreal gentamicin (6 mg in 0.3 mL solution) injection in 71 horses with equine recurrent uveitis between 2010 and 2016. Aqueous flare and hyalitis were scored at the baseline in all horses, then at 15, 30, 60, 90, 180, 365, and 730 in 37, 46, 30, 25, 22, 18, and 11 horses, respectively. Forty-two animals had a global score of inflammation (sum of scores for aqueous flare and hyalitis) of zero at the last examination (number of re-examinations per horse ranged from 1 to 5). Among the 29 remaining horses, four were not reassessed after the interven...
Skin disease in donkeys (Equus asinus): a retrospective study from four veterinary schools.
Veterinary dermatology    March 4, 2019   Volume 30, Issue 3 247-e76 doi: 10.1111/vde.12733
White SD, Bourdeau PJ, Brément T, Vandenabeele SI, Haspeslagh M, Bruet V, Sloet van Oldruitenborgh-Oosterbaan MM.Donkeys are important throughout the world as work animals and occasionally as pets or a meat source. Most descriptions of skin disease in donkeys are reported in small case series, textbooks or review articles. Objective: To document skin diseases and their prevalence in donkeys and to investigate predilections for the most common conditions. Methods: Case populations at four veterinary schools totalling 156 donkeys. Methods: A retrospective study was performed by searching computerized medical records, using the key word "donkey", at the School of Veterinary Medicine, University of Californi...
Preoperative factors associated with resection and anastomosis in horses presenting with strangulating lesions of the small intestine.
Veterinary surgery : VS    March 4, 2019   Volume 48, Issue 5 786-794 doi: 10.1111/vsu.13184
Pye J, Espinosa-Mur P, Roca R, Kilcoyne I, Nieto J, Dechant J.To determine if preoperative and intraoperative clinical variables correlate with resection and anastomosis (RA) in horses presenting with strangulating small intestinal (SI) lesions. Methods: Retrospective case series. Methods: Horses undergoing exploratory celiotomy for a strangulating SI lesion (n = 243). Methods: The records of horses undergoing surgical correction for strangulating SI lesions from January 1, 2000 to December 31, 2017 were reviewed. Horses were categorized as treated with RA or not treated with RA. Obtained information included history, signalment, clinical findings, d...
Equine Echocardiography.
The Veterinary clinics of North America. Equine practice    February 27, 2019   Volume 35, Issue 1 43-64 doi: 10.1016/j.cveq.2018.12.008
Schwarzwald CC.This article provides an overview on the principles of transthoracic echocardiography in horses. Indications for echocardiography, equipment, and technical considerations are discussed and a systematic approach for a complete echocardiographic examination in horses is described. Methods for assessment of chamber dimensions, allometric scaling of measurements, assessment of systolic and diastolic ventricular function, assessment of atrial function, hemodynamic assessment, and evaluation of valvular regurgitation are explained, focusing on traditional 2-dimensional (2D), motion-mode, and Doppler...
Letter to the Editor: Bias in statistics or bias in equine veterinary medicine?
Equine veterinary journal    February 27, 2019   Volume 51, Issue 3 423 doi: 10.1111/evj.13081
Ziegler AL, Fogle CA, Burke M, Blikslager AT.No abstract available
Equine Congenital Heart Disease.
The Veterinary clinics of North America. Equine practice    February 27, 2019   Volume 35, Issue 1 103-117 doi: 10.1016/j.cveq.2018.11.001
Scansen BA.Congenital heart disease (CHD) represents a small proportion of horses undergoing clinical evaluation; however, both simple and complex defects occur during cardiac development leading to many unique malformations. This article reviews cardiac development and the fetal circulation, describes the morphologic method and the sequential segmental approach to CHD analysis, presents a summary of CHD in horses, and offers an overview of lesions that should be considered during evaluation of horses suspected to have CHD. For many forms of equine CHD, therapies are limited because cardiac interventions...
Evaluation of lipid markers in surfactant obtained from asthmatic horses exposed to hay.
American journal of veterinary research    February 26, 2019   Volume 80, Issue 3 300-305 doi: 10.2460/ajvr.80.3.300
Christmann U, Hite RD, Witonsky SG, Buechner-Maxwell VA, Wood PL.OBJECTIVE To evaluate the lipidomic profile of surfactant obtained from horses with asthma at various clinical stages and to compare results with findings for healthy horses exposed to the same conditions. SAMPLE Surfactant samples obtained from 6 horses with severe asthma and 7 healthy horses. PROCEDURES Clinical evaluation of horses and surfactant analysis were performed. Samples obtained from horses with severe asthma and healthy horses before (baseline), during, and after exposure to hay were analyzed. Crude surfactant pellets were dried prior to dissolution in a solution of isopropanol:me...
Health and Body Conditions of Riding School Horses Housed in Groups or Kept in Conventional Tie-Stall/Box Housing.
Animals : an open access journal from MDPI    February 26, 2019   Volume 9, Issue 3 73 doi: 10.3390/ani9030073
Yngvesson J, Rey Torres JC, Lindholm J, Pättiniemi A, Andersson P, Sassner H.We compared welfare measures of horses among Swedish riding schools (RS) during winter where horses were kept either in group housing ( = 8) or in tie-stalls/boxes ( = 8), Health data for six previous months were obtained for all horses at each RS from their records. Ten horses per RS were examined, with the exception of one where only 8 horses were examined. Health conditions and body condition score (BCS) using the Henneke scale were recorded and management factors were quantified (health check routines, feeding, housing-related risk factors, time outside). RS-recorded health data (for 327 h...
The Impact of Equine Therapy and an Audio-Visual Approach Emphasizing Rhythm and Beat Perception in Children with Developmental Coordination Disorder.
Journal of alternative and complementary medicine (New York, N.Y.)    February 21, 2019   Volume 25, Issue 5 535-541 doi: 10.1089/acm.2017.0242
Hession CE, Law Smith MJ, Watterson D, Oxley N, Murphy BA. This study aims to investigate the impact of a therapeutic horse riding (HR) intervention and an audiovisual (AV) intervention comprising exposure to equine rhythm and motion on developmental parameters of children with Developmental Coordination Disorder (DCD). The study design was a pretest/post-test. The study took place in three locations across Ireland-St. Michael's Boys School in Mervue, Co Galway, The Hunt Museum in Limerick City, Co. Limerick, and Fettercairn Youth Horse Project in Tallaght, Co. Dublin. Eighty-three children (6-14 years) with a primary diagnosis of DCD. Children m...
Musculoskeletal problems associated with lameness and poor performance in cutting horses: 200 cases (2007-2015).
Journal of the American Veterinary Medical Association    February 20, 2019   Volume 254, Issue 5 619-625 doi: 10.2460/javma.254.5.619
Swor TM, Dabareiner RM, Honnas CM, Cohen ND, Black JB.OBJECTIVE To describe the chief complaints by owners and the types and prevalences of musculoskeletal problems associated with lameness or poor performance in cutting horses. DESIGN Retrospective case series. ANIMALS 200 client-owned cutting horses examined at the Texas A&M University Veterinary Medical Teaching Hospital between January 1, 2007, and December 31, 2015, because of lameness or poor performance. PROCEDURES Medical records were reviewed, and data were collected regarding signalment, history, findings on physical and lameness examinations, results of diagnostic procedures performed,...
Fluoroscopically guided neocanalization for treatment of nasolacrimal atresia in two horses.
Veterinary ophthalmology    February 15, 2019   Volume 22, Issue 4 538-544 doi: 10.1111/vop.12653
Berkowski W, Plummer CE, Ramos R, Czerwinski S, Brooks D, Gallagher A.A yearling Thoroughbred stallion and an 8-year-old Saddlebred mare were evaluated for persistent mucoid ocular discharge. Results: Examination of both horses revealed copious yellow-tan mucoid ocular discharge with a negative Jones I test, absent nasal punctum, and unsuccessful anterograde nasolacrimal duct (NLD) irrigation. Clinical abnormalities were present on the right side only in one horse and bilaterally in the other. Computed tomography (CT) with contrast confirmed nasolacrimal duct atresia in both horses. Results: Under general anesthesia, the affected NLD was catheterized anterograde...
Variation in gait parameters used for objective lameness assessment in sound horses at the trot on the straight line and the lunge.
Equine veterinary journal    February 12, 2019   Volume 51, Issue 6 831-839 doi: 10.1111/evj.13075
Hardeman AM, Serra Bragança FM, Swagemakers JH, van Weeren PR, Roepstorff L.Objective lameness assessment is gaining more importance in a clinical setting, necessitating availability of reference values. Objective: To investigate the between -path, -trial and -day variation, between and within horses, in the locomotion symmetry of horses in regular use that are perceived sound. Methods: Observational study with replicated measurement sessions. Methods: Twelve owner-sound horses were trotted on the straight line and on the lunge. Kinematic data were collected from these horses using 3D optical motion capture. Examinations were repeated on 12 occasions over the study wh...
Pain assessment in horses after orthopaedic surgery and with orthopaedic trauma.
Veterinary journal (London, England : 1997)    February 10, 2019   Volume 246 85-91 doi: 10.1016/j.tvjl.2019.02.001
van Loon JPAM, Van Dierendonck MC.Objective pain assessment is important to guide and tailor therapy in clinical practice. This study describes the clinical applicability and validity of two pain scales, the Composite Pain Scale (CPS) and the Equine Utrecht University Scale for Facial Assessment of Pain (EQUUS-FAP) in horses with orthopaedic trauma or after orthopaedic surgery. A cohort follow-up study was performed using 77 adult horses (n=43 with orthopaedic trauma or injury; n=34 controls). Composite and facial expression-based pain scores were assessed by direct observations of pairs of two independent observers. All horse...
Clinical insights: Diagnosis of laminitis.
Equine veterinary journal    February 7, 2019   Volume 51, Issue 2 143-144 doi: 10.1111/evj.13057
Menzies-Gow NJ.No abstract available
ECEIM consensus statement on equine metabolic syndrome.
Journal of veterinary internal medicine    February 6, 2019   Volume 33, Issue 2 335-349 doi: 10.1111/jvim.15423
Durham AE, Frank N, McGowan CM, Menzies-Gow NJ, Roelfsema E, Vervuert I, Feige K, Fey K.Equine metabolic syndrome (EMS) is a widely recognized collection of risk factors for endocrinopathic laminitis. The most important of these risk factors is insulin dysregulation (ID). Clinicians and horse owners must recognize the presence of these risk factors so that they can be targeted and controlled to reduce the risk of laminitis attacks. Diagnosis of EMS is based partly on the horse's history and clinical examination findings, and partly on laboratory testing. Several choices of test exist which examine different facets of ID and other related metabolic disturbances. EMS is controlled ...
Highlights of recent clinically relevant papers.
Equine veterinary education    February 5, 2019   Volume 31, Issue 3 114-115 doi: 10.1111/eve.13054
Wright S.No abstract available
Computed tomographic dimensions of the normal adult equine eye.
Veterinary ophthalmology    February 4, 2019   Volume 22, Issue 5 651-659 doi: 10.1111/vop.12636
Hollis AR, Dixon JJ, Berlato D, Murray R, Weller R.There are limited data on whether the dimensions of the equine eye and its internal structures change with bodyweight in horses. The aim of this study was to identify whether the size of the equine eye and its individual structures varied in a predictable manner with bodyweight, and to examine the reliability of computed tomography (CT) scans in the measurement of the equine eye. Ninety horses which had undergone CT examination of the head for non-ocular disease were included. All measurements of the eye were performed twice on all eyes by the same operator to quantify intra-operator agreement...
Letter to the Editor: Multicentre, blinded, randomised clinical trial comparing the use of flunixin meglumine with firocoxib in horses with small intestinal strangulating obstruction.
Equine veterinary journal    February 3, 2019   Volume 51, Issue 3 422 doi: 10.1111/evj.13078
Freeman DE.No abstract available
Ophthalmologic findings associated with Rhodococcus equi bronchopneumonia in foals.
Veterinary ophthalmology    January 31, 2019   Volume 22, Issue 5 660-665 doi: 10.1111/vop.12637
Tarancón I, Leiva M, Jose-Cunilleras E, Ríos J, Peña T.To describe ocular findings associated with Rhodococcus equi bronchopneumonia in foals, and to determine whether severity of the ocular lesions is related with outcome. Methods: Foals diagnosed with R equi infection at the VTH-UAB from January 2002 to December 2017. Methods: Rhodococcus equi infection was diagnosed by means of clinical signs, radiographic/ultrasonographic findings, and/or positive culture. In all the foals, a complete ophthalmic examination by a boarded ophthalmologist was performed and ocular signs were recorded and graded (0-4). Results: Thirty-nine foals were included in t...
[Vigilance for veterinary medicinal products: Reports of adverse reactions in the year 2017].
Schweizer Archiv fur Tierheilkunde    January 31, 2019   Volume 161, Issue 2 107-112 doi: 10.17236/sat00197
Müntener C, Kupper J, Naegeli H, Gassner B.A total of 306 reports of adverse reactions to veterinary medicinal products were received during the year 2017 representing an increase of 21% compared to the previous year. The majority of these reports described reactions concerning companion animals (180 dogs and 59 cats) as well as cattle (38 reports) and horses (14 reports). Most of the reported reactions were linked to the use of antiparasitics (158 reports), hormone products (30 reports) and anti-inflammatory products (25 reports). 40 reports were generated from consultations with Tox Info Suisse in Zürich and mainly involved the ex...
Assessing pain in horses.
The Veterinary record    January 27, 2019   Volume 184, Issue 4 124 doi: 10.1136/vr.l385
Gleerup KB.No abstract available
Effectiveness of Simulated Horseback Riding for Patients With Chronic Low Back Pain: A Randomized Controlled Trial.
Journal of sport rehabilitation    January 25, 2019   Volume 29, Issue 2 179-185 doi: 10.1123/jsr.2018-0252
Kim T, Lee J, Oh S, Kim S, Yoon B.A simulated horseback riding (SHR) exercise is effective for improvement of pain and functional disability, but its comparative effectiveness with the other is unknown. Objective: The authors aimed to demonstrate the effect of a SHR exercise in people with chronic low back pain. Methods: A randomized controlled trial. Methods: Community and university campus. Methods: A total of 48 participants with chronic low back pain were divided into 2 groups, and SHR exercises (n = 24) or stabilization (STB) exercises (n = 24) were performed. Methods: The exercises were performed for 30 minutes, 2 days p...
Comparison of three acute colic pain scales: Reliability, validity and usability.
Veterinary journal (London, England : 1997)    January 21, 2019   Volume 246 71-77 doi: 10.1016/j.tvjl.2019.01.004
Sutton GA, Atamna R, Steinman A, Mair TS.A valid, reliable and usable scale is needed for assessing severity of acute abdominal pain in horses. The study aim was to compare three different scales: (1) the equine acute abdominal pain scale (EAAPS); (2) a scale described by Mair and Smith (2005; M and S); and (3) a numerical rating scale (NRS). Forty brief films of horses (35 of colic cases and five of control horses) were randomly presented to 46 equine veterinarians from different countries. Participants, randomly divided into three groups, each used one scale. Five randomly selected films were shown twice for determining intra-obser...
Adaptation and evaluation of a monopolar electrosurgical triangle-tip knife for transendoscopic ventriculocordectomy in healthy horses.
Veterinary surgery : VS    January 13, 2019   Volume 48, Issue 4 481-487 doi: 10.1111/vsu.13154
Suarez-Fuentes DG, Tatarniuk DM, Caston SS, Bell CD, Loinaz RJ, Hostetter JM.To evaluate the efficacy and safety of a transendoscopic monopolar electrosurgical triangle-tip knife as instrumentation to perform unilateral ventriculocordectomy (VC) in healthy adult horses. Methods: In vivo experimental study. Methods: Nine horses donated for medical conditions unrelated to respiratory system. Methods: The triangle-tip knife was applied in contact fashion. Left VC was performed under standing sedation. Endoscopic images of the upper airway were graded for inflammation by 2 masked surgeons preoperatively and immediately, 24 hours and, in 2 cases, 7 and 14 days postopera...
Evaluation of standing low-field magnetic resonance imaging for diagnosis of advanced distal interphalangeal primary degenerative joint disease in horses: 12 cases (2010-2014).
Journal of the American Veterinary Medical Association    January 4, 2019   Volume 254, Issue 2 257-265 doi: 10.2460/javma.254.2.257
Rovel T, Audigié F, Coudry V, Jacquet-Guibon S, Bertoni L, Denoix JM.OBJECTIVE To report history, findings from clinical examinations and diagnostic imaging, treatment, and outcomes associated with distal interphalangeal primary degenerative joint disease (DIP-PDJD) and to evaluate diagnostic usefulness and limitations of standing low-field MRI, relative to radiography and ultrasonography, for the diagnosis of DIP-PDJD in horses. DESIGN Retrospective case series with nested evaluation study. ANIMALS 12 client-owned horses. PROCEDURES Medical records were reviewed, and data were collected regarding signalment, history, results of physical and diagnostic imaging ...
Outcome following computed tomographic imaging and subsequent surgical removal of keratomas in equids: 32 cases (2005-2016).
Journal of the American Veterinary Medical Association    January 4, 2019   Volume 254, Issue 2 266-274 doi: 10.2460/javma.254.2.266
Katzman SA, Spriet M, Galuppo LD.OBJECTIVE To describe the use of CT in the diagnosis of and presurgical planning for equids with keratomas treated by hoof wall resection and determine postoperative complications and outcome. DESIGN Retrospective case series. ANIMALS 29 horses and 3 mules with keratomas treated by partial or complete hoof wall resection following CT imaging of the distal portion of the affected extremity from 2005 through 2016. PROCEDURES For each equid, physical examination and lameness evaluation were performed, followed by imaging of the distal portion of the affected extremity. A tentative diagnosis of ke...
Measurement of plasma endothelin-1 concentration in healthy horses and horses with cardiac disease during rest and after exercise.
The Journal of veterinary medical science    December 28, 2018   Volume 81, Issue 2 263-268 doi: 10.1292/jvms.18-0325
Gehlen H, Shety T, El-Zahar H, Hofheinz I.Cardiac biomarkers are important tools for monitoring disease progress and can monitor progression of therapy. Endothelin-1 (ET-1) has been studied for its use as a cardiac biomarker in human and small animal medicine while in horses with cardiac disease it has not been evaluated yet. The objective of the present study was to determine the concentration of plasma ET-1 in healthy horses and compare it with ET-1 concentration in horses with cardiac disease during rest and after exercise. Fifty four horses admitted to the Equine Clinic of Free University of Berlin were used in the present study, ...
Reference intervals for haematological parameters in the Lusitano horse breed.
Acta veterinaria Hungarica    December 26, 2018   Volume 66, Issue 4 530-541 doi: 10.1556/004.2018.047
Silvestre-Ferreira AC, Cotovio M, Maia M, Queiroga F, Pires MJ, Colaço A.The Lusitano horse is an autochthonous Portuguese breed with a growing worldwide expansion. Our objective was to establish reference intervals for haematological parameters using the haematological cell counter LaserCyte (IDEXX). For this purpose, blood samples from 100 healthy adult horses (13 females and 87 males, ranging from 3 to 25 years of age) were analysed. The reference intervals were estimated following the ASVCP guidelines with the Reference Value Advisor software. The obtained reference intervals were 6.4-10.1 × 1012/L for red blood cells, 30.6-45.1% for haematocrit, 11.6-17.1 g/d...
Comparison of the reliability of snap foal Ig test, Gamma-Check E test, refractometry and electrophoresis for determining the immune status of newborn foals in the first hours of life.
Acta veterinaria Hungarica    December 26, 2018   Volume 66, Issue 4 573-586 doi: 10.1556/004.2018.051
Kummer LL, Govaere J, Egri B.Twenty-eight warmblood mares were monitored during their late pregnancy in the Teaching Hospital of Ghent University. The reliability of two commercial assays (enzyme immunoassay and glutaraldehyde coagulation test) used for determining the IgG concentrations of their newborn foals was tested. Mammary secretions were examined at the time of foaling (T0), and then 4 (T1) and 8 (T2) hours after foaling by refractometry and electrophoresis. The foals' blood IgG levels were measured at T1 and T2 as a routine clinical diagnostic examination using two different commercial test kits (SNAP Foal Ig and...
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