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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.
Measurement of plasma cardiac troponin I concentration by use of a point-of-care analyzer in clinically normal horses and horses with experimentally induced cardiac disease.
American journal of veterinary research    January 2, 2010   Volume 71, Issue 1 55-59 doi: 10.2460/ajvr.71.1.55
Kraus MS, Jesty SA, Gelzer AR, Ducharme NG, Mohammed HO, Mitchell LM, Soderholm LV, Divers TJ.To compare cardiac troponin I (cTnI) concentrations determined by use of a point-of-care analyzer with values determined by use of a bench-top immunoassay in plasma samples obtained from clinically normal horses with and without experimentally induced cardiac disease, and to establish a reference range for plasma equine cTnI concentration determined by use of the point-of-care analyzer. Methods: 83 clinically normal horses, 6 of which were administered monensin to induce cardiac disease. Methods: A blood sample was collected from each of the 83 clinically normal horses to provide plasma for an...
Nuclear scintigraphy in horses.
Compendium (Yardley, PA)    January 1, 2010   Volume 32, Issue 12 E5 
Winter MD, Berry CR, Reese DJ.Nuclear scintigraphy has been used successfully for various applications in horses in the past 30 years. Many private practices and most veterinary schools have gamma cameras, which are used to image an injected radionuclide in an equine patient. Unique exercise-related demands place specific physiologic stressors on the musculoskeletal system of horses. Horses are often pushed beyond normal physiologic limits because of specific performance stresses; therefore, injury to their musculoskeletal system is common. Skeletal scintigraphy is exceedingly sensitive but relatively nonspecific for deter...
Valvular regurgitations in the horse: the importance of an exercise ECG.
Veterinary journal (London, England : 1997)    December 29, 2009   Volume 183, Issue 2 117-118 doi: 10.1016/j.tvjl.2009.06.018
Buhl R.No abstract available
Comparison of direct and indirect methods of intra-abdominal pressure measurement in normal horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    December 19, 2009   Volume 19, Issue 6 545-553 doi: 10.1111/j.1476-4431.2009.00482.x
Munsterman AS, Hanson RR.To develop a direct method for measuring intra-abdominal pressures in the standing horse, identify a reference interval for direct intra-abdominal pressures, compare these pressures to indirect intra-abdominal pressures measured from the bladder, and determine the optimal bladder infusion volume for indirect pressure measurement. Methods: Prospective, experimental study. Methods: A university-based equine research facility. Methods: Ten healthy adult horses, 5 males and 5 females. Methods: Direct intra-abdominal pressures were measured through an intraperitoneal cannula and zeroed at the heigh...
The use of an acoustic device to identify the extradural space in standing horses.
Veterinary anaesthesia and analgesia    December 19, 2009   Volume 37, Issue 1 57-62 doi: 10.1111/j.1467-2995.2009.00491.x
Iff I, Mosing M, Lechner T, Moens Y.To determine the usefulness of an acoustic device to confirm correct placement of extradural needles in horses. Methods: Prospective experimental study. Methods: Twelve adult healthy horses weighing between 434 and 640 kg. Methods: Horses were sedated, placed in stocks and subjected to caudal extradural anaesthesia using lidocaine 2%. For extradural puncture an 18 gauge Tuohy needle connected to an acoustic device via an electronic pressure transducer was used. This device allowed recording of the extradural pressure profile and the transformation of pressure changes into an audible signal. Ex...
Validation of computerized diagnostic information in a clinical database from a national equine clinic network.
Acta veterinaria Scandinavica    December 10, 2009   Volume 51, Issue 1 50 doi: 10.1186/1751-0147-51-50
Penell JC, Bonnett BN, Pringle J, Egenvall A.Computerized diagnostic information offers potential for epidemiological research; however data accuracy must be addressed. The principal aim of this study was to evaluate the completeness and correctness of diagnostic information in a computerized equine clinical database compared to corresponding hand written veterinary clinical records, used as gold standard, and to assess factors related to correctness. Further, the aim was to investigate completeness (epidemiologic sensitivity), correctness (positive predictive value), specificity and prevalence for diagnoses for four body systems and cor...
Comparison of serum iohexol clearance and plasma creatinine clearance in clinically normal horses.
American journal of veterinary research    December 3, 2009   Volume 70, Issue 12 1545-1550 doi: 10.2460/ajvr.70.12.1545
Wilson KE, Wilcke JR, Crisman MV, Ward DL, McKenzie HC, Scarratt WK.Objective-To determine whether a limited sampling time method based on serum iohexol clearance (Cl(iohexol)) would yield estimates of glomerular filtration rate (GFR) in clinically normal horses similar to those for plasma creatinine clearance (Cl(creatinine)). Animals-10 clinically normal adult horses. Procedures-A bolus of iohexol (150 mg/kg) was administered IV, and serum samples were obtained 5, 20, 40, 60, 120, 240, and 360 minutes after injection. Urinary clearance of exogenous creatinine was measured during three 20-minute periods. The GFR determined by use of serum Cl(iohexol) and plas...
Venous blood lactate evaluation in equine neonatal intensive care.
Theriogenology    December 3, 2009   Volume 73, Issue 3 343-357 doi: 10.1016/j.theriogenology.2009.09.018
Castagnetti C, Pirrone A, Mariella J, Mari G.The use of blood lactate concentration as an indicator of prognosis and disease severity has become a common practice in equine medicine, especially with the validation of handheld analyzers. However, few authors described lactate concentration in critically ill foals, and there are no published studies about the use of handheld analyzers in neonatal foals. In this study, for the first time in the equine neonate, we validated the Lactate Scout analyzer, both in healthy and in critically ill foals. The study also describes the normal range for blood lactate in 26 healthy neonatal foals during t...
Equine veterinary practice. Preface.
The Veterinary clinics of North America. Equine practice    December 1, 2009   Volume 25, Issue 3 ix-x doi: 10.1016/j.cveq.2009.08.001
Cowles RR.No abstract available
Design of an equine ambulatory practice.
The Veterinary clinics of North America. Equine practice    December 1, 2009   Volume 25, Issue 3 489-498 doi: 10.1016/j.cveq.2009.07.007
Lesser FR, Cowles RR.In this article, the author discusses the design of an equine ambulatory practice. He suggests a more systematic approach to the design of an ambulatory practice that should answer the needs of group and solo practices. Today's practitioners must actively manage their practices so that their resources can be leveraged in such a fashion that a return can be realized on their capital investment and the hours spent in practice.
Equine Veterinary Journal. The editor’s decision is final.
Equine veterinary journal    November 26, 2009   Volume 41, Issue 7 610 doi: 10.1111/j.2042-3306.2009.tb01202.x
Rossdale PD.No abstract available
The use of amniotic membrane transplantation for ocular surface reconstruction: a review and series of 58 equine clinical cases (2002-2008).
Veterinary ophthalmology    November 26, 2009   Volume 12 Suppl 1 17-24 doi: 10.1111/j.1463-5224.2009.00741.x
Plummer CE, Ollivier F, Kallberg M, Brooks D, Barrie K, Utter M, Gelatt K.Amniotic membrane transplantation (AMT) is an effective clinical therapy for reconstruction of the ocular surface in human and veterinary patients. Amnion is avascular and strong, contains antiangiogenic and antiinflammatory properties and growth factors, and has properties that prevent or decrease fibrosis in healing tissue. Indications for its use are steadily growing and include grafting to replace diseased, missing or excised tissue, patching to support diseased tissue during the healing process and as a substrate for the expansion of epithelial cells for transplantation to the cornea. AMT...
Equine atypical myopathy.
The Veterinary record    November 17, 2009   Volume 165, Issue 20 605 doi: 10.1136/vr.165.20.605-b
Votion D, van Galen G, Marr CM.No abstract available
Surgical repair of an oesophageal stricture and prestenotic dilatation in a horse.
Tijdschrift voor diergeneeskunde    November 17, 2009   Volume 134, Issue 18 740-743 
Voermans M, Skidell J, Winberg F.Prestenotic oesophageal dilatation and stricture were diagnosed in a horse with a history of trauma in the cervical area and recurrent oesophageal obstruction. The diagnosis was established on the basis of the clinical examination, endoscopy, and positive contrast oesophagography. Conservative treatment was unsuccessful and surgical intervention was necessary. Oesophageal myectomy combined with myoplasty was performed, simultaneously relieving the dilatation and the stricture. No abnormalities were detected 8 weeks after surgery. The horse was on a normal diet and oesophageal obstruction did r...
Evaluation of deafness in American Paint Horses by phenotype, brainstem auditory-evoked responses, and endothelin receptor B genotype.
Journal of the American Veterinary Medical Association    November 17, 2009   Volume 235, Issue 10 1204-1211 doi: 10.2460/javma.235.10.1204
Magdesian KG, Williams DC, Aleman M, Lecouteur RA, Madigan JE.To evaluate deafness in American Paint Horses by phenotype, clinical findings, brainstem auditory-evoked responses (BAERs), and endothelin B receptor (EDNBR) genotype. Methods: Case series and case-control studies. Methods: 14 deaf American Paint Horses, 20 suspected-deaf American Paint Horses, and 13 nondeaf American Paint Horses and Pintos. Methods: Horses were categorized on the basis of coat color pattern and eye color. Testing for the EDNBR gene mutation (associated with overo lethal white foal syndrome) and BAERs was performed. Additional clinical findings were obtained from medical reco...
Effect of topical 1% tropicamide on Schirmer tear test results in clinically normal horses.
Veterinary ophthalmology    November 4, 2009   Volume 12, Issue 6 369-371 doi: 10.1111/j.1463-5224.2009.00734.x
Selk Ghaffari M, Sabzevari A, Radmehr B.To observe the effect of topical 1% tropicamide on equine tear production as measured by Schirmer I tear test. Methods: Fourteen adult horses received one drop of 1% tropicamide ophthalmic solution in one eye and the opposite eye served as the control. The tear production in both eyes was tested at 1, 2, 4, 6, and 24 h after 1% tropicamide administration. Results: Measurements made 1 h after treatment revealed a significant reduction in Schirmer tear test values in tropicamide treated eyes (P = 0.002). The observed decrease in tear production was maintained up to 4 h after treatment (P = 0.002...
Effect of topical application of 1% diclofenac sodium liposomal cream on inflammation in healthy horses undergoing intravenous regional limb perfusion with amikacin sulfate.
American journal of veterinary research    November 3, 2009   Volume 70, Issue 11 1323-1325 doi: 10.2460/ajvr.70.11.1323
Levine DG, Epstein KL, Neelis DA, Ross MW.To determine whether topical application of 1% diclofenac sodium cream would decrease inflammation at sites of IV regional limb perfusion (IVRLP) in healthy horses. Methods: 6 healthy adult horses (12 forelimbs). Methods: Bilateral IVRLP with 2.5 g of amikacin sulfate was performed twice in each horse, with 24 hours between each session. Horses were treated with topical 1% diclofenac liposomal cream (treated limbs) or a placebo cream (control limbs). All injection sites were evaluated before the first IVRLP session and 24 hours after the second session by means of ultrasonographic examination ...
Postpartum Massive Hematoma within the Broad Ligament of the Uterus in a Broodmare Possibly Caused by Rupture of the Uterine Artery.
Journal of equine science    October 23, 2009   Volume 20, Issue 3 41-46 doi: 10.1294/jes.20.41
Oikawa MA, Nambo Y, Miyamoto M, Miura H, Kikuchi M, Ohnami Y.A broodmare showed mild signs of abdominal discomfort and anemia after normal delivery. Ultrasonographic examination revealed a massive hematoma within the broad ligament adjacent to the uterine horn. Internal bleeding into the peritoneal cavity (hemoabdomen) was not seen. Following treatment, the clinical signs improved. Hemorrhage caused by rupture of the arteries within the broad ligament of the uterus may be a cause of hematoma. Prepartum and postpartum rupture of the arteries supplying the reproductive organs in the mare, which is not uncommon, can be fatal if severe hemoabdomen occurs. I...
Clinical and biochemical abnormalities in endurance horses eliminated from competition for medical complications and requiring emergency medical treatment: 30 cases (2005-2006).
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    October 14, 2009   Volume 19, Issue 5 473-478 doi: 10.1111/j.1476-4431.2009.00441.x
Fielding CL, Magdesian KG, Rhodes DM, Meier CA, Higgins JC.To describe the clinical and clinicopathologic abnormalities in endurance horses eliminated from competition and requiring emergency medical treatment. Methods: Retrospective study over a 2-year period (2005-2006). Ten horses that successfully completed the ride in 2006 were included for comparison. Methods: Temporary equine emergency field hospital. Methods: All horses (n=30) that were removed from endurance competition and treated for a metabolic abnormality were studied. Methods: Horses were treated with IV fluids and analgesics. Monitoring included lab work (PCV, total protein, and electro...
Prevalence of pharyngeal, laryngeal and tracheal disorders in thoroughbred racehorses, and effect on performance.
The Veterinary record    October 13, 2009   Volume 165, Issue 15 431-435 doi: 10.1136/vr.165.15.431
Saulez MN, Gummow B.Endoscopic examinations were performed on 1005 thoroughbred racehorses in South Africa a mean (sd) 24 (12.3) minutes after racing, to determine the prevalence of pharyngeal, laryngeal and tracheal disorders, and to determine the relationship of these disorders with performance (number of wins and placed finishes). Overall, there was a low prevalence of grade 2 and 3 laryngeal function (LF) (2.2 per cent), grade 4 LF (0.6 per cent), epiglottic entrapment (1.3 per cent), subepiglottic cyst (0.2 per cent) and epiglottic deformity (0.6 per cent), while a higher prevalence of grade 2 to 4 pharyngea...
Treatment of septicaemia and severe bacterial infections in foals with a new cefquinome formulation: a field study.
DTW. Deutsche tierarztliche Wochenschrift    October 10, 2009   Volume 116, Issue 9 316-320 
Rohdich N, Zschiesche E, Heckeroth A, Wilhelm C, Leendertse I, Thomas E.A multicentre field study was conducted in accordance with VICH Guideline on Good Clinical Practice (VICH 2000) to confirm the efficacy and safety of a new formulation of cefquinome for the treatment of naturally occurring severe bacterial infections and septicaemia in foals. Thirty-nine foals suffering from severe bacterial infections (such as pneumonia, gastro-enteritis, arthritis, omphalitis, or wound infections) or acute septicaemia were treated twice daily with the test product (1 mg cefquinome/kg body weight) intravenously for three days and then intramuscularly for three to 11 days. Inv...
Nuclear scintigraphic assessment of the thoracolumbar synovial intervertebral articulations.
Equine veterinary journal    October 7, 2009   Volume 41, Issue 6 534-540 doi: 10.2746/042516409x376940
Gillen A, Dyson S, Murray R.The results of nuclear scintigraphic examination of the thoracolumbar synovial intervertebral articulations (facet joints) have to date been poorly documented. Objective: To establish an objective scintigraphic grading system for the facet joints; to investigate the relationship between the presence or absence of clinical signs of back pain and increased radiopharmaceutical uptake (IRU); and to compare the results of scintigraphy and radiography. Methods: Nuclear scintigraphic images of the 13th thoracic (T13) to first lumbar (L1) vertebrae were graded subjectively (visual assessment of the im...
Evaluation of endotoxin activity in blood measured via neutrophil chemiluminescence in healthy horses and horses with colic.
American journal of veterinary research    October 3, 2009   Volume 70, Issue 10 1183-1186 doi: 10.2460/ajvr.70.10.1183
Koenig JB, Hart J, Harris DM, Cruz AM, Bienzle D.To evaluate the performance of a chemiluminescent endotoxin activity assay in horses with colic and healthy horses. Methods: 20 horses with colic and systemic inflammatory response syndrome (SIRS group), 8 horses with colic with no SIRS (NSIRS group), and 20 healthy horses. Methods: Venous blood was collected into EDTA blood collection tubes after completion of a physical examination, and a chemiluminescent endotoxin activity assay was performed within 60 minutes of collection. Medical or surgical interventions and outcome were recorded for each horse. Results: Mean + or - SE endotoxin activit...
Extrapulmonary disorders associated with Rhodococcus equi infection in foals: 150 cases (1987-2007).
Journal of the American Veterinary Medical Association    October 2, 2009   Volume 235, Issue 7 855-863 doi: 10.2460/javma.235.7.855
Reuss SM, Chaffin MK, Cohen ND.To describe frequency, types, and clinical outcomes of extrapulmonary disorders (EPDs) in foals in which Rhodococcus equi infection was diagnosed, and to identify factors determined at the time of admission that differentiated foals that developed EPDs from foals with R equi infection identified only in the lungs. Methods: Retrospective case series. Methods: 150 foals aged 3 weeks to 6 months with a diagnosis of R equi infection. Methods: Medical records were reviewed for information on date of admission, signalment, history, clinical signs, diagnostic testing, treatment, duration of hospitali...
Challenging the current paradigm of equine castration.
Veterinary surgery : VS    September 29, 2009   Volume 38, Issue 7 902-903 doi: 10.1111/j.1532-950X.2009.00591.x
Maxwell JA.No abstract available
Endoscope-guided balloon sinuplasty of the equine nasomaxillary opening.
Veterinary surgery : VS    September 29, 2009   Volume 38, Issue 7 791-797 doi: 10.1111/j.1532-950X.2009.00579.x
Bell C, Tatarniuk D, Carmalt J.To describe and evaluate an endoscope-guided balloon sinuplasty technique for dilation of the equine nasomaxillary opening (NMO). Methods: Experimental study. Methods: Equine cadaver heads (n=5); Quarter Horses (n=4). Methods: A custom rigid balloon introducer was passed into position within the NMO at the caudal recess of the middle meatus. Under endoscopic guidance, a balloon catheter was passed via the introducer into the NMO and inflated to 6 atmospheres, for 30 seconds 3 times, to dilate the NMO. Drainage rates after sinuplasty were evaluated for the caudal maxillary sinus in 5 cadaver he...
Partial resection of the plica salpingopharyngeus for the treatment of three foals with bilateral tympany of the auditory tube diverticulum (guttural pouch).
Journal of the American Veterinary Medical Association    September 16, 2009   Volume 235, Issue 6 731-733 doi: 10.2460/javma.235.6.731
Sparks HD, Stick JA, Brakenhoff JE, Cramp PA, Spirito MA.3 foals were referred for treatment of tympany of the auditory tube diverticulum (guttural pouch). Results: Bilateral guttural pouch tympany was diagnosed in all 3 foals on the basis of clinical signs and results of radiographic and endoscopic evaluations and gutturocentesis. In each foal, previous medical or surgical interventions or both had failed to correct the problem. Results: Bilateral surgical resection of the plica salpingopharyngeus was performed. Follow-up telephone interviews with owners 8 months to 3 years after surgery revealed that long-term resolution of the tympany had been ac...
Plasma and pulmonary fluid endothelin in horses with seasonal recurrent airway obstruction.
Journal of veterinary internal medicine    September 16, 2009   Volume 23, Issue 6 1239-1246 doi: 10.1111/j.1939-1676.2009.0385.x
Costa LR, Eades SC, Venugopal CS, Moore RM.Summer pasture-associated recurrent airway obstruction (SPA-RAO), a seasonal airway obstructive disease of horses, is characterized by clinical exacerbation after exposure to pasture during warm months of the year. Endothelin (ET)-1, potent bronchoconstrictor, mitogen, secretagogue, and proinflammatory mediator, has been implicated in the pathogenesis of asthma and equine heaves. Objective: Immunoreactive ET-1 concentrations increase during clinical exacerbation and return to basal values during periods of disease remission. Methods: Twelve horses, 6 affected with SPA-RAO and 6 nonaffected. Me...
Comparison of viscoelastic coagulation analysis and standard coagulation profiles in critically ill neonatal foals to outcome.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 21, 2009   Volume 19, Issue 1 88-95 doi: 10.1111/j.1476-4431.2009.00378.x
Dallap Schaer BL, Bentz AI, Boston RC, Palmer JE, Wilkins PA.To determine if changes in viscoelastic variables are associated with abnormalities observed in the standard coagulation profile and patient outcome in foals with suspected septicemia. Methods: Prospective clinical trial during 2003 and 2004 foal season. Methods: Neonatal intensive care unit at a veterinary teaching hospital. Methods: Thirty critically ill foals <72-hour-old admitted sequentially meeting criteria for systemic inflammatory response associated with infection. Methods: Hemostatic evaluation, using standard coagulation testing and viscoelastic analysis, was performed at admissi...
Thrombelastography in 26 healthy horses with and without activation by recombinant human tissue factor.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 21, 2009   Volume 19, Issue 1 96-101 doi: 10.1111/j.1476-4431.2008.00381.x
Epstein KL, Brainard BM, Lopes MA, Barton MH, Moore JN.To develop a standardized technique for thrombelastography (TEG) analysis in healthy adult horses, with and without the ex vivo addition of tissue factor (TF) as an activator. To determine reference intervals for TEG parameters in the horse, and to determine if traditional coagulation tests correlate with TEG. Methods: Prospective, observational. Methods: Veterinary teaching hospital. Methods: Twenty-six healthy adult horses. Methods: None. Results: Thrombelastography with (TF-TEG) and without (TEG) the addition of TF performed by 4 operators. Coagulation profiles (prothrombin time, activated ...
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