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Topic:Clinical Examination

Clinical examination in horses involves a systematic evaluation of the animal to assess its health status and identify any potential medical issues. This process typically includes a thorough physical assessment, which may cover observation of behavior and posture, palpation of body structures, auscultation of heart and lung sounds, and examination of the skin, eyes, and mucous membranes. Additional diagnostic tools such as thermography, endoscopy, or imaging techniques may be utilized to gather more detailed information. Clinical examination serves as a foundational step in veterinary diagnostics, aiding in the detection and management of diseases or injuries in horses. This page compiles peer-reviewed research studies and scholarly articles that explore methodologies, advancements, and findings related to clinical examination practices in equine medicine.
The incidence and distribution of peripheral caries in the cheek teeth of horses and its association with diastemata and gingival recession.
Veterinary journal (London, England : 1997)    October 6, 2010   Volume 190, Issue 1 90-93 doi: 10.1016/j.tvjl.2010.09.004
Ramzan PH, Palmer L.Although considered relatively common in horses, there is little information on the prevalence, distribution and aetiology of peripheral caries of the equine cheek teeth (CT). The objective of this study was to investigate a possible association between this lesion and diastemata or 'gaps' between the CT which facilitate the entrapment of food material. Video recordings of oroscopic examinations of all dental cases at an equine hospital over a 3-year period were reviewed, and the location of all diastemata, peripheral caries, trapped food, and of gingival recession were recorded. A total of 10...
Multicenter case-control study of signalment, diagnostic features, and outcome associated with cervical vertebral malformation-malarticulation in horses.
Journal of the American Veterinary Medical Association    October 6, 2010   Volume 237, Issue 7 812-822 doi: 10.2460/javma.237.7.812
Levine JM, Scrivani PV, Divers TJ, Furr M, Mayhew IJ, Reed S, Levine GJ, Foreman JH, Boudreau C, Credille BC, Tennent-Brown B, Cohen ND.To compare signalment of horses with cervical vertebral malformation-malarticulation (CVM) with that of control horses and to describe results of clinical examination, diagnostic imaging and necropsy findings, and reported outcome in horses with CVM. Methods: Retrospective case-control study. Methods: 270 horses with CVM and 608 control horses admitted to 6 veterinary hospitals from 1992 through 2007. Methods: Medical records of participating hospitals were reviewed to identify horses with CVM (ie, case horses) and contemporaneous control (non-CVM-affected) horses that were admitted for treatm...
Soft tissue swelling in an Arabian gelding.
Compendium (Yardley, PA)    October 1, 2010   Volume 32, Issue 10 E1-E3 
O'Brien T, Koch C, Livesey MA.No abstract available
Equine clinical genomics: A clinician’s primer.
Equine veterinary journal    September 16, 2010   Volume 42, Issue 7 658-670 doi: 10.1111/j.2042-3306.2010.00166.x
Brosnahan MM, Brooks SA, Antczak DF.The objective of this review is to introduce equine clinicians to the rapidly evolving field of clinical genomics with a vision of improving the health and welfare of the domestic horse. For 15 years a consortium of veterinary geneticists and clinicians has worked together under the umbrella of The Horse Genome Project. This group, encompassing 22 laboratories in 12 countries, has made rapid progress, developing several iterations of linkage, physical and comparative gene maps of the horse with increasing levels of detail. In early 2006, the research was greatly facilitated when the US Nationa...
Radiographic features of the dorsal condylar sagittal ridge of the third metacarpal and metatarsal bones in young Warmblood stallions.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    September 9, 2010   Volume 23, Issue 6 411-416 doi: 10.3415/VCOT-09-12-0130
Hauspie S, Martens A, Declercq J, Busoni V, Vanderperren K, van Bree H, Saunders JH.To describe the radiographic appearance of the dorsoproximal aspect of the sagittal ridge of the third metacarpal/metatarsal bone in Warmblood horses. Methods: The lateromedial radiographic projections of the metacarpo-/metatarsophalangeal joints performed on horses as a part of stallion selection were used. The dorsal aspect of the distal third metacarpal/metatarsal bone was divided in two areas. The appearance of the bone surface in area I was classified as normal, irregular, notch, indentation and lucency. For area II, the categories were normal, irregular, depression or lucency and flatten...
Hand-assisted laparoscopic removal of a nephroblastoma in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    September 3, 2010   Volume 51, Issue 6 637-639 
Romero A, Rodgerson DH, Fontaine GL.A 3-year-old Thoroughbred was presented for evaluation of hematuria post exercise. On physical examination, an enlarged kidney was identified, as well as serum biochemical abnormalities such as an elevated creatine kinase (CK) and hypoalbuminemia. The kidney was removed laparoscopically and a nephroblastoma was identified. Un Thoroughbred âgé de 3 ans est présenté pour évaluation de l’hématurie après l’effort. À l’examen physique, un rein enflé est identifié ainsi que des anomalies biochimiques sériques comme une créatine kinase (CK) élevée et l’hypoalbuminémie. Le rein...
Physiologic effects of nasopharyngeal administration of supplemental oxygen at various flow rates in healthy neonatal foals.
American journal of veterinary research    September 3, 2010   Volume 71, Issue 9 1081-1088 doi: 10.2460/ajvr.71.9.1081
Wong DM, Alcott CJ, Wang C, Hay-Kraus BL, Buchanan BR, Brockus CW.To evaluate the effects of various flow rates of oxygen administered via 1 or 2 nasal cannulae on the fraction of inspired oxygen concentration (FIO2) and other arterial blood gas variables in healthy neonatal foals. Methods: 9 healthy neonatal (3- to 4-day-old) foals. Methods: In each foal, a nasal cannula was introduced into each naris and passed into the nasopharynx to the level of the medial canthus of each eye; oxygen was administered at 4 flow rates through either 1 or both cannulae (8 treatments/foal). Intratracheal FIO2, intratracheal end-tidal partial pressure of carbon dioxide, and a...
Preliminary study of capsule endoscopy in the small intestine of horses.
Australian veterinary journal    August 24, 2010   Volume 88, Issue 9 342-345 doi: 10.1111/j.1751-0813.2010.00612.x
Sasaki N, Yamada H.To evaluate the visibility of various portions of the small intestine in healthy horses using capsule endoscopy. Methods: Six healthy, conscious adult Thoroughbreds were restrained and an endoscopic capsule (PillCam SB capsule) was inserted into the oesophagus using an intranasal catheter aided by a guide wire. Water (500 mL) flushed the capsule down the gastrointestinal tract. Data were collected and stored in the recorder of the endoscopic system for 6 hours after capsule insertion and the images were evaluated using an image reader and scored using a visual analogue scale. Results: Capsule ...
Orthopaedic health status of horses from 8 riding schools–a pilot study.
Acta veterinaria Scandinavica    August 20, 2010   Volume 52, Issue 1 50 doi: 10.1186/1751-0147-52-50
Egenvall A, Lönnell C, Johnston C, Roepstorff L.Orthopaedic injury is the most common reason for lameness and wastage in sport and leisure horses. Studies on racehorses have shown differences in injury risk between trainers and training strategies. The aim was to study between riding school variation in orthopaedic health status by clinical examination and horses age, and control for change of examiner, in schools with previous high (n = 4) and low (n = 4) insurance utilisation. Methods: Horses (n = 99) at 8 riding schools were examined for conformation, movement in all gaits, standing flexion tests and palpation by two veterinary surgeons ...
Pain relief: searching the clinical routes to this objective.
Equine veterinary journal    August 19, 2010   Volume 42, Issue 6 482-483 doi: 10.1111/j.2042-3306.2010.00154.x
Valverde A, Murrell J.No abstract available
Is there an association between ossification of the cartilages of the foot and collateral desmopathy of the distal interphalangeal joint or distal phalanx injury?
Equine veterinary journal    August 19, 2010   Volume 42, Issue 6 504-511 doi: 10.1111/j.2042-3306.2010.00100.x
Dyson S, Brown V, Collins S, Murray R.Associations between degree of ossification of the cartilages of the foot and injuries to other structures of the foot have been suggested, but have not been investigated by large scale studies. Objective: To describe the frequency of grade >3 ossification of the cartilages of the foot (possibly significant ossification, PSO), mediolateral symmetry of ossification and left-right symmetry between feet; and to investigate associations between PSO and injury of either the collateral ligaments (CLs) of the distal interphalangeal (DIP) joint or the distal phalanx. Objective: Possibly significant os...
Which anatomical region determines a positive flexion test of the distal aspect of a forelimb in a nonlame horse?
Equine veterinary journal    August 19, 2010   Volume 42, Issue 6 547-551 doi: 10.1111/j.2042-3306.2010.00075.x
Kearney CM, van Weeren PR, Cornelissen BP, den Boon P, Brama PA.The flexion test is used routinely as part of lameness and prepurchase examinations. However, little is known about the mechanisms that cause a positive response to a flexion test. Objective: To determine which anatomical regions play a role in a positive outcome of a flexion test of the distal aspect of a forelimb in a nonlame horse. Methods: Eight clinically sound Dutch Warmblood horses were subjected to a standardised flexion test (force 250 N, time 60 s) inducing a consistent lameness. To discriminate between different areas of the distal aspect of a forelimb, effects of various nerve bloc...
Colic in geriatric compared to mature nongeriatric horses. Part 1: Retrospective review of clinical and laboratory data.
Equine veterinary journal    August 19, 2010   Volume 42, Issue 7 621-627 doi: 10.1111/j.2042-3306.2010.00092.x
Southwood LL, Gassert T, Lindborg S.It is the impression of some surgeons that geriatric horses have a lower survival rate compared to mature nongeriatric horses following colic surgery. One possible reason for this is that geriatric horses may be more critically ill at admission and have more severe disease than mature nongeriatric horses. Objective: To compare admission historical, physical examination and laboratory data for geriatric and mature nongeriatric horses referred for signs of colic. Methods: Medical records of horses admitted with a presenting complaint of colic between 2000 and 2006 were reviewed. Geriatric horses...
Evaluation of cardiovascular, respiratory and biochemical effects, and anesthetic induction and recovery behavior in horses anesthetized with a 5% micellar microemulsion propofol formulation.
Veterinary anaesthesia and analgesia    August 18, 2010   Volume 37, Issue 5 440-450 doi: 10.1111/j.1467-2995.2010.00558.x
Rezende ML, Boscan P, Stanley SD, Mama KR, Steffey EP.To characterize cardiovascular, respiratory and biochemical effects and recovery behavior associated with a 3-hour continuous infusion of a micellar microemulsion propofol formulation in horses. Methods: Prospective experimental trial. Methods: Six healthy adult horses, 9 +/- 2 years old and weighing 557 +/- 14 kg. Methods: All horses received xylazine (1 mg kg(-1), IV) 5 minutes prior to anesthetic induction. Each horse was anesthetized on two occasions with a 5% micellar microemulsion propofol formulation (2 mg kg(-1), IV); first as a single bolus (phase I) and then as a 3-hour continuous in...
Functional electrical stimulation of the left recurrent laryngeal nerve using a vagus nerve stimulator in a normal horse.
Veterinary journal (London, England : 1997)    August 17, 2010   Volume 189, Issue 3 346-348 doi: 10.1016/j.tvjl.2010.07.008
Vanschandevijl K, Nollet H, Vonck K, Raedt R, Boon P, Roost D, Martens A, Deprez P.The aim of this study was to assess the feasibility of implanting an existing vagus nerve stimulating (VNS) electrode around the recurrent laryngeal nerve. The stimulus response characteristics required to achieve abduction of the ipsilateral arytenoid by the VNS electrode in the normal horse could then be determined. The electrode was wound around the left recurrent laryngeal nerve at the cervical level and connected to a pulse generator. Stimulus response characteristics were obtained by measuring stimulated arytenoid displacement endoscopically in the standing, non-sedated horse. A full and...
Clinical presentation, diagnosis, and prognosis of chronic laminitis in Europe.
The Veterinary clinics of North America. Equine practice    August 12, 2010   Volume 26, Issue 2 391-405 doi: 10.1016/j.cveq.2010.06.005
Eustace RA.The terminology relating to laminitis is confusing. This article describes how equine veterinarians, by using their eyes and fingers alone, can diagnose and evaluate a case of chronic laminitis. This evaluation will enable veterinarians to give a statistically significant prognosis that can be further refined by measurements taken from plain, weight-bearing lateromedial radiographs of the affected hooves. Should invasive techniques such as digital venography also be used, the results of both techniques are complementary.
Farriery for chronic laminitis.
The Veterinary clinics of North America. Equine practice    August 12, 2010   Volume 26, Issue 2 407-423 doi: 10.1016/j.cveq.2010.04.008
O'Grady SE.Laminitis is considered chronic once the distal phalanx has displaced within the hoof capsule. Chronic laminitis generally occurs as a direct sequel to acute laminitis. Clinical evaluation of chronic laminitis is best performed with a thorough clinical examination and radiography. The mainstay of hoof care is therapeutic farriery. In this article, the goals and principles of hoof care, the appropriate trim and various shoes that form the bulk of farriery for chronic laminitis, and surgical treatments are discussed.
Laser vaporization of the dorsal turbinate as an alternative method of accessing and evaluating the paranasal sinuses.
Veterinary surgery : VS    August 12, 2010   Volume 39, Issue 7 891-899 doi: 10.1111/j.1532-950X.2010.00728.x
Morello SL, Parente EJ.To report a technique for stoma creation into the conchofrontal sinus (CFS) through the dorsal turbinate and to evaluate stoma as a site for sinoscopy. Methods: Prospective experimental study. Methods: Cadaveric equine heads (n=2) and normal adult horses (5). Methods: Technique feasibility was established on 2 cadaver heads. A diode laser fiber with a contact probe was passed into the nasal passage through a custom built, laser introducer rod (LIR). A videoendoscope was passed ventral to the LIR. A site on the caudal, medial aspect of the turbinate overlying the dorsal conchal sinus (DCS) was ...
Clinical features and prognostic variables in 109 horses with esophageal obstruction (1992-2009).
Journal of veterinary internal medicine    August 12, 2010   Volume 24, Issue 5 1147-1152 doi: 10.1111/j.1939-1676.2010.0573.x
Chiavaccini L, Hassel DM.Esophageal obstruction is common in horses and can result in life-threatening complications. Previous studies have described clinical findings in horses with esophageal obstruction, but there are no reports that attempt to make correlations of clinical findings with outcome. Objective: Specific clinical features of horses with esophageal obstruction are associated with increased likelihood of complications. Methods: One hundred and nine horses with esophageal obstruction. Methods: Retrospective cross-sectional study. All clinical records of horses admitted between April 1992 and February 2009 ...
Cutaneous and pulmonal habronemosis transmitted by Musca domestica in a stable in the United Arab Emirates.
Veterinary parasitology    August 6, 2010   Volume 174, Issue 1-2 170-174 doi: 10.1016/j.vetpar.2010.07.018
Schuster RK, Sivakumar S, Kinne J, Babiker H, Traversa D, Buzzell GR.Nematode larvae found in histological cuts of lung tissue of a horse from a farm in Al Dhaid (UAE) were determined to belong to the Habronematidae family. The clinical examination of the other 18 horses present in the farm revealed summer sores (cutaneous habronemosis) in two stallions. Nematode larvae were found in 147 (=26.2%) out of 561 male but only in 64 (=8.7%) out of 739 female Musca domestica caught at the farm in November and December 2008. Conversely, all 15 Stomoxys calcitrans specimens caught in the farm resulted negative for nematode larvae. The housefly population caught in the b...
[The use of a GnRH vaccine in mares and stallions to influence undesirable behavior: a retrospective study of 31 cases].
Schweizer Archiv fur Tierheilkunde    August 5, 2010   Volume 152, Issue 8 373-377 doi: 10.1024/0036-7281/a000085
Wenzinger B, Kähn W, Bleul U.The aim of this study was to investigate the effect of a GnRH vaccine (Equity) on behavior and gonadal function in horses with unwanted behavior. The reason for the treatment was asked using a questionnaire and the findings of physical examination, rectal palpation as well as rectal ultrasonography, were recorded. The results of these examinations and the behavior of 21 mares and 10 stallions before the first and after the second administration of the GnRH vaccine were compared. In 84 % of all cases a decrease of the unwanted behavior could be observed. In the mares the ovaries were significan...
A comparison of four systems for scoring recovery quality after general anaesthesia in horses.
Equine veterinary journal    July 20, 2010   Volume 42, Issue 5 400-406 doi: 10.1111/j.2042-3306.2010.00093.x
Vettorato E, Chase-Topping ME, Clutton RE.The recovery quality scoring systems (RQSSs) in current use have not been critically reviewed for reliability. Objective: To examine reliability (reproducibility) of 4 RQSSs when applied to a ranked series. Methods: A DVD incorporating the recordings of 9 horses recovering from general anaesthesia was evaluated by final year students over 5 days. On Day 1, each evaluator ranked recoveries from 1-9 (1 = best). Over the following 4 days, each evaluator scored the same recoveries using 4 different RQSSs (3 of them in common usage and previously published) applied in random order. The scores from ...
Measurement of phenol red thread tear test in Arabian and throughbred horses.
Veterinary ophthalmology    July 14, 2010   Volume 13, Issue 4 219-221 doi: 10.1111/j.1463-5224.2010.00786.x
Sindak N, Kandemir L, Yertürk M, Biricik HS.To determine physiologic levels of tear production in Arabian (AH) and throughbred horses (TH) by using phenol red thread test (PRT). Methods: The study was performed on 16 AH and 14 TH, ranging from 2.5 to 24 years of age, housed in a stable situated in the Sanliurfa of Turkey. Methods: For the measurement of PRT, the strip was placed under the lower eyelid approximately one-third the distance from the temporal to nasal canthus and left for 15 s. The length of the wet area was measured in mm and compared among breed, sex, and age groups and between eyes of both sides. Results: The mean length...
[Select changes in the upper airways of the horse – an overview].
Pneumologie (Stuttgart, Germany)    July 14, 2010   Volume 64, Issue 7 453-455 doi: 10.1055/s-0030-1255516
Fey K.Horses are obligate nasal breathers and depend on patency of their nasal passages. Several dynamic obstructive diseases in the pharyngeal and laryngeal area can be differentiated by high speed treadmill endoscopy and may be responsible for impaired exercise tolerance in the equine athlete. The anatomical specialty of guttural pouches predisposes the horse to species-specific diseases.
Repeatability and reproducibility of the Obel grading system for equine laminitis.
The Veterinary record    July 14, 2010   Volume 167, Issue 2 52-55 doi: 10.1136/vr.c3668
Menzies-Gow NJ, Stevens KB, Sepulveda MF, Jarvis N, Marr CM.The aim of this study was to evaluate both the repeatability (intraobserver agreement) and reproducibility (interobserver agreement) of Obel grading, the most widely accepted method for describing the severity of equine laminitis. The study comprised two parts. In study A, to test intraobserver agreement, 25 ponies were graded twice by a single blinded experienced equine veterinary surgeon, on the first occasion via clinical examination and on the second occasion via a video recording of the initial clinical examination. In study B, to test interobserver agreement, video recordings of 13 ponie...
Evaluation of 30- and 25-diopter intraocular lens implants in equine eyes after surgical extraction of the lens.
American journal of veterinary research    July 3, 2010   Volume 71, Issue 7 809-816 doi: 10.2460/ajvr.71.7.809
McMullen RJ, Davidson MG, Campbell NB, Salmon JH, Gilger BC.To determine appropriate intraocular lens (IOL) implant strength to approximate emmetropia in horses. Methods: 16 enucleated globes and 4 adult horses. Methods: Lens diameter of 10 enucleated globes was measured. Results were used to determine the appropriate-sized IOL implant for insertion in 6 enucleated globes and 4 eyes of adult horses. Streak retinoscopy and ocular ultrasonography were performed before and after insertion of 30-diopter (D) IOL implants (enucleated globes) and insertion of 25-D IOL implants (adult horses). Results: In enucleated globes, mean +/- SD lens diameter was 20.14 ...
Use of a modified Vinsot technique for partial phallectomy in 11 standing horses.
Journal of the American Veterinary Medical Association    July 2, 2010   Volume 237, Issue 1 82-86 doi: 10.2460/javma.237.1.82
Arnold CE, Brinsko SP, Love CC, Varner DD.6 geldings and 5 stallions were evaluated from January 2007 through April 2009 for the following conditions requiring phallectomy: chronic paraphimosis (n = 7), squamous cell carcinoma of the penis (3), and priapism (1). Results: None of the 7 horses with paraphimosis was able to retract the penis. Chronicity of the paraphimosis in 6 horses ranged from 2 weeks to 2 months and was unknown in the seventh horse. Horses with paraphimosis had been medically treated without success. The horse with priapism had developed the condition secondary to acepromazine administration 2 days prior to referral ...
[The extent of temperature sense and pain appreciation recovery in the dermatomes of cauda equine roots after lumbar intervertebral dischernia elimination].
Fiziologiia cheloveka    July 1, 2010   Volume 36, Issue 3 95-101 
Shchurova EN, Khudiaev AT.Temperature sense and pain appreciation has been studied in the dermatomes of cauda equine roots in patients with lumbar intervertebral disc hernia before treatment, in the immediate and long-term periods of observation after disc hernia elimination. Temperature sense and pain appreciation has been determined to be disordered not only in the dermatome of compressed root, but in the dermatomes located proximally and distally as well. The manifestation of negative changes was observed to a greater extent during temperature sense examination. After disc hernia elimination the recovery of temperat...
Reproductive parameters of Mangalarga Marchador mares in a commercial embryo transfer programme.
Reproduction in domestic animals = Zuchthygiene    June 23, 2010   Volume 46, Issue 2 261-267 doi: 10.1111/j.1439-0531.2010.01656.x
Lopes Ede P, Siqueira JB, Pinho RO, Guimarães JD, Rocha AN, de Carvalho GR, Torres CA.The objective of this study is to evaluate the reproductive efficiency in donors and recipient Mangalarga Marchador mares in commercial programmes of embryo transfer (ET) and the effects of some reproductive characteristics and ET methodology on conception rates in the recipient mares. A total of 1140 flushing procedures were performed and 830 embryos (72.8%) were recovered. There were no differences between the rates of embryonic recovery in the different breeding seasons (p > 0.05) and 92.8% of the recovered embryos were 8-9 days old. There was no difference in the embryonic recovery regardi...
Immunohistochemical identification of collagen in the equine lung.
Veterinary pathology    June 22, 2010   Volume 47, Issue 5 982-990 doi: 10.1177/0300985810375051
Furness MC, Bienzle D, Caswell JL, Delay J, Viel L.Recurrent airway obstruction (RAO) in the horse is a disease characterized by reversible bronchoconstriction and by mucus and neutrophil accumulation in the airways. It has been hypothesized that in horses with RAO, remodeling changes occur that are similar to those described in humans with asthma. Although collagen fibrils are present surrounding normal airways, they are a prominent feature of airway remodeling in human asthma with evidence of enhanced collagen III and I fibril deposition. An immunolabeling method was developed to identify collagen I and III in equine lung and to describe the...
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