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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.
Ethical, scientific and practical standards in clinical practice research.
Equine veterinary journal    June 7, 2013   Volume 45, Issue 4 391-393 doi: 10.1111/evj.12062
Bertone J.No abstract available
Comparison between standard ultrasonography, angle contrast ultrasonography, and magnetic resonance imaging characteristics of the normal equine proximal suspensory ligament. Werpy NM, Denoix JM, McIlwraith CW, Frisbie DD.Previous studies have proposed that standard ultrasonography may not adequately represent the pertinent anatomic characteristics of the equine proximal suspensory ligament. The purpose of the study was to compare the use of standard ultrasonography, angle contrast ultrasonography, MRI, and histology for identification of the anatomic characteristics of the normal equine suspensory ligament in the forelimb. Horses free from forelimb lameness with no palpable abnormalities in the region of the suspensory ligament were included in the study. The proximal suspensory ligaments in 20 forelimbs were ...
Lethargy, fever, and anorexia in a thoroughbred weanling.
Compendium (Yardley, PA)    May 28, 2013   Volume 34, Issue 4 E1 
Page A.No abstract available
The gold standard of dental care: the juvenile horse.
The Veterinary clinics of North America. Equine practice    May 23, 2013   Volume 29, Issue 2 487-viii doi: 10.1016/j.cveq.2013.04.004
Griffin C.Postpartum evaluation of the foal's head and mouth are performed to detect craniofacial malformations and other congenital defects. Detailed oral examination and diagnostic imaging can provide diagnostic and prognostic information about congenital abnormalities of the mouth or skull. Important abnormalities of foals include wry nose, cleft palate, overbite (parrot mouth), and underbite (monkey mouth, sow mouth). Tumors and cysts can be detected in young horses. In juvenile horses, primary dental care procedures include oral examination, management of sharp enamel points, management of deciduou...
Advances in the treatment of diseased equine incisor and canine teeth.
The Veterinary clinics of North America. Equine practice    May 23, 2013   Volume 29, Issue 2 411-vii doi: 10.1016/j.cveq.2013.04.005
Rawlinson JT, Earley E.Dental therapies for equid incisor and canine teeth have modernized significantly over the last 2 decades. Basic principles in incisor reduction have become more conservative, and extraction procedures more exacting. Periodontal and endodontic treatments are described to save teeth that would have succumbed to extraction in the past. Pathologic impacts on treatment decisions for equine odontoclastic tooth resorption and hypercementosis are significant, and veterinarians and owners need to be aware of treatment options and outcomes. Easy access to equid incisor and canine teeth offers a variety...
Three cases of a presumptive atypical myopathy in New Zealand horses.
New Zealand veterinary journal    May 20, 2013   Volume 61, Issue 6 367-372 doi: 10.1080/00480169.2013.796436
McKenzie RK, Gibson IR, Ritmeester A.Three weanling Thoroughbred fillies were presented during autumn with depression, muscle rigidity and, in one case, colic symptoms and cardiovascular shock. Results: All fillies had abnormal physical examinations that included elevated heart rates and respiratory rates coupled with muscle rigidity through the back and rump. Biochemistry revealed markedly elevated creatinine kinase and aspartate aminotransferase which indicated a myopathy. Methods: All three horses were diagnosed with presumptive equine atypical myopathy. The horses received supportive therapy as per the literature available at...
Advances in equine dentistry.
The Veterinary clinics of North America. Equine practice    May 17, 2013   Volume 29, Issue 2 xi-xii doi: 10.1016/j.cveq.2013.05.001
Easley J.No abstract available
Dynamic endoscopy of the equine upper airway–what is significant?
The Veterinary record    May 15, 2013   Volume 172, Issue 19 499-500 doi: 10.1136/vr.f2934
Trope G.No abstract available
The effect of 1% tropicamide-induced mydriasis and cycloplegia on spherical refraction of the adult horse.
Veterinary ophthalmology    May 6, 2013   Volume 17, Issue 2 120-125 doi: 10.1111/vop.12055
McMullen RJ, Davidson MG, Gilger BC.To determine the effects of tropicamide 1% on the refractive state of the adult equine globe and identify the most appropriate time period (in relation to mydriasis) to perform streak retinoscopy. Methods: Eight university-owned mares of various ages and breeds. Methods: Topical tropicamide 1% was applied to one randomly selected eye from each of the horses to induce mydriasis and cycloplegia. The contralateral eyes served as controls. Streak retinoscopy and pupillometry were performed prior to, and every 5 min after tropicamide 1% installation for 90 min. Results: All values are expressed as ...
The art and the science of equine surgery.
The Veterinary record    April 30, 2013   Volume 172, Issue 17 442-446 doi: 10.1136/vr.f2555
Greet T.No abstract available
Unilateral cerebellar hypoplasia and mesencephalic malformation in a Hanoverian foal.
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    April 24, 2013   Volume 41, Issue 2 106-112 
Schröder S, Schmidt MJ, Preis S, Klumpp S, Köhler K, Kuchelmeister K, Herden C.Neurological cases, especially in foals, are rare in the daily practical work. The most common causes are traumata and infectious diseases of the central nervous system (CNS). This case report provides further insights into the wide spectrum of possible neuropathological lesions by detailing a complex malformation with unilateral neurological signs that occurred later post natum. Thus, clinicians should also be aware of malformations in case of respective neurological patients. A Hanoverian foal was presented with progressive ataxia. General and blood examination revealed no further alteration...
Administration of fluids per rectum in horses.
The Veterinary record    April 23, 2013   Volume 172, Issue 16 430 doi: 10.1136/vr.f2439
Gardiner M.No abstract available
The effect of trotting speed on the evaluation of subtle lameness in horses.
Veterinary journal (London, England : 1997)    April 20, 2013   Volume 197, Issue 2 245-252 doi: 10.1016/j.tvjl.2013.03.006
Starke SD, Raistrick KJ, May SA, Pfau T.Equine lameness is a significant and challenging part of a veterinarian's workload, with subtle lameness inherently difficult to assess. This study investigated the influence of trotting speed on perceived and measured changes in movement asymmetry. Ten sound to mildly lame horses were trotted at a 'slow', 'preferred' and 'fast' speed on a hard surface, both on a straight line and in a circle on left and right reins. Video recordings of the horses were visually assessed by six experienced equine clinicians. Vertical movement of head, withers and pelvis was derived from inertial sensor data and...
Prevalence of clinical findings at examinations of young Swedish warmblood riding horses.
Acta veterinaria Scandinavica    April 18, 2013   Volume 55, Issue 1 34 doi: 10.1186/1751-0147-55-34
Jönsson L, Roepstorff L, Egenvall A, Näsholm A, Dalin G, Philipsson J.Soundness of an individual horse is important for animal welfare and owner economy. However, knowledge of health status in normal horse populations is limited due to lack of systematic health recordings. The aim of the investigation was to study the prevalence of veterinary clinical findings in 4-5-year-old Swedish warmblood riding horses, and their influence on overall health scores, where associations to future longevity has been indicated. Results: The prevalence of clinical findings in 8,281 horses examined during 1983-2005 was studied according to a standardised protocol and related to ov...
Seek and ye shall find: cardiac arrhythmias in the horse.
Equine veterinary journal    April 10, 2013   Volume 45, Issue 3 270-272 doi: 10.1111/evj.12054
Physick-Sheard PW.No abstract available
Equine laparoscopy: gonadectomy.
Compendium (Yardley, PA)    March 28, 2013   Volume 35, Issue 2 E4 
Caron JP.Laparoscopic removal of the gonads from male and female horses is regularly performed for a variety of reasons. In female horses, common indications for ovariectomy include behavioral problems and signs of abdominal pain that are linked to estrus. Another indication is an abnormal, enlarged ovary, typically due to ovarian neoplasia, the most common being granulosa thecal cell tumor. Ovariectomy is also a treatment option for ovarian hematomas and other abnormalities. In addition, ovariectomy is used to sterilize mares intended for artificial insemination or embryo transfer programs.
[Clinical evaluation of the new coat colour macchiato in a male Franches-Montagnes horse].
Schweizer Archiv fur Tierheilkunde    March 28, 2013   Volume 155, Issue 4 229-232 doi: 10.1024/0036-7281/a000451
Blatter M, Haase B, Gerber V, Poncet PA, Leeb T, Rieder S, Henke D, Janett F, Burger D.In April 2008 a Franches-Montagnes colt was born with an unusual coat colour phenotype which had never been observed in that population before. The foal showed extended white markings on body and legs, a white head and blue eyes. As both parents have an unremarkable bay coat colour phenotype, a de novo mutation was expected in the offspring and a candidate gene approach revealed a spontaneous mutation in the microphthalmia associated transcription factor gene (MITF). A detailed clinical examination in 2010 indicated an impaired hearing capacity. As in the American Paint Horse large white facia...
Corneal ulcers in horses.
Compendium (Yardley, PA)    March 28, 2013   Volume 35, Issue 1 E4 
Williams LB, Pinard CL.Corneal ulceration is commonly diagnosed by equine veterinarians. A complete ophthalmic examination as well as fluorescein staining, corneal cytology, and corneal bacterial (aerobic) and fungal culture and sensitivity testing are necessary for all infected corneal ulcers. Appropriate topical antibiotics, topical atropine, and systemic NSAIDs are indicated for all corneal ulcers. If keratomalacia (melting) is observed, anticollagenase/antiprotease therapy, such as autologous serum, is indicated. If fungal infection is suspected, antifungal therapy is a necessity. Subpalpebral lavage systems all...
Fragmentation of the proximal tubercle of the talus in horses: 9 cases (2004-2010).
Journal of the American Veterinary Medical Association    March 23, 2013   Volume 242, Issue 7 984-991 doi: 10.2460/javma.242.7.984
Espinosa P, Lacourt M, Alexander K, David F, Laverty S.To identify the prevalence of fragmentation of the proximal tubercle of the talus (FPTT) in a hospital population of horses, characterize the anatomic features of the affected area and fragments, and describe clinical findings, diagnosis, treatment, and outcome for horses with FPTT. Methods: Retrospective case series. Methods: 9 horses with FPTT. Methods: 2,543 radiographic views of the tarsal region of 1,526 horses that were evaluated between June 2004 and December 2010 were reviewed. Medical case records for horses with detectable FPTT were retrieved, and signalment, history, clinical signs,...
Comparison of dynamic and resting endoscopy of the upper portion of the respiratory tract in 57 Thoroughbred yearlings.
Equine veterinary journal    March 21, 2013   Volume 45, Issue 6 700-704 doi: 10.1111/evj.12061
Kelly PG, Reardon RJ, Johnston MS, Pollock PJ.Endoscopic examination of Thoroughbred (TB) yearlings is performed routinely to determine the suitability of horses for racing and to ensure that the conditions of sale are satisfied. However, previous research has demonstrated that resting endoscopic examination can be inaccurate in the diagnosis of functional pathology of the upper portion of the respiratory tract (URT). Objective: To investigate the feasibility of performing dynamic overground endoscopy in a group of TB yearlings and to compare the results of resting and dynamic endoscopic examination of the URT. Methods: Prospective cohort...
Development and validation of an equine nerve block simulator to supplement practical skills training in undergraduate veterinary students.
The Veterinary record    March 13, 2013   Volume 172, Issue 17 450 doi: 10.1136/vr.101335
Gunning P, Smith A, Fox V, Bolt DM, Lowe J, Sinclair C, Witte TH, Weller R.Lameness is the most common presenting complaint in equine practice. Performing diagnostic nerve blocks is an integral part of any lameness work-up, and is therefore an essential skill for equine practitioners. However, the opportunities for veterinary students to practice this skill are limited. The aim of this study was to design and validate an equine nerve block simulator. It was hypothesised that the simulator would improve students' ability and enhance their confidence in performing nerve blocks. A simulator was built using an equine forelimb skeleton and building foam. Wire wool targets...
Prognosis for racing with conservative management of cervical vertebral malformation in thoroughbreds: 103 cases (2002-2010).
Journal of veterinary internal medicine    March 10, 2013   Volume 27, Issue 2 317-323 doi: 10.1111/jvim.12053
Hoffman CJ, Clark CK.Cervical vertebral malformation (CVM) is seen in young, rapidly growing horses, and is commonly associated with a poor prognosis for racing. Objective: To examine the records of a population of Thoroughbreds with a presumptive diagnosis of CVM and to determine which radiographic findings and neurologic exam findings have an effect on these horses achieving athletic function when managed conservatively. Methods: One hundred and three thoroughbreds presumptively diagnosed with CVM and treated conservatively between 2002 and 2010. Methods: Racing records were reviewed in this retrospective study ...
Blood lactate concentrations in ponies and miniature horses with gastrointestinal disease.
Equine veterinary journal    March 4, 2013   Volume 45, Issue 6 666-670 doi: 10.1111/evj.12043
Dunkel B, Kapff JE, Naylor RJ, Boston R.Clinical impression suggested that pony and miniature breeds (collectively referred to as ponies) presenting to a referral hospital for investigation of gastrointestinal disease had higher blood lactate concentrations on admission than large breed horses. Objective: The study tested the hypothesis that ponies with gastrointestinal disease had higher blood lactate concentrations on admission than large breed horses with similar disease severity. Methods: Retrospective case-control study. Methods: Medical records from September 2006 to July 2011 were reviewed for ponies with a primary presenting...
Exposure of mares to processionary caterpillars (Ochrogaster lunifer) in early pregnancy: an additional dimension to equine amnionitis and fetal loss.
Equine veterinary journal    March 4, 2013   Volume 45, Issue 6 755-760 doi: 10.1111/evj.12044
Cawdell-Smith AJ, Todhunter KH, Perkins NR, Bryden WL.Equine amnionitis and fetal loss (EAFL) is an unusual form of abortion in mid- to late-gestation mares, first identified in Australia in 2004. It has been shown that both whole processionary caterpillars (Ochrogaster lunifer) and their shed exoskeletons can induce abortion in mares during midgestation. These abortions exhibited gross pathology and bacteriology results consistent with field cases of EAFL. Objective: To determine whether exposure of mares to the shed exoskeletons of processionary caterpillars can induce abortion in the preplacentation (<35 days' gestation) and early plac...
Effects of repeated intra-articular administration of amikacin on serum amyloid A, total protein and nucleated cell count in synovial fluid from healthy horses.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 12-16 doi: 10.1111/j.2042-3306.2012.00637.x
Sanchez Teran AF, Rubio-Martinez LM, Villarino NF, Sanz MG.Serum amyloid A (SAA) in synovial fluid has recently been used as a marker for septic arthritis in horses but the effects of repeated intra-articular (IA) administration of amikacin on synovial SAA concentrations are unknown. Objective: To report the effect of repeated IA administration of amikacin on SAA, total protein (TP), nucleated cell count (NCC) and differential NCC in synovial fluid of healthy equine joints. Methods: A controlled, 2 period crossover study was performed on 5 clinically healthy horses. Each intercarpal joint received one of 2 treatments every 48 h for 5 consecutive times...
Retrospective study investigating causes of abnormal respiratory noise in horses following prosthetic laryngoplasty.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 27-30 doi: 10.1111/j.2042-3306.2012.00612.x
Compostella F, Tremaine WH, Franklin SH.To investigate causes of respiratory noises in horses following prosthetic laryngoplasty (with or without a ventriculocordectomy) and to examine potential associations between degree of arytenoid abduction and the presence of other upper respiratory tract (URT) abnormalities, including right-sided collapse. Methods: Clinical records and dynamic videoendoscopic recordings were examined from horses presented between 1995 and 2010 for investigation of respiratory noise during exercise, following a prosthetic laryngoplasty (+/- a ventriculocordectomy). Relationships between the degree of left aryt...
Near-fatal misuse of medical tape around an endotracheal tube connector during inhalation anesthesia in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    March 2, 2013   Volume 53, Issue 9 978-982 
Gregson R, Clutton RE.A 7-year-old gelded Irish sports horse weighing 650 kg was anesthetized on 2 consecutive days for lavage of a septic right radio-carpal joint. On both occasions the endotracheal tube connector, which had been bound in medical tape to produce an airtight seal, functioned as a unidirectional valve during mechanical ventilation, retarding expiration, imposing positive end expiratory pressure (PEEP), and probably continuous positive airway pressure (CPAP). The equipment dysfunction was not identified on either occasion despite close inspection prompted by progressive increases in airway pressure a...
Use of a wireless, inertial sensor-based system to objectively evaluate flexion tests in the horse.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 8-11 doi: 10.1111/j.2042-3306.2012.00611.x
Marshall JF, Lund DG, Voute LC.A wireless, inertial sensor-based system has previously been validated for evaluation of equine lameness. However, threshold values have not been determined for the assessment of responses to flexion tests. The aim of this investigation was to evaluate a sensor-based system for objective assessment of the response to flexion. Methods: Healthy adult horses (n = 17) in work were recruited prospectively. Horses were instrumented with sensors on the head (accelerometer), pelvis (accelerometer) and right forelimb (gyroscope), before trotting in a straight line (minimum 25 strides) for 2 consecutive...
Acquired equine polyneuropathy in Norway and Sweden: a clinical and epidemiological study.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 36-44 doi: 10.1111/j.2042-3306.2012.00679.x
Gröndahl G, Hanche-Olsen S, Bröjer J, Ihler CF, Jäderlund KH, Egenvall A.Acquired equine polyneuropathy (AEP, also known as 'Scandinavian knuckling syndrome'), is a serious disease of unknown aetiology, which emerged clustering in horse farms in Sweden, Norway and Finland in the 1990s. Clinical and epidemiological data regarding the syndrome are scarce. Objective: To describe the clinical and epidemiological findings and outcome in outbreaks of AEP and compare risk factors in affected and unaffected horses on affected farms in Norway and Sweden during 2007-2009. Methods: Neurological examinations were performed and data collected regarding demography, usage, turnin...
Non-terminal animal model of post-traumatic osteoarthritis induced by acute joint injury.
Osteoarthritis and cartilage    March 1, 2013   Volume 21, Issue 5 746-755 doi: 10.1016/j.joca.2013.02.653
Boyce MK, Trumble TN, Carlson CS, Groschen DM, Merritt KA, Brown MP.Develop a non-terminal animal model of acute joint injury that demonstrates clinical and morphological evidence of early post-traumatic osteoarthritis (PTOA). Methods: An osteochondral (OC) fragment was created arthroscopically in one metacarpophalangeal (MCP) joint of 11 horses and the contralateral joint was sham operated. Eleven additional horses served as unoperated controls. Every 2 weeks, force plate analysis, flexion response, joint circumference, and synovial effusion scores were recorded. At weeks 0 and 16, radiographs (all horses) and arthroscopic videos (OC injured and sham joints) ...
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