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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.
Troponin assays in the assessment of the equine myocardium.
Equine veterinary journal    January 7, 2014   Volume 46, Issue 3 270-275 doi: 10.1111/evj.12209
Rossi TM, Pyle WG, Maxie MG, Pearl DL, Physick-Sheard PW.In 2000, troponin assays were adopted as the test of choice for detection of myocardial injury in man. This decision was made after extensive testing and followed a 60 year search for a biomarker of myocardial damage with sufficient analytical sensitivity and specificity. This has led to proliferation of assays for use in human medicine, each requiring extensive testing and validation before it could be made available on the open market for human use. The search for ever-more analytically sensitive assays and for a standard reference material continues. The adoption of troponin testing in vete...
The interrelations of good welfare indicators assessed in working horses and their relationships with the type of work.
Research in veterinary science    January 4, 2014   Volume 96, Issue 2 406-414 doi: 10.1016/j.rvsc.2013.12.014
Popescu S, Diugan EA, Spinu M.This paper presents a different approach to the welfare of working horses through the indicators of good welfare, their interrelations and their relationships with the type of work performed by the horses. 697 working horses were assessed by using observation, behavioural tests, clinical exams and questionnaires. The correlated results highlight the complex and multiple interrelations between the good welfare indicators, showing once again that animal welfare is under the influence of all its three dimensions (physical and emotional wellbeing and naturalness). In working horses, the heavier th...
Diagnostic ophthalmology.
The Canadian veterinary journal = La revue veterinaire canadienne    January 2, 2014   Volume 55, Issue 1 1263-1264 
Sandmeyer LS, Bauer BS, Grahn BH.No abstract available
Comparison between palpation and ultrasonography for evaluation of experimentally induced effusion in the distal interphalangeal joint of horses.
American journal of veterinary research    December 29, 2013   Volume 75, Issue 1 34-40 doi: 10.2460/ajvr.75.1.34
Olive J, Lambert N, Bubeck KA, Beauchamp G, Laverty S.To ultrasonographically quantify experimentally induced effusion of the distal interphalangeal (DIP) joint of horses and compare results with those obtained with palpation. Methods: 8 forelimbs from equine cadavers and forelimbs of 5 mares. Methods: Preliminary ex vivo experiments were performed to validate the methods. Then, the DIP joints of the forelimbs of standing horses were serially distended with saline (0.9% NaCl) solution (1, 4, and 10 mL) by injection through an intra-articular catheter. Two ultrasonographers measured distension of the dorsal recess of the DIP joint, and 2 surgeons,...
Empirical Percentile Growth Curves with Z-scores Considering Seasonal Compensatory Growths for Japanese Thoroughbred Horses.
Journal of equine science    December 27, 2013   Volume 24, Issue 4 63-69 doi: 10.1294/jes.24.63
Onoda T, Yamamoto R, Sawamura K, Murase H, Nambo Y, Inoue Y, Matsui A, Miyake T, Hirai N.Percentile growth curves are often used as a clinical indicator to evaluate variations of children's growth status. In this study, we propose empirical percentile growth curves using Z-scores adapted for Japanese Thoroughbred horses, with considerations of the seasonal compensatory growth that is a typical characteristic of seasonal breeding animals. We previously developed new growth curve equations for Japanese Thoroughbreds adjusting for compensatory growth. Individual horses and residual effects were included as random effects in the growth curve equation model and their variance component...
Evaluation of the safety of a combination of oral administration of phenylbutazone and firocoxib in horses.
Journal of veterinary pharmacology and therapeutics    December 20, 2013   Volume 37, Issue 4 413-416 doi: 10.1111/jvp.12097
Kivett L, Taintor J, Wright J.Simultaneous administration of a nonselective COX inhibitor and a COX-2 specific NSAID has not been previously reported in horses. The goal of this study was to determine the safety of a 10-day dosage regimen of phenylbutazone and firocoxib, both at their standard dosages, in horses. Six horses were administered 2.2 mg/kg of phenylbutazone and 0.1 mg/kg of firocoxib by mouth, daily for 10 days. Horses were assessed daily for changes in behavior, appetite, fecal consistency, signs of abdominal pain, and oral mucous membrane ulceration. Horses were assessed prior to and on the last day of treatm...
Risk factors associated with health disorders in sport and leisure horses in the Netherlands.
Journal of animal science    December 18, 2013   Volume 92, Issue 2 844-855 doi: 10.2527/jas.2013-6692
Visser EK, Neijenhuis F, de Graaf-Roelfsema E, Wesselink HG, de Boer J, van Wijhe-Kiezebrink MC, Engel B, van Reenen CG.Horses are used for a wide variety of purposes from being used for recreational purposes to competing at an international level. With these different uses, horses have to adapt to numerous challenges and changes in their environment, which can be a challenge itself in continuously safeguarding their welfare. The objective of this study was to assess the prevalence of health disorders with clinical examination and identify possible risk factors of health disorders affecting horse welfare in professional husbandry systems in the Netherlands. With the use of fixed protocols for recording health a...
Heritability and the equine clinician.
Equine veterinary journal    December 18, 2013   Volume 46, Issue 1 12-14 doi: 10.1111/evj.12196
Bailey E.No abstract available
Manual corneal thickness measurements of healthy equine eyes using a portable spectral-domain optical coherence tomography device.
Equine veterinary journal    December 9, 2013   Volume 46, Issue 5 631-634 doi: 10.1111/evj.12198
Pirie CG, Alario AF, Barysauskas CM, Gradil C, Uricchio CK.Corneal thickness measurements of the equine globe using spectral-domain optical coherence tomography (SD-OCT) have not been reported. Objective: To determine corneal thickness measurements and the intra- and interoperator reliability of a portable SD-OCT device in equine eyes. Methods: Prospective observational study. Methods: Horses free of ocular disease were used for this study. Gentle manual restraint, in combination with detomidine hydrochloride and a head stand, were employed to ensure proper animal positioning. Corneal pachymetry measurements were obtained from both eyes of each animal...
Factors associated with survival in 148 recumbent horses.
Equine veterinary journal    December 5, 2013   Volume 46, Issue 5 575-578 doi: 10.1111/evj.12147
Winfield LS, Kass PH, Magdesian KG, Madigan JE, Aleman M, Pusterla N.There are currently few data available on the prognosis and outcome of recumbent horses. Objective: To investigate the outcome of hospitalised horses that had been recumbent in the field or hospital and factors affecting their survival within the first 3 days of hospitalisation and survival after 3 days to hospital discharge. Methods: Retrospective analysis of clinical records. Methods: Records of 148 horses admitted to the William R. Pritchard Veterinary Medical Teaching Hospital, University of California Davis from January 1995 to December 2010 with a history of recumbency or horses that bec...
Diagnoses, clinical pathology findings, and treatment outcome of geriatric horses: 345 cases (2006-2010).
Journal of the American Veterinary Medical Association    December 5, 2013   Volume 243, Issue 12 1762-1768 doi: 10.2460/javma.243.12.1762
Silva AG, Furr MO.To compare clinical, clinical pathology, and outcome variables between geriatric and nongeriatric horses. Methods: Retrospective case-control study. Methods: 690 horses (345 horses ≥ 20 years old and 345 horses > 1 and 1 and < 20 years old. Results: Mean ± SD age was 23.9 ± 4.6 years for cases and 9.2 ± 3.6 years for controls. Arabian and pony breeds were significantly overrepresented in the geriatric group, compared with the control group. Diagnoses related to the digestive system, musculoskeletal system, and respiratory system were most common in this hospital population overall ...
Clinical, radiographic, ultrasonographic and computed tomographic features of nonseptic osteitis of the axial border of the proximal sesamoid bones.
Equine veterinary journal    December 5, 2013   Volume 46, Issue 4 463-467 doi: 10.1111/evj.12141
Vanderperren K, Bergman HJ, Spoormakers TJ, Pille F, Duchateau L, Puchalski SM, Saunders JH.Lysis of the axial aspect of equine proximal sesamoid bones (PSBs) is a rare condition reported to have septic or traumatic origins. Limited information exists regarding imaging of nonseptic axial osteitis of a PSB. Objective: To report the clinical, radiographic, ultrasonographic, computed tomographic and intra-arterial contrast-enhanced computed tomographic abnormalities in horses with axial nonseptic osteitis of a PSB. Methods: Retrospective clinical study. Methods: Eighteen horses diagnosed with nonseptic osteitis of the axial border of a PSB between 2007 and 2012 were reviewed retrospecti...
A clinical survey on the prevalence and types of cheek teeth disorders present in 400 Zamorano-Leonés and 400 Mirandês donkeys (Equus asinus).
The Veterinary record    December 2, 2013   Volume 173, Issue 23 581 doi: 10.1136/vr.101747
Rodrigues JB, Dixon PM, Bastos E, San Roman F, Viegas C.Dental disease is now recognised as a major but often unrecognised disorder of equids, including horses and donkeys. However, very few large clinical studies have documented the prevalence and type of dental disease present in different equid populations and no dental studies have been reported in Zamorano-Leonés or Mirandês donkeys, two endangered donkey breeds. Clinical and detailed oral examinations were performed in 400 Mirandês and 400 Zamorano-Leonés donkeys in Portugal and Spain. It was found that just 4.5 per cent had ever received any previous dental care. Cheek teeth (CT) disorde...
An inertial sensor-based system can objectively assess diagnostic anaesthesia of the equine foot.
Equine veterinary journal. Supplement    December 1, 2013   Issue 45 26-30 doi: 10.1111/evj.12158
Maliye S, Voute L, Lund D, Marshall JF.In order for changes in lameness to be accurately and repeatably detected and recorded during diagnostic investigations, an objective measure of lameness is required. Objective: To ascertain whether an inertial sensor-based system can distinguish between a positive and negative response to diagnostic anaesthesia of the foot and objectively assess the effect of a positive response on the trot. Methods: Restrospective clinical study. Methods: Data obtained during lameness investigations undertaken between August 2011 and December 2012 in which either a palmar digital or abaxial sesamoid nerve bl...
Comparison of transverse facial venous sinus and jugular blood values in healthy and critically ill horses.
Equine veterinary journal. Supplement    December 1, 2013   Issue 45 15-19 doi: 10.1111/evj.12163
Hunter BG, Schlipf JW, Cebra C.The transverse facial venous sinus (TFVS) can be used for blood collection in horses, but information on the validity of blood values from this site is limited. Objective: To determine if packed cell volume (PCV), total solids (TS) and blood lactate concentrations in blood drawn simultaneously from a TFVS and jugular vein of critically ill horses are correlated and determine the effect of serial TFVS sampling on the same parameters in healthy horses. Methods: Prospective observational study. Methods: Critically ill horses had simultaneous blood samples drawn from a TFVS and jugular vein. Blood...
The effects of ergot alkaloids on the breeding stallion reproductive system.
Equine veterinary journal. Supplement    December 1, 2013   Issue 45 44-47 doi: 10.1111/evj.12164
Fayrer-Hosken RA, Hill NS, Heusner GL, Traylor-Wiggins W, Turner K.Ergot alkaloids cause a range of pathological conditions in mares. There is no evaluation of the effects of ergot alkaloids from endophyte-infected tall fescue on the stallion breeding soundness examination spermiogram. Objective: The objective of this study was to investigate the effect of ergot alkaloids from endophyte-infected tall fescue on the stallion's reproductive functions. Methods: Crossover toxicology experiment. Methods: Six stallions were fed either toxic endophyte-infected tall fescue seed or a nontoxic endophyte tall fescue seed (Flecha AR-542, MaxQ). The fescue seed content was...
Colic in equine neonates: 137 cases (2000-2010).
Journal of the American Veterinary Medical Association    November 23, 2013   Volume 243, Issue 11 1586-1595 doi: 10.2460/javma.243.11.1586
Mackinnon MC, Southwood LL, Burke MJ, Palmer JE.To document causes of colic in equine neonates, evaluate clinical features of neonates managed medically versus surgically, determine short- and long-term survival rates for neonates with specific medical and surgical lesions, and assess ability of patients to achieve intended use. Methods: Retrospective case series. Methods: 137 client-owned equine neonates (< 30 days old) with a history of colic or signs of colic within 1 hour after hospital admission examined between 2000 and 2010. Methods: Signalment, history, results of physical examination, laboratory data, ancillary diagnostic tests, de...
Validation of a novel technique for creating simulated radiographs using computed tomography datasets. Mendoza P, d'Anjou MA, Carmel EN, Fournier E, Mai W, Alexander K, Winter MD, Zwingenberger AL, Thrall DE, Theoret C.Understanding radiographic anatomy and the effects of varying patient and radiographic tube positioning on image quality can be a challenge for students. The purposes of this study were to develop and validate a novel technique for creating simulated radiographs using computed tomography (CT) datasets. A DICOM viewer (ORS Visual) plug-in was developed with the ability to move and deform cuboidal volumetric CT datasets, and to produce images simulating the effects of tube-patient-detector distance and angulation. Computed tomographic datasets were acquired from two dogs, one cat, and one horse....
Cardiovascular, colloid osmotic pressure, and hemostatic effects of 2 formulations of hydroxyethyl starch in healthy horses.
Journal of veterinary internal medicine    November 13, 2013   Volume 28, Issue 1 223-233 doi: 10.1111/jvim.12245
Epstein KL, Bergren A, Giguère S, Brainard BM.Lower molecular weight and molar substitution formulations of hydroxyethyl starch (HES) solutions might maximize cardiovascular function and colloid osmotic pressure (COP) and minimize adverse effects on coagulation. Objective: To compare effects of 1 low and 1 high molecular weight and molar substitution HES solution on cardiovascular variables, COP, and hemostasis in normal horses. Methods: Eight healthy adult horses. Methods: Randomized, crossover designed study: 10 mL/kg bolus of 6% HES (600/0.75) (hetastarch) (HS), 6% HES (130/0.4) tetrastarch (TS), and 0.9% NaCl (NS). Variables recorded ...
Malignant melanoma in a grey horse: case presentation and review of equine melanoma treatment options.
Irish veterinary journal    November 6, 2013   Volume 66, Issue 1 22 doi: 10.1186/2046-0481-66-22
Metcalfe LV, O'Brien PJ, Papakonstantinou S, Cahalan SD, McAllister H, Duggan VE.A 15 year-old grey Thoroughbred gelding presented for investigation of chronic weight loss and recent onset of respiratory difficulty. Clinical examination confirmed tachypnoea with increased respiratory effort. Thoracic ultrasound examination detected pleural effusion. The dyspnoea was related to the large volume of pleural effusion and, following post-mortem examination, to the presence of a large mediastinal mass. Multiple pigmented masses, likely melanomas, were detected peri-anally. Thoracic radiography, cytological examination of the pleural fluid and a fine needle aspirate of a thoraci...
Evaluation of the use of atropine sulfate, a combination of butylscopolammonium bromide and metamizole sodium, and flunixin meglumine to ameliorate clinical adverse effects of imidocarb dipropionate in horses.
American journal of veterinary research    October 31, 2013   Volume 74, Issue 11 1404-1408 doi: 10.2460/ajvr.74.11.1404
Abutarbush SM, Alfaqeeh SM, Mustafa G, Qura'n L, Al-Majali AM.To evaluate the ability of atropine sulfate, butylscopolammonium bromide combined with metamizole sodium, and flunixin meglumine to ameliorate the clinical adverse effects of imidocarb dipropionate in horses. Methods: 28 horses with piroplasmosis. Methods: 28 horses were randomly assigned to 4 equal groups according to the pretreatment administered. Fifteen minutes before administration of 2.4 mg of imidocarb dipropionate/kg IM, horses in the first group were pretreated with 0.02 mg of atropine sulfate/kg IV, the second group with a combination of 0.2 mg of butylscopolammonium bromide/kg IV an...
Distribution and predictive factors of seizure types in 104 cases.
Equine veterinary journal    October 30, 2013   Volume 46, Issue 4 441-445 doi: 10.1111/evj.12149
Lacombe VA, Mayes M, Mosseri S, Reed SM, Ou TH.Although many studies have been performed to classify seizures by type in man and small animals, a similar study in horses is lacking. Objective: The aims of this study were as follows: 1) to characterise the distribution of seizure types in 104 horses presented for seizure disorders to a referral veterinary hospital; and 2) to characterise the various types of seizures by identifying associated clinical factors. Methods: Retrospective analysis of clinical records. Methods: Seizures were classified based on seizure type, according to the most recent accepted definitions in both human and small...
Equine-associated maxillofacial injuries: retrospective 5-year analysis.
The British journal of oral & maxillofacial surgery    October 26, 2013   Volume 52, Issue 2 124-127 doi: 10.1016/j.bjoms.2013.09.019
Islam S, Gupta B, Taylor CJ, Chow J, Hoffman GR.We explored the relation between the causes of facial injuries in equestrians and the presence or absence of associated injuries. Over a 5-year period we retrospectively reviewed all patients who presented to the John Hunter Hospital, New South Wales, with facial injuries that had resulted from activity with horses. We analysed the rates of hard and soft tissue injuries, and of associated injuries by sex and mechanism. A total of 85 patients were included (50 female and 35 male) with an age range of 2-88 years. There was a significant difference in the rate of maxillofacial and associated inju...
Diagnostic ophthalmology.
The Canadian veterinary journal = La revue veterinaire canadienne    October 25, 2013   Volume 54, Issue 5 514-515 
Sandmeyer LS, Bauer BS, Grahn BH.No abstract available
Aseptic tenosynovitis of the carpal flexor sheath caused by rupture of the accessory ligament of the deep digital flexor tendon.
The Canadian veterinary journal = La revue veterinaire canadienne    October 25, 2013   Volume 54, Issue 8 765-768 
Taintor J, Caldwell F, Almond G.A mare was evaluated for acute left forelimb lameness with effusion of the carpal flexor sheath. No osseous abnormalities were noted during radiographic examination. Significant disruption of the accessory ligament of the deep digital flexor tendon was seen during ultrasonographic examination. Carpal sheath effusion and lameness resolved after medical treatment. Une jument a été évaluée pour une boiterie aiguë de la patte avant gauche avec effusion de la gaine du fléchisseur carpien. Aucune anomalie osseuse n’a été observée durant l’examen radiographique. Une perturbation importa...
[Comparison of different electrocardiographic techniques for the detection of arrhythmias in horses].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    October 16, 2013   Volume 41, Issue 5 305-314 
Uhlendorf F, Gehlen H, Stadler P.The aim of the study was to extend the range of the electrocardiographic examination in horses, evaluating the practicability of special electrocardiographic techniques (exercise- and Holter-ECG) and comparing these with more common techniques (resting-ECG) in equine medicine. Methods: Electrocardiographic examination (resting-ECG for 1 minute, exercise-ECG and Holter-ECG) was performed in 20 horses without any clinical or echocardiographic findings and in 80 patients with abnormal findings (valvular regurgitation and/or atrial fibrillation). Results: In comparison with the resting-ECG, the ex...
Comparison of clinical examinations of back disorders and humans’ evaluation of back pain in riding school horses.
BMC veterinary research    October 15, 2013   Volume 9 209 doi: 10.1186/1746-6148-9-209
Lesimple C, Fureix C, Biquand V, Hausberger M.Questionnaires are a common tool to assess people's opinion on a large scale or to sound them out about their subjective views. The caretakers' opinion about animals' "personality" has been used in many studies. The aim of the present study was to assess whether the owners' subjective evaluation was effective to detect back disorders. Back disorders have been shown to have a high prevalence in working horses. Caretakers from 17 riding schools (1 caretaker/school, 161 horses) were given a questionnaire about their horses' health status, including back disorders. Out of these 161 horses, 59 were...
Noninflammatory, nonpruritic alopecia of horses.
The Veterinary clinics of North America. Equine practice    October 10, 2013   Volume 29, Issue 3 629-641 doi: 10.1016/j.cveq.2013.09.005
Rosychuk RA.Noninflammatory, nonpruritic alopecias are uncommonly encountered in the horse. Alopecia areata, an apparently autoimmune hair follicle bulbitis produces focal, multifocal to widespread hair loss. The skin is otherwise normal. Diseases that can mimic the widespread hair loss associated with alopecia areata include telogen and anagen effluvium, seasonal alopecias, follicular dysplasias (including color dilution alopecia), various nutritional deficiencies and chemical toxicosis, and diseases that result in defective hair shafts (eg, trichorrhexis nodosa and piedra). These problems are differenti...
Failure of a VapA/CpG oligodeoxynucleotide vaccine to protect foals against experimental Rhocococcus equi pneumonia despite induction of VapA-specific antibody and interferon-γ response.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 9, 2013   Volume 77, Issue 3 161-169 
Lohmann KL, Lopez AM, Manning ST, Marques FJ, Brownlie R, Allen AL, Sangster AE, Mutwiri G, Gerdts V, Potter A, Townsend HG.We evaluated the immunogenic and protective potential of a recombinant VapA/CpG oligodeoxynucleotide (ODN) 2395 vaccine in neonatal foals undergoing experimental Rhodococcus equi challenge. Foals (n = 8) were vaccinated by intramuscular injection on days 1 and 15 of the study; control foals (n = 7) received a phosphate-buffered saline (PBS) solution. All foals were challenged by intrabronchial administration of 5 × 10⁶ R. equi 103⁺ on day 29. Bronchoalveolar lavages were done on days 15, 29, and 36 and total cell count, differential cell count, rVapA-stimulated cell proliferation and inte...
Validation of a novel translumbar ultrasound technique for measuring renal dimensions in horses. Habershon-Butcher J, Bowen M, Hallowell G.A reliable method for obtaining renal ultrasonographic measurements in the horse is important for diagnosis and monitoring of clinical renal disease. The aims of this prospective study were to develop and validate a novel translumbar ultrasound technique for measuring renal dimensions in horses. Six Thoroughbred or Thoroughbred part bred horses were recruited. All horses were scheduled for euthanasia due to reasons unrelated to the kidneys. Two observers recorded renal length, width, and depth; and dimensions of the cortex, medulla, pyramids, and pelvis for both kidneys in each horse using nov...
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