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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.
Development and Evaluation of a Molecular Diagnostic Method for Rapid Detection of Histoplasma capsulatum var. farciminosum, the Causative Agent of Epizootic Lymphangitis, in Equine Clinical Samples.
Journal of clinical microbiology    October 5, 2016   Volume 54, Issue 12 2990-2999 doi: 10.1128/JCM.00896-16
Scantlebury CE, Pinchbeck GL, Loughnane P, Aklilu N, Ashine T, Stringer AP, Gordon L, Marshall M, Christley RM, McCarthy AJ.Histoplasma capsulatum var. farciminosum, the causative agent of epizootic lymphangitis (EZL), is endemic in parts of Africa. Diagnosis based on clinical signs and microscopy lacks specificity and is a barrier to further understanding this neglected disease. Here, a nested PCR method targeting the internal transcribed spacer (ITS) region of the rRNA operon was validated for application to equine clinical samples. Twenty-nine horses with signs of EZL from different climatic regions of Ethiopia were clinically examined. Blood samples and aspirates of pus from cutaneous nodules were taken, along ...
Neurodegeneration in equine grass sickness is not attributable to niacin deficiency.
Equine veterinary journal    October 3, 2016   Volume 49, Issue 4 445-447 doi: 10.1111/evj.12627
McGorum BC, Jago RC, Cillan-Garcia E, Pirie RS, Keen JA, Reardon RJM, Saffu PY, Miller NJ.The aetiology of equine grass sickness (EGS) is currently unknown. We hypothesised that an acute deficiency of niacin (vitamin B3), which plays a key role in neural homeostasis, may contribute to neurodegeneration in EGS. Niacin deficiency can potentially result from ingestion of niacin antagonists produced by pasture mycotoxigenic fungi. Objective: To compare the niacin status of EGS and control grazing horses. A secondary objective was to compare blood concentrations of vitamins B1, B2 and B6 in EGS and control grazing horses to determine if the status of these vitamins was altered in EGS. M...
Frequency of Undetected Glove Perforation and Associated Risk Factors in Equine Surgery.
Veterinary surgery : VS    September 29, 2016   Volume 45, Issue 8 1066-1070 doi: 10.1111/vsu.12562
Elce YA, Laverty S, Almeida da Silveira E, Piat P, Trencart P, Ruzickova P, Reardon RJ.To estimate the frequency of undetected perforations in surgical gloves during equine surgery and to identify risk factors associated with occurrence. Methods: Observational cohort study. Methods: Surgical gloves-292 pairs. Methods: Water leak tests were performed on gloves after equine surgery to detect perforations. Fifty pairs of unused gloves were also tested. Potential risk factors were recorded. Logistic regression was used to explore associations between putative risk factors and perforation. Results: No perforations were detected in the unused gloves. Of 292 pairs of used gloves tested...
Efficacy of Teaching the Gambee Suture Pattern Using Simulated Small Intestine versus Cadaveric Small Intestine.
Veterinary surgery : VS    September 29, 2016   Volume 45, Issue 8 1019-1024 doi: 10.1111/vsu.12554
Caston SS, Schleining JA, Danielson JA, Kersh KD, Reinertson EL.To determine if instruction using simulated small intestine (SSI) is as effective as using cadaveric small intestine to teach the Gambee suture pattern to second year veterinary students. Methods: Prospective, randomized, blinded study. Methods: Second year veterinary students (n=59). Methods: Students were randomly assigned to groups using SSI or equine cadaver small intestine (CSI) to learn the Gambee suture pattern. The same educator, an experienced surgical instructor, instructed all students. Instruction consisted of verbal description of the technique with a schematic diagram followed by...
Evaluation of the Tekscan F-SCAN system for measurement of the kicking force in horses.
Schweizer Archiv fur Tierheilkunde    September 23, 2016   Volume 158, Issue 9 623-629 doi: 10.17236/sat00082
Fürst A, Galuppo LD, Judy CE, Auer J, Snyder JR.The incidence of fractures after a kick, coupled with marked soft tissue trauma at the site of injury, suggests that the force of a kick from the hind limb of a horse is enormous. The goal of this study was to measure this force and to investigate whether the Tekscan F-SCAN in-shoe pressure measuring system is suitable for quantification of the impact strength of a kick from a horse. The system was tested in 6 horses that had undergone clinical examination and gait analysis. The sensor-shoe combination was attached to each hind foot and the horse was stimulated to kick against a wall. The F-SC...
Experimental infection of horses with Rickettsia rickettsii.
Parasites & vectors    September 13, 2016   Volume 9, Issue 1 499 doi: 10.1186/s13071-016-1784-y
Ueno TE, Costa FB, Moraes-Filho J, Agostinho WC, Fernandes WR, Labruna MB.Rickettsia rickettsii is vectored by ticks, and some vertebrate hosts can be sources of infection to ticks during bacteremic periods. In Brazil, the main vector for R. rickettsii is the tick Amblyomma sculptum, a member of the A. cajennense complex. Horses, in turn, are one of the major hosts for A. sculptum. In this study, horses experimentally infected with R. rickettsii were assessed for clinical changes and their capability to transmit the infection to A. sculptum ticks. Four horses were infected with R. rickettsii through either intraperitoneal injection or infestation with R. rickettsii-...
Retrospective Evaluation of Hemithyroidectomy in 14 Horses.
Veterinary surgery : VS    September 6, 2016   Volume 45, Issue 7 949-954 doi: 10.1111/vsu.12540
Troillet A, Böttcher D, Brehm W, Scharner D.To describe the presentation, presurgical diagnostic findings, treatment, and outcome of horses with histologically confirmed, unilateral thyroid neoplasia. The complications, particularly laryngeal hemiplegia, were investigated. Retrospective case series. Client-owned horses (n=14). Medical records of horses presenting with a unilateral thyroid mass due to neoplasia from 2003-2015 were reviewed. Horses must have undergone preoperative clinical evaluations that included ultrasound examination of the mass and upper airway endoscopy. Short-term follow-up at 2 weeks after surgery and owner questi...
Use of an Absorbable Urethral Stent for the Management of a Urethral Stricture in a Stallion.
Veterinary surgery : VS    August 25, 2016   Volume 45, Issue S1 O41-O48 doi: 10.1111/vsu.12530
Trela JM, Dechant JE, Culp WT, Whitcomb MB, Palm CA, Nieto JE.To describe the successful management of a urethral stricture with an absorbable stent in a stallion. Methods: Clinical report. Methods: Stallion with a urethral stricture. Results: A 12-year-old Thoroughbred breeding stallion was evaluated for acute onset of colic. Uroperitoneum because of presumptive urinary bladder rupture, with urethral obstruction by a urethrolith, was diagnosed. The uroperitoneum was treated conservatively. The urethrolith was removed through a perineal urethrotomy. Approximately 15 weeks after urethrolith removal, the stallion presented with a urethral stricture. The st...
An epidemiological survey on the prevalence of equine peripheral dental caries in the United Kingdom and possible risk factors for its development.
Equine veterinary journal    August 21, 2016   Volume 49, Issue 4 480-485 doi: 10.1111/evj.12610
Borkent D, Reardon RJM, McLachlan G, Smith S, Dixon PM.Equine peripheral caries (PC) is an increasingly recognised disorder that causes premature wear of teeth and dental fractures and thus has major welfare implications. Little information is available on its prevalence or severity in UK horses and there are no proven associations with any risk factors. Objective: To document the prevalence of PC over a wide area of the UK, assess its intraoral distribution and severity in affected horses and examine for potential risk factors for its development. Methods: Cross sectional study. Methods: Experienced personnel were recruited for a UK wide dental s...
Making the Diagnosis.
Veterinary pathology    August 20, 2016   Volume 54, Issue 1 9-10 doi: 10.1177/0300985816664793
Wobeser BK.No abstract available
Intermittent Haemoptysis due to an Aortobronchial Fistula in a Warmblood Mare.
Journal of comparative pathology    August 14, 2016   Volume 155, Issue 2-3 213-217 doi: 10.1016/j.jcpa.2016.07.007
Versnaeyen H, Saey V, Vermeiren D, Chiers K, Ducatelle R.A 7-year-old warmblood mare showed sudden onset of mild intermittent haemoptysis. Clinical examination revealed no significant abnormalities. Haematological examination showed mild anaemia, hypoalbuminaemia and neutrophilia. Coagulation tests were normal. Endoscopic examination revealed unilateral pulmonary haemorrhage with blood clots in the bronchi and trachea. Treatment with antibiotics was started and the horse was given stable rest. Two weeks later, the horse was found dead with blood and frothy sputum leaking from the nostrils. Post-mortem examination revealed a large thoracic aortic ane...
Different horse’s paces during hippotherapy on spatio-temporal parameters of gait in children with bilateral spastic cerebral palsy: A feasibility study.
Research in developmental disabilities    August 9, 2016   Volume 59 65-72 doi: 10.1016/j.ridd.2016.07.015
Antunes FN, Pinho ASD, Kleiner AFR, Salazar AP, Eltz GD, de Oliveira Junior AA, Cechetti F, Galli M, Pagnussat AS.Hippotherapy is often carried out for the rehabilitation of children with Cerebral Palsy (CP), with the horse riding at a walking pace. This study aimed to explore the immediate effects of a hippotherapy protocol using a walk-trot pace on spatio-temporal gait parameters and muscle tone in children with Bilateral Spastic CP (BS-CP). Ten children diagnosed with BS-CP and 10 healthy aged-matched children (reference group) took part in this study. The children with BS-CP underwent two sessions of hippotherapy for one week of washout between them. Two protocols (lasting 30min) were applied on separ...
Pigment retinopathy in warmblood horses with equine degenerative myeloencephalopathy and equine motor neuron disease.
Veterinary ophthalmology    August 5, 2016   Volume 20, Issue 4 304-309 doi: 10.1111/vop.12417
Finno CJ, Kaese HJ, Miller AD, Gianino G, Divers T, Valberg SJ.A pigment retinopathy has been reported in adult horses with equine motor neuron disease (EMND) arising from chronic α-tocopherol (α-TP) deficiency. A pigment retinopathy has not been identified in horses with neuroaxonal dystrophy/equine degenerative myeloencephalopathy (NAD/EDM) that affects genetically susceptible young horses with α-TP deficiency. The objective of this report is to describe, for the first time, a pigment retinopathy in a family of α-TP-deficient Warmbloods (WB) with clinically apparent NAD/EDM or EMND. Unassigned: Twenty-five WB horses from one farm underwent complete ...
Using the Horse Grimace Scale (HGS) to Assess Pain Associated with Acute Laminitis in Horses (Equus caballus).
Animals : an open access journal from MDPI    August 3, 2016   Volume 6, Issue 8 47 doi: 10.3390/ani6080047
Dalla Costa E, Stucke D, Dai F, Minero M, Leach MC, Lebelt D.Acute laminitis is a common equine disease characterized by intense foot pain, both acutely and chronically. The Obel grading system is the most widely accepted method for describing the severity of laminitis by equine practitioners, however this method requires movement (walk and trot) of the horse, causing further intense pain. The recently developed Horse Grimace Scale (HGS), a facial-expression-based pain coding system, may offer a more effective means of assessing the pain associated with acute laminitis. The aims of this study were: to investigate whether HGS can be usefully applied to a...
Measurement of distal limb sub-bandage pressure over 96 hours in horses.
Equine veterinary journal    July 28, 2016   Volume 49, Issue 3 329-333 doi: 10.1111/evj.12601
Canada NC, Beard WL, Guyan ME, White BJ.Currently, there is no objective information quantifying pressures exerted by distal limb bandages. Objective: To quantify the pressure exerted by each compression layer, a polo wrap (DLP), a compression bandage (DLC), and to measure the effect of time on sub-bandage pressure. Methods: Longitudinal observational experiment. Methods: A DLC construct included a cotton roll compressed with brown gauze and elastic layers and the DLP construct included a pillow pad compressed by a cloth wrap. Dorsal and lateral sensors were placed on the mid-metacarpus. In healthy horses, sub-bandage pressures were...
Response to Intravenous Allogeneic Equine Cord Blood-Derived Mesenchymal Stromal Cells Administered from Chilled or Frozen State in Serum and Protein-Free Media.
Frontiers in veterinary science    July 22, 2016   Volume 3 56 doi: 10.3389/fvets.2016.00056
Williams LB, Co C, Koenig JB, Tse C, Lindsay E, Koch TG.Equine mesenchymal stromal cells (MSC) are commonly transported, chilled or frozen, to veterinary clinics. These MSC must remain viable and minimally affected by culture, transport, or injection processes. The safety of two carrier solutions developed for optimal viability and excipient use were evaluated in ponies, with and without allogeneic cord blood-derived (CB) MSC. We hypothesized that neither the carrier solutions nor CB-MSC would elicit measurable changes in clinical, hematological, or biochemical parameters. In nine ponies (study 1), a bolus of HypoThermosol(®) FRS (HTS-FRS), CryoSt...
Establishment of an equine tetanus antitoxin reference standard for veterinary use in Japan.
Biologicals : journal of the International Association of Biological Standardization    July 22, 2016   Volume 44, Issue 5 374-377 doi: 10.1016/j.biologicals.2016.06.008
Hirano F, Imamura S, Sasaki Y, Takikawa N, Sawata A, Yamamoto A, Uchiyama M, Shimazaki Y, Kojima A, Nagai H.To establish the first National Veterinary Assay Laboratory (NVAL) equine tetanus antitoxin reference standard for veterinary use, we manufactured vials of a candidate antitoxin. These were quality tested for moisture content, vacuum, colour, clarity, and the presence of foreign objects. Ultimately, 115 quality-controlled vials were prepared. To estimate the antitoxin potency of the candidate standard, three different laboratories conducted parallel line assays alongside the existing antitoxin standard. These potency estimates ranged from 38 to 42 IU. This activity was maintained for two years...
High resolution imaging of the equine cornea using the DUB®-SkinScanner v3.9.
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    July 19, 2016   Volume 44, Issue 6 360-367 doi: 10.15653/TPG-160344
Herbig LE, Köhler L, Eule JC.The aim was to describe the use of the DUB®-SkinScanner v3.9 (taberna pro medicum GmbH, Lueneburg, Germany) for the examination of the equine cornea. Methods: Using the DUB®-SkinScanner v3.9 various pathological corneal conditions were pictured in the A- and B-mode at a frequency of 22 and/or 50 MHz in nine eyes of eight horses. Scans were obtained from standing horses or from horses under general anesthesia non-related to image acquisition. Results: The examination allowed real time imaging and measurement of the equine cornea in vivo. Compared to slit-lamp biomicroscopy additional informa...
Acute-phase proteins as diagnostic markers in horses with colic.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    July 6, 2016   Volume 26, Issue 5 664-674 doi: 10.1111/vec.12504
Pihl TH, Scheepers E, Sanz M, Goddard A, Page P, Toft N, Kjelgaard-Hansen M, Andersen PH, Jacobsen S.To investigate the diagnostic potential of the concentrations of acute-phase proteins serum amyloid A (SAA), haptoglobin (Hp), and fibrinogen in blood and peritoneal fluid (PF) for differentiating horses with inflammatory colic (entero-colitis and peritonitis) from those with surgical colic. Methods: Prospective observational multicenter study. Methods: Two university referral hospitals. Methods: Horses referred for severe acute abdominal pain to Hospital 1 (n = 148) or Hospital 2 (n = 78). Methods: Blood and PF samples collected at admission were used for acute-phase protein concentration...
Feasibility and safety of lumbosacral epiduroscopy in the standing horse.
Equine veterinary journal    July 4, 2016   Volume 49, Issue 3 322-328 doi: 10.1111/evj.12591
Shrauner B, Blikslager A, Davis J, Campbell N, Law M, Lustgarten M, Prange T.The large size of the adult horse prevents the use of advanced imaging modalities in most areas of the axial skeleton, including the lumbosacral vertebral column. Traditional imaging techniques are frequently unable to pinpoint the underlying pathology in horses with caudal back pain. In man, lumbosacral epiduroscopy is used to diagnose and treat subjects with chronic back and leg pain. This technique may close the diagnostic gap in horses with similar clinical signs. Objective: To evaluate the safety and feasibility of lumbosacral epiduroscopy in the standing adult horse. Methods: Descriptive...
Mineralization of the Equine Palmar/Plantar Annular Ligament Treated by Surgical Resection.
Veterinary surgery : VS    July 1, 2016   Volume 45, Issue 5 602-608 doi: 10.1111/vsu.12503
Garvican ER, Wylie CE, Payne RJ, Smith RK, Head MJ.To document the clinical presentation, diagnosis, and surgical treatment of mineralization of the equine palmar/plantar annular ligament (PAL). Methods: Retrospective study. Methods: Ponies (n=7). Methods: Case records from 2 referral hospitals were examined to identify cases with lameness associated with PAL mineralization treated surgically. Follow-up information was obtained from the owners by telephone questionnaire. Results: Duration of lameness before referral ranged from 5 weeks to 6 months, and degree of lameness from grade 1 to 5 out of 10. In 3 cases, records noted obvious pain when ...
Evaluation of diagnostic methods in equine endometritis.
Reproductive biology    June 29, 2016   Volume 16, Issue 3 189-196 doi: 10.1016/j.repbio.2016.06.002
Katila T.This review suggests a classification for uterine diseases of mares. Information is presented on the prevalence of endometritis in the past and at present. The review describes uterine sampling techniques for mares: swabbing, cytobrushing, low volume lavage and biopsy. The performance of culture, cytology and histology and threshold values is discussed. Correlations between different diagnostic methods and fertility are presented, as well as specificities, sensitivities and positive and negative predictive values of the diagnostic methods. The necessity for double-guarded techniques is emphasi...
Studies of the pharmacokinetic profile, in vivo efficacy and safety of injectable altrenogest for the suppression of oestrus in mares.
Australian veterinary journal    June 29, 2016   Volume 94, Issue 7 248-255 doi: 10.1111/avj.12459
McConaghy FF, Green LA, Colgan S, Morris LH.To investigate the efficacy and safety of the long-acting altrenogest injection (NV Readyserve® injection) for horses. Methods: A single-dose pharmacokinetic (PK) study was conducted. The in vivo efficacy study was a blinded, repeated measures design evaluating behaviour scores. The safety study was a non-blinded, controlled, parallel-group, randomised-block design as per the VICH protocol. Methods: In the PK study, serial blood samples were obtained for analysis of plasma altrenogest for 150 h following the injection and a non-compartmental PK analysis was performed. For the efficacy study, ...
Ophthalmologic Disorders in Aged Horses.
The Veterinary clinics of North America. Equine practice    June 18, 2016   Volume 32, Issue 2 249-261 doi: 10.1016/j.cveq.2016.04.004
Malalana F.Ocular abnormalities are a common finding in aged horses. Although these seldom cause overt visual deficits detected by their owners, they can be a source of chronic or acute discomfort so early detection, and treatment when available, is essential. Some of these abnormalities are specific to old horses, whereas others are a result of ongoing disease or inflammation that started earlier in life but that becomes more evident when the damage sustained to the eye is advanced. If vision is significantly affected, consideration of human safety and animal welfare is paramount.
Evaluation of a caudolateral approach for arthrocentesis and injection of the equine elbow joint.
The Veterinary record    June 16, 2016   Volume 179, Issue 7 173 doi: 10.1136/vr.103738
Bodaan CJ, Riley CB, Engeli E.The objectives of this study were to evaluate the likelihood of successful arthrocentesis of the equine elbow joint using the caudolateral approach and to determine if the deep branch of the radial nerve (DBRN) varies in its proximity to the site of centesis. Methylene blue (MB) was injected into 71 elbow joint specimens immediately caudal to the lateral collateral ligament using a 3.8-cm needle advanced to its hub. The elbow joints were dissected, staining of the synovial structures assessed and the proximity of DBRN to the site of centesis evaluated. The articular cartilage of all 71 joints ...
Letter to the Editor: Equine Veterinary Journal’s antimicrobial stewardship policy.
Equine veterinary journal    June 14, 2016   Volume 48, Issue 4 532-533 doi: 10.1111/evj.12589
Bowen M, Marr CM, Clegg PD.No abstract available
Tracheobronchoscopic Assessment of Exercise-Induced Pulmonary Hemorrhage and Airway Inflammation in Barrel Racing Horses.
Journal of veterinary internal medicine    June 8, 2016   Volume 30, Issue 4 1327-1332 doi: 10.1111/jvim.13959
Léguillette R, Steinmann M, Bond SL, Stanton B.Poor performance is often suspected to be associated with EIPH in barrel racing horses; however, there are no published reports of EIPH for this discipline. The prevalence of EIPH in barrel racing horses is also unknown. Objective: This study was performed to determine the prevalence of EIPH and signs of airway inflammation in barrel racing horses under normal racing conditions in Alberta. Methods: About 170 barrel racing horses. Methods: Observational cross-sectional study. Tracheobronchoscopic examinations were performed at least 30 minutes postrace. Video recordings were scored off-site ind...
Publication Rate and Evidence-Based Evaluation of Abstracts Presented at the American College of Veterinary Surgeon’s Annual Meeting.
Veterinary surgery : VS    June 7, 2016   Volume 45, Issue 5 679-683 doi: 10.1111/vsu.12489
Torres BT, Dover RK, Sapora JA, Sandberg GS, Budsberg SC.To document the publication rate of abstracts presented at 10 ACVS conferences and report the time required for publication and level of evidence. Methods: Literature review. Methods: All scientific abstracts published in the ACVS proceedings from 2001 to 2010 were reviewed. The level of evidence of each abstract was evaluated and scored (1-4). Publication information was determined after a broad bibliographic search through multiple online databases. Results: The overall publication rate for ACVS abstracts (n=1,395) was 66% and 11% were published before conference presentation. The majority o...
Regional limb perfusion in horses.
The Veterinary record    June 4, 2016   Volume 178, Issue 23 581-584 doi: 10.1136/vr.i3082
Kelmer G.No abstract available
Peritoneal fluid immunocytochemistry used for the diagnosis of a possible case of equine gastrointestinal B-cell lymphoma.
The Canadian veterinary journal = La revue veterinaire canadienne    June 2, 2016   Volume 57, Issue 6 601-604 
Duran MC, Starrak G, Dickinson R, Montgomery J.After physical examination, ultrasonographic evaluation of thorax and abdomen, and peritoneal fluid analysis, gastrointestinal neoplasia with suspected diffuse peritoneal metastasis was diagnosed in a 17-year-old Arabian gelding. The owner elected euthanasia and declined postmortem examination. Immunocytochemistry analysis of the peritoneal fluid resulted in a diagnosis of B-cell lymphoma. Immunocytochimie du liquide péritonéal utilisée pour le diagnostic d’un cas possible de lymphome gastro-intestinal à cellules B. Après un examen physique, une évaluation échographique du thorax et d...
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