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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.
The effect of the inspired oxygen fraction on arterial blood oxygenation in spontaneously breathing, isoflurane anaesthetized horses: a retrospective study.
Veterinary anaesthesia and analgesia    July 21, 2014   Volume 42, Issue 3 280-285 doi: 10.1111/vaa.12208
Schauvliege S, Savvas I, Gasthuys F.To investigate the influence of two inspired oxygen fractions (FiO(2)) on the arterial oxygenation in horses anaesthetized with isoflurane. Methods: Retrospective, case-control clinical study. Methods: Two hundred equine patients undergoing non-abdominal surgery (ASA class 1-2), using a standardized anaesthetic protocol and selected from anaesthetic records of a period of three years, based on pre-defined inclusion criteria. Methods: In group O (n = 100), medical oxygen acted as carrier gas, while in group M (n = 100), a medical mixture of oxygen and air (FiO(2) 0.60) was used. Demographic dat...
The role of the Oregon State University Endophyte Service Laboratory in diagnosing clinical cases of endophyte toxicoses.
Journal of agricultural and food chemistry    July 17, 2014   Volume 62, Issue 30 7376-7381 doi: 10.1021/jf5027229
Craig AM, Blythe LL, Duringer JM.The Oregon State University Colleges of Veterinary Medicine and Agricultural Sciences instituted the Endophyte Service Laboratory to aid in diagnosing toxicity problems associated with cool-season grasses in livestock. The endophyte (Neotyphodium coenophalum) present in tall fescue (Festuca arundinacea) produces ergopeptine alkaloids, of which ergovaline is the molecule used to determine exposure and toxicity thresholds for the vasoconstrictive conditions "fescue foot" and "summer slump". Another vasoconstrictive syndrome, "ergotism," is caused by a parasitic fungus, Claviceps purpurea, and it...
Seventy day safety assessment of an orally ingested, l-glutamine-containing oat and yeast supplement for horses.
Regulatory toxicology and pharmacology : RTP    July 17, 2014   Volume 70, Issue 1 304-311 doi: 10.1016/j.yrtph.2014.07.011
Lindinger MI, Anderson SC.We describe a safety assessment of an oral supplement designed to nutritionally support the gastrointestinal system of horses. The supplement comprised a mixture of essential (l-threonine) and conditionally essential (l-glutamine) amino acids, polar lipids, oat bran rich in beta glucans and yeast extract. Young (1-2years) horses of both sexes were allocated to control (n=7) and treatment groups (n=7) and studied for 9weeks. Horses in the treatment group received the supplement daily for 8weeks. After 8weeks of supplementation, horses were studied for one additional week. Outcome measures inclu...
Emergency and critical care.
The Veterinary clinics of North America. Equine practice    July 14, 2014   Volume 30, Issue 2 xiii-xiv doi: 10.1016/j.cveq.2014.06.001
Cook VL, Hassel DM.No abstract available
Prospective survey of veterinary practitioners’ primary assessment of equine colic: clinical features, diagnoses, and treatment of 120 cases of large colon impaction.
BMC veterinary research    July 7, 2014   Volume 10 Suppl 1, Issue Suppl 1 S2 doi: 10.1186/1746-6148-10-S1-S2
Jennings K, Curtis L, Burford J, Freeman S.Large colon impactions are a common cause of colic in the horse. There are no scientific reports on the clinical presentation, diagnostic tests and treatments used in first opinion practice for large colon impaction cases. The aim of this study was to describe the presentation, diagnostic approach and treatment at the primary assessment of horses with large colon impactions. Methods: Data were collected prospectively from veterinary practitioners on the primary assessment of equine colic cases over a 12 month period. Inclusion criteria were a diagnosis of primary large colon impaction and posi...
Evaluation of normal findings using a detailed and focused technique for transcutaneous abdominal ultrasonography in the horse.
BMC veterinary research    July 7, 2014   Volume 10 Suppl 1, Issue Suppl 1 S5 doi: 10.1186/1746-6148-10-S1-S5
Williams S, Cooper J, Freeman S.Ultrasonography is an important diagnostic tool in the investigation of abdominal disease in the horse. Several factors may affect the ability to image different structures within the abdomen. The aim of the study was to describe the repeatability of identification of abdominal structures in normal horses using a detailed ultrasonographic examination technique and using a focused, limited preparation technique. Methods: A detailed abdominal ultrasound examination was performed in five normal horses, repeated on five occasions (total of 25 examinations). The abdomen was divided into ten differe...
Usefulness of the assessment of discharge accumulation in the lower airways and tracheal septum thickening in the differential diagnosis of recurrent airway obstruction (RAO) and inflammatory airway disease (IAD) in the horse.
Polish journal of veterinary sciences    July 6, 2014   Volume 17, Issue 2 247-253 doi: 10.2478/pjvs-2014-0035
Wysocka B, Kluciński W.The aim of the present study was to use endoscopic evaluation to compare the grade of accumulation of discharge in the lower airways of horses with recurrent airway obstruction (RAO) and inflammatory airway disease (IAD), and to estimate the usefulness of endoscopic evaluation in differential diagnosis of these diseases. Endoscopic evaluation consists of: the amount of discharge in the lower part of the trachea and tracheal bifurcation, and the assessment of tracheal septum thickness. This study was performed on 248 horses, 10 were healthy, 97 were diagnosed as RAO, and 141 were diagnosed as I...
Veterinary Ophthalmology – equine ophthalmology special issue.
Veterinary ophthalmology    July 6, 2014   Volume 17 Suppl 1 1 doi: 10.1111/vop.12189
Clode A, Gilger B.No abstract available
Retrospective Comparison of Gastrosplenic Entrapment of the Small Intestine to Other Strangulating Small Intestinal Lesions in Adult Horses.
Veterinary surgery : VS    July 5, 2014   Volume 44, Issue 5 535-539 doi: 10.1111/j.1532-950X.2014.12235.x
Bergren AL, Credille BC, Epstein KL, Giguère S.To compare clinical data of horses with entrapment of the small intestine by the gastrosplenic ligament (ESIGL) to clinical data of horses with other strangulating small intestinal lesions. Methods: Retrospective case series. Methods: Medical records (January 2001-December 2011) of horses that had exploratory celiotomy for acute abdominal pain associated with strangulating small intestinal lesions were reviewed. Signalment, physical examination findings, clinicopathologic variables, surgical findings and surgical procedures performed, postoperative data and short-term survival were recorded. R...
New specialty for equine dentistry a go.
Journal of the American Veterinary Medical Association    June 28, 2014   Volume 244, Issue 11 1223 
Larkin M.No abstract available
Use of X-rays to treat shoulder tendonitis/bursitis: a historical assessment.
Archives of toxicology    June 24, 2014   Volume 88, Issue 8 1503-1517 doi: 10.1007/s00204-014-1295-6
Calabrese EJ, Dhawan G, Kapoor R.This article assesses the therapeutic efficacy of ionizing radiation for the treatment of shoulder tendonitis/bursitis in the USA over the period of its use (human 1936-1961; veterinary 1954-1974). Results from ~3,500 human cases were reported in the clinical case studies over 30 articles, and indicated a high treatment efficacy (>90 %) for patients. Radiotherapy was effective with a single treatment. The duration of treatment effectiveness was prolonged, usually lasting until the duration of the follow-up period (i.e., 1-5 years). Therapeutic effectiveness was reduced for conditions charac...
Success rates of various techniques for reduction of twin pregnancy in mares.
Journal of the American Veterinary Medical Association    June 19, 2014   Volume 245, Issue 1 70-78 doi: 10.2460/javma.245.1.70
Tan DK, Krekeler N.No abstract available
Surgical treatment of equine colic – a retrospective study of 297 surgeries in Norway 2005-2011.
Acta veterinaria Scandinavica    June 16, 2014   Volume 56, Issue 1 38 doi: 10.1186/1751-0147-56-38
Wormstrand BH, Ihler CF, Diesen R, Krontveit RI.Colic, defined as pain originating from the abdomen, is a common condition in horses. Most of the cases resolve spontaneously or after medical treatment, but a few require surgical treatment. Surgical treatment of colic in horses is resource-demanding and expensive, and information on prognosis is therefore important for both owners and surgeons. In the present study, surgical cases in two equine hospitals in Norway between 2005 and 2011 were reviewed. The aim of the study was to describe associations between prognostic indicators, diagnoses and short term survival by use of random effects log...
Owner-reported coughing and nasal discharge are associated with clinical findings, arterial oxygen tension, mucus score and bronchoprovocation in horses with recurrent airway obstruction in a field setting.
Equine veterinary journal    June 11, 2014   Volume 47, Issue 3 291-295 doi: 10.1111/evj.12286
Rettmer H, Hoffman AM, Lanz S, Oertly M, Gerber V.In clinical practice, veterinarians often depend on owner-reported signs to assess the clinical course of horses with recurrent airway obstruction (RAO). Objective: To test whether owner-reported information on frequency of coughing and observation of nasal discharge are associated with clinical, cytological and bronchoprovocation findings in RAO-affected horses in nonstandardised field conditions. Methods: Cross-sectional study comparing healthy and RAO-affected horses. Methods: Twenty-eight healthy and 34 RAO-affected Swiss Warmblood horses were grouped according to owner-reported 'coughing ...
Five things equine veterinarians should know about genomics.
Equine veterinary journal    June 10, 2014   Volume 46, Issue 4 404-407 doi: 10.1111/evj.12271
Bailey E.No abstract available
The use of the noninferiority analysis in clinical studies.
Equine veterinary journal    June 10, 2014   Volume 46, Issue 4 399-401 doi: 10.1111/evj.12268
Bermingham EC, del Castillo JR, Radecki SV.No abstract available
Field triage of the neonatal foal.
The Veterinary clinics of North America. Equine practice    June 10, 2014   Volume 30, Issue 2 283-vii doi: 10.1016/j.cveq.2014.05.001
Carr EA.The purpose of this article is to provide a quick reference for field triage of the sick neonatal foal. Therefore, information is focused toward diagnostics and treatments that can be performed in the field. When evaluating a weak, recumbent, or lethargic foal on a farm, it is often difficult to make a definitive diagnosis. Therefore, the approach should be to treat what is treatable and prevent what is preventable. In many cases, the goal will be to stabilize a foal before referral to a tertiary care facility where more intensive and continuous treatment can be performed.
Novel pain assessment developed for horses.
Journal of the American Veterinary Medical Association    June 10, 2014   Volume 244, Issue 10 1117 
No abstract available
[Forensic veterinary medicine].
Tijdschrift voor diergeneeskunde    June 10, 2014   Volume 139, Issue 2 13 
Boissevain I.No abstract available
Evaluation of the colic in horses: decision for referral.
The Veterinary clinics of North America. Equine practice    June 10, 2014   Volume 30, Issue 2 383-viii doi: 10.1016/j.cveq.2014.04.001
Cook VL, Hassel DM.This article presents an overview of key factors that should alert the practitioner toward referral of a colic patient to a facility capable of surgical exploration or intensive medical management. Discussion includes a review of important aspects of colic history, signalment, physical examination findings, and diagnostic test results that indicate that a more serious medical or surgical condition exists, and advanced therapy is necessary.
Ultrasound of the equine acute abdomen.
The Veterinary clinics of North America. Equine practice    June 10, 2014   Volume 30, Issue 2 353-viii doi: 10.1016/j.cveq.2014.04.011
le Jeune S, Whitcomb MB.Abdominal ultrasound is an invaluable aid in the evaluation of the colic patient but can be heavily influenced by patient preparation, individual horse-to-horse variation, availability of ultrasound transducers, technique, experience level of the examiner, and complexity of the abdominal disorder. This article describes ultrasonographic anatomy of the normal equine abdomen and technique for examination of the equine colic patient. Common abnormalities of the stomach, small intestine, large intestine, and peritoneal cavity are described along with other abnormalities that may be discovered with...
Brainstem auditory evoked responses in an equine patient population. Part II: foals.
Journal of veterinary internal medicine    June 5, 2014   Volume 28, Issue 4 1318-1324 doi: 10.1111/jvim.12377
Aleman M, Madigan JE, Williams DC, Holliday TA.Reports of the use of brainstem auditory evoked response (BAER) as a diagnostic modality in foals have been limited. Objective: To describe BAER findings and associated causes of hearing loss in foals. Methods: Study group 18 foals (15 neonatal, 3 nonneonatal), control group (5 neonatal foals). Methods: Retrospective. BAER records from the Clinical Neurophysiology Laboratory were reviewed from the years of 1982 to 2013. Peak latencies, amplitudes, and interpeak intervals were measured when visible. Clinical data were extracted from the medical records. Foals were grouped under disease categori...
Clinical Sentinel Surveillance of Equine West Nile Fever, Spain.
Transboundary and emerging diseases    June 5, 2014   Volume 63, Issue 2 184-193 doi: 10.1111/tbed.12243
Saegerman C, Alba-Casals A, García-Bocanegra I, Dal Pozzo F, van Galen G.West Nile fever (WNF) is a viral zoonotic infection caused by a mosquito-borne flavivirus of the Flaviviridae family. According to a comparative study, the passive surveillance of horses by equine veterinarians appeared to be the most cost-effective system in the European context of WNF. Clinical data issued from a passive epidemiosurveillance network from September 2010 to December 2011 on horses in Spain were statistically compared and used to develop a predictive diagnostic decision tree, both with the aim to improve the early clinical detection of WNF in horses. Although clinical signs wer...
Challenges of thermal nociceptive threshold testing in the donkey.
Veterinary anaesthesia and analgesia    May 29, 2014   Volume 42, Issue 2 205-214 doi: 10.1111/vaa.12182
Grint NJ, Whay HR, Beths T, Yvorchuk K, Murrell JC.To evaluate a thermal nociceptive threshold (TNT) testing device in the donkey, and the influence of potential confounding factors on TNTs. Methods: Two groups (Group 1 and Group 2) of eight castrated male donkeys aged 4-9 years, weighing 105-170 kg. Methods: TNTs were measured by heating a thermal probe on skin until an end-point behaviour (threshold temperature) or a cut-out temperature (51 °C) was reached. The withers and the dorsal aspect of the distal limb were used as sites for TNT testing. The effects on TNT of different confounding factors: the limb tested; rate of heating; and amb...
Intraocular pressure changes in equine athletes during endurance competitions.
Veterinary ophthalmology    May 19, 2014   Volume 17 Suppl 1 154-159 doi: 10.1111/vop.12182
Allbaugh RA, Keil SM, Ou Z, Bello NM.To assess intraocular pressure (IOP) in conditioned equine athletes and document changes with exercise. A secondary objective was to assess associations between IOP and heart rate, as well as with other subjective physical parameters. Methods: Horses were evaluated during 50 mile endurance ride competitions. Data were collected on 69 horses during five different competitions at three different locations with 59 horses ridden once, nine horses ridden in two competitions, and one horse ridden in three competitions for a total of 80 horse-ride combinations. Methods: Intraocular pressure was measu...
Effect of intravenous administration of romifidine on intraocular pressure in clinically normal horses.
Veterinary ophthalmology    May 19, 2014   Volume 17 Suppl 1 149-153 doi: 10.1111/vop.12181
Marzok MA, El-Khodery SA, Oheida AH.To evaluate the effect of intravenous administration of romifidine on the intraocular pressure (IOP) in horses. Methods: Twenty-four horses with no ocular abnormalities. Methods: Horses were randomly assigned into two equal groups (treatment and control). All horses in the treatment group received an intravenous (IV) injection of romifidine (40 μg/kg). The horses in the control group were administrated an intravenous injection of 0.9% saline (0.4 mL/100 kg). In both groups, the IOP values were measured immediately (T0 ) pre-administration and at 5 (T5 ), 15 (T15 ), 30 (T30 ), 45 (T45 ), 60 (T...
Trackside diagnostic imaging.
The Veterinary record    May 9, 2014   Volume 174, Issue 19 474-476 doi: 10.1136/vr.g3080
Muir P.No abstract available
Oxygenation, oxygen delivery and anaesthesia in the horse.
Equine veterinary journal    May 8, 2014   Volume 47, Issue 1 25-35 doi: 10.1111/evj.12258
Hubbell JA, Muir WW.Horses are the most difficult of the common companion animals to anaesthetise. Hypoxaemia or inadequate oxygen delivery to peripheral tissues during anaesthesia would seem a potential cause of increased mortality, but no direct link has been established. A number of methods of increasing oxygenation and oxygen delivery have been reported, with varying results and potential applicability. The purpose of this article is to review the literature with regard to oxygenation, oxygen delivery and methods to improve each and to make recommendations for clinical application.
Effect of limb positioning on the radiographic appearance of the distal and proximal interphalangeal joint spaces of the forelimbs of horses during evaluation of dorsopalmar radiographs.
Journal of the American Veterinary Medical Association    May 3, 2014   Volume 244, Issue 10 1186-1190 doi: 10.2460/javma.244.10.1186
Contino EK, Barrett MF, Werpy NM.To determine the effect of limb positioning on the radiographic appearance of the distal and proximal interphalangeal joint spaces of the forelimbs of horses during evaluation of dorsopalmar radiographs. Methods: Evaluation study. Methods: 14 forelimbs from 9 adult horses. Methods: Each horse was in standing position with its forelimbs positioned on blocks. Dorsopalmar radiographs of each foot were obtained with the forelimbs positioned squarely (the metacarpus of both forelimbs was perpendicular to the ground as determined by visual examination [abducted 0°]; baseline) and abducted 5° and 1...
Electroretinogram evaluation of equine eyes with extensive ‘bullet-hole’ fundic lesions.
Veterinary ophthalmology    April 30, 2014   Volume 17 Suppl 1 129-133 doi: 10.1111/vop.12169
Allbaugh RA, Ben-Shlomo G, Whitley RD.To evaluate the impact of extensive bullet-hole nontapetal fundic lesions in horses on retinal function as measured by full-field electroretinography (ERG). Methods: Full-field ERG was performed on two horses with numerous bullet-hole lesions in the nontapetal fundus of both eyes. The ERG was first recorded from the eye with the more extensive lesions in response to a low-intensity light stimulus (0.03 cd s/m(2) ) that was given at times (T) T = 5, 10, 15, 20 min of dark adaptation. Consecutively, combined rod-cone response was evaluated bilaterally in response to high-intensity light stimulus...
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