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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.
Cardiovascular variables in eventing and endurance horses over a season.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    December 14, 2018   Volume 21 67-78 doi: 10.1016/j.jvc.2018.08.004
Lorello O, Ramseyer A, Burger D, Gerber V, Navas de Solis C.The objectives of this study were to describe the changes in clinical cardiovascular examination variables over a competition season in groups of competitive eventing and endurance horses and to compare these findings to non-competitive controls of the same breeds. Methods: This study included two eventing horses, 11 endurance horses, and 13 eventing and seven endurance control breed-matched horses. Methods: Cardiovascular examinations were performed before starting the competition season, in the middle and at the peak/end of the competition season. Examinations included auscultation of the he...
Clinical insights: Biomechanics and lameness diagnosis.
Equine veterinary journal    December 1, 2018   Volume 51, Issue 1 5-6 doi: 10.1111/evj.13036
Gómez Álvarez CB.No abstract available
Advances in Echocardiography.
Progress in cardiovascular diseases    November 22, 2018   Volume 61, Issue 5-6 389 doi: 10.1016/j.pcad.2018.11.010
Lavie CJ.No abstract available
Diagnostic Approaches to Understanding Equine Limb Wounds.
The Veterinary clinics of North America. Equine practice    November 19, 2018   Volume 34, Issue 3 461-471 doi: 10.1016/j.cveq.2018.07.001
Gaughan EM.An accurate and timely diagnosis of the systemic and local tissue influences of a wound are essential to target successful treatment measures and reach the best result for an affected horse. A complete physical examination should be completed for any wounded horse and appropriate systemic therapies instituted. Visual and manipulative examinations aid in the complete understanding of wounded tissues. Imaging and invasive diagnostic techniques also have value in determining the extent of a wound. Considering what tissues are involved from an inside-out perspective can assist in developing a comp...
Wound Management: Wounds with Special Challenges.
The Veterinary clinics of North America. Equine practice    November 19, 2018   Volume 34, Issue 3 511-538 doi: 10.1016/j.cveq.2018.07.003
Eggleston RB.Distal limb wounds in horses heal substantially different than trunk wounds, commonly resulting in exuberant granulation tissue and exposed and sequestered bone. Surgical intervention of severe rectovaginal lacerations in the mare should be delayed until the tissues have heeled and scar tissue has remodeled. Wounds resulting in severe hemorrhage require appropriate emergent fluid therapy and potentially transfusion therapy.
Nonhealing Wounds of the Equine Limb.
The Veterinary clinics of North America. Equine practice    November 19, 2018   Volume 34, Issue 3 539-555 doi: 10.1016/j.cveq.2018.07.007
Maher M, Kuebelbeck L.Nonhealing wounds present a common challenge to the equine practitioner. An underlying source of inflammation and infection is almost always present and needs to be resolved for healing to proceed. Wound débridement is the mainstay for this resolution. In addition, wound closure, wound dressings, and skin grafts can be used to achieve successful wound healing.
Exploring how end-of-life management is taught to Australasian veterinary students. Part 1: technical euthanasia.
The Veterinary record    November 19, 2018   Volume 183, Issue 22 691 doi: 10.1136/vr.104775
Littlewood KE, Beausoleil NJ, Stafford KJ, Stephens C, Collins T, Fawcett A, Hazel S, Lloyd JKF, Mallia C, Richards L, Wedler NK, Zito S.This descriptive study explored how end-of-life management was taught to students in all eight Australasian veterinary schools. A questionnaire-style interview guide was used by a representative at each university to conduct structured interviews with educators in a snowball sampling approach. Four categories of animals were addressed: livestock, equine, companion and avian/wildlife. This article focuses on the first part of the questionnaire: teaching the technical aspects of euthanasia. Euthanasia techniques were taught at more universities in clinical years than preclinical years. Clinical ...
Real-time Evaluation of ECG Acquisition Systems through Signal Quality Assessment in Horses during Submaximal Treadmill Test. Nardelli M, Lanata A, Valenza G, Sgorbini M, Baragli P, Scilingo EP.This paper reports on a novel real time index designed to assess the quality of electrocardiographic (ECG) traces recorded in a group of five horses during a submaximal treadmill test procedure. During the experimental protocol two ECG monitoring systems were simultaneously applied to the animals. The first system was equipped with textile electrodes while the second one with standard red-dot electrodes. The procedure comprised four phases with an increased treadmill velocity, specifically, Walk 1, Trot 1, Trot 2 and Gallop. Three signal quality levels have been fixed according to the amount o...
Offering better equine dentistry services.
The Veterinary record    November 11, 2018   Volume 183, Issue 18 575 doi: 10.1136/vr.k4748
Horse owner Anna Bowen describes why she uses a vet rather than an equine dentist for her horse's teeth.
Comparison of incisional complications between skin closures using a simple continuous or intradermal pattern: a pilot study in horses undergoing ventral median celiotomy.
PeerJ    November 9, 2018   Volume 6 e5772 doi: 10.7717/peerj.5772
Scharner D, Gittel C, Winter K, Blaue D, Schedlbauer C, Vervuert I, Brehm W.Development of incisional complications following ventral median celiotomy might depend on suture pattern for skin closure. Methods: In this prospective study, 21 healthy male horses underwent celiotomy. Skin closure was either performed via a continuous percutaneous pattern (CO group; 5 warmbloods/5 ponies) or an intradermal pattern (ID group; 5 warmbloods/6 ponies). Follow-up examination of the incisional site included daily monitoring for edema, dehiscence, and drainage. Transcutaneous ultrasound was performed at Days 3, 6, and 10 as well as on Week 8 and 12 to evaluate size of edema and pr...
Exercising upper respiratory videoendoscopic findings of 50 competition draught horses with abnormal respiratory noise and/or poor performance.
Equine veterinary journal    November 5, 2018   Volume 51, Issue 3 370-374 doi: 10.1111/evj.13026
Hackett ES, Leise BS.Upper respiratory tract (URT) endoscopy at rest is commonly used to evaluate competition draught horses with URT conditions. Overground endoscopy might be preferred for draught horse URT evaluation as it allows the horses to be driven with harness, overcheck and cart-load under similar conditions to those experienced in the show ring where airway conditions are most prominent. Objective: To describe the exercising URT findings of competition draught horses with abnormal respiratory noise and/or poor performance. Methods: Case series. Methods: Medical records of competition draught horses under...
Thoracic processi spinosi findings agree among subjective, semiquantitative, and modified semiquantitative scintigraphic image evaluation methods and partially agree with clinical findings in horses with and without thoracolumbar pain. van Zadelhoff C, Ehrle A, Merle R, Jahn W, Lischer C.Impinging processi spinosi in the equine thoracic spine are a common cause of poor performance in the horse. A modified semiquantitative scintigraphic image analysis has been proposed for the evaluation of equine processi spinosi. This technique showed a high inter- and intraobserver agreement when compared to subjective and semiquantitative image analysis. The aim of this retrospective, method comparison study was to evaluate the agreement of the modified semiquantitative scintigraphic image assessment with previous methods of interpretation and to compare these scintigraphic evaluation techn...
Monitoring changes in distribution of pulmonary ventilation by functional electrical impedance tomography in anaesthetized ponies.
Veterinary anaesthesia and analgesia    October 28, 2018   Volume 46, Issue 2 200-208 doi: 10.1016/j.vaa.2018.09.048
Auer U, Schramel JP, Moens YP, Mosing M, Braun C.To assess changes in the distribution in pulmonary ventilation in anaesthetized ponies using electrical impedance tomography (EIT). Methods: Prospective experimental study. Methods: A group of eight adult pony geldings. Methods: General anaesthesia was induced and maintained using isoflurane in oxygen with volume-controlled ventilation [tidal volume (VT) (10 mL kg-1), respiratory rate (8-12 breaths minute-1)] to maintain end-tidal carbon dioxide between 35 and 40 mmHg (4.66-5.32 kPa). Regional distribution of ventilation was assessed with EIT (plane of fifth to sixth intercostal space) at 30, ...
Evaluation of videoendoscopic examinations of arytenoid function in the 2-year-old Thoroughbred: Can we all agree?
Equine veterinary journal    October 27, 2018   Volume 51, Issue 3 364-369 doi: 10.1111/evj.13030
McLellan J, Plevin S.Upper respiratory tract (URT) endoscopic examination is a routine part of prepurchase examinations. Discrepancies have been documented in the assessment of arytenoid function grades (AFG) between veterinarians. Objective: To document intra- and interobserver agreement for a population of multi-experience level veterinarians for assessment of AFG of 2-year-old Thoroughbreds. Methods: Observational cohort study. Methods: One-hundred and fourteen URT videoendoscopic examinations were evaluated by 10 veterinarians. Veterinarians were categorised based on experience, into five groups, each group wi...
Choosing the Best Approach to Wound Management and Closure.
The Veterinary clinics of North America. Equine practice    October 17, 2018   Volume 34, Issue 3 499-509 doi: 10.1016/j.cveq.2018.07.005
Kamus L, Theoret C.This article aims to help the practitioner by providing the tools to decide which type of closure or healing is best in a given situation. An overview of the main criteria and the different approaches to wound closure is presented. Each wound must be considered as a unique problem that requires a clinician to take into account all of its characteristics and limits to determine the best management approach.
Retrospective evaluation of the effect of intravenous fluid administration on development of postoperative reflux in horses with colic (2004-2012): 194 horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    October 9, 2018   Volume 28, Issue 6 566-572 doi: 10.1111/vec.12776
Hoaglund EL, Hess AM, Hassel DM.To evaluate the role of intravenous fluid volume and electrolyte supplementation on the development of postoperative reflux (POR) in horses undergoing celiotomy for colic. Methods: Case-control study spanning 2004-2012 for horses undergoing celiotomy for colic. Methods: University teaching hospital. Methods: Sixty-seven client-owned horses >1 year of age with POR were each matched to 2 controls with similar surgical lesions that did not demonstrate POR. Results: Survival was significantly lower in cases (65.7%) than controls (96.1%). Factors found to be associated with POR included decrease...
Celebrating excellence in equine medicine.
The Veterinary record    October 6, 2018   Volume 183, Issue 13 400 doi: 10.1136/vr.k4178
No abstract available
Ocular abnormalities in a herd of Old Kladruber Horses: A cross-sectional study.
Veterinary ophthalmology    October 5, 2018   Volume 22, Issue 4 462-469 doi: 10.1111/vop.12614
Andrysikova R, Pot S, Rüegg S, Markova J, Horackova E, Kolos F, Voelter K, Spiess B.To screen a closed herd of the Old Kladruber Horses (OKH) for the prevalence of ocular disorders and report normal ocular variations. Methods: Two hundred and sixty-one horses, 122 Old Kladruber Gray Horses, and 139 Old Kladruber Black Horses owned by the National Stud Farm Kladruby nad Labem, Czech Republic, were included in the study with signalment and pedigree information recorded. Methods: Bilateral ocular examination of manually restrained horses was performed in a darkened environment by a single examiner (RA), using a portable slit-lamp biomicroscope, direct ophthalmoscope, and monocul...
Clinical insights: Advances in diagnostic imaging: Fractures.
Equine veterinary journal    September 29, 2018   Volume 50, Issue 6 708-709 doi: 10.1111/evj.12996
Manso-Diaz G, Weller R, Biggi M.No abstract available
18 F-sodium fluoride positron emission tomography of the racing Thoroughbred fetlock: Validation and comparison with other imaging modalities in nine horses.
Equine veterinary journal    September 28, 2018   Volume 51, Issue 3 375-383 doi: 10.1111/evj.13019
Spriet M, Espinosa-Mur P, Cissell DD, Phillips KL, Arino-Estrada G, Beylin D, Stepanov P, Katzman SA, Galuppo LD, Garcia-Nolen T, Murphy B, Stover SM.Early and accurate detection of stress remodelling in racehorses is of utmost importance to prevent catastrophic injuries. Current imaging techniques have limitations in assessing early changes predisposing to catastrophic breakdowns. Positron emission tomography (PET) using F-sodium fluoride ( F-NaF) is a sensitive method for the detection of early bone turnover and may improve early recognition of subtle injuries. Objective: To validate the clinical use of F-NaF PET in Thoroughbred racehorses, to assess the value of PET in the detection of bone lesions and to compare PET results with findi...
Metabolomics of tracheal wash samples and exhaled breath condensates in healthy horses and horses affected by equine asthma.
Journal of breath research    September 27, 2018   Volume 12, Issue 4 046015 doi: 10.1088/1752-7163/aade13
Bazzano M, Laghi L, Zhu C, Magi GE, Serri E, Spaterna A, Tesei B, Laus F.The present work characterized the metabolomic profile of tracheal wash (TW) and exhaled breath condensate (EBC) in healthy horses and horses with respiratory disease. Six asthma-affected horses (group A) and six healthy controls (group H) underwent clinical, endoscopic and cytologic examinations of upper airways to confirm the active phase of asthma. TW and EBC samples were collected from each animal and investigated by proton nuclear magnetic resonance (H-NMR) metabolomic analysis. A total of ten out of 38 metabolites found in the TW were significantly different between the groups (p < ...
Influence of neck position on commonly performed radiographic measurements of the cervical vertebral region in horses.
American journal of veterinary research    September 27, 2018   Volume 79, Issue 10 1044-1049 doi: 10.2460/ajvr.79.10.1044
Beccati F, Santinelli I, Nannarone S, Pepe M.OBJECTIVE To determine the influence of various neck positions on cervical vertebral radiographic measurements in horses. ANIMALS 18 client-owned horses examined for lameness but free of cervical disease. PROCEDURES Laterolateral radiographs of the cervical vertebrae from C1 through T1 were acquired for each horse in 3 neck positions (low, neutral, and high). Minimum sagittal diameter, intravertebral sagittal diameter (intra-VSD) ratio, inter-VSD ratio, length of the articular processes joint ratio, vertebral alignment angle, and vertebral fossa angle were measured at each segment in each neck...
Clodronate improves lameness in horses without changing bone turnover markers.
Equine veterinary journal    September 22, 2018   Volume 51, Issue 3 356-363 doi: 10.1111/evj.13011
Mitchell A, Wright G, Sampson SN, Martin M, Cummings K, Gaddy D, Watts AE.Clodronate is prescribed to performance horses with lameness. Despite its clinical popularity, little research has been done to understand the effects of clodronate in the horse. Objective: Our objective was to determine if a single treatment with clodronate at the clinically approved dose altered bone remodelling, bone cell recruitment or lameness in the horse. Methods: Twelve university-owned equestrian team competition horses with a history of forelimb lameness due to navicular syndrome were randomised to receive either 1.4 mg/kg clodronate (CLOD n = 6) or an equivalent volume of LRS (CONT;...
Pharmacokinetics and physiologic/behavioral effects of buprenorphine administered sublingually and intravenously to neonatal foals.
Journal of veterinary pharmacology and therapeutics    September 21, 2018   Volume 42, Issue 1 26-36 doi: 10.1111/jvp.12715
Grubb TL, Kurkowski D, Sellon DC, Seino KK, Coffey T, Davis JL.Buprenorphine is absorbed following sublingual administration, which would be a low-stress delivery route in foals. However, the pharmacokinetics/pharmacodynamics are not described in foals. Six healthy foals <21 days of age participated in a blinded, randomized, 3-period, 5-sequence, 3-treatment crossover prospective study. Foals received 0.01-0.02 mg/kg buprenorphine administered SL or IV with an equivalent volume of saline administered by the opposite route. Blood was collected from the cephalic vein for pharmacokinetic analysis. Physiologic parameters (HR, RR, body temperature, GI sou...
Assessment of systolic and diastolic function in clinically healthy horses using ambulatory acoustic cardiography.
Equine veterinary journal    September 21, 2018   Volume 51, Issue 3 391-400 doi: 10.1111/evj.13014
Zuber N, Zuber M, Schwarzwald CC.Assessment of cardiac electromechanical function in horses requires training, experience and specialised equipment and does not allow continuous monitoring over time. Objective: The objective of this study was to establish the use of an acoustic ECG monitor (Audicor ) in healthy horses. It provides noninvasive, examiner-independent, continuous analyses combining ECG and phonocardiography to calculate indices of cardiac mechanical activity and haemodynamics. Device usability was investigated, reference intervals calculated and reproducibility of analyses assessed. Methods: Prospective descripti...
Limbal squamous cell carcinoma in a Rocky Mountain Horse: Case report and investigation of genetic contribution.
Veterinary ophthalmology    September 20, 2018   Volume 22, Issue 2 201-205 doi: 10.1111/vop.12612
Knickelbein KE, Lassaline ME, Bellone RR.To document a case of limbal squamous cell carcinoma (SCC) in a Rocky Mountain Horse stallion determined to be homozygous for the genetic risk factor (DDB2 c.1013C>T) strongly associated with the disease in Haflinger and Belgian horses, and to determine the frequency of this allele in a larger population of Rocky Mountain Horses. Methods: One privately owned Rocky Mountain Horse and 84 Rocky Mountain Horses screened for allelic frequency. Methods: A complete ophthalmic examination was performed on a Rocky Mountain Horse stallion for assessment of a mass affecting the right eye. A clinical diag...
How to score sedation and adjust the administration rate of sedatives in horses: a literature review and introduction of the Ghent Sedation Algorithm.
Veterinary anaesthesia and analgesia    September 19, 2018   Volume 46, Issue 1 4-13 doi: 10.1016/j.vaa.2018.08.005
Schauvliege S, Cuypers C, Michielsen A, Gasthuys F, Gozalo-Marcilla M.To summarize the different methods used to assess sedation and/or adjust the dose or administration rate of alpha-2 agonists in horses and to propose an algorithm to adjust the administration rate of a constant rate infusion of an alpha-2 agonist in horses. Methods: PubMed and Web of Science; search terms: horse, sedation and score. Conclusions: Most authors distinguish between sedation depth, sedation quality and degree of ataxia. These three features are evaluated using scoring systems similar to those classically used to assess pain, i.e. simple descriptive scales, numerical rating scales (...
Minimally invasive, compartmentalized, modified open castration technique with primary closure in equids.
Journal of the American Veterinary Medical Association    September 14, 2018   Volume 253, Issue 7 897-906 doi: 10.2460/javma.253.7.897
Crosa AT, Desjardins MR.OBJECTIVE To describe use of a modified open castration technique with a scrotal approach and primary closure in equids. DESIGN Prospective case series. ANIMALS 38 client-owned, sexually intact male equids. PROCEDURES With owner consent, elective castration was performed with a modified open technique on patients (1 pony, 1 miniature horse, and 36 horses of other breeds) under general anesthesia. The procedure included minimal dissection into the scrotal region for removal of testes, with cremaster muscles left intact and the parietal vaginal tunic closed in place. Primary closure of surgical ...
The clinical diagnosis of equine sarcoids – Part 1: Assessment of sensitivity and specificity using a multicentre case-based online examination.
Veterinary journal (London, England : 1997)    September 1, 2018   Volume 242 77-82 doi: 10.1016/j.tvjl.2018.08.009
Koch C, Martens A, Hainisch EK, Schüpbach G, Gerber V, Haspeslagh M.Equine clinicians and researchers often make the diagnosis of equine sarcoids (ES) on clinical assessment alone, without histopathological confirmation. However, the accuracy of the clinical diagnosis of ES has not been critically assessed. To assess sensitivity, specificity, positive and negative predictive values of the clinical diagnosis of ES, 40 clinical cases with histologically confirmed equine skin lesions (26 ES and 14 non-ES) were compiled in a representative online examination. For each case and lesion, at least one photograph and all relevant information were presented in a standar...
The clinical diagnosis of equine sarcoids-Part 2: Assessment of case features typical of equine sarcoids and validation of a diagnostic protocol to guide equine clinicians in the diagnosis of equine sarcoids.
Veterinary journal (London, England : 1997)    September 1, 2018   Volume 240 14-18 doi: 10.1016/j.tvjl.2018.08.010
Haspeslagh M, Gerber V, Knottenbelt DC, Schüpbach G, Martens A, Koch C.Research has shown that the accuracy of the clinical diagnosis of equine sarcoids (ES) can be improved. Particularly, less experienced veterinarians are often mistaken in their clinical judgement despite a high level of diagnostic confidence. The aim of this study was to develop and assess the performance of a diagnostic protocol (DP) to improve diagnostic accuracy and identify diagnostically challenging cases. The design of the DP was based on typical clinical features of ES and its algorithm was optimised through repeated tests on clinical cases prior to validating its performance in a repre...
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