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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.
Morphology of the occlusal surface for premolar and molar teeth as an indicator of age in the horse.
Journal of veterinary dentistry    January 1, 2009   Volume 26, Issue 4 210-211 
Scrutchfield WL.No abstract available
Measurement of the Curve of Spee in horses.
Journal of veterinary dentistry    January 1, 2009   Volume 26, Issue 4 216-218 doi: 10.1177/089875640902600408
Huthmann S, Staszyk C, Jacob HG, Rohn K, Gasse H.The Curve of Spee is well known, yet hardly understood in the horse, as there is a striking lack of biometrically related data which could help to explain its biomechanical significance. Older horses display drastic alterations of the Curve of Spee in routine clinical examinations. Since the Curve of Spee is known to be biomechanically related to the masticatory forces in humans, the same may apply to the equine, and masticatory deficits can be expected in the geriatric horse. Quantitative data of the Curve of Spee cannot be obtained directly by means of measurements in the horse's long and na...
Rapid calcitonin response to experimental hypercalcemia in healthy horses.
Domestic animal endocrinology    December 27, 2008   Volume 36, Issue 4 197-201 doi: 10.1016/j.domaniend.2008.11.004
Rourke KM, Kohn CW, Levine AL, Rosol TJ, Toribio RE.Calcium has important physiological functions, and disorders of calcium homeostasis are frequent in horses. We have made important progress understanding equine calcium homeostasis; however, limited information on equine calcitonin (CT) is available, in part because of the lack of validated CT assays. To determine the CT response to high ionized calcium (Ca(2+)) concentrations in healthy horses, we induced hypercalcemia in 10 healthy horses using a calcium gluconate 23% solution (5mg/kg; 120 mL/500 kg horse) infused over 4 min. Four horses were infused with 120 mL of 0.9% NaCl and used as cont...
Di-tri-octahedral smectite for the prevention of post-operative diarrhea in equids with surgical disease of the large intestine: results of a randomized clinical trial.
Veterinary journal (London, England : 1997)    December 20, 2008   Volume 182, Issue 2 210-214 doi: 10.1016/j.tvjl.2008.06.016
Hassel DM, Smith PA, Nieto JE, Beldomenico P, Spier SJ.The aim of this study was to evaluate the effects of a commercially available di-tri-octahedral (DTO) smectite product on clinical signs and prevalence of post-operative diarrhea in horses with colic associated with disease of the large intestine. Sixty-seven horses with surgical disease of the large intestine were randomly assigned to be treated with DTO smectite (n=37; 0.5 kg via nasogastric intubation every 24 h for 3 days post-operatively) or a placebo (n=30). The effect of treatment on fecal scores and clinical and hematological parameters, including heart rate, mucous membrane color, tem...
Markers of respiratory inflammation in horses in relation to seasonal changes in air quality in a conventional racing stable.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    December 18, 2008   Volume 72, Issue 5 432-439 
Riihimäki M, Raine A, Elfman L, Pringle J.Airborne factors in a conventionally managed racing stable and markers of pulmonary inflammation in the stabled horses were investigated on 3 occasions at 6-month intervals, including 2 winter periods and the intervening summer period. The stable measurements included inside and outside ambient temperature and relative humidity, levels of total and respirable dust, endotoxin, and 1,3-beta-glucan. Horses (n = 12) were examined in detail clinically as well as by endoscopy, bronchoalveolar lavage (BAL) cytology, and real-time polymerase chain reaction (RT-PCR) analysis of BAL-cells for IL-6 and I...
Blindness, optic atrophy and sinusitis in the horse.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 20-26 doi: 10.1111/j.1463-5224.2008.00642.x
Barnett KC, Blunden AS, Dyson SJ, Whitwell KE, Carson D, Murray R.The case histories described each presented with a visual deficit, varying from permanent total blindness with ophthalmoscopic evidence of optic atrophy to variable and transient visual disturbances, including occasional blindness, but with absence of ophthalmoscopic or any other ocular abnormality. Methods: Three horses of widely different age and type, but all with an original history of upper respiratory tract infection. Methods: All three cases were examined by a specialist veterinary ophthalmologist. In addition, magnetic resonance imaging (MRI) and, where possible, postmortem and histopa...
Ocular and multicentric lymphoma in a young racehorse.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 51-56 doi: 10.1111/j.1463-5224.2008.00638.x
Germann SE, Richter M, Schwarzwald CC, Wimmershoff J, Spiess BM.A 6-year-old thoroughbred gelding was presented with a history of blepharospasm and opacity in the OS of 1 weeks' duration. Ophthalmic examination findings were consistent with acute uveitis in the OS, and traditional treatment was initiated with systemic antibiotics and anti-inflammatory drugs, topical mydriatics, and corticosteroids. During the total treatment period of 4 weeks response to treatment was weak and the horse developed further problems such as cellulitis of the right hind limb with fever and eventually weight loss and dependent edema. Blood work was indicative of liver disease. ...
Daily rhythm of tear production in normal horse.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 57-60 doi: 10.1111/j.1463-5224.2008.00647.x
Piccione G, Giannetto C, Fazio F, Giudice E.This study was designed to assess the daily rhythm of tear production in clinically healthy horses, to compare left eye and right eye, and to evaluate the influence of time and gender. Methods: For our study 18 horses (nine female and nine male) were subjected to three different light/dark (L/D) schedules: 12/12 L/D cycles, constant light (24/0 L/D) and constant darkness (0/24 L/D). Methods: In all subjects Schirmer tear tests were performed at 4-h intervals over a 24-h period. Results: A circadian rhythm of tear production was found during the 12/12 L/D period and during constant darkness. Al...
Evaluation of duration of corneal anesthesia induced with ophthalmic 0.5% proparacaine hydrochloride by use of a Cochet-Bonnet aesthesiometer in clinically normal horses.
American journal of veterinary research    December 3, 2008   Volume 69, Issue 12 1655-1658 doi: 10.2460/ajvr.69.12.1655
Kalf KL, Utter ME, Wotman KL.To measure duration of corneal anesthesia and time and degree of maximal anesthetic effect of 0.5% proparacaine hydrochloride by use of a Cochet-Bonnet aesthesiometer in horses. Methods: 10 clinically normal adult horses. Methods: Baseline corneal touch threshold (CTT) was measured in millimeters for 1 randomly selected eye of each horse by use of the aesthesiometer by applying the filament to the cornea at maximum length (60 mm) and decreasing in 5-mm increments until a consistent blink response was elicited. Following baseline CTT measurement, 0.2 mL of 0.5% proparacaine hydrochloride was in...
Respiratory problems in racehorses.
The Veterinary record    December 2, 2008   Volume 163, Issue 22 668 doi: 10.1136/vr.163.22.668-a
Carter AP.No abstract available
The use of oral endoscopy for detection of cheek teeth abnormalities in 300 horses.
Veterinary journal (London, England : 1997)    December 2, 2008   Volume 178, Issue 3 396-404 doi: 10.1016/j.tvjl.2008.09.029
Simhofer H, Griss R, Zetner K.The main objective of this study was to evaluate an endoscopic examination protocol for routine dental examination in horses. The oral cavities of 300 standing, sedated horses were examined under field and hospital conditions with a rigid endoscope using a standardised technique that included examination of the occlusal, lingual (palatal) and buccal surfaces of all cheek teeth rows. The most common cheek teeth abnormalities detected were sharp enamel edges (present in 96.3% of horses), focal overgrowths (64.3%), fissure fractures (54.3%), diastemata (24.3%) and infundibular hypoplasia/caries (...
The prevalence of oral ulceration in Swedish horses when ridden with bit and bridle and when unridden.
Veterinary journal (London, England : 1997)    November 21, 2008   Volume 178, Issue 3 405-410 doi: 10.1016/j.tvjl.2008.09.020
Tell A, Egenvall A, Lundström T, Wattle O.Oral soft tissue ulcers are common disorders of horses, but it is unclear if their prevalence is increased by riding horses with a bit and bridle. Oral examinations were performed on 113 horses and ponies, all which had received routine dental floating, that were divided into four groups depending on when they had last been ridden with a bit and bridle. The subjects comprised: group 1, a randomly selected population of ridden horses; group 2, a group of horses examined after being rested at pasture for 5 weeks; group 3, the previous group following 7 weeks of riding with a bit and bridle, and ...
Chronic oral therapy with enalapril in normal ponies.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    November 20, 2008   Volume 10, Issue 2 111-115 doi: 10.1016/j.jvc.2008.08.002
Sleeper MM, McDonnell SM, Ely JJ, Reef VB.Enalapril is an angiotensin converting enzyme (ACE) inhibitor that is frequently used in human, feline and canine patients with cardiac disease. Its use has been associated with impotence in human patients. The purpose of this study was to evaluate if enalapril (0.5mg/kg PO, q24h) is likely to alter behavior in stallions and to assess its effect on ACE activity at the standard dose used in dogs and cats. Twelve pony stallions were evaluated by physical examination and echocardiography followed by treatment with enalapril (n=6) or placebo (n=6) for 2 months. After one month, blood was drawn and...
Ocular toxicity and distribution of subconjunctival and intravitreal rapamycin in horses.
Journal of veterinary pharmacology and therapeutics    November 13, 2008   Volume 31, Issue 6 511-516 doi: 10.1111/j.1365-2885.2008.00986.x
Douglas LC, Yi NY, Davis JL, Salmon JH, Gilger BC.In vitro photosensitivity of rapamycin (RAPA) and ocular toxicity and distribution of intravitreal and subconjunctival RAPA was evaluated in normal horses. RAPA (2.5 mg, 5 mg, and 10 mg) was placed in 10 mL of PBS and maintained in a water bath at 37 degrees C, kept in the dark or subjected to room light, and sampled for up to 3 months for RAPA levels. Six normal adult horses received either 5 mg (n = 2) or 10 mg (n = 2) of RAPA intravitreally or 10 mg (n = 2) subconjunctivally. Ophthalmic exams and electroretinography (ERG) were performed prior to injection and on days 1, 7, 14, and 21 post-i...
Factors associated with survival of neonatal foals with bacteremia and racing performance of surviving Thoroughbreds: 423 cases (1982-2007).
Journal of the American Veterinary Medical Association    November 5, 2008   Volume 233, Issue 9 1446-1452 doi: 10.2460/javma.233.9.1446
Sanchez LC, Giguère S, Lester GD.To identify factors associated with short-term survival in bacteremic neonatal foals, evaluate the racing performance of Thoroughbred survivors, and evaluate changes in causative organisms and their antimicrobial susceptibility. Methods: Retrospective case series. Methods: 423 bacteremic foals. Methods: Medical records of foals that were hospitalized in 1982 through 2007 were reviewed, and those with bacteremia were included in the study. Data retrieved included signalment, physical examination and clinicopathologic findings at admission, localized infections, concurrent illnesses, duration of...
Pharyngeal cyst in a 5-year-old Dutch Warmblood.
The Canadian veterinary journal = La revue veterinaire canadienne    November 4, 2008   Volume 49, Issue 8 806-808 
Sinclair EA.A pharyngeal cyst was diagnosed in a 5-year-old Dutch Warmblood mare, after presentation for coughing, dyspnea, and abnormal respiratory noise. Complete surgical excision was performed and the mare returned to normal function and performance. Histopathology found no evidence of thyroglossal duct remnants. Kyste pharyngien chez un Warmblood hollandais âgé de 5 ans. Un kyste pharyngien a été diagnostiqué chez une jument Warmblood hollandaise âgée de 5 ans qui avait été présentée pour un problème de toux, dyspnée et bruit respiratoire anormal. Une excision chirurgicale complète a é...
Transoral endoscopically assisted closure of cleft palate in foals.
Plastic and reconstructive surgery    October 31, 2008   Volume 122, Issue 5 166e-167e doi: 10.1097/PRS.0b013e318186cd1b
Krause HR, Koene M, Rustemeyer J.No abstract available
Congenital ocular anomalies in purebred and crossbred Rocky and Kentucky Mountain horses in Canada.
The Canadian veterinary journal = La revue veterinaire canadienne    October 2, 2008   Volume 49, Issue 7 675-681 
Grahn BH, Pinard C, Archer S, Bellone R, Forsyth G, Sandmeyer LS.Multiple congenital ocular anomalies in purebred and crossbred Rocky and Kentucky Mountain horses in Canada are frequently diagnosed with biomicroscopic and indirect ophthalmoscopic examination. In order of frequency detected, these include temporal ciliary epithelial cysts; iridal hypoplasia; prominent corneas; focal temporal retinal degeneration related to ciliary cysts; and, rarely, retinal detachment. A pedigree analysis confirms a dominant mode of inheritance with incomplete penetrance and with a linkage to coat color. Des anomalies oculaires congénitales multiples chez des chevaux Rock...
Evaluation of clinical examination for differential diagnosis of lameness by navicular apparatus or heel pain in horses.
Pakistan journal of biological sciences : PJBS    September 30, 2008   Volume 11, Issue 13 1754-1756 doi: 10.3923/pjbs.2008.1754.1756
Sardari K, Kazemi H.To evaluation of clinical examination for differential diagnosis of navicular region pain from other forms of palmar heel pain in the forelimb in horses the present study was undertaken. Thirty four horses with lameness referable to the palmar aspect of the hoof based on their response to the palmar digital nerves analgesia were divided into 2 groups based on their response to both distal interphalangeal joint and navicular bursa analgesia. Horses that were profoundly improved by both analgesic blocks (distal interphalangeal joint and navicular bursa) were considered to have navicular region p...
Necrosis of the nasal conchae in 12 horses.
The Veterinary record    September 9, 2008   Volume 163, Issue 10 300-302 doi: 10.1136/vr.163.10.300
Cehak A, von Borstel M, Gehlen H, Feige K, Ohnesorge B.Twelve horses with a history of a unilateral malodorous nasal discharge were examined clinically, endoscopically and radiographically. The head of one of the horses was examined by computed tomography. Tissue samples were taken for microbiology from four of the horses and for histology from three. The conchal necrosis was unilateral in 11 of the horses and bilateral in the other, and no particular concha was affected more than the others. The affected tissue was removed transendoscopically with a polypectomy snare while the horses were sedated and standing. Mild disinfectants were used locally...
Factors associated with outcome in foals with neonatal isoerythrolysis (72 cases, 1988-2003).
Journal of veterinary internal medicine    August 11, 2008   Volume 22, Issue 5 1216-1222 doi: 10.1111/j.1939-1676.2008.0171.x
Polkes AC, Giguère S, Lester GD, Bain FT.Neonatal foals with isoerythrolysis (NI) often die, but the risk factors for death have not been identified. Objective: To identify factors associated with outcome in foals with NI and to identify factors associated with death from liver failure or kernicterus in the same population. Methods: Seventy-two foals with NI examined at referral institutions. Methods: Retrospective case series. Information on signalment, clinical examination findings, laboratory testing, treatment, complications, outcome, and necropsy results were obtained. Results: The overall survival rate was 75% (54 of 72). Liver...
Cell therapy for tendinitis, experimental and clinical report.
Veterinary research communications    August 8, 2008   Volume 32 Suppl 1 S33-S38 doi: 10.1007/s11259-008-9085-3
Lacitignola L, Crovace A, Rossi G, Francioso E.To compare cultured bone marrow mesenchymal cells (cBMSC), bone marrow mononucleated cells (BMMNCs), and placebo to repair collagenase-induced tissue damage in an equine model of experimental tendonitis, 6 Standardbred horses with no signs of previous SDF tendon injury have been recruited. Three weeks after collagenase treatment an average of either 5.5 x 10(6) cBMSCs or 122.3 x 10(6) BMMNCs, saline solution (placebo) or fibrin glue were injected intralesionally in random order. Horses were stall rested for 21 weeks, and tendon ultrasound scans performed before and during this period. Horses w...
Equine metabolic syndrome and Cushing’s disease clinical trial.
The Veterinary record    August 5, 2008   Volume 163, Issue 5 164 doi: 10.1136/vr.163.5.164-c
Eustace R.No abstract available
Building on the achievements of clinical research.
Equine veterinary journal    August 2, 2008   Volume 40, Issue 4 299-300 doi: 10.2746/042516408X302519
Pinchbeck GL, Proudman CJ.No abstract available
Peripheral blood leukocytes.
The Veterinary clinics of North America. Equine practice    July 26, 2008   Volume 24, Issue 2 239-v doi: 10.1016/j.cveq.2008.05.003
Carrick JB, Begg AP.Assessment of peripheral blood leukocytes is the most common clinical pathology test in equine practice. It is always a part of complete body function assessment and frequently is used alone, or in conjunction with, fibrinogen to monitor response to treatment.
Bronchoalveolar lavage: sampling technique and guidelines for cytologic preparation and interpretation.
The Veterinary clinics of North America. Equine practice    July 26, 2008   Volume 24, Issue 2 423-viii doi: 10.1016/j.cveq.2008.04.003
Hoffman AM.Bronchoalveolar lavage (BAL) is a method for the recovery of respiratory secretions that line the peripheral airways and alveoli. Overall, BAL is considered very safe and sufficiently sensitive to detect inflammation at the cytologic level. The good correlation between BAL differential cell counts and exercise-induced hypoxemia or lactic acidosis, airway obstruction, or airway responsiveness attests to the relevance of BAL cytology to the structure and function of the equine airways. Thus, an important advantage of BAL over tracheal wash cytology is that BAL cytology relates well to the clinic...
Veterinary Clinics of North America: Equine Practice. Preface.
The Veterinary clinics of North America. Equine practice    July 26, 2008   Volume 24, Issue 2 xi-xii doi: 10.1016/j.cveq.2008.06.001
Parry BW.No abstract available
Clinical pathology of the foal.
The Veterinary clinics of North America. Equine practice    July 26, 2008   Volume 24, Issue 2 357-vii doi: 10.1016/j.cveq.2008.03.005
Axon JE, Palmer JE.The neonatal foal is in a period of transition between fetal and extrauterine life. The clinicopathologic findings in this period often reflect the in utero environment; thus, results need to be interpreted with the knowledge of changes that intrauterine life may produce. These changes can also assist the veterinarian in identifying a foal at high risk for developing clinical problems. The veterinarian should also be aware of the normal variations in clinicopathologic findings that occur as the foal matures. As with results from all diagnostic testing, the clinicopathologic results need to be ...
Exophthalmus secondary to a sinonasal cyst in a horse.
Journal of the American Veterinary Medical Association    July 17, 2008   Volume 233, Issue 2 285-288 doi: 10.2460/javma.233.2.285
Annear MJ, Gemensky-Metzler AJ, Elce YA, Stone SG.A 13-year-old female Miniature Horse was evaluated for progressive unilateral exophthalmia of the left globe of 3 weeks' duration. Results: Results of a physical examination were unremarkable. Ophthalmic examination identified exophthalmus of the left globe with complete resistance to retropulsion and mild blepharoconjunctivitis. Computed tomography revealed a large, space-occupying mass within the left caudal maxillary and left conchofrontal sinuses. The mass extended into the left retrobulbar space and contacted the cribriform plate. Trephination yielded copious amounts of turbid yellow flui...
Characteristic of inflammatory airway disease in Japanese thoroughbred racehorses.
Journal of equine science    July 9, 2008   Volume 19, Issue 2 25-29 doi: 10.1294/jes.19.25
Kusano K, Ishikawa Y, Seki K, Kusunose R.Inflammatory airway disease (IAD) is a common cause of poor performance, interruption of training and premature retirement in racehorses. It is also reported that up to 80% of horses are affected at some point in the first years of training in UK and Australia. However, no studies with regard to the information on occurrence of IAD in Japanese Thoroughbred racehorses have been reported. To investigate the occurrence and the characteristics of IAD, epidemic research including endoscopic examination of the airway tract and trachea wash was conducted for Thoroughbred racehorses presenting coughs ...
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