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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.
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...
Removal of sialoliths using the intraoral approach in 15 horses.
The Canadian veterinary journal = La revue veterinaire canadienne    June 2, 2016   Volume 57, Issue 6 647-650 
Oreff GL, Shiraki R, Kelmer G.This study describes the use of an intraoral approach for sialolith removal in horses. All horses resumed their previous activity after surgery. Sialoliths were composed mainly of calcium carbonate, containing a nidus of plant material. The removal of sialoliths via an intraoral approach results in a high success rate with minimal complications. Cette étude décrit l’utilisation d’une approche intra-orale pour l’enlèvement des sialolithes chez les chevaux. Tous les chevaux ont repris leurs activités antérieures après la chirurgie. Les sialolithes étaient principalement composés d...
Severe hyponatraemia in foals: clinical findings, primary diagnosis and outcome.
Australian veterinary journal    May 31, 2016   Volume 94, Issue 6 186-191 doi: 10.1111/avj.12446
Collins NM, Axon JE, Carrick JB, Russell CM, Palmer JE.To evaluate severe hyponatraemia in foals presenting as medical emergencies to an intensive care unit (ICU) in order to determine the prevalence, clinical findings, primary diagnosis and outcome. Methods: Retrospective case study of records from Thoroughbred foals aged less than 3 months presenting to an ICU as medical emergencies in 2002-12; foals with severe hyponatraemia (serum sodium <122 mmol/L) on admission laboratory data were identified. Data retrieved included signalment, clinical findings, laboratory results, primary diagnosis, treatment and outcome. Results: Severe hyponatraemia w...
Continuity of care.
The Veterinary record    May 29, 2016   Volume 178, Issue 22 566 doi: 10.1136/vr.i2990
Turner S.No abstract available
[Catheter-associated complications in the horse – diagnosis and treatment in practice].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    May 25, 2016   Volume 44, Issue 3 187-194 doi: 10.15653/TPG-140417
Müller C, Gehlen H.Venous diseases due to venous catheters have variable symptoms and clinical progress. They comprise perivenous hematoma, periphlebitis, endophlebitis, phlebothrombosis or septic thrombophlebitis. To diagnose venous disease, a clinical examination (possibillity to distend the vein, swelling, pain, increased skin temperature, and any exudation around the injection site) and an ultrasonographic examination (perivenous tissue, venous wall, venous content) of the vein are performed. Treatment of venous diseases depends on the etiology and pathogenesis and combines the use of anticoagulants (heparin...
Atrial Premature Depolarization-Induced Changes in QRS and T Wave Morphology on Resting Electrocardiograms in Horses.
Journal of veterinary internal medicine    May 21, 2016   Volume 30, Issue 4 1253-1259 doi: 10.1111/jvim.13957
Broux B, De Clercq D, Decloedt A, Van Der Vekens N, Verheyen T, Ven S, Pardon B, van Loon G.The electrocardiographic differentiation between atrial (APDs) and ventricular (VPDs) premature depolarizations is important. P wave prematurity and normal QRS and T wave morphology generally are used as discriminating criteria for APDs. Objective: The aim of this study was to determine whether P, Q, R, S, and T wave amplitude, PQ interval, QRS and P wave duration and P and T wave morphology differ between APDs and sinus beats. To determine the relationship between the RR coupling interval and the change in S wave amplitude between sinus beats and APDs. Methods: Case-control study. From a modi...
Utility of an Equine Clinical Skills Course: A Pilot Study.
Journal of veterinary medical education    May 6, 2016   Volume 43, Issue 4 406-419 doi: 10.3138/jvme.0815-144R
Christensen BW, Danielson JA.Recent publications have revealed inadequacies in the veterinary training of future equine practitioners. To help address this problem, a 2-week Equine Clinical Skills course was designed and implemented to provide fourth-year veterinary students with opportunities to have hands-on experience with common equine clinical skills using live animals and cadavers. Alumni and employers of alumni were surveyed to determine whether or not students participating in the course were more competent performing clinical skills during their first year post-graduation than those who had not participated in th...
Anatomical Description of the Presence and Variability of the Digital Manica Flexoria in the Equine Digital Flexor Tendon Sheath.
Anatomia, histologia, embryologia    May 6, 2016   Volume 46, Issue 1 9-16 doi: 10.1111/ahe.12224
Jordana M, Cornillie P, Oosterlinck M, Simoens P, Pille F, Martens A.During endoscopy (tenoscopy) of the distal aspect of the equine digital flexor tendon sheath (DFTS), the digital manica flexoria can be visualized connecting the distal branches of the superficial digital flexor tendon. However, this structure has been inconsistently described and variably named in the veterinary literature. The objectives of this study were to describe the presence, configuration and variability of the digital manica flexoria in the equine distal limb. Dissection of 144 equine cadaveric limbs revealed the presence of this structure in all the feet, although different types an...
Validity and repeatability of goniometry in normal horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 28, 2016   Volume 29, Issue 4 314-319 doi: 10.3415/VCOT-15-11-0182
Adair HS, Marcellin-Little DJ, Levine D.To assess validity and inter- and intra-tester reliability of equine goniometry and to establish values for carpal, metacarpophalangeal, tarsal, and metatarsophalangeal flexion and extension in horses. Methods: Seventeen healthy equine subjects of varied breeds were used. Methods: Three investigators blindly and independently measured in triplicate the extension and flexion of carpal, metacarpophalangeal, tarsal, and metatarsophalangeal joints of 17 horses after sedation. Radiographs of these joints in flexion and extension were acquired while under sedation. Goniometric and radiographic measu...
Cutaneous form of maculopapular mastocytosis in a foal.
Veterinary dermatology    April 24, 2016   Volume 27, Issue 3 202-e51 doi: 10.1111/vde.12308
Junginger J, Geburek F, Khan MA, Müller G, Gruber AD, Hewicker-Trautwein M.Cutaneous mastocytosis is a rare benign disease occurring in domestic animals and humans. In previous reports, dermal findings in foals were accompanied by systemic mast cell infiltrations, whereas lesions in human cutaneous mastocytosis, including urticaria pigmentosa and solitary mastocytoma, are usually restricted to the skin. Objective: To describe a new variant of equine cutaneous maculopapular mastocytosis lacking systemic involvement. Methods: A 2.5-month-old warmblood foal with multiple skin nodules since birth. Methods: Clinical examination (including haematology, fine needle biopsy a...
Development and Validation of a Model for Training Equine Phlebotomy and Intramuscular Injection Skills.
Journal of veterinary medical education    April 13, 2016   Volume 43, Issue 3 235-242 doi: 10.3138/jvme.0915-159R
Williamson JA, Dascanio JJ, Christmann U, Johnson JW, Rohleder B, Titus L.Simulation in veterinary education offers a solution for bridging the gap between observation and performance of clinical skills. An equine neck model was created that allows repetitive practice of jugular phlebotomy, intramuscular (IM) injection, and intravenous catheterization. The aim of this study was to validate the model for jugular phlebotomy and IM injection. We surveyed experienced veterinarians on the model's realism and the comprehensiveness of its features. In a randomized experimental study, we compared the learning outcomes of first-year veterinary students trained on the model (...
Arthrodesis of the equine centrodistal and tarsometatarsal joints using a single modified kerf-cut cylinder.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 12, 2016   Volume 29, Issue 3 227-231 doi: 10.3415/VCOT-15-10-0167
Biedrzycki AH, Grant BD, Nemke B, Markel MD, Morello SL.To describe a technique for surgical placement of a modified kerf-cut cylinder for the purpose of arthrodesis across the equine centrodistal and tarsometatarsal joints. Methods: Each horse (n = 4) underwent unilateral placement of a single kerf-cut cylinder spanning the centrodistal and tarsometatarsal joints with the placement of an autologous cancellous bone graft. Horses were evaluated via lameness examination and radiography postoperatively and euthanatization of each horse was performed at four different time points up to 12 weeks post-surgery to evaluate for lameness, implant stability a...
Acute-phase proteins, oxidative stress biomarkers, proinflammatory cytokines, and cardiac troponin in Arabian mares affected with pyometra.
Theriogenology    April 9, 2016   Volume 86, Issue 4 1132-1136 doi: 10.1016/j.theriogenology.2016.04.002
El-Bahr SM, El-Deeb WM.New biomarkers are essential for diagnosis of pyometra in mares. In this context, 12 subfertile Arabian mares suffered from pyometra were admitted to the Veterinary Teaching Hospital. The basis for diagnosis of pyometra was positive findings of clinical examination and rectal palpation. Blood samples were collected from diseased animals and from five Arabian healthy mares, which were considered as control group. Acute-phase proteins (APP), oxidative stress biomarkers, proinflammatory cytokines, and cardiac troponin I were estimated in the harvested sera of both groups. Clinical examination rev...
Joint Mobilization and Manipulation for the Equine Athlete.
The Veterinary clinics of North America. Equine practice    March 26, 2016   Volume 32, Issue 1 87-101 doi: 10.1016/j.cveq.2015.12.003
Haussler KK.Joint mobilization and manipulation provide important diagnostic and therapeutic approaches for addressing musculoskeletal issues in veterinary medicine. Soft tissue and joint mobilization are used to assess the quality and quantity of joint range of motion and as a primary means of treating musculoskeletal disorders. Spinal manipulation was shown to be effective for reducing pain, improving flexibility, reducing muscle tone, and improving symmetry of spinal kinematics in horses. Because of potential misuse and safety issues, joint mobilization and manipulative therapies should be provided onl...
Eosinophilic Enteritis in Horses with Motor Neuron Disease.
Journal of veterinary internal medicine    March 26, 2016   Volume 30, Issue 3 873-879 doi: 10.1111/jvim.13944
Díez de Castro E, Zafra R, Acevedo LM, Pérez J, Acosta I, Rivero JL, Aguilera-Tejero E.Equine motor neuron disease (EMND) is a neuromuscular disorder that affects adult horses. Although EMND has been linked to vitamin E deficiency, its etiopathogenesis is poorly understood. Objective: To describe clinical features, laboratory results, and postmortem findings in a series of young horses with motor neuron disease (MND). Methods: A herd of 15 young Andalusian horses with weakness, weight loss, muscle atrophy, and muscle fasciculations related to restricted intake of green forage. Methods: A case series is presented in which horses were subjected to a clinical examination and plasma...
Surgical treatment of traumatic eventration with polyester button and polypropylene mesh to strengthen the suture technique in equine.
BMC veterinary research    March 19, 2016   Volume 12 58 doi: 10.1186/s12917-016-0686-8
Orlandini CF, Steiner D, Boscarato AG, Gimenes GC, Alberton LR.Defects in the abdominal wall of horses have high relapse rate. This is mainly in lateral eventrations and hernias caused by trauma from kicks of other horses or installation structures. The eventration region normally becomes swollen and there may be complications due to intestinal loop incarceration. The surgical treatment, consisting of reconstruction of the abdominal wall, frequently require biological or synthetic materials for the reinforcement of the suture line and tension support. Therefore, several studies have reported new materials for the repair of the abdominal wall, with the aim...
Field use of N-butylscopolammonium bromide to facilitate thorough ophthalmic examination in horses.
Veterinary journal (London, England : 1997)    March 17, 2016   Volume 211 104-105 doi: 10.1016/j.tvjl.2016.03.013
Palmero J, Hollingsworth S, Kass P, Moore S, Pusterla N.N-butylscopolammonium bromide (NBB), an anticholinergic muscarinic antagonist, was assessed as a mydriatic agent for field examination of equine eyes. Six adult horses were randomly assigned to four treatments with 2 weeks washout between treatments: (1) topical saline/IV saline (negative control); (2) topical tropicamide/IV saline (positive control); (3) topical NBB/IV saline; or (4) topical saline/IV NBB. Horizontal and vertical pupil diameters, temperature, pulse, respiration, pupillary light reflexes (PLRs) and mydriasis sufficient to perform complete fundic examination were recorded. Trop...
Decision-tree analysis of clinical data to aid diagnostic reasoning for equine laminitis: a cross-sectional study.
The Veterinary record    March 11, 2016   Volume 178, Issue 17 420 doi: 10.1136/vr.103588
Wylie CE, Shaw DJ, Verheyen KL, Newton JR.The objective of this cross-sectional study was to compare the prevalence of selected clinical signs in laminitis cases and non-laminitic but lame controls to evaluate their capability to discriminate laminitis from other causes of lameness. Participating veterinary practitioners completed a checklist of laminitis-associated clinical signs identified by literature review. Cases were defined as horses/ponies with veterinary-diagnosed, clinically apparent laminitis; controls were horses/ponies with any lameness other than laminitis. Associations were tested by logistic regression with adjusted o...
Evaluation of chemical castration with calcium chloride versus surgical castration in donkeys: testosterone as an endpoint marker.
BMC veterinary research    March 8, 2016   Volume 12 46 doi: 10.1186/s12917-016-0670-3
Ibrahim A, Ali MM, Abou-Khalil NS, Ali MF.For the last few years, researchers have been interested in developing a method for chemical sterilization which may be a better alternative to surgical castration. An ideal chemical sterilant would be one that effectively arrests spermatogenesis and androgenesis as well as libido with absence of toxic or other side effects. Calcium chloride in various solutions and concentrations has been tested in many animal species, but few studies have been evaluated it in equines as a chemical sterilant. So, the objective of this study was to evaluate the clinical efficacy of chemical castration with 20%...
A systematic review of clinical audit in companion animal veterinary medicine.
BMC veterinary research    February 26, 2016   Volume 12 40 doi: 10.1186/s12917-016-0661-4
Rose N, Toews L, Pang DS.Clinical audit is a quality improvement process with the goal of continuously improving quality of patient care as assessed by explicit criteria. In human medicine clinical audit has become an integral and required component of the standard of care. In contrast, in veterinary medicine there appear to have been a limited number of clinical audits published, indicating that while clinical audit is recognised, its adoption in veterinary medicine is still in its infancy. A systematic review was designed to report and evaluate the veterinary literature on clinical audit in companion animal species ...
Continuous positive airway pressure (CPAP) decreases pulmonary shunt in anaesthetized horses.
Veterinary anaesthesia and analgesia    February 24, 2016   Volume 43, Issue 6 611-622 doi: 10.1111/vaa.12357
Mosing M, MacFarlane P, Bardell D, Lüthi L, Cripps PJ, Bettschart-Wolfensberger R.To evaluate the effects of continuous positive airway pressure (CPAP) on intrapulmonary shunt, cardiac output and oxygen delivery in horses subjected to a 6 hour period of general anaesthesia. Methods: Randomized, experimental, crossover study. Methods: Ten healthy adult horses. Methods: Following medetomidine, diazepam and ketamine administration, orotracheal intubation was performed and horses positioned in dorsal recumbency. Anaesthesia was maintained with isoflurane carried in an oxygen and air mix (FiO 0.5) combined with a medetomidine infusion. Horses were anaesthetized twice and either...
Assessing the fitness of equids for transport.
The Veterinary record    February 20, 2016   Volume 178, Issue 8 186 doi: 10.1136/vr.i955
No abstract available
Physiotherapy Assessment for the Equine Athlete.
The Veterinary clinics of North America. Equine practice    February 19, 2016   Volume 32, Issue 1 31-47 doi: 10.1016/j.cveq.2015.12.002
Goff L.Physiotherapy assessment of the equine athlete is carried out by qualified physiotherapists, who use a functional approach to the assessment of the horse. Observation, clinical reasoning, good palpation skills and implementation of outcome measures are skills used by these professionals in their assessment of the horse. Equine physiotherapists attempt, where possible, to use an evidence-based approach to the assessment of the equine athlete.
Echocardiographic measurements of right heart size and function in healthy horses.
Equine veterinary journal    February 15, 2016   Volume 49, Issue 1 58-64 doi: 10.1111/evj.12554
Decloedt A, De Clercq D, Ven Sofie S, Van Der Vekens N, Sys S, Broux B, van Loon G.Right ventricular (RV) function is scarcely described in horses. Objective: To establish reliable echocardiographic measurements of right heart size and function in horses. Methods: Descriptive study in healthy horses. Methods: Ten healthy untrained adult trotter horses underwent repeated echocardiography performed by 2 sonographers from right and left parasternal standard and nonstandard views. Nonstandard views included a right parasternal view focused on the right atrium, left parasternal long-axis pulmonary artery view, left parasternal long-axis view focused on the right ventricle includi...
Modified penetrating keratoplasty with Acell® bioscaffold implant in seven horses with deep full-thickness corneal stromal abscess.
Veterinary ophthalmology    February 3, 2016   Volume 20, Issue 1 46-52 doi: 10.1111/vop.12349
Cichocki BM, Myrna KE, Moore PA.To describe and evaluate a modified penetrating keratoplasty technique utilizing ACell® for management of equine deep stromal or full-thickness corneal stromal abscesses (SA). Methods: Cases presenting to the University of Georgia Ophthalmology service for surgical management of SA necessitating penetrating keratoplasty (PK) were included in the study population. Surgery entailed the use of an ACell® disk sutured within the deep level of a stepped full-thickness corneal incision with an overlying conjunctival pedicle flap placed in the superficial step incision. Patients were evaluated for s...
Ultrasound Imaging of the Musculoskeletal System.
The Veterinary clinics of North America. Small animal practice    February 2, 2016   Volume 46, Issue 3 355-v doi: 10.1016/j.cvsm.2015.12.001
Cook CR.Musculoskeletal ultrasound is a rapidly growing field within veterinary medicine. Ultrasound for musculoskeletal disorders has been commonly used in equine and human medicine and is becoming more commonly performed in small animal patients due to the increase in the recognition of soft tissue injuries. Ultrasound is widely available, cost-effective, but technically difficult to learn. Advantages of musculoskeletal ultrasound are the opposite limb is commonly used for comparison to evaluate symmetry of the tendinous structures and the ease of repeat examinations to assess healing. The article d...
Angus Adkins, equine surgeon.
Australian veterinary journal    January 26, 2016   Volume 93, Issue 11 N20-N21 
Borre O.No abstract available
Prosthetic Mesh for Obliteration of the Nephrosplenic Space in Horses: 26 Clinical Cases.
Veterinary surgery : VS    January 15, 2016   Volume 45, Issue 2 201-207 doi: 10.1111/vsu.12434
Burke MJ, Parente EJ.To report surgical complications, occurrence of post-obliteration colic, long term outcome, and return to previous function for horses treated with prosthetic mesh obliteration of the nephrosplenic space. Methods: Retrospective study. Methods: Horses (n = 26) having nephrosplenic space obliteration using prosthetic mesh. Methods: Horses undergoing mesh obliteration between January 2006 and May 2013 were included. A Proxplast™ mesh was secured to the nephrosplenic space with titanium helical coils in standing horses using laparoscopic technique. Perioperative data were obtained from the m...
[Association of skin problems with coat colour and white markings in three-year-old horses of the Franches-Montagnes breed].
Schweizer Archiv fur Tierheilkunde    January 13, 2016   Volume 157, Issue 7 391-398 doi: 10.17236/sat00026
Federici M, Gerber V, Doherr MG, Klopfenstein S, Burger D.In the last 30 years the amount of white markings in the population of Franches-Montagnes horses (FM) has more than doubled which has led to some controversy, particularly in respect to the health of the horses. The objective of this study was to investigate if the coat colour and white markings have an impact on selected skin diseases and hoof horn abnormalities. To this purpose 974 three-year-old FM were subjected to a clinical examination during the field and station tests organized by the FM breeding association. In 16.9% of the horses, one or several equine sarcoids were detected, 15.2% o...
An Alternative, Direct Approach for Arthroscopic Removal of Osteochondral Fragments in the Dorsal Pouch of the Proximal Intertarsal Joint of Horses.
Veterinary surgery : VS    January 8, 2016   Volume 45, Issue 2 182-186 doi: 10.1111/vsu.12431
Compagnie E, Drumm NJ, de Heer N, ter Braake F.To describe an alternative technique and resulting outcomes for arthroscopic removal of osteochondral (OC) fragments from the proximal intertarsal joint (PIJ) using a direct approach without resection of the membrane between the tarsocrural joint (TCJ) and the PIJ. Methods: Retrospective case series. Methods: Client owned horses (n = 11) with Category 1 OC fragments in the PIJ. Methods: Arthroscopic examination of the dorsal pouch of the TCJ was performed with horses positioned in dorsal recumbency using routine portals. A hook probe placed through one of the standard portals was used to l...
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