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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.
Pharmacokinetics of the anti-androgenic drug flutamide in healthy stallions.
Veterinary journal (London, England : 1997)    June 7, 2017   Volume 224 50-54 doi: 10.1016/j.tvjl.2017.06.001
Mendoza FJ, Serrano-Rodriguez JM, Buzon-Cuevas A, Perez-Ecija A.Alternatives to surgical castration are necessary for controlling the sexual behaviour of stallions with breeding potential in training and competition. Flutamide is a potent selective non-steroidal androgen receptor competitive antagonist that has been used in human beings as an anti-androgenic drug. In this study, the pharmacokinetics and bioavailability of flutamide and its main active metabolite, 2-hydroflutamide, were determined in seven healthy mature stallions. Single doses of flutamide (1mg/kg intravenously, 1mg/kg orally in fasted horses, 5mg/kg orally in fasted horses and 5mg/kg oral...
Results of the Schirmer tear test performed with open and closed eyes in clinically normal horses.
Acta veterinaria Scandinavica    May 31, 2017   Volume 59, Issue 1 35 doi: 10.1186/s13028-017-0303-2
Trbolova A, Ghaffari MS.The Schirmer tear test (STT) is widely used in both human and veterinary ophthalmology. Two types of STTs have been developed: STT I and SST II. The STT I measures the basal and reflex tear production and is the most widely used STT. However, several factors influence the STT results such as the person performing the test and the location of the strip placement within the conjunctival sac. The aim of this study was to measure the basal and reflex tear production (STT I) in clinically normal horses with open versus closed eyes. Results: Forty clinically healthy horses without any ocular disease...
Flexural Limb Deformities of the Carpus and Fetlock in Foals.
The Veterinary clinics of North America. Equine practice    May 25, 2017   Volume 33, Issue 2 331-342 doi: 10.1016/j.cveq.2017.03.004
Gaughan EM.Early recognition and treatment of congenital and acquired flexural deformities of the carpi and fetlocks of foals can lead to conformation correction and an athletic future. Treatment is often based on rigid external coaptation assisted by systemic medical treatment. Foals that readily respond to treatment and correct conformation faults can have normal adult athletic expectations.
The association between oral examination findings and computed tomographic appearance of the equine temporomandibular joint.
Equine veterinary journal    May 25, 2017   Volume 49, Issue 6 780-783 doi: 10.1111/evj.12693
Carmalt JL, Simhofer H, Bienert-Zeit A, Rawlinson JE, Waldner CL.The temporomandibular joint (TMJ) forms the junction between the maxilla and mandible. Movement of the jaw and resulting masticatory forces have been extensively studied in the horse; however, less is known about the inter-relationship between this joint and oral and dental pathology. Objective: To determine the association between specific oral and dental pathologies and anatomical variations of the TMJ imaged with computed tomography (CT) in horses with asymptomatic TMJs. Methods: Retrospective cross-sectional study. Methods: Horses (n = 201) from three practices with a complete oral exami...
What is your diagnosis? Blood smear from a horse.
Veterinary clinical pathology    May 19, 2017   Volume 46, Issue 3 542-543 doi: 10.1111/vcp.12504
Boes KM, Weinstein NM.No abstract available
Endoscopic diagnosis and management of an unusual nasal foreign body in a mare.
International journal of veterinary science and medicine    May 19, 2017   Volume 5, Issue 1 81-83 doi: 10.1016/j.ijvsm.2017.05.002
Shawaf TM.Occurrence of intra-nasal foreign bodies is uncommon in horses. This report describes -for the first time- a case of a 4-year-old Arabian-cross mare with unilateral mucopurulent nasal discharge, epistaxis and exercise intolerance due to intra-nasal foreign body. Clinical signs, radiography and endoscopic examination confirmed the presence of a tooth fragment (foreign body) embedded in the ventral valve of the left nasal cavity. The foreign body was successfully removed using alligator forceps under endoscopic guidance.
Preliminary investigations into a novel, long-acting, injectable, intramuscular formulation of omeprazole in the horse.
Equine veterinary journal    May 17, 2017   Volume 49, Issue 6 795-801 doi: 10.1111/evj.12688
Sykes BW, Kathawala K, Song Y, Garg S, Page SW, Underwood C, Mills PC.Pilot investigations have suggested that a novel, long-acting, injectable i.m. formulation of omeprazole (LA-OMEP) can induce acid suppression for up to 7 days following a single injection. Objective: To investigate the pharmacodynamics and assess the clinical efficacy of the LA-OMEP formulation. Methods: Part A comprised a pharmacodynamic study. Part B consisted of a pilot clinical trial. Methods: Part A enrolled six adult Thoroughbred horses with percutaneous gastrotomy tubes. Intragastric pH was measured for continuous 23-h periods (08.00-07.00 h) for eight consecutive days (days 0-7). A si...
Evaluation of the effects of performance dentistry on equine rideability: a randomized, blinded, controlled trial.
The veterinary quarterly    May 11, 2017   Volume 37, Issue 1 195-199 doi: 10.1080/01652176.2017.1329598
Moine S, Flammer SA, de Jesus Maia-Nussbaumer P, Klopfenstein Bregger MD, Gerber V.This study attempted to determine: (1) if degree of dental malocclusion assigned prior to dental treatment was associated with equine rideability, assessed using a standardized score and (2) if performance dentistry improved this score. Methods: Thirty-eight Franches-Montagnes stallions. Methods: All horses were examined and assigned a dental malocclusion score by a veterinary dentist and randomized into two groups: sham treatment (Group S) and performance dentistry including occlusal equilibration (Group D). The horses were ridden twice before and three times after treatment by a professional...
What Is Your Diagnosis?
Journal of the American Veterinary Medical Association    May 4, 2017   Volume 250, Issue 10 1093-1096 doi: 10.2460/javma.250.10.1093
Esselman AM, Tatarniuk DM, Maher MC, Anderson KL, Trumble TN.No abstract available.
Alterations in thoracolumbosacral movement when pain causing lameness has been improved by diagnostic analgesia.
Veterinary journal (London, England : 1997)    May 3, 2017   Volume 224 55-63 doi: 10.1016/j.tvjl.2017.03.009
Greve L, Dyson S, Pfau T.Lameness, thoracolumbosacral pain and reduced range of motion (ROM) often coexist; better understanding of their relationship is needed. The objectives were to determine if thoracolumbosacral movement of horses changes when pain causing lameness is improved by diagnostic analgesia. We hypothesised that reduction of lameness will increase ROM of the thoracolumbosacral region. Thirteen horses with different types of hind limb lameness were trotted in straight lines and lunged on a 10m diameter circle on left and right reins before and after lameness was subjectively substantially improved by dia...
Laparoscopic evaluation of the small intestine in the standing horse: Technique and effects.
Veterinary surgery : VS    April 29, 2017   Volume 46, Issue 6 812-820 doi: 10.1111/vsu.12664
Jones ARE, Ragle CA, Anderson D, Scott C.To evaluate the feasibility and clinical outcomes after laparoscopic evaluation of the small intestines via laparoscopy. Methods: Prospective pilot study. Methods: Healthy adult horses (n = 5). Methods: Horses were restrained in standing stocks and received an infusion of detomidine. One port was placed in the left last intercostal space and 3 ports were placed in the right paralumbar fossa. The small intestine was run with atraumatic laparoscopic grasping forceps, from the duodenocolic plica to the ileocecal plica. Postoperative pain was scored every 4 hours for the first 48 hours. Horses...
Clinical Serum Therapy: Benefits, Cautions, and Potential Applications.
The Keio journal of medicine    April 28, 2017   Volume 66, Issue 4 57-64 doi: 10.2302/kjm.2016-0017-IR
Hifumi T, Yamamoto A, Ato M, Sawabe K, Morokuma K, Morine N, Kondo Y, Noda E, Sakai A, Takahashi J, Umezawa K.Blood serum from immunized humans or animals (e.g., horses) contains relevant antibodies and has been used as serum therapy to treat many diseases or envenomation events. The effectiveness of blood serum was initially discovered in 1890 when Kitasato and von Behring observed the effectiveness of this type of therapy against diphtheria and tetanus. Serum therapies played an important role in the advancement of modern medicine prior to the development of penicillin and steroids. At present, several types of serum therapy remain in clinical use. However, some physicians have a limited understandi...
Platelet lysate obtained via plateletpheresis performed in standing and awake equine donors.
Transfusion    April 25, 2017   Volume 57, Issue 7 1755-1762 doi: 10.1111/trf.14124
Sumner SM, Naskou MC, Thoresen M, Copland I, Peroni JF.Platelet preparations containing growth factors, attachment factors, and enzymes are appealing to enhance healing of injured tissues and as an alternative to xenogenic serum in cell culture media. Plateletpheresis is commonly used to collect platelets in human medicine but has not been validated in horses. Plateletpheresis to collect platelet concentrate was performed on six female, mixed breed, chemically restrained horses using commercially available apheresis equipment. Before and immediately after plateletpheresis, we performed physical examinations and collected blood for chemistry and co...
Abnormal pregnancies associated with deviation in progestin and estrogen profiles in late pregnant mares: A diagnostic aid.
Theriogenology    April 21, 2017   Volume 98 75-81 doi: 10.1016/j.theriogenology.2017.04.024
Shikichi M, Iwata K, Ito K, Miyakoshi D, Murase H, Sato F, Korosue K, Nagata S, Nambo Y.Measurement of progestines and estrogens in maternal plasma has been advocated as an indicator of foeto-placental function. The goals of the present study were as follows: to determine progestin and estrogen concentrations in mares with normal and abnormal pregnancies during late gestation, evaluate the diagnostic value of hormone concentrations, and investigate the relationship between hormone concentrations after treatment and the survival of foals. Blood samples were collected monthly from 459 pregnant mares between Day 201 of gestation and foaling. Progestin and estrogen concentrations wer...
Equine colic: clinical epidemiology and associated risk factors in and around Debre Zeit.
Tropical animal health and production    April 11, 2017   Volume 49, Issue 5 959-965 doi: 10.1007/s11250-017-1283-y
Worku Y, Wondimagegn W, Aklilu N, Assefa Z, Gizachew A.A prospective study was conducted to describe clinical epidemiology of equine colic in the Society for Protection of Animal Abroad and Donkey Sanctuary Project Clinic, at Debre Zeit, Ethiopia, from November 2014 to April 2015. The objectives were to describe clinical epidemiology of equine colic, to characterize the main types of equine colic, and to determine the major risk factors associated with equine colic. The method which was used in the study was attending clinical case of equine and assessing physiological parameters, fecal egg count, abdominal sounds, and rectal examination as well a...
Building an Oral Endoscope for Use in Equine Oral Examination and Treatment.
Journal of veterinary dentistry    April 10, 2017   Volume 34, Issue 1 30-35 doi: 10.1177/0898756417702146
Dotzel AR, Baratt RM.The use of oral endoscopy can be very beneficial in that it helps the clinician to perform a more thorough oral examination. However, due to the high cost, most commercially available equine oral endoscopy systems have been out of reach for clinicians who practice equine dentistry outside a large hospital setting. This article details how to set up an oral endoscopy system that can be used on equine patients either in an ambulatory practice or in a hospital setting. The system is more cost-effective than most other systems currently on the market without sacrificing functionality or image qual...
Effects of clarithromycin, azithromycin and rifampicin on terbutaline-induced sweating in foals.
Equine veterinary journal    March 29, 2017   Volume 49, Issue 5 624-628 doi: 10.1111/evj.12677
Stieler Stewart AL, Sanchez LC, Mallicote MF, Muniz AL, Westerterp MS, Burrow JA, MacKAY RJ.Erythromycin (ERY) induces anhidrosis in foals. Azithromycin (AZI) and clarithromycin (CLA), often combined with rifampicin (RIF), are commonly used to treat Rhodococcus equi infections, but effects on sweating have not been investigated. Objective: To determine the effects of AZI, CLA and RIF on sweat responses in normal foals. Methods: Each experiment was a blinded, duplicated, six foal × three period counterbalanced within subjects design (12 foals/experiment). Methods: Antimicrobials were given orally for 5 days. In Experiment 1, ERY, AZI and CLA were given. In Experiment 2, ERY, RIF and ...
Algometry to measure pain threshold in the horse’s back – An in vivo and in vitro study.
BMC veterinary research    March 29, 2017   Volume 13, Issue 1 80 doi: 10.1186/s12917-017-1002-y
Pongratz U, Licka T.The aim of this study was to provide information on algometric transmission of pressure through the dorsal thoracolumbar tissues of the equine back. Using a commercially available algometer, measurements were carried out with six different tips (hemispheric and cylindrical surfaces, contact areas 0.5 cm2, 1 cm2, and 2 cm2). In nine live horses the threshold of pressure that lead to any reaction was documented. In postmortem specimens of five euthanized horses the transmission of algometer pressure onto a pressure sensor placed underneath the dorsal thoracolumbar tissues at the level of the ...
Randomized, controlled clinical trial of safety and plasma concentrations of diclofenac in healthy neonatal foals after repeated topical application of 1% diclofenac sodium cream.
American journal of veterinary research    March 28, 2017   Volume 78, Issue 4 405-411 doi: 10.2460/ajvr.78.4.405
Barnett SE, Sellon DC, Hines MT, Seino KK, Knych HK.OBJECTIVE To determine the plasma pharmacokinetics and safety of 1% diclofenac sodium cream applied topically to neonatal foals every 12 hours for 7 days. ANIMALS Twelve 2- to 14-day old healthy Arabian and Arabian-pony cross neonatal foals. PROCEDURES A 1.27-cm strip of cream containing 7.3 mg of diclofenac sodium (n = 6 foals) or an equivalent amount of placebo cream (6 foals) was applied topically to a 5-cm square of shaved skin over the anterolateral aspect of the left tarsometatarsal region every 12 hours for 7 days. Physical examination, CBC, serum biochemistry, urinalysis, gastric endos...
Pain Management in Horses.
The Veterinary clinics of North America. Equine practice    March 23, 2017   Volume 33, Issue 1 181-211 doi: 10.1016/j.cveq.2016.11.006
Guedes A.There has been great progress in the understanding of basic neurobiologic mechanisms of pain, but this body of knowledge has not yet translated into new and improved analgesics. Progress has been made regarding pain assessment in horses, but more work is needed until sensitive and accurate pain assessment tools are available for use in clinical practice. This review summarizes and updates the knowledge concerning the cornerstones of pain medicine (understand, assess, prevent, and treat). It highlights the importance of understanding pain mechanisms and expressions to enable a rational approach...
The effect of rider weight and additional weight in Icelandic horses in tölt: part I. Physiological responses.
Animal : an international journal of animal bioscience    March 21, 2017   Volume 11, Issue 9 1558-1566 doi: 10.1017/S1751731117000556
Stefánsdóttir GJ, Gunnarsson V, Roepstorff L, Ragnarsson S, Jansson A.This study examined the effect of increasing BW ratio (BWR) between rider and horse, in the BWR range common for Icelandic horses (20% to 35%), on heart rate (HR), plasma lactate concentration (Lac), BWR at Lac 4 mmol/l (W4), breathing frequency (BF), rectal temperature (RT) and hematocrit (Hct) in Icelandic horses. In total, eight experienced school-horses were used in an incremental exercise test performed outdoors on an oval riding track and one rider rode all horses. The exercise test consisted of five phases (each 642 m) in tölt, a four-beat symmetrical gait, at a speed of 5.4±0.1 m/s (...
What Is Your Diagnosis?
Journal of the American Veterinary Medical Association    March 18, 2017   Volume 250, Issue 7 751-753 doi: 10.2460/javma.250.7.751
Cha ML, Mochal-King C, Gambino J.No abstract available
Injuries of the Sagittal Groove of the Proximal Phalanx in Warmblood Horses Detected with Low-Field Magnetic Resonance Imaging: 19 Cases (2007-2016) Gold SJ, Werpy NM, Gutierrez-Nibeyro SD.Sagittal groove injuries of the proximal phalanx are an important cause of lameness in performance horses. The purpose of this retrospective case series study was to describe standing low-field magnetic resonance imaging (MRI) characteristics of these injuries in a group of Warmblood horses. Horses with an MRI diagnosis of sagittal groove injuries involving the proximal phalanx and that had follow-up MRI and clinical outcome information were included. Findings from clinical examinations, diagnostic tests, and other imaging modalities were recorded. All MRI studies were retrieved for re-evaluat...
Highlights of recent clinically relevant papers.
Equine veterinary education    March 5, 2017   Volume 29, Issue 4 178-179 doi: 10.1111/eve.12743
Wright S.No abstract available
Right ventricular function during acute exacerbation of severe equine asthma.
Equine veterinary journal    March 2, 2017   Volume 49, Issue 5 603-608 doi: 10.1111/evj.12675
Decloedt A, Borowicz H, Slowikowska M, Chiers K, van Loon G, Niedzwiedz A.Pulmonary hypertension has been described in horses with severe equine asthma, but its effect on the right ventricle has not been fully elucidated. Objective: To evaluate right ventricular structure and function after a 1-week period of pulmonary hypertension secondary to acute exacerbation of severe equine asthma. Methods: Prospective study. Methods: A clinical episode of severe equine asthma was induced experimentally in six susceptible horses. Examinations in remission and on day 7 of the clinical episode included a physical examination with clinical scoring, echocardiography, arterial bloo...
A pilot study of the effects of acupuncture treatment on objective and subjective gait parameters in horses.
Veterinary anaesthesia and analgesia    February 23, 2017   Volume 44, Issue 1 154-162 doi: 10.1111/vaa.12373
Dunkel B, Pfau T, Fiske-Jackson A, Veres-Nyeki KO, Fairhurst H, Jackson K, Chang YM, Bolt DM.To investigate whether acupuncture can alter gait in horses as assessed by objective and subjective parameters. Methods: Prospective, randomized, singleblinded, crossover study. Methods: Eight adult horses. Methods: Horses were randomly assigned to a treatment (three acupuncture treatments in 8 days) or control group. Subjective and objective gait analyses were performed before and after each treatment and at 1, 3 and 7 days after the last treatment (time-points 1-9, respectively). Horses were assessed at the trot in a straight line on a hard surface and on the lunge on the left and right rein...
Evaluation of a new handheld point-of-care blood gas analyser using 100 equine blood samples.
Veterinary anaesthesia and analgesia    February 22, 2017   Volume 44, Issue 1 77-85 doi: 10.1111/vaa.12392
Bardell D, West E, Mark Senior J.To determine whether the Enterprise point-of-care blood analysis system (EPOC) produces results in agreement with two other blood gas analysers in regular clinical use (i-STAT and Radiometer ABL77) and to investigate the precision of the new machine when used with equine whole blood. Prospective, randomized, non-blinded, comparative laboratory analyser study. Horses admitted to a university teaching hospital requiring arterial or venous blood gas analysis as part of their routine clinical management. One hundred equine blood samples were run immediately, consecutively and in randomized order o...
Can the quality and clinical relevance of Equine Veterinary Journal publications be improved? A time for reflection and refinement.
Equine veterinary journal    February 9, 2017   Volume 49, Issue 2 135-137 doi: 10.1111/evj.12660
Muir WW.No abstract available
Development of a technique for determination of pulmonary artery pulse wave velocity in horses.
Journal of applied physiology (Bethesda, Md. : 1985)    February 9, 2017   Volume 122, Issue 5 1088-1094 doi: 10.1152/japplphysiol.00962.2016
Silva GTA, Guest BB, Gomez DE, McGregor M, Viel L, O'Sullivan ML, Runciman J, Arroyo LG.Calcification of the tunica media of the axial pulmonary arteries (PA) has been reported in a large proportion of racehorses. In humans, medial calcification is a significant cause of arterial stiffening and is implicated in the pathogenesis of cardiac, cerebral, and renal microvascular diseases. Pulse wave velocity (PWV) provides a measure of arterial stiffness. This study aimed to develop a technique to determine PA-PWV in horses and, secondarily, to investigate a potential association between PA-PWV and arterial fibro-calcification. A dual-pressure sensor catheter (PSC) was placed in the ma...
Laparoscopic nephrosplenic space ablation with barbed suture in eight horses.
Journal of the American Veterinary Medical Association    February 7, 2017   Volume 250, Issue 4 431-436 doi: 10.2460/javma.250.4.431
Gandini M, Nannarone S, Giusto G, Pepe M, Comino F, Caramello V, Gialletti R.CASE DESCRIPTION 8 horses (5 geldings and 3 mares) were evaluated for laparoscopic closure of the nephrosplenic space following a history of recurrent left dorsal displacement of the large colon. CLINICAL FINDINGS All horses underwent a physical examination and routine clinicopathologic testing. Transrectal palpation and transabdominal ultrasonography were performed to exclude the presence of organs in the left paralumbar region. TREATMENT AND OUTCOME A left flank laparoscopic approach with the horses standing was used. A continuous suture was placed in a craniocaudal direction between the ren...
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