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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.
Use of a hand-assisted laparoscopic surgical technique for closure of an extensive mesojejunal rent in a horse.
Journal of the American Veterinary Medical Association    October 8, 2013   Volume 243, Issue 8 1166-1169 doi: 10.2460/javma.243.8.1166
Witte TH, Wilke M, Stahl C, Jandová V, Haralambus R, Straub R.A 7-year-old 573-kg (1,261 -lb) Swiss Warmblood gelding was evaluated because of signs of acute abdominal pain. Results: Physical examination revealed a markedly distended abdomen with subjectively reduced borborygmi in all abdominal quadrants. A large, gas-distended viscus was present at the pelvic brim preventing complete palpation of the abdomen per rectum. Ultrasonographic evaluation could not be safely performed in the initial evaluation because of severe signs of abdominal pain. Results: Ventral midline celiotomy was performed, and right dorsal displacement of the ascending colon was cor...
Comparison of tulathromycin, azithromycin and azithromycin-rifampin for the treatment of mild pneumonia associated with Rhodococcus equi.
The Veterinary record    October 7, 2013   Volume 173, Issue 16 397 doi: 10.1136/vr.101867
Venner M, Credner N, Lämmer M, Giguère S.The objectives of the present study were to determine the relative efficacy of tulathromycin, azithromycin, or azithromycin with rifampin for the treatment of pulmonary abscesses on a farm with endemic infections caused by Rhodococcus equi. Foals with ultrasonographic evidence of pulmonary abscesses (abscess score 8.0-15 cm; n=120) were randomly allocated in four equal treatment groups: (1) tulathromycin intramuscularly; (2) azithromycin monotherapy, orally; (3) azithromycin with rifampin, orally; (4) saline intramuscularly as a placebo. Physical examination and thoracic ultrasonography were p...
Letters to the editor: Load bearing in the equine metacarpal.
FASEB journal : official publication of the Federation of American Societies for Experimental Biology    October 2, 2013   Volume 27, Issue 10 3891-3892 doi: 10.1096/fj.13-1002ufm
Young DR.No abstract available
The influence of perfusate volume on antimicrobial concentration in synovial fluid following intravenous regional limb perfusion in the standing horse.
The Canadian veterinary journal = La revue veterinaire canadienne    October 2, 2013   Volume 54, Issue 4 363-367 
Hyde RM, Lynch TM, Clark CK, Slone DE, Hughes FE.This study investigated the influence of perfusate volume on antimicrobial concentration in synovial fluid following intravenous regional limb perfusion (IVRLP) and assessed the efficacy of low volume IVRLP. The front limbs of 9 horses were randomly assigned to 1 of 3 volume groups: 10 mL (Group 1), 30 mL (Group 2), or 60 mL (Group 3). A tourniquet was applied distal to the carpus and the limbs were perfused with 500 mg genta-micin diluted to the assigned volume via a catheter placed in the lateral palmar digital vein at the level of the proximal sesamoid bones. Synovial fluid samples were col...
Inheritance of equine sarcoid disease in Franches-Montagnes horses.
Veterinary journal (London, England : 1997)    September 29, 2013   Volume 199, Issue 1 68-71 doi: 10.1016/j.tvjl.2013.09.053
Christen G, Gerber V, Dolf G, Burger D, Koch C.The mode of inheritance for susceptibility to equine sarcoid disease (ES) remains unknown. The objectives of this study were to analyse a large sample of the Franches-Montagnes (FM) horse population and investigate the heritability and mode of inheritance for susceptibility to ES. Horses were clinically examined for the presence of sarcoid tumours. A standardized examination protocol and client questionnaire were used and a pedigree- and subsequent segregation-analysis for the ES trait performed. To investigate the mode of inheritance, five models were evaluated and compared in a hierarchical ...
The Saratoga WarHorse project: a case study of the treatment of psychological distress in a veteran of Operation Iraqi Freedom.
Advances in mind-body medicine    September 27, 2013   Volume 27, Issue 4 22-25 
Nevins R, Finch S, Hickling EJ, Barnett SD.We theorized that ability to direct and control a horse will lead to a sense of empowerment, facilitate a relationship between horse and veteran, lead to a decrease in anxiety, and improve physical and social functioning. Methods: This case study utilizes the Connection methodology: nonverbal language of the horse in a predictable, sequential, and repeatable method. Psychological testing occurred immediately pre- and post-Connection with follow-up occurring at 2, 4, 6, and 12 wks post-Connection. Methods: Twice-deployed combat medic who served in Operation Iraqi Freedom (OIF). Methods: Saratog...
Estimation of vertical tuber coxae movement in the horse from a single inertial measurement unit.
Veterinary journal (London, England : 1997)    September 17, 2013   Volume 198, Issue 2 498-503 doi: 10.1016/j.tvjl.2013.09.005
Pfau T, Starke SD, Tröster S, Roepstorff L.Pelvic movement is altered in hind limb lame horses. A simple method using one inertial measurement unit (IMU) attached to the sacrum, which objectively measures 'hip hike', will help detecting hind limb lameness in large scale studies. In this study, IMUs over the sacrum and the left and right tuber coxae (TC) quantified vertical movement symmetry (MS) in 10 clinically lame horses. A simple geometrical model was used to estimate TC movement from the sacrum IMU. The differences between measured and estimated MS values (mean±SD) and MS changes during different exercise conditions (straight, ci...
Surgical Management of Penile and Preputial Neoplasms in Equine with Special Reference to Partial Phallectomy.
Journal of veterinary medicine    September 8, 2013   Volume 2013 891413 doi: 10.1155/2013/891413
Rizk A, Mosbah E, Karrouf G, Abou Alsoud M.Penile and preputial neoplasia in horses occurs infrequently and represents diagnostic and therapeutic challenges. The present study was carried out on a total number of 21 equids (14 stallions and 7 donkeys) suffered from different penile and preputial neoplasia. Diagnosis of neoplasms was based up on history of the case, clinical examination as well as histopathological evaluation. Animals with penile and preputial neoplasms were underwent local excision and partial phallectomy with a slightly modified version of the techniques described by William's. The diagnosed neoplasms were penile and ...
Clinical snapshot: Dripping fluid from the prepuce of a paint horse.
Compendium (Yardley, PA)    August 30, 2013   Volume 35, Issue 8 E5 
Stern A.No abstract available
Congenital defects of the soft palate in 15 mature horses.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 185-188 doi: 10.1111/evj.12123
Barakzai SZ, Fraser BS, Dixon PM.Horses, usually foals, with a congenital defect of the soft palate have been reported infrequently, and most reports describe a surgical procedure to repair the defect. Results of conservative management have not been previously reported. Objective: To describe 15 horses affected with soft palate defects that were presented for examination when mature. Methods: Retrospective case series. Methods: Clinical records from horses identified as having been diagnosed with a soft palate defect when older than one year were reviewed retrospectively. Follow-up was obtained wherever possible. Results: Na...
Ultrasound-guided biopsy of the cricoarytenoideus lateralis muscle: technique and safety in horses.
Equine veterinary journal    August 30, 2013   Volume 46, Issue 2 244-248 doi: 10.1111/evj.12105
O'Neill HD, Ballegeer EA, De Feijter-Rupp HL, Stick JA, Derksen FJ, Robinson NE.Current diagnosis of recurrent laryngeal neuropathy (RLN) depends upon disease recognition in the clinically affected horse. Biopsy of the intrinsic laryngeal muscles may provide a method to identify the changes in fibre-type composition that occur in RLN before clinical signs become apparent. Objective: To develop an ultrasound-guided biopsy technique of the left cricoarytenoideus lateralis muscle (CALM) and evaluate its efficacy and safety in vivo. Methods: A longitudinal descriptive study. Methods: Six standing horses underwent ultrasound-guided biopsy of the left CALM. Frozen muscle cores ...
Evaluation of a training model to teach veterinary students a technique for injecting the jugular vein in horses.
Journal of veterinary medical education    August 27, 2013   Volume 40, Issue 3 288-295 doi: 10.3138/jvme.1012-09R1
Eichel JC, Korb W, Schlenker A, Bausch G, Brehm W, Delling U.In this study, a newly-developed model for training veterinary students to inject the jugular vein in horses was evaluated as an additional tool to supplement the current method of teaching. The model was first validated by 19 experienced equine veterinarians, who judged the model to be a realistic and valuable tool for learning the technique. Subsequently, it was assessed using 24 students who were divided randomly into two groups. The injection technique was taught conventionally in a classroom lecture and a live demonstration to both groups, but only group 1 received additional training on ...
Is a standalone inertial measurement unit accurate and precise enough for quantification of movement symmetry in the horse?
Computer methods in biomechanics and biomedical engineering    August 15, 2013   Volume 18, Issue 5 527-532 doi: 10.1080/10255842.2013.819857
Brighton C, Olsen E, Pfau T.Standalone 'low-cost' inertial measurement units (IMUs) could facilitate large-scale studies into establishing minimal important differences (MID) for orthopaedic deficits (lameness) in horses. We investigated accuracy and limits of agreement (LoA) after correction of magnitude-dependent differences of a standalone 6 degree-of-freedom IMU compared with an established IMU-based gait analysis system (MTx) in six horses for two anatomical landmarks (sacrum and sternum). Established symmetry measures were calculated from vertical displacement: symmetry index (SI), difference between minima (MinDif...
Plasma total antioxidant status in horses after 8-hours of road transportation.
Acta veterinaria Scandinavica    August 14, 2013   Volume 55, Issue 1 58 doi: 10.1186/1751-0147-55-58
Niedźwiedź A, Kubiak K, Nicpoń J.The aim of this study was to investigate the effects of 8-hour road transport on plasma total antioxidant status (PTAS) and general clinical appearance in horses. Results: The study was conducted on a group of 60 horses of different breeds aged from 4 to 10 years. Venous blood was collected and a clinical examination was performed immediately before loading horses onto trailers for an 8 hour transport (I), immediately after unloading them from the trailer (II), and after a subsequent 24 hour stall rest (III). The ferric-reducing ability of plasma (FRAP) was used to determine PTAS. The transpor...
The gold standard of dental care for the adult performance horse.
The Veterinary clinics of North America. Equine practice    August 7, 2013   Volume 29, Issue 2 505-viii doi: 10.1016/j.cveq.2013.04.012
Foster DL.This article discusses the primary odontogenic problems of the mature performance horse, including wolf teeth; hooks; overbite, overjet, underjet, and wry bite; equine odontoclastic tooth resorption and hypercementosis; infundibular caries; and secondary oral problems. It outlines the author's methods of taking the history, oral examination, and use of diagnostic nerve blocks.
Is Lyme disease overdiagnosed in horses?
Equine veterinary journal    August 6, 2013   Volume 45, Issue 5 529-530 doi: 10.1111/evj.12122
Bartol J.No abstract available
A clinician’s guide to factors affecting withdrawal times for equine therapeutic medications.
Veterinary journal (London, England : 1997)    August 6, 2013   Volume 198, Issue 2 313-321 doi: 10.1016/j.tvjl.2013.07.002
Tobin T, Dirikolu L, Brewer K, Hughes CG.Equine forensic science can now detect concentrations down to 25 femtograms/mL (parts per quadrillion, ppq) or less in blood and urine. As such, horsemen are increasingly at risk of inadvertent 'positives' due to therapeutic medication 'overages' or trace identifications of dietary or environmental substances. Reviewed here are the factors which determine detection times and 'withdrawal times' for substances administered to horses. Withdrawal times are affected by many factors, including dose, formulation, route and frequency of administration, bioavailability, plasma half-life, sensitivity of...
Distal border fragments of the equine navicular bone: association between magnetic resonance imaging characteristics and clinical lameness. Yorke EH, Judy CE, Saveraid TC, McGowan CP, Caldwell FJ.Distal border fragments of the navicular bone are increasingly being detected due to the improved capabilities of magnetic resonance imaging (MRI), but their clinical significance remains unclear. The purpose of this retrospective study was to describe the location, size, and frequency of fragments in a cohort of horses presented for MRI of the foot and to compare MRI findings with severity of lameness. Archived MRI studies and medical records were searched from March 2006 to June 2008. Horses were included if a distal border fragment of the navicular bone was visible in MRI scans. Confidence ...
Prognosis of Deantigenated Equine Bone Used for Bone Augmentation: A Multicenter Retrospective Study on Early and Late Postsurgical Complications in 81 Consecutive Patients.
Clinical implant dentistry and related research    July 24, 2013   Volume 24, Issue 5 591-601 doi: 10.1111/cid.12115
Felice P, Piana L, Jacotti M, Di Lallo S, Todisco M, Foschini MP, Checchi L, Carinci F.To evaluate the clinical outcome of deantigenated equine bone (DEB) grafts in a series of patients treated with DEB at six months postaugmentation. Methods: One hundred DEB grafts were inserted in 81 patients between January 2004 and December 2006. Thirty-two DEBs were blocks and 68 were granules (52 sinus lift and 16 guided bone regeneration [GBR] procedures performed). A total of 147 implants were inserted. A Pearson chi-square test was used to detect any statistically significant correlation between the studied variables and early and/or late failures. Results: There were 6 early and 26 lat...
Feasibility of aqueous shunts for reduction of intraocular pressure in horses.
Equine veterinary journal    July 22, 2013   Volume 46, Issue 2 239-243 doi: 10.1111/evj.12098
Townsend WM, Langohr IM, Mouney MC, Moore GE.Based on the current literature, neither medical, surgical nor combination therapy adequately controls equine glaucoma for many horses. Aqueous shunts have been useful in other species to control glaucoma. Objective: To determine whether aqueous shunts in normal equine eyes significantly reduce intraocular pressure (IOP) without causing vision threatening complications. Methods: Prospective experimental trial. Methods: Aqueous shunts were placed in 7 normal eyes of 4 horses. The shunts were placed dorsotemporally. Examinations were initially performed daily for 7 days and after that every 3 da...
Evaluation of a continuous glucose monitoring system compared with an in-house standard laboratory assay and a handheld point-of-care glucometer in critically ill neonatal foals.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    July 16, 2013   Volume 23, Issue 4 408-415 doi: 10.1111/vec.12072
Hug SA, Riond B, Schwarzwald CC.To evaluate the applicability and accuracy of a continuous glucose monitoring system (CGMS) in critically ill foals by comparing the performance of the CGMS, a point-of-care (POC) glucometer, and an in-house standard laboratory assay (SLA). Methods: Prospective study. Methods: University teaching hospital. Methods: Seven critically ill neonatal foals requiring intensive care. Methods: Foals were instrumented with a CGMS that measured interstitial glucose concentration every 5 minutes for the duration of 15-79 hours. Capillary and venous blood samples were taken every 4-6 hours for POC and SLA...
Prevalence of linear keratopathy in a herd of Lipizzaners over an 18-month period.
The Veterinary record    July 9, 2013   Volume 173, Issue 8 192 doi: 10.1136/vr.101710
Rushton JO, Tichy A, Kolodziejek J, Nowotny N, Nell B.The prevalence of linear keratopathy with progressing age in a closed population of a single horse breed is reported. All Lipizzaners in three federal states in Austria underwent complete ophthalmic examination four times over a period of 18 months, with six-month intervals. Findings consistent with linear keratopathy were recorded, and associated with factors such as sex, location, boarding system and level of performance throughout the study period. Logistic regression was applied to determine the influence of age on ophthalmic findings. On the first, second, third and fourth examinations, 0...
Hysteroscopic hydrotubation of the equine oviduct.
Equine veterinary journal    June 28, 2013   Volume 45, Issue 6 761-765 doi: 10.1111/evj.12080
Inoue Y.Diagnostic techniques for oviductal obstruction in the mare are limited and development of a more reliable and direct method to assess oviductal patency is needed. Objective: To evaluate the feasibility of hysteroscopic selective hydrotubation of the equine oviduct via videoendoscopy in standing mares. Methods: Using a catheter inserted under endoscopic guidance into the uterotubal junctions of 10 mares, 5 ml of indigo carmine solution (4 mg/ml) was flushed into the oviduct. After introduction of the dye, peritoneal fluid was obtained via abdominocentesis. A colpotomy was also performed to all...
Incorporating oral photography and endoscopy into the equine dental examination.
The Veterinary clinics of North America. Equine practice    June 27, 2013   Volume 29, Issue 2 345-vi doi: 10.1016/j.cveq.2013.04.007
Galloway SS, Easley J.This article discusses the significant features and use of digital cameras, intraoral cameras, and oral endoscopes in equine dental practice. Although system features believed to be important have been listed, specific system recommendations have been omitted, since each veterinarian must individually determine the best system to meet practice clinical needs and budget. Veterinarians are encouraged to thoroughly research not only the camera/endoscope purchase but also the capabilities of the entire system, the compatibility of the system with different computer software programs, the reputatio...
Oral examination and charting: setting the basis for evidence-based medicine in the oral examination of equids.
The Veterinary clinics of North America. Equine practice    June 27, 2013   Volume 29, Issue 2 325-vi doi: 10.1016/j.cveq.2013.04.008
Menzies R.The oral examination is performed in equids to assess and monitor oral health status, provide diagnoses, and determine efficacy of treatments. While there is currently insufficient scientific material of adequate quality to enable evidence-based medicine in equine dentistry, this by no means negates the clinician's responsibility to provide oral health care in a scientific and ethical manner. To do so requires that the clinician be knowledgable and skilled in dentistry and general medicine, that each case upholds the principles of scientific method, and that data is gathered and appraised in a...
Hypertensive cardiomyopathy in horses: 5 cases (1995-2011).
Journal of the American Veterinary Medical Association    June 22, 2013   Volume 243, Issue 1 126-130 doi: 10.2460/javma.243.1.126
Navas de Solis C, Slack J, Boston RC, Reef VB.To describe the prognosis and clinical, echocardiographic, and pathological features of hypertensive cardiomyopathy in horses. Methods: Retrospective case series. Methods: 5 horses with cardiac hypertrophy and systemic hypertension. Methods: Demographics, history, physical and cardiological examination findings, diagnosis, clinical progression, prognosis, and pathological findings were obtained from medical records. Results: The primary diagnosis was chronic laminitis in 3 horses and chronic renal failure in 2. Persistent tachycardia, hypertension, chronic laminitis, or a combination of these ...
Assessment of serum amyloid A testing of horses and its clinical application in a specialized equine practice.
Journal of the American Veterinary Medical Association    June 22, 2013   Volume 243, Issue 1 113-119 doi: 10.2460/javma.243.1.113
Belgrave RL, Dickey MM, Arheart KL, Cray C.To compare serum amyloid A (SAA) concentration, plasma fibrinogen concentration, total WBC count, and serum albumin-to-globulin concentration ratio (A:G ratio) in clinically normal (CN) and clinically abnormal (CA) horses. Methods: Prospective cohort study. Methods: 111 CN horses and 101 CA horses hospitalized at a specialty clinical practice. Methods: Shortly after admission, a blood sample (20 mL) was collected from each horse for a CBC, serum protein electrophoresis, and determination of plasma fibrinogen concentration; SAA concentration was assessed with a previously validated immunoturbid...
Survey of colic cases seen in first-opinion practice.
The Veterinary record    June 19, 2013   Volume 172, Issue 24 643-644 doi: 10.1136/vr.f3633
Issaoui L.No abstract available
Effects of gastric distension on intraabdominal pressures in horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    June 19, 2013   Volume 23, Issue 4 423-428 doi: 10.1111/vec.12065
Barrett EJ, Munsterman AS, Hanson RR.To determine the effect of gastric distension on intraabdominal pressures (IAP) measured directly from the intraperitoneal space. Methods: Prospective, experimental study. Methods: A university-based equine research facility. Methods: Ten healthy adult horses, 5 males and 5 females. Methods: Intraabdominal pressures were measured through an intraperitoneal cannula zeroed at a height midway between the height of the tuber ishii and point of the shoulder at 6 time points: at rest, after placement of a nasogastric tube, and after instillation of each 5 L increment up to a total of 20 L of water. ...
Readability and histological biocompatibility of microchip transponders in horses.
Veterinary journal (London, England : 1997)    June 12, 2013   Volume 198, Issue 1 103-108 doi: 10.1016/j.tvjl.2013.04.028
Wulf M, Wohlsein P, Aurich JE, Nees M, Baumgärtner W, Aurich C.Identification of horses by microchip transponder is mandatory within the European Union with only a few exceptions. In this study, the readability of such microchips in 428 horses with three different scanners (A, B and C) and the histological changes at the implantation site in 16 animals were assessed. Identification of microchips differed between scanners (P<0.001), and with 'side of neck' (P<0.001). Scanners A, B and C identified 93.5%, 89.7% and 100% of microchips, respectively, on the 'chip-bearing' side of the neck. From the contralateral side, scanners A, B a...
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