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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.
Suspicion of Postanesthetic Femoral Paralysis of the Non-Dependent Limb in a Horse.
Frontiers in veterinary science    February 7, 2018   Volume 5 12 doi: 10.3389/fvets.2018.00012
Mirra A, Klopfenstein Bregger MD, Levionnois OL.A 15-year-old Selle Francais gelding was presented to the equine referral hospital for treatment of a left guttural pouch mycosis previously diagnosed. After induction, the horse was shortly hoisted by all four feet, moved on a padded surgical table, and positioned in right lateral recumbency. In order to reduce the risk of bleeding during surgical manipulation of the carotid and maxillary arteries, a mean arterial pressure between 60 and 70 mmHg was targeted. After surgery, the horse was moved in a padded recovery box keeping the same lateral recumbency. Four unsuccessful attempts were perf...
Foal Diarrhea: Established and Postulated Causes, Prevention, Diagnostics, and Treatments.
The Veterinary clinics of North America. Equine practice    February 1, 2018   Volume 34, Issue 1 55-68 doi: 10.1016/j.cveq.2017.11.003
Oliver-Espinosa O.Diarrhea is one of the most important diseases in young foals and may occur in more than half of foals until weaning age. Several infectious and noninfectious underlying causes have been implicated but scientific evidence of pathogenesis is evolving. It is important to investigate all known potential causes and identify infectious agents to avoid outbreaks, evaluate the level of systemic compromise, and establish adequate therapy. It is crucial to differentiate foals that can be managed in field conditions from those that should be sent to a referral center. This article reviews these aspects ...
Novel dry cryotherapy system for cooling the equine digit.
Veterinary record open    January 7, 2018   Volume 5, Issue 1 e000244 doi: 10.1136/vetreco-2017-000244
Morgan J, Stefanovski D, Lenfest M, Chatterjee S, Orsini J.Digital cryotherapy is commonly used for laminitis prophylaxis and treatment. Currently validated methods for distal limb cryotherapy involve wet application or compression technology. There is a need for a practical, affordable, dry cryotherapy method that effectively cools the digit. The objective of this study was to evaluate the hoof wall surface temperatures (HWSTs) achieved with a novel dry cryotherapy technology. Methods: Repeated-measures in vivo experimental study. Methods: Experimental intervention at a single site. Methods: 6 systemically healthy horses (3 mares, 3 geldings). Method...
Comparison of hand-sewn and oversewn stapled jejunojejunal anastomoses in horses.
The Canadian veterinary journal = La revue veterinaire canadienne    January 6, 2018   Volume 59, Issue 1 67-73 
Bracamonte JL, Devick I, Thomas KL, Hendrick S.The objective of this study was to compare the biomechanical properties of hand-sewn jejunojejunal anastomoses to those of oversewn stapled jejunojejunal anastomoses. Jejunojejunal anastomoses were constructed from harvested jejunal segments using a single-layer Lembert technique (1HS), double-layer simple continuous/Cushing technique (2HS), stapled side-to-side technique oversewn with Cushing pattern (SS), and closed 1-stage stapled functional end-to-end technique oversewn with Cushing pattern (FEE). Anastomosed segments were distended with fluid until the point of biomechanical failure. The ...
Modified first or second cervical nerve transplantation technique for the treatment of recurrent laryngeal neuropathy in horses.
Equine veterinary journal    January 5, 2018   Volume 50, Issue 4 457-464 doi: 10.1111/evj.12788
Rossignol F, Brandenberger O, Perkins JD, Marie JP, Mespoulhès-Rivière C, Ducharme NG.In horses, the only established method for reinnervation of the larynx is the nerve-muscle pedicle implantation, whereas in human medicine, direct nerve implantation is a standard surgical technique for selective laryngeal reinnervation in human patients suffering from bilateral vocal fold paralysis. Objective: (1) To describe a modified first or second cervical nerve transplantation technique for the treatment of recurrent laryngeal neuropathy (RLN) in horses and (2) evaluate the outcomes of reinnervation using direct nerve needle-stimulation of the first cervical nerve and exercising endosco...
First Blindness Cases of Horses Infected with Setaria Digitata (Nematoda: Filarioidea) in the Republic of Korea.
The Korean journal of parasitology    December 31, 2017   Volume 55, Issue 6 667-671 doi: 10.3347/kjp.2017.55.6.667
Shin J, Ahn KS, Suh GH, Kim HJ, Jeong HS, Kim BS, Choi E, Shin SS.Ocular setariases of cattle were reported but those of equine hosts have never been reported in the Republic of Korea (Korea). We found motile worms in the aqueous humor of 15 horses (Equus spp.) from 12 localities in southern parts of Korea between January 2004 and November 2017. After the affected animals were properly restrained under sedation and local anesthesia, 10 ml disposable syringe with a 16-gauge needle was inserted into the anterior chamber of the affected eye to successfully remove the parasites. The male worm that was found in 7 of the cases showed a pair of lateral appendages n...
Effect of Intravenous Administration of Cobalt Chloride to Horses on Clinical and Hemodynamic Variables.
Journal of veterinary internal medicine    December 29, 2017   Volume 32, Issue 1 441-449 doi: 10.1111/jvim.15029
Burns TA, Dembek KA, Kamr A, Dooley SB, Dunbar LK, Aarnes TK, Bednarski LS, O'Brien C, Lakritz J, Byrum B, Wade A, Farmer R, Tan S, Toribio RE.Cobalt chloride (CoCl ) is administered to racehorses to enhance performance. The purpose of this study was to evaluate the clinical, cardiovascular, and endocrine effects of parenterally administered CoCl . Objective: To describe the effects of weekly intravenous doses of CoCl on Standardbred horses. Methods: Five, healthy Standardbred mares. Methods: Prospective, randomized, experimental dose-escalation pilot. Five Standardbred mares were assigned to receive 1 of 5 doses of CoCl (4, 2, 1, 0.5, or 0.25 mg/kg) weekly IV for 5 weeks. Physical examination, blood pressure, cardiac output, and e...
Letter to the Editor: Do we have to redefine lameness in the era of quantitative gait analysis?
Equine veterinary journal    December 27, 2017   Volume 50, Issue 2 273 doi: 10.1111/evj.12791
Bathe AP, Judy CE, Dyson S.No abstract available
Survey of equine castration techniques, preferences and outcomes among Australian veterinarians.
Australian veterinary journal    December 19, 2017   Volume 96, Issue 1-2 39-45 doi: 10.1111/avj.12656
Owens CD, Hughes KJ, Hilbert BJ, Heller J, Nielsen S, Trope GD.(1) To collect the perceptions of veterinarians performing equine castrations in Australia on techniques, preferences and outcomes, (2) to investigate veterinarian use and experience with the Henderson castrating instrument and (3) to investigate potential associations between demographics, castration methods and techniques, and complications. Methods: Online survey of members of the Australian Veterinary Association's Special Interest Group, Equine Veterinarians Australia (EVA). Methods: A link to the survey was included in the EVA e-newsletter and practices on the EVA website were contacted ...
Equine ocular mast cell tumor: histopathological and immunohistochemical description.
Journal of equine science    December 16, 2017   Volume 28, Issue 4 149-152 doi: 10.1294/jes.28.149
Flores AR, Azinhaga A, Pais E, Faria F, Nunes F, Gartner F, Amorim I.This report describes an ocular mast cell tumor in a 13-year-old female sport horse. Clinical examination revealed a solitary firm mass located in the ocular mucosa, protruding from behind the left lower eyelid. The lesion was surgically removed and submitted to histopathology. Microscopically, the mass was composed of sheets of well-differentiated neoplastic round cells circumscribed by delicate connective tissue. Positive Giemsa and Toluidine Blue staining confirmed the presence of cytoplasmic granules. Neoplastic cells showed strong membranous and mild diffuse cytoplasmic immunoreactivity f...
Normal reference intervals and the effects of sample handling on dynamic viscoelastic coagulometry (Sonoclot) in healthy adult horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    December 15, 2017   Volume 28, Issue 1 39-44 doi: 10.1111/vec.12687
Jamieson CA, Hanzlicek AS, Payton ME, Holbrook TC.To determine reference intervals and the effect of sample agitation and rest time on Sonoclot analysis in healthy adult horses. Methods: Original prospective study. Methods: University veterinary medical teaching hospital. Methods: Sixty healthy adult horses. Methods: Blood was collected for assessment of complete blood count, serum biochemical analysis, and Sonoclot analysis. Results: Horses were determined to be healthy based upon physical examination, CBC, and serum biochemistry analysis. Blood was analyzed in a glass bead-containing cuvette using the Sienco Sonoclot analyzer following 2 re...
Veterinary Medical Ethics.
The Canadian veterinary journal = La revue veterinaire canadienne    December 6, 2017   Volume 58, Issue 12 1253-1255 
Rollin BE.No abstract available
Detection and confirmation of α-cobratoxin in equine plasma by solid-phase extraction and liquid chromatography coupled to mass spectrometry.
Journal of chromatography. A    December 6, 2017   Volume 1533 38-48 doi: 10.1016/j.chroma.2017.12.010
Guan F, You Y, Li X, Robinson MA.α-Cobratoxin (CTX) is a large peptide (71 amino acids) with strong analgesic effect and may be misused in sports such as horse racing. To prevent such misuse, a sensitive method is required for detection and confirmation of the toxin in equine samples. CTX was extracted from equine plasma using an optimized mixed-mode solid-phase extraction (SPE) procedure. Extracted CTX was reduced with dithiothreitol and alkylated with iodoacetamide, and then was digested by trypsin at 56°C for 30min. The digest was analysed by liquid chromatography coupled to tandem mass spectrometry (LC-MS/MS), and trypt...
Radiological prevalence of equine odontoclastic tooth resorption and hypercementosis.
Equine veterinary journal    November 27, 2017   Volume 50, Issue 4 481-487 doi: 10.1111/evj.12776
Rehrl S, Schröder W, Müller C, Staszyk C, Lischer C.Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is a painful and progressive dental disease that mainly affects the incisors and canine teeth of aged horses. Diagnosis is based on radiographs to detect early stages of the disease. EOTRH is probably underdiagnosed and its prevalence in Germany unknown. Objective: This study was performed to determine the radiological prevalence of EOTRH in a large horse population in Berlin-Brandenburg, Germany. Methods: Prevalence study. Methods: The study population (142 horses) consisted of all horses 10 years and older that were presented...
24-Hour Kinetics of Cardiac Troponin-T Using a “High-Sensitivity” Assay in Thoroughbred Chuckwagon Racing Geldings after Race and Associated Clinical Sampling Guidelines.
Journal of veterinary internal medicine    November 24, 2017   Volume 32, Issue 1 433-440 doi: 10.1111/jvim.14870
Shields E, Seiden-Long I, Massie S, Leguillette R.A "high-sensitivity" cardiac troponin-T (hscTnT) assay recently has been validated for use in horses and is a specific biomarker of myocardial damage. Postexercise release kinetics of cTnT utilizing the hscTnT assay have yet to be established in horses. Objective: To determine: (1) cTnT release kinetics in racing Thoroughbreds after a high-intensity 5/8th mile Chuckwagon race; (2) the effects of age on pre- and postrace cTnT concentrations; and (3) sampling guidelines for clinicians evaluating horses presenting after exercise. Methods: Samples were obtained from 38 Thoroughbred geldings aged 5...
Double outlet right ventricle with subpulmonary ventricular septal defect (Taussig-Bing anomaly) and other complex congenital cardiac malformations in an American Quarter Horse foal.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    November 22, 2017   Volume 20, Issue 1 64-72 doi: 10.1016/j.jvc.2017.10.005
Kohnken R, Schober K, Godman J, Gardner A, Jenkins T, Schroeder E, Baker P, Dunbar L.A 4-week-old American Quarter Horse colt presented with a recent history of diarrhea and decreased activity level. On initial physical examination, the animal was bright and alert and major findings were limited to a loud systolic heart murmur radiating widely over both sides of the thorax. While in the hospital, the clinical condition of the foal warranted further imaging to determine the cause and extent of cardiac disease. A variety of congenital cardiac malformations were identified during echocardiographic examination and autopsy, including a double outlet right ventricle and a subpulmona...
Standing thyroidectomy in 10 horses.
Veterinary surgery : VS    November 8, 2017   Volume 47, Issue 1 86-92 doi: 10.1111/vsu.12744
Marcatili M, Voss SJ, Pollock PJ.To describe a surgical technique for thyroidectomy in horses with thyroid neoplasia under standing sedation and local anesthesia. Methods: Retrospective study. Methods: Client-owned horses (n = 10). Methods: Medical records of horses with a history of thyroid enlargement were included in the study if thyroid gland enlargement was treated surgically via hemi- or bilateral thyroidectomy, with the horse standing and sedated. Data derived from follow-up clinical examination, performance level, recurrence, and cosmetic outcome were evaluated. Results: Thyroid enlargement was unilateral in 8 and...
Disease and Surgery of the Equine Lens.
The Veterinary clinics of North America. Equine practice    November 7, 2017   Volume 33, Issue 3 483-497 doi: 10.1016/j.cveq.2017.07.004
Townsend WM.Examination of the lens is critical, particularly when evaluating horses with visual impairment or performing prepurchase examinations. To adequately evaluate the lens, the pupil must be pharmacologically dilated. A cataract is any lens opacity. The size, density, and position of a cataract determine the impact on vision. Cataracts may be congenital or inherited or occur secondary to trauma or equine recurrent uveitis. Surgical removal is the only treatment option for vision impairing cataracts, but careful selection of surgical candidates is critical for successful outcomes.
The Equine Fundus.
The Veterinary clinics of North America. Equine practice    November 7, 2017   Volume 33, Issue 3 499-517 doi: 10.1016/j.cveq.2017.08.003
Ben-Shlomo G.Fundus is an anatomic term referring to the portion of an organ opposite from its opening, and the fundus of the eye is the back portion of the posterior segment of the globe, including the optic nerve, retina, and choroid. Clinically, the fundus can be visualized by direct or indirect ophthalmoscopy. Understanding the normal anatomy and appearance of the equine fundus is crucial for differentiating normal variations from abnormalities. This article reviews the normal anatomy and appearance of the equine fundus and discusses basic and advanced examination techniques. It also discusses common f...
The prevalence of ocular diseases in polish Arabian horses.
BMC veterinary research    November 7, 2017   Volume 13, Issue 1 319 doi: 10.1186/s12917-017-1252-8
Paschalis-Trela K, Cywińska A, Trela J, Czopowicz M, Kita J, Witkowski L.Equine ocular diseases pose a medical challenge due to long-lasting and cost-consuming therapies as well as economic issues associated with potential decrease in value of affected horses. The scale of the problem is significant but difficult to precisely define because epidemiological data is limited and lacks consistency in presentation. To date, no retrospective studies specifically investigating Arabian horses have been published. Results: The aim of this cross-sectional study was to investigate the prevalence of ocular lesions and define the ocular diseases present in Arabian horses from b...
Quantification of the effect of instrumentation error in objective gait assessment in the horse on hindlimb symmetry parameters.
Equine veterinary journal    November 1, 2017   Volume 50, Issue 3 370-376 doi: 10.1111/evj.12766
Serra Bragança FM, Rhodin M, Wiestner T, Hernlund E, Pfau T, van Weeren PR, Weishaupt MA.Objective gait analysis is becoming more popular as a tool assisting veterinarians during the clinical lameness exam. At present, there is only limited information on the effect of misplacement of markers/motion-sensors. Objective: To investigate and describe the effect of marker misplacement on commonly calculated pelvic symmetry parameters. Methods: Experimental study. Methods: Each horse was equipped with custom-made devices consisting of several reflective markers arranged in a predefined manner with a reference marker correctly positioned regarding the anatomical landmark and several misp...
Evaluation of oral sugar test response for detection of equine metabolic syndrome in obese Crioulo horses.
Domestic animal endocrinology    October 31, 2017   Volume 63 31-37 doi: 10.1016/j.domaniend.2017.10.006
Cantarelli C, Dau SL, Stefanello S, Azevedo MS, De Bastiani GR, Palma HE, Brass KE, De La Côrte FD.Owing to the high prevalence of obesity in Crioulo horses, information allowing early diagnosis of equine metabolic syndrome (EMS) and prevention of the associated laminitis is of great value. The aim of this study was to evaluate the occurrence of EMS and the response to an oral sugar test (OST) in obese Crioulo horses. Twenty-two Crioulo horses were allocated into 3 groups according to their body condition score (BCS out of 9) and presence or absence of laminitis as follows: CON (6/22), BCS < 7; OB (8/22), BCS ≥ 7; and LAM (8/22), BCS ≥7 with clinical and/or radiographic signs of lam...
A comparison of unheated loose housing with stables on the respiratory health of weaned-foals in cold winter conditions: an observational field-study.
Acta veterinaria Scandinavica    October 26, 2017   Volume 59, Issue 1 73 doi: 10.1186/s13028-017-0339-3
Junkkari R, Simojoki H, Heiskanen ML, Pelkonen S, Sankari S, Tulamo RM, Mykkänen A.Newly weaned horses in Finland are often moved to unheated loose housing systems in which the weanlings have free access to a paddock and a shelter. This practice is considered to be good for the development of young horses. The daily temperatures can stay below - 20 °C in Finland for several consecutive weeks during the winter season. However, the effect of unheated housing in a cold climatic environment on the respiratory health of weanlings under field conditions has not been studied before. This investigation was an observational field-study comprising 60 weanlings among 11 different vo...
The importance of measuring skin resistance for electrical nociceptive stimulation in standing horses.
Equine veterinary journal    October 14, 2017   Volume 49, Issue 6 836 doi: 10.1111/evj.12700
Gozalo-Marcilla M, Luna SPL, Crosignani N, Puoli Filho JNP, Pelligand L, Taylor PM.No abstract available
Management of combat-related facial injuries.
La Tunisie medicale    October 11, 2017   Volume 94, Issue 12 856 
Mardassi A, Turki S, Mbarek H, Hachicha A, Chebbi G, Benzarti S, Abouda M.Combat-related facial injuries involve various lesions of the mouth, the eye sockets and the facial bones. The goal of this study is to precise the particularities of these affections and their therapeutic management. Methods: A retrospective study was performed about 56 cases of combat-related facial injuries over a period of 5 years (2010 - 2014). Results: Our study included 56 male patients with an average age of 29 years (20-37). The trauma occurred during a real security intervention in all the cases. It was isolated in 18 cases and associated to other lesions in 38 cases. Clinical examin...
Retrospective evaluation of 155 adult equids and 21 foals with tetanus from Western, Northern, and Central Europe (2000-2014). Part 2: Prognostic assessment.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    September 28, 2017   Volume 27, Issue 6 697-706 doi: 10.1111/vec.12669
van Galen G, Rijckaert J, Mair T, Amory H, Armengou L, Bezdekova B, Durie I, Findshøj Delany R, Fouché N, Haley L, Hewetson M, van den Hoven R....To identify prognostic variables for adult equids and foals with tetanus. Methods: Multicenter retrospective study (2000-2014). Methods: Twenty Western, Northern, and Central European university teaching hospitals and private referral centers. Methods: One hundred fifty-five adult equids and 21 foals with tetanus. Methods: None. Results: Variables from history and clinical examination were statistically compared between survivors and nonsurvivors (adults: 49 survivors, 85 nonsurvivors; foals: 7 survivors, 10 nonsurvivors). Cases euthanized for financial reasons were excluded. Mortality rates i...
Retrospective evaluation of 155 adult equids and 21 foals with tetanus in Western, Northern, and Central Europe (2000-2014). Part 1: Description of history and clinical evolution.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    September 28, 2017   Volume 27, Issue 6 684-696 doi: 10.1111/vec.12668
van Galen G, Saegerman C, Rijckaert J, Amory H, Armengou L, Bezdekova B, Durie I, Findshøj Delany R, Fouché N, Haley L, Hewetson M, van den Hoven R....To describe clinical data of hospitalized adult equids and foals with tetanus. Methods: Multicenter retrospective study (2000-2014). Methods: Twenty Western, Northern, and Central European university teaching hospitals and private referral centers. Methods: One hundred fifty-five adult equids (>6 months) and 21 foals (<6 months) with tetanus. Methods: None. Results: Information on geographic, annual and seasonal data, demographic- and management-related data, clinical history, clinical examination and blood analysis on admission, complications, treatments, and outcomes were described and stati...
Neuro-ophthalmology in the Horse.
The Veterinary clinics of North America. Equine practice    September 27, 2017   Volume 33, Issue 3 541-549 doi: 10.1016/j.cveq.2017.07.001
Myrna KE.This article provides a brief, clinically relevant review of neurologic disorders of the eye. A description of the neuro-ophthalmic examination is provided. Stepwise descriptions of the most common neuro-ophthalmic abnormalities are provided along with common rule outs.
Comparison of insertion characteristics of tapered and cylindrical transfixation pins in third metacarpal bones of equine cadavers.
American journal of veterinary research    September 26, 2017   Volume 78, Issue 10 1200-1209 doi: 10.2460/ajvr.78.10.1200
Adams MK, Lescun TB, Mechem AS, Johnson WR, Griffin TH, Main RP.OBJECTIVE To compare heat generation and mechanical bone damage for tapered and cylindrical transfixation pins during drilling, tapping, and pin insertion in equine third metacarpal bones. SAMPLE 16 pairs of cadaveric equine third metacarpal bones. PROCEDURES For cylindrical pin insertion, a 6.2-mm hole was drilled and tapped with a cylindrical tap, and then a standard 6.3-mm pin was inserted. For tapered pin insertion, a 6.0-mm hole was drilled, reamed with a tapered reamer, and tapped with a tapered tap, and then a 6.3-mm tapered pin was inserted. Paired t tests and 1-way ANOVAs were used to...
Equine analgesia guidelines to be developed for first-opinion practices.
The Veterinary record    September 25, 2017   Volume 181, Issue 12 305 doi: 10.1136/vr.j4352
No abstract available
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