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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.
Comparison of subjective scoring systems used to evaluate equine laminitis.
Veterinary journal (London, England : 1997)    June 11, 2010   Volume 188, Issue 2 171-177 doi: 10.1016/j.tvjl.2010.05.011
Viñuela-Fernández I, Jones E, Chase-Topping ME, Price J.This study compared three subjective scoring systems used to assess lameness associated with equine laminitis: (1) visual analogue scale, (2) Obel score and (3) clinical grading system (CGS). Two groups of 12 observers, consisting of equine veterinarians and final-year veterinary students, scored lameness severity after watching video footage of 14 horses on two occasions. Generalizability theory was used to investigate the reliability of the three systems and the effects of observer experience. Overall reliability across all times and observers was high. Intra-observer reliability was higher ...
Imaging and clinical judgement.
Equine veterinary journal    June 9, 2010   Volume 42, Issue 4 287 doi: 10.1111/j.2042-3306.2010.00083.x
Dandy D.No abstract available
Laminitis and the equine metabolic syndrome.
The Veterinary clinics of North America. Equine practice    June 9, 2010   Volume 26, Issue 2 239-255 doi: 10.1016/j.cveq.2010.04.004
Johnson PJ, Wiedmeyer CE, LaCarrubba A, Ganjam VK, Messer NT.Although much has been written about laminitis in the context of its association with inflammatory processes, recognition is growing that most cases of laminitis examined by veterinarians in private practice are those associated with pasture grazing, obesity, and insulin resistance (IR). The term 'endocrinopathic laminitis' has been adopted to classify the instances of laminitis in which the origin seems to be more strongly associated with an underlying endocrinopathy, such as either IR or the influence of corticosteroids. Results of a recent study suggest that obesity and IR represent the mos...
Management of horse and donkey bite wounds: a series of 24 cases.
Plastic and reconstructive surgery    June 3, 2010   Volume 125, Issue 6 251e-252e doi: 10.1097/PRS.0b013e3181d515dd
Köse R, Söğüt Ö, Mordeniz C.No abstract available
Comments on grading system for epiglottic structure.
Journal of the American Veterinary Medical Association    June 2, 2010   Volume 236, Issue 11 1169-1170 doi: 10.2460/javma.236.11.1169
Estes R.No abstract available
Evaluation of healthy equine eyes by use of retinoscopy, keratometry, and ultrasonographic biometry.
American journal of veterinary research    June 2, 2010   Volume 71, Issue 6 677-681 doi: 10.2460/ajvr.71.6.677
Grinninger P, Skalicky M, Nell B.To assess natural variations in degree of refraction, corneal curvature, corneal astigmatism, corneal radius, and intraocular distance of healthy equine eyes. Methods: 159 horses with healthy eyes that were admitted to a veterinary teaching hospital for nonophthalmic surgeries. Methods: Eyes of horses were examined with a retinoscope prior to anesthesia and with a keratograph and A- and B-scan ultrasonographic biometers during surgery. In addition, manual caliper measurements of horizontal and vertical corneal radii were obtained. Results: Mean +/- SD degree of refraction in the horizontal mer...
Pharmacological studies of bronchial constriction inhibited by parasympatholytics and cilomilast using equine precision-cut lung slices.
Berliner und Munchener tierarztliche Wochenschrift    May 26, 2010   Volume 123, Issue 5-6 229-235 
Barton AK, Niedorf F, Gruber AD, Kietzmann M, Ohnesorge B.Equine precision cut lung slices (PCLS) were used to evaluate the ability of several pharmacologic compounds, parasympatholytics atropine, ipratropium, tiotropium and phosphodiesterase (PDE) 4-inhibitor cilomilast, to inhibit methacholine (MCh) induced bronchial constriction. The study war performed using vital lung samples from 20 horses, harvested immediately after euthanasia and lung examination.Tissue samples from the cranial, caudal and accessory lobe were taken for histological examination. Viability in PCLS of 250 +/- 20 microm was confirmed by observation of cilia movement and bronchia...
Closure of a sinocutaneous wound with a musculoperiosteal pedicle in a horse.
The Veterinary record    May 18, 2010   Volume 166, Issue 20 627-628 doi: 10.1136/vr.b4843
Anderson SL, Kelmer G.No abstract available
Tachypnea and antipyresis in febrile horses after sedation with alpha-agonists.
Journal of veterinary internal medicine    May 11, 2010   Volume 24, Issue 4 1008-1011 doi: 10.1111/j.1939-1676.2010.0528.x
Kendall A, Mosley C, Bröjer J.Signs of tachypnea after sedation of febrile horses with alpha2-agonists have been noted previously but have not been further investigated. Objective: To examine the effects of xylazine and detomidine on respiratory rate and rectal temperature in febrile horses and to investigate if either drug would be less likely than the other to cause changes in these variables. Methods: Nine febrile horses and 9 healthy horses were included in the study. Methods: Horses were randomly assigned to sedation with xylazine 0.5 mg/kg or detomidine 0.01 mg/kg. Heart rate and respiratory rate were recorded before...
Therapeutic efficacy of undenatured type-II collagen (UC-II) in comparison to glucosamine and chondroitin in arthritic horses.
Journal of veterinary pharmacology and therapeutics    May 7, 2010   Volume 32, Issue 6 577-584 doi: 10.1111/j.1365-2885.2009.01079.x
Gupta RC, Canerdy TD, Skaggs P, Stocker A, Zyrkowski G, Burke R, Wegford K, Goad JT, Rohde K, Barnett D, DeWees W, Bagchi M, Bagchi D.The present investigation evaluated arthritic pain in horses receiving daily placebo, undenatured type II collagen (UC-II) at 320, 480, or 640 mg (providing 80, 120, and 160 mg active UC-II, respectively), and glucosamine and chondroitin (5.4 and 1.8 g, respectively, bid for the first month, and thereafter once daily) for 150 days. Horses were evaluated for overall pain, pain upon limb manipulation, physical examination, and liver and kidney functions. Evaluation of overall pain was based upon a consistent observation of all subjects during a walk and a trot in the same pattern on the same sur...
In vitro comparison of a novel external fixator and traditional full-limb transfixation pin cast in horses.
Veterinary surgery : VS    May 6, 2010   Volume 39, Issue 5 594-600 doi: 10.1111/j.1532-950X.2010.00706.x
Nutt JN, Southwood LL, Elce YA, Nunamaker DM.To compare the mechanical properties and failure modes of a standardized short oblique distal radial metaphyseal osteotomy stabilized using either a transfixation pin cast (TPC), a modular-sidebar external skeletal fixator (ESF), or a solid-sidebar ESF (modular- or solid-ESF, respectively) using static or cyclic axial loading to failure. Methods: In vitro study. Methods: Equine cadaver forelimbs. Methods: A 30 degrees oblique distal radial osteotomy was created and stabilized using 1 of the 3 fixation methods: (1) TPC, (2) modular-ESF, or (3) solid-ESF. Limbs were tested using static (TPC, mod...
Full-thickness skin grafting to cover equine wounds caused by laceration or tumor resection.
Veterinary surgery : VS    May 6, 2010   Volume 39, Issue 6 708-714 doi: 10.1111/j.1532-950X.2010.00691.x
Tóth F, Schumacher J, Castro F, Perkins J.To describe and evaluate full-thickness skin grafting of equine wounds. Methods: Case series. Methods: Adult horses (n=6). Methods: A full-thickness graft was harvested from the pectoral region with the horse anesthetized or standing and sedated after local anesthetic infiltration. Grafts were attached to the cutaneous margin of the wound with staples and/or sutures if the horse was anesthetized or if the recipient site was desensitized. Cyanoacrylate glue was used to attach the grafts to the cutaneous margin of the wound of 3 horses. Medical records were reviewed for history, physical examina...
Evaluation of a portable clinical analyzer for the determination of blood gas partial pressures, electrolyte concentrations, and hematocrit in venous blood samples collected from cattle, horses, and sheep.
American journal of veterinary research    May 4, 2010   Volume 71, Issue 5 515-521 doi: 10.2460/ajvr.71.5.515
Peiró JR, Borges AS, Gonçalves RC, Mendes LC.To compare results reported for blood gas partial pressures, electrolyte concentrations, and Hct in venous blood samples collected from cattle, horses, and sheep and analyzed by use of a portable clinical analyzer (PCA) and reference analyzer (RA). Methods: Clinically normal animals (24 cattle, 22 horses, and 22 sheep). Methods: pH; Pco(2); Po(2); total carbon dioxide concentration; oxygen saturation; base excess; concentrations of HCO(3)(-), Na(+), K(+), and ionized calcium; Hct; and hemoglobin concentration were determined with a PCA. Results were compared with those obtained for the same bl...
Aqueous humor and plasma concentrations of ciprofloxacin and moxifloxacin following topical ocular administration in ophthalmologically normal horses.
American journal of veterinary research    May 4, 2010   Volume 71, Issue 5 564-569 doi: 10.2460/ajvr.71.5.564
Clode AB, Davis JL, Salmon J, LaFevers H, Gilger BC.To determine the degree of ocular penetration and systemic absorption of commercially available topical ophthalmic solutions of 0.3% ciprofloxacin and 0.5% moxifloxacin following repeated topical ocular administration in ophthalmologically normal horses. Methods: 7 healthy adult horses with clinically normal eyes as evaluated prior to each treatment. Methods: 6 horses were used for assessment of each antimicrobial, and 1 eye of each horse was treated with topically administered 0.3% ciprofloxacin or 0.5% moxifloxacin (n = 6 eyes/drug) every 4 hours for 7 doses. Anterior chamber paracentesis wa...
Morphometry and abnormalities of the feet of Kaimanawa feral horses in New Zealand.
Australian veterinary journal    April 21, 2010   Volume 88, Issue 4 124-131 doi: 10.1111/j.1751-0813.2010.00554.x
Hampson BA, Ramsey G, Macintosh AM, Mills PC, de Laat MA, Pollitt CC.The present study investigated the foot health of the Kaimanawa feral horse population and tested the hypotheses that horses would have a large range of foot morphology and that the incidence of foot abnormality would be significantly high. Methods: Abnormality was defined as a variation from what the two veterinarian assessors considered as optimal morphology and which was considered to impact negatively on the structure and/or function of the foot. Fifteen morphometric variables were measured on four calibrated photographic views of all four feet of 20 adult Kaimanawa feral horses. Four morp...
Babesiosis in equines in Pakistan: a clinical report.
Veterinaria italiana    April 15, 2010   Volume 45, Issue 3 391-395 
Rashid A, Mubarak A, Hussain A.Equine babesiosis is a tick-borne haematological disease of equidae that can affect acutely, subacutely and chronically. The disease is manifested by intermittent fever, anaemia, icterus and haemoglobinuria. The authors describe the clinical, haematological and therapeutic aspects of babesiosis in equines at two units in Kotley and at two units in Jehlum of the Remount Veterinary and Farms Corps (RVFC). Animals on these units showed the signs of illness. On clinical examination, intermittent temperature, increased respiratory rate, anaemia, lacrimation, conjunctivitis and pale mucous membranes...
Diabetes in the horse: a condition of increasing clinical awareness for differential diagnosis and interpretation of tests.
Equine veterinary journal    April 14, 2010   Volume 41, Issue 9 841-843 doi: 10.2746/042516409x471412
Menzies-Gow N.No abstract available
Branchial remnant cysts of mature and juvenile horses.
Equine veterinary journal    April 14, 2010   Volume 41, Issue 9 918-923 doi: 10.2746/042516409x452161
Nolen-Walston RD, Parente EJ, Madigan JE, David F, Knafo SE, Engiles JB.This clinical report describes 8 cases of branchial remnant cysts (BRC) in the horse. The horses presented with bimodal age distribution, with 5 cases in mature horses (age 8-21 years) and 3 in foals (age 1, 6 and 10 months). Mature cases presented for dysphagia or intermittent oesophageal obstruction (2/5), and retropharyngeal swelling (3/5), whereas respiratory stridor and visible mass were presenting complaints in the foals. Presence of a right-sided (5/8) or dorsally located (2/8) palpable retropharyngeal mass of 3-35 cm diameter was noted clinically; one left-sided mass was identified as ...
Radiographic anatomy of the articular process joints of the caudal cervical vertebrae in the horse on lateral and oblique projections.
Equine veterinary journal    April 14, 2010   Volume 41, Issue 9 895-902 doi: 10.2746/042516409x434107
Withers JM, Voûte LC, Hammond G, Lischer CJ.Plain radiography is the standard imaging technique for investigation of diseases associated with the articular process joints (APJ) of the caudal neck; however, the radiographic anatomy of these structures on both lateral and oblique radiographic projections has not previously been described in detail. Objective: To determine the optimal technique for obtaining oblique radiographs of the APJ of the caudal cervical vertebrae (C4-5, C5-6 and C6-7) and to provide a detailed description of their normal radiographic appearance, on both lateral and oblique radiographic projections. Methods: Radiopa...
Therapeutic hypothermia (cryotherapy) to prevent and treat acute laminitis.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 125-133 doi: 10.1016/j.cveq.2010.01.002
van Eps AW.Digital hypothermia successfully reduces the severity of experimentally induced laminitis. Continuous-distal limb cryotherapy may be a useful technique in clinical cases that are at risk of developing laminitis. This article examines the effects of hypothermia on tissue as well as the rationale, and suggested protocols for the usage of distal limb cryotherapy in the prevention and treatment of laminitis.
Clinical presentation, diagnosis, and prognosis of chronic laminitis in North America.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 141-153 doi: 10.1016/j.cveq.2009.12.006
Hunt RJ, Wharton RE.Chronic laminitis involves laminar morphologic changes resulting in digital collapse and can vary greatly in its clinical manifestation depending on duration, severity of lameness, and stability of the distal phalanx/hoof wall interface. Accurate assessment of the whole patient is mandatory and consideration must be given to signalment, occupation, and owner expectations, as well as history and etiology, which often predict the broad course of the disease. Diagnosis is made via physical examination with adjunctive serial radiographic evaluation and possibly venography. Eventual functionality o...
The use of the wooden shoe (Steward Clog) in treating laminitis.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 207-214 doi: 10.1016/j.cveq.2009.12.002
Steward ML.This article describes the use of the wooden shoe in the treatment of chronic laminitis. The shoe, designed to provide a solid base and full roller motion, offers mechanical advantages and enables reduction and redistribution of forces within the hoof capsule.
Surfactant alterations in horses with recurrent airway obstruction at various clinical stages.
American journal of veterinary research    April 7, 2010   Volume 71, Issue 4 468-475 doi: 10.2460/ajvr.71.4.468
Christmann U, Hite RD, Tan RH, Thatcher CD, Witonsky SG, Werre SR, Buechner-Maxwell VA.To evaluate the phospholipid composition and function of surfactant in horses with recurrent airway obstruction (RAO) at various clinical stages and compare these properties with findings in horses without RAO. Methods: 7 horses with confirmed RAO and 7 without RAO (non-RAO horses). Methods: Pairs of RAO-affected and non-RAO horses were evaluated before, during, and after exposure to hay. Evaluations included clinical scoring, lung function testing, airway endoscopy, and bronchoalveolar lavage fluid (BALF) absolute and differential cell counts. Cell-free BALF was separated into crude surfactan...
Clinical aspects of multinodular pulmonary fibrosis in two warmblood horses.
The Veterinary record    April 7, 2010   Volume 166, Issue 14 426-430 doi: 10.1136/vr.b4811
Niedermaier G, Poth T, Gehlen H.Two warmblood horses with a history of chronic weight loss and inappetence were referred to the Faculty of Veterinary Medicine, Ludwig-Maximilians University of Munich, Germany, for further examination. The clinical signs in horse 1 were fever, tachycardia and tachypnoea, and chronic ulcerative keratopathy of both eyes. Horse 2 had severe oral ulcerations and was coughing during feeding. In both horses, increased bronchovesicular sounds were heard during auscultation of the lungs. Laboratory findings included mild anaemia, lymphopenia and hypoalbuminaemia. Radiographic examination of the thora...
[Rupture of the extensor carpi radialis tendon in two horses].
Schweizer Archiv fur Tierheilkunde    April 3, 2010   Volume 152, Issue 4 183-187 doi: 10.1024/0036-7281/a000041
Fürst A, Kaegi B, Haas Ch.Symptoms, diagnosis, therapy and clinical outcome of 2 horses which acquired a complete rupture of the extensor carpi radialis tendon by accident are described. The resulting gait abnormalities are very typical, so that the problem can be diagnosed already by clinical examination. With the help of ultrasound the diagnosis could be confirmed and the degree of damage quantified. The open wounds in the carpal region were surgically treated in a standing position and the limbs of both horses were kept under a splint bandage for 6 to 8 weeks. Prognosis in these cases was good, as both horses return...
Equine metabolic syndrome.
Journal of veterinary internal medicine    April 2, 2010   Volume 24, Issue 3 467-475 doi: 10.1111/j.1939-1676.2010.0503.x
Frank N, Geor RJ, Bailey SR, Durham AE, Johnson PJ.No abstract available
Validation of a digital audio recording method for the objective assessment of cough in the horse.
Research in veterinary science    April 2, 2010   Volume 89, Issue 2 266-271 doi: 10.1016/j.rvsc.2010.03.005
Duz M, Whittaker AG, Love S, Parkin TD, Hughes KJ.To validate the use of digital audio recording and analysis for quantification of coughing in horses. Methods: Part A: Nine simultaneous digital audio and video recordings were collected individually from seven stabled horses over a 1 h period using a digital audio recorder attached to the halter. Audio files were analysed using audio analysis software. Video and audio recordings were analysed for cough count and timing by two blinded operators on two occasions using a randomised study design for determination of intra-operator and inter-operator agreement. Part B: Seventy-eight hours of audio...
Microfracture: Basic Science Studies in the Horse.
Cartilage    April 1, 2010   Volume 1, Issue 2 87-95 doi: 10.1177/1947603510367427
McIlwraith CW, Frisbie DD.The therapeutic value of microfracture has been demonstrated in clinical patients. The rationale is that focal penetration of the dense subchondral plate exposes cartilage defects to the benefits of cellular and growth factor influx in addition to improving anchorage of the new tissue to the underlying subchondral bone and, to some extent, the surrounding cartilage. While functional outcomes have been reported, there is a paucity of data on the histological, biochemical, and molecular changes in human patients. This paper reviews 4 basic science studies of microfracture using an equine chondra...
Evaluation of a motorized morcellator for laparoscopic removal of granulosa-theca cell tumors in standing mares.
Veterinary surgery : VS    March 25, 2010   Volume 39, Issue 5 649-653 doi: 10.1111/j.1532-950X.2010.00688.x
Kummer M, Theiss F, Jackson M, Fürst A.To describe a motorized morcellator technique for laparoscopic removal of granulosa-theca cell tumors (GCT) in standing mares and to evaluate long-term outcome. Methods: Case series. Methods: Mares (n=7) aged 4-15 years, with unilateral GCT. Methods: Tumor size was determined by transrectal palpation and ultrasonography. Standing sedated mares had 3 laparoscopic portal sites in the paralumbar fossa. After laparoscopic observation of the GCT, the mesovarium was desensitized, the ovarian pedicle transected with a LigaSure device, and the ovary grasped with forceps and cut in cylindrical tissue b...
Skin prick test to horse should be included in the standard panel for the diagnosis of respiratory allergy.
Journal of investigational allergology & clinical immunology    March 18, 2010   Volume 20, Issue 1 93-94 
Liccardi G, Salzillo A, Piccolo A, D'Amato G.No abstract available
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