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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.
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...
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...
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