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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.
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 ...
A technique for central venous pressure measurement in normal horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 21, 2009   Volume 19, Issue 3 241-246 doi: 10.1111/j.1476-4431.2009.00420.x
Wilsterman S, Hackett ES, Rao S, Hackett TB.To investigate a technique of central venous pressure (CVP) measurement using a newly developed catheter in healthy adult horses. Methods: Prospective experimental study. Methods: University research facility. Methods: Twenty healthy adult horses. Methods: An equine central venous catheter was inserted into the jugular vein to a length of approximately 80 cm from the mid-cervical region in an attempt to catheterize the pulmonary artery. Pulmonary arterial catheterization was confirmed by echocardiography. Insertion distance and pressure were measured at this location with a disposable manomete...
Acute phase response to surgery of varying intensity in horses: a preliminary study.
Veterinary surgery : VS    August 14, 2009   Volume 38, Issue 6 762-769 doi: 10.1111/j.1532-950X.2009.00564.x
Jacobsen S, Nielsen JV, Kjelgaard-Hansen M, Toelboell T, Fjeldborg J, Halling-Thomsen M, Martinussen T, Thoefner MB.To evaluate the postoperative inflammatory response of horses to elective surgery of varying intensity. Methods: Prospective longitudinal study. Methods: Horses referred to 2 hospitals for either arthroscopic removal of a unilateral osteochondritic lesion in the tibiotarsal joint (minimal surgical trauma, n=11), correction of recurrent laryngeal neuropathy by laryngoplasty and ventriculectomy (intermediate surgical trauma, n=10) or removal of an ovarian tumor by laparotomy (major surgical trauma, n=5). Methods: Horses had a thorough clinical examination every day. White blood cell (WBC) counts...
Effects of different postmenopausal hormone therapy regimens on cerebral blood flow and cognitive functions.
Advances in therapy    August 11, 2009   Volume 26, Issue 8 805-811 doi: 10.1007/s12325-009-0058-x
Guvenal T, Durna A, Erden O, Guvenal F, Cetin M, Cetin A.The purpose of this study was to compare the effects of different postmenopausal hormone therapy regimens, namely conjugated equine estrogens (CEE), CEE plus medroxyprogesterone acetate (MPA), tibolone, and raloxifene on cerebral blood flow and cognitive functions. Methods: A total of 64 healthy postmenopausal women admitted to the Department of Obstetrics and Gynecology, Cumhuriyet University, Turkey were included in this study. Patients were divided into five groups with respect to the treatment protocols: CEE 0.625 mg/day (n=13); CEE 0.625 mg/day + MPA 2.5 mg/day (n=14); tibolone 2.5 mg/day...
Risk factors of colic in horses in Austria.
Journal of animal physiology and animal nutrition    August 4, 2009   Volume 93, Issue 3 339-349 doi: 10.1111/j.1439-0396.2008.00874.x
Kaya G, Sommerfeld-Stur I, Iben C.A hospital-based case study was conducted at the University of Veterinary Medicine Vienna for a 1-year period. The purpose of this study was to determine possible alterable and non-alterable risk factors of equine colic in Austria. The investigated parameters were obtained from hospital medical records (individual factors, duty of the horse, deworming, change in diet and water intake), from questionnaires (feed intake, watering types, housing and pasture practices) and from http://www.orf.at (weather-related factors). Moreover, 221 collected feed samples were investigated through hygienic qual...
Serum homocysteine and oxidative stress evaluation during exercise in horse.
Polish journal of veterinary sciences    August 4, 2009   Volume 12, Issue 2 169-174 
Fazio F, Casella S, Giannetto C, Caola G, Piccione G.The aim of the present work was to evaluate the influence of exercise on serum homocysteine and oxidative stress in Thoroughbreds during official races. For our study, ten Thoroughbred mares, 5 years old and clinically healthy, were used. The horses were trained to take part in an official 2100 meter race. Reactive oxygen species (dROMs), antioxidant barrier (Oxy-adsorbent), thiol antioxidant barrier (SHp) and homocysteine (sHcy) were investigated. Blood samples, collected from each horse at rest, immediately after the race, and 30 and 180 min after the end of the race, were collected by jugul...
Molecular evidence for persistence of Anaplasma phagocytophilum in the absence of clinical abnormalities in horses after recovery from acute experimental infection.
Journal of veterinary internal medicine    August 4, 2009   Volume 23, Issue 3 636-642 doi: 10.1111/j.1939-1676.2009.0317.x
Franzén P, Aspan A, Egenvall A, Gunnarsson A, Karlstam E, Pringle J.Anaplasma phagocytophilum infects several mammalian species, and can persist in sheep, dogs, and calves. However, whether this organism persists in horses or induces long-term clinical abnormalities is not known. Objective: To evaluate whether A. phagocytophilum can persist in horses and to document clinical findings for 3 months after complete recovery from acute disease. Methods: Five clinically normal adult horses that had recovered spontaneously from experimentally induced acute disease caused by a Swedish equine isolate of A. phagocytophilum. Methods: Horses were monitored for up to 129 d...
Canine and equine physiotherapy.
The Veterinary record    July 28, 2009   Volume 165, Issue 4 122 doi: 10.1136/vetrec.165.4.122-a
Payne RM.No abstract available
Diaphragmatic hernia in horses: 44 cases (1986-2006).
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    July 28, 2009   Volume 19, Issue 4 357-362 doi: 10.1111/j.1476-4431.2009.00439.x
Hart SK, Brown JA.To present a case series of horses diagnosed with diaphragmatic hernia, and to determine the significance of (1) historical information, examination findings, and laboratory data; and (2) exploratory laparotomy or necropsy findings on short- and long-term outcome. Methods: University Referral Hospital. Methods: Retrospective study. Methods: Forty-four horses/foals admitted between 1986 and 2006 with a diagnosis of diaphragmatic hernia made either at exploratory laparotomy or necropsy. Methods: None. Results: Information from the medical records included history, clinical examination findings a...
Extra-adrenal paraganglioma of the equine orbit: six cases.
Veterinary ophthalmology    July 17, 2009   Volume 12, Issue 4 263-268 doi: 10.1111/j.1463-5224.2009.00706.x
Miesner T, Wilkie D, Gemensky-Metzler A, Weisbrode S, Colitz C.At The Ohio State University from 1994-2006 six of seven horses evaluated for primary orbital disease were diagnosed with extra-adrenal paraganglioma (EAPG). The horses ranged in age from 14 to 24 years, with a mean of 16.8 years. Duration of clinical signs was 1.5 years to 5 years, with a mean of 2.8 years. Clinical signs varied, but all six had non-painful exophthalmus of the right eye. Five horses had complete ocular exams reported; three of five had decreased to absent vision, two of five had pale optic nerves, and in three of five, difficulty of retropulsion of the globe was noted. Diagno...
A tangential radiographic projection for investigation of the equine temporomandibular joint.
Veterinary surgery : VS    July 4, 2009   Volume 38, Issue 5 601-606 doi: 10.1111/j.1532-950X.2009.00536.x
Townsend NB, Cotton JC, Barakzai SZ.To (1) describe a tangential radiographic projection of the equine temporomandibular joint (TMJ) and (2) optimize the radiographic angle and determine its use in standing sedated horses. Methods: Descriptive study. Methods: Cadaveric equine skulls (n=11); 8 horses with a history of quidding or headshaking. Methods: Tangential radiographic projections were taken of a TMJ of a cadaveric skull before and after intra-articular injection of radiographic contrast. Additional tangential radiographic projections were taken after TMJ dissection and placement of a wire along the articular surface of the...
A description of the Tufts Cummings School of Veterinary Medicine-Massachusetts Equine Clinic combined equine medicine internship program.
Journal of the American Veterinary Medical Association    July 2, 2009   Volume 235, Issue 1 38-40 doi: 10.2460/javma.235.1.38
Mazan MR, Merriam J.No abstract available
Magnetic resonance imaging findings of the lumbar spine in elite horseback riders: correlations with back pain, body mass index, trunk/leg-length coefficient, and riding discipline.
The American journal of sports medicine    July 2, 2009   Volume 37, Issue 11 2205-2213 doi: 10.1177/0363546509336927
Kraft CN, Pennekamp PH, Becker U, Young M, Diedrich O, Lüring C, von Falkenhausen M.Most orthopaedic problems experienced by competitive horseback riders are related to pain in the lower back, hip joint, and hamstring muscles. Riders-especially, show jumpers-are frequently hampered in their performance because of lumbar pain. To date, there has been no research into lumbar disk degeneration in elite competitive riders. Objective: Competitive horseback riding accelerates lumbar disk degeneration. Methods: Cross-sectional study; Level of evidence, 3. Methods: Fifty-eight elite riders (18 men, 40 women; mean age, 32.4 years) and a control group of 30 nonriding volunteers (17 men...
Case reports versus evidence-based medicine (EBM).
Equine veterinary journal    July 1, 2009   Volume 41, Issue 4 322-323 doi: 10.2746/042516409x429185
Rossdale PD.No abstract available
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