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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.
Effects of calcium supplementation to resuscitation fluids in endurance horses: A randomized, blinded, clinical trial.
Journal of veterinary internal medicine    May 2, 2023   Volume 37, Issue 3 1216-1222 doi: 10.1111/jvim.16715
Fielding CL, Deane EL, Major DS, Mayer JR, Love JC, Peralez MS, Magdesian KG.The addition of calcium to resuscitation fluids is a common practice in horses, but studies evaluating the effects of calcium supplementation are limited. In healthy horses, decreases in heart rate and changes in serum electrolyte concentrations have been reported. Objective: Calcium gluconate administration at a rate of 0.4 mg/kg/min to eliminated endurance horses with metabolic problems will affect heart rate, gastrointestinal sounds, and serum electrolyte concentrations. Methods: Endurance horses eliminated from the Tevis Cup 100-mile (160 km) endurance ride for metabolic problems and req...
Recurrent Colic: Diagnosis, Management, and Expectations.
The Veterinary clinics of North America. Equine practice    April 28, 2023   Volume 39, Issue 2 399-417 doi: 10.1016/j.cveq.2023.03.014
Mair T, Sherlock C.Most recurrent episodes of non-specific colic are self-limiting, and the results of clinical examinations are unremarkable. Differentiating these cases from serious diseases can be difficult, but repeated evaluations are warranted. Horses presenting with very frequent bouts of colic are more likely to have serious diseases and a higher mortality rate compared to horses presenting with less frequent bouts of transient colic. Horses with recurrent bouts of prolonged colic are more likely to have motility issues or partial intestinal obstruction. Non-gastrointestinal diseases can also cause recur...
Early Identification of Intestinal Strangulation: Why It Is Important and How to Make an Early Diagnosis.
The Veterinary clinics of North America. Equine practice    April 25, 2023   Volume 39, Issue 2 211-227 doi: 10.1016/j.cveq.2023.03.007
Southwood LL.Horses with colic caused by intestinal strangulation can have an excellent outcome with early surgical correction of the obstruction. The expense associated with surgery is typically less with early lesion correction. The challenge is making an early diagnosis of intestinal strangulation. Although for some horses with a strangulating obstruction, the need for surgery is made based on severe colic signs or lack of response to analgesia, in other horses, it is less obvious. Signalment, history, and meticulous physical examination, combined with some targeted diagnostic procedures can help with e...
Guide to diagnosing and managing skin diseases in horses.
The Veterinary record    April 21, 2023   Volume 192, Issue 8 341 doi: 10.1002/vetr.2984
Long S.Reviewed by Sarah Long, lecturer in veterinary dermatology at Bristol vet school.
Ocular findings in a population of geriatric equids in the United Kingdom.
Equine veterinary journal    April 18, 2023   Volume 56, Issue 1 121-130 doi: 10.1111/evj.13941
Chalder R, Housby-Skeggs N, Clark C, Pollard D, Hartley C, Blacklock B.There are a growing number of horses, ponies, and donkeys aged 15 years or older in the United Kingdom, yet there have been no studies utilising a complete ophthalmic examination to investigate the prevalence of ophthalmic pathology within this population. Objective: To investigate the prevalence of ophthalmic pathology and associations with signalment, in a convenience sample of geriatric equids in the United Kingdom. Methods: Cross sectional. Methods: Horses, ponies, and donkeys aged 15 years or older based at The Horse Trust charity underwent a full ophthalmic examination including slit...
Computational fluid dynamic analysis of upper airway procedures in equine larynges.
Frontiers in veterinary science    April 17, 2023   Volume 10 1139398 doi: 10.3389/fvets.2023.1139398
Tucker ML, Wilson DG, Bergstrom DJ, Carmalt JL.Computational fluid dynamics (CFD) has proven useful in the planning of upper airway surgery in humans, where it is used to anticipate the influence of the surgical procedures on post-operative airflow. This technology has only been reported twice in an equine model, with a limited scope of airflow mechanics situations examined. The reported study sought to widen this application to the variety of procedures used to treat equine recurrent laryngeal neuropathy (RLN). The first objective of this study was to generate a CFD model of an box model of ten different equine larynges replicating RLN a...
Clinical effects of immunization, bleeding, and albumin-based fluid therapy in horses used as immunoglobulin source to produce a polyspecific antivenom (Echitab-plus-ICP) towards venoms of African snakes.
Toxicon: X    April 17, 2023   Volume 18 100158 doi: 10.1016/j.toxcx.2023.100158
Huertas RM, Arguedas M, Estrada JM, Moscoso E, Umaña D, Solano G, Vargas M, Segura Á, Sánchez A, Herrera M, Villalta M, Arroyo-Portilla C....During the production of snake antivenoms, the animals used as immunoglobulin source are subjected to processes that could deteriorate their physical condition. Therefore, these conditions must be carefully designed and validated. In this work, the immunization and bleeding protocols applied to horses used to produce the African polyspecific antivenom EchiTAb-plus-ICP were evaluated regarding their effects on the horses' health. The study focused on horses that had been previously immunized with venoms and then received periodic booster venom injections for antivenom production. It was found t...
Heat stress in horses: a literature review.
International journal of biometeorology    April 15, 2023   Volume 67, Issue 6 957-973 doi: 10.1007/s00484-023-02467-7
Kang H, Zsoldos RR, Sole-Guitart A, Narayan E, Cawdell-Smith AJ, Gaughan JB.Healthy adult horses can balance accumulation and dissipation of body heat to maintain their body temperature between 37.5 and 38.5 °C, when they are in their thermoneutral zone (5 to 25 °C). However, under some circumstances, such as following strenuous exercise under hot, or hot and humid conditions, the accumulation of body heat exceeds dissipation and horses can suffer from heat stress. Prolonged or severe heat stress can lead to anhidrosis, heat stroke, or brain damage in the horse. To ameliorate the negative effects of high heat load in the body, early detection of heat stress and im...
Evaluation of Three Methods of Sensory Function Testing for the Assessment of Successful Maxillary Nerve Blockade in Horses.
Journal of veterinary dentistry    April 3, 2023   Volume 42, Issue 1 48-54 doi: 10.1177/08987564231164769
McAndrews A, Zarucco L, Hopster K, Stefanovski D, Foster D, Driessen B.Maxillary nerve blocks (MNBs) commonly facilitate dental surgeries in standing horses. The goal of this prospective, blinded, cross-over design trial including 15 client-owned horses was to evaluate 3 methods of sensory function testing for confirming a successful MNB. Testing was performed bilaterally before sedation, 5 min after sedation, and 15 and 30 min after MNB with 0.5% bupivacaine and involved a needle prick dorsal to each naris, hemostat clamping of each nostril, and gingival algometry (measuring sensitivity to pain). Responses to stimulation were numerically scored and scores were s...
Limitations of transthoracic echocardiography in equine patients.
Veterinary medicine and science    March 30, 2023   Volume 9, Issue 4 1618-1620 doi: 10.1002/vms3.906
Vitale V, Laurberg M, van Galen G, van Loon G.No abstract available
Case report: Long term follow-up of a large unilateral epididymal cyst in a stallion used for teaching: Is this condition associated with infertility?
Frontiers in veterinary science    March 29, 2023   Volume 10 1145742 doi: 10.3389/fvets.2023.1145742
Silva GF, Cunha R, Carvalho F, Ribeiro M, Rocha A, Amorim I, Guimarães T.A 30-year-old Lusitano stallion presented with an enlarged right epididymis. The ultrasound scan revealed a cyst-like formation and the histopathological examination was compatible with epididymal cyst located at the body/tail transition, epididymal spermatocele and sperm granuloma and epididymitis. However, these conditions did not seem to affect the animal's reproductive performance, nor did the semen parameters analyzed over the 8 years after the diagnosis show significant changes. Nevertheless, since the ejaculate contains mostly sperm cells from the tail of the epididymis, where fertile s...
Feasibility of a point-of-care ultrasound protocol for cardiorespiratory evaluation of horses in different clinical settings.
Journal of veterinary internal medicine    March 28, 2023   Volume 37, Issue 3 1223-1232 doi: 10.1111/jvim.16674
Bevevino KE, Cohen ND, Gordon SG, Navas de Solis C.A point-of-care ultrasound (POCUS) protocol for evaluation of the cardiac and respiratory systems in horses does not exist. Objective: (a) Describe the windows of a POCUS protocol for cardiorespiratory assessment of horses (CRASH); (b) Estimate the number of acoustic windows that can be acquired by a sonographer-in-training; (c) Estimate the time required to complete the protocol for specific groups of horses; (d) Describe the sonographic abnormalities detected in horses presented with cardiovascular, respiratory, or systemic disease. Methods: Twenty-seven healthy horses, 14 horses competing i...
Clinical evaluation of the Immulite® 1000 chemiluminescent immunoassay for measurement of equine serum insulin.
Frontiers in veterinary science    March 27, 2023   Volume 10 1018230 doi: 10.3389/fvets.2023.1018230
Go YY, Hazard NW, Balasuriya UBR, Chapman AM, Fitton NS, Kenéz Á, Andrews FM.Accurate quantitative analysis of equine insulin in blood samples is critical for assessing hyperinsulinemia in horses. Although there are various laboratory methods for evaluating equine serum insulin, different immunoassays show significant discrepancies between the determined insulin concentrations and are often not comparable. The aim of this study was to evaluate the Immulite® 1000 chemiluminescent immunoassay (CLIA) to establish independent laboratory and assay-specific cut values to provide an accurate diagnosis of hyperinsulinemia in horses. Thus, the analytical and clinical performan...
Contribution of Hemogram Plan in the Horse’s Clinical Evaluation.
Journal of equine veterinary science    March 22, 2023   Volume 126 104292 doi: 10.1016/j.jevs.2023.104292
Satué K, Fazio E, Gardón JC, Medica P.The interpretation of the blood count is essential to help the equine clinician in the diagnosis, prognosis, patient management, and control of equine diseases. Hematologic alterations often reflect the condition of the individual or an overall response to a pathological situation. A thorough clinical examination of the patient is essential to correctly interpret the hematological results. The most common abnormalities in the erythrogram are mainly anemia and polycythemia. The frequent causes of anemia in horses are acute and chronic blood loss, hemolytic anemia, and anemia caused by chronic d...
Tulathromycin and Diclazuril Lack Efficacy against Theileria haneyi, but Tulathromycin Is Not Associated with Adverse Clinical Effects in Six Treated Adult Horses.
Pathogens (Basel, Switzerland)    March 14, 2023   Volume 12, Issue 3 453 doi: 10.3390/pathogens12030453
Onzere CK, Hulbert M, Sears KP, Williams LBA, Fry LM.Equine theileriosis, caused by and , leads to anemia, exercise intolerance, and occasionally, death. Theileriosis-free countries prohibit the importation of infected horses, resulting in significant costs for the equine industry. Imidocarb dipropionate is the only treatment for in the United States, but lacks efficacy against . The goal of this study was to assess the in vivo efficacy of tulathromycin and diclazuril against . Fourteen -infected horses were utilized. Six were treated with eight weekly 2.5 mg/kg doses of tulathromycin. Three were treated daily for eight weeks with 2.5 mg/kg di...
Effects of Transport and Feeding Strategies Before Transportation on Redox Homeostasis and Gastric Ulceration in Horses.
Journal of equine veterinary science    March 3, 2023   Volume 126 104268 doi: 10.1016/j.jevs.2023.104268
Gharehaghajlou Y, Raidal SL, Freccero F, Padalino B.Transportation may lead to oxidative stress (OS) and gastric ulceration in horses, and optimal feed management before, or during, transportation is unclear. This study aimed to evaluate the effects of transportation after three different feeding strategies on OS and to explore possible associations between OS and equine gastric ulcer syndrome (EGUS). Twenty-six mares were transported by truck for 12 hours without food or water. Horses were randomly divided into 3 groups; (1) fed 1 hour before departure (BD), (2) fed 6 hours BD, (3) fed 12 hours BD. Clinical examinations and blood collections w...
Electrocardiographic and Echocardiographic Parameters in Pega Breed Donkeys: A Descriptive Study.
Animals : an open access journal from MDPI    February 27, 2023   Volume 13, Issue 5 861 doi: 10.3390/ani13050861
Cruz-Aleixo AS, de Oliveira KC, de Oliveira Ferreira LV, Cedeo Quevedo DA, Cruz RKS, Tsunemi MH, Chiacchio SB, Lourenço MLG.Clinical, electrocardiographic and echocardiographic parameters in Pega donkeys are scarce in the literature; hence, this study was performed to describe the echocardiographic and electrocardiographic measurements in Pega breed donkeys. The objectives of this study were to describe and illustrate the clinical, electrocardiographic, and echocardiographic parameters in Pega donkeys used for reproduction. Fifty Pega breed donkeys were evaluated, with an average age of 3.4 years and with 20 males and 30 females. In each animal, the electrocardiographic examination at rest was performed using the T...
Evaluation of an Equine Nasogastric Intubation Model for Training Veterinary Students.
Journal of veterinary medical education    February 21, 2023   e20220127 doi: 10.3138/jvme-2022-0127
Prutton AM, Lenaghan HAH, Baillie S.Simulation in veterinary education is an important means of providing a safe, welfare-friendly way for students to hone their skills prior to performing procedures on live animals. Students may not get many chances to practice passing a nasogastric tube and checking for reflux in live horses during clinical rotations and extra-mural studies. A low-cost equine nasogastric intubation model was created at the University of Surrey, allowing students to practice passing a tube and checking for reflux. Thirty-two equine veterinarians evaluated the model for realism, and its potential usefulness in t...
Agreement of Temperatures Measured Using a Non-Contact Infrared Thermometer With a Rectal Digital Thermometer in Horses.
Journal of equine veterinary science    February 16, 2023   Volume 123 104243 doi: 10.1016/j.jevs.2023.104243
Easterwood L, Cohen ND.Evaluating the body temperature of horses is an essential tool for monitoring horse health and biosecurity in groups of horses. Temperatures of horses and foals are determined most often using rectal thermometry. Rectal thermometry has limitations that include safety considerations for horses and humans. Thus, we investigated the agreement between a noncontact infrared thermometer (NCIT) and a rectal digital thermometer in 142 horses and 34 foals. For each horse and foal, measurements using the NCIT were collected from the forehead (n = 2) or neck (n = 1) and with a rectal digital thermome...
Evaluation of Nasal Oxygen Administration at Various Flow Rates and Concentrations in Conscious, Standing Adult Horses.
Journal of equine veterinary science    February 14, 2023   Volume 123 104250 doi: 10.1016/j.jevs.2023.104250
Gordon D, Clark-Price S, Keating S, Schaeffer DJ, Lascola KM.This study evaluated the effects of various flow rates and fractions of oxygen on arterial blood gas parameters and on the fraction of inspired oxygen (FO) delivered to the distal trachea. Oxygen was administered to 6 healthy, conscious, standing, adult horses via single nasal cannula positioned within the nasopharynx. Three flow rates (5, 15, 30 L/min) and fractions of oxygen (21, 50, 100%) were delivered for 15 minutes, each in a randomized order. FO was measured at the level of the nares and distal trachea. Adverse reactions were not observed with any flow rate. FO (nares and trachea) and P...
A Case Report of Uterine Body Constriction Precluding Normal Parturition Leading to Dystocia in a Mare.
Veterinary sciences    February 10, 2023   Volume 10, Issue 2 139 doi: 10.3390/vetsci10020139
Willette J, Gerras A, Sledge D, Koch D.A 13-year-old multiparous Quarter Horse mare was presented to the Michigan State University's, Large Animal Emergency service for dystocia. Clinical evaluation revealed a minimally dilated cervix on vaginal examination, with a palpable deceased fetus. Postmortem evaluation following owner-elected humane euthanasia revealed a circumferential, tan, fibrous band at the base of the uterine body that constricted the uterus and was adhered to the left and right ovaries. A routine histologic section of the incarcerating cord attached to the ovary consisted predominately of dense fibrous connective ti...
Multiple Sex Cord-stromal Tumors in a Standardbred Stallion Testis.
Journal of equine veterinary science    February 10, 2023   Volume 123 104246 doi: 10.1016/j.jevs.2023.104246
Roxon C, Slack J, Bender S, Burns H, Turner R.A 12-year-old Standardbred stallion presented with a 5-month history of a growing mass in the left testis as well as an overall decrease in left testicular size. Palpation and ultrasonography of the left testis revealed a firm, hypoechoic, clearly delineated soft tissue mass in the craniolateral portion of the testis that measured 2.5 × 2.3 × 1.9 cm. Two smaller, hypoechoic regions also were visible ultrasonographically in the left testis, suggesting the presence of multifocal/multicentric neoplasia. The affected testis was very small (testicular volume of 40.3 cm). The right testis was ...
General anesthesia does not induce ultrasonographic changes in the pleura of healthy adult horses anesthetized for elective magnetic resonance imaging.
Journal of the American Veterinary Medical Association    February 7, 2023   Volume 261, Issue 4 500-504 doi: 10.2460/javma.22.12.0550
Hepworth-Warren KL, Nelson NC, Dembek KA, Young KAS.To compare thoracic ultrasonographic findings in healthy horses before and after general anesthesia for elective MRI utilizing a recently developed ultrasonographic scoring system to aid clinicians in the early identification of pneumonia following anesthesia. 13 adult horses > 3 years of age. Prior to anesthesia, horses underwent a thorough physical examination, CBC, thoracic radiography, and thoracic ultrasonography. Horses were then anesthetized for elective MRI, and thoracic ultrasonography was repeated within 3 hours after recovery. Thoracic ultrasonographic findings were scored utilizing...
Complications following diagnostic and therapeutic sacroiliac joint region injections in horses: A study describing clinicians’ experiences.
Equine veterinary journal    February 2, 2023   doi: 10.1111/evj.13929
Nagy A, Dyson S.There are no detailed data on complications of sacroiliac (SI) joint region injections or on the variability of the methods and circumstances of injections among clinicians. Objective: To describe complications following diagnostic, therapeutic and combined SI joint region injections and the details of how these are routinely performed by a large number of clinicians. Methods: Cross-sectional questionnaire survey. Methods: Clinicians (members of American and European specialist colleges and veterinarians known to the authors), invited by email, who had performed ≥1 SI joint region injection,...
Monorchidism in a Phenotypic Mare With a 64,XY, SRY-Positive Karyotype.
Journal of equine veterinary science    February 1, 2023   Volume 126 104232 doi: 10.1016/j.jevs.2023.104232
Middlebrooks B, McCue P, Nelson B, May E, Divine C, Barton C, Conley A.Disorders of sexual development (DSD) are associated with atypical chromosomal, gonadal, or phenotypic sex. It is likely that the number of cases of DSD are underestimated in the equine population. Monorchidism in the horse is very rare. This case report describes the clinical assessment of a phenotypic mare with stallion-like behavior which led to the diagnosis of a DSD. A 4-year-old Quarter Horse mare presented in good body condition, with normal external genitalia for a mare, and normal mammary glands with two bilaterally symmetric teats. No uterus, cervix, or gonads were detected on transr...
Comparison of systemic trimethoprim-sulfadimethoxine treatment and intrauterine ozone application as possible therapies for bacterial endometritis in equine practice.
Frontiers in veterinary science    January 27, 2023   Volume 10 1102149 doi: 10.3389/fvets.2023.1102149
Köhne M, Hofbauer L, Böttcher D, Tönissen A, Hegger A, Görgens A, Ulrich R, Sieme H.Bacterial endometritis is one of the major problems in equine reproduction and usually treated with antimicrobial drugs. The study aimed to compare the effects of intrauterine ozone application and systemic antibiotic treatment (trimethoprim-sulfadimethoxine) on intrauterine bacterial growth and possible side effects on the endometrium in a clinical setting. Mares ( = 30) with signs of endometritis (positive uterine bacterial culture and cytological findings) were assigned randomly to different treatments: intrauterine insufflation of an ozone-air-mix (240 ml, 80 μg ozone/ml) twice at a 48 h-...
Right-sided ovarian enlargement in an 8-year-old maiden warmblood mare.
Journal of the American Veterinary Medical Association    January 25, 2023   Volume 261, Issue 4 569-571 doi: 10.2460/javma.22.12.0561
Back B, Mejia S, Hackett E, Byron M, Westermann T, de Amorim MD.No abstract available
Prevalence, differences, and potential correlation to age, sex, breed, coat color, iris color, and geographic location in naturally occurring refractive errors in the normal equine eye from Germany and North Carolina.
Veterinary ophthalmology    January 24, 2023   Volume 26, Issue 4 297-305 doi: 10.1111/vop.13061
Charnock LN, Davidson MG, Keys DA, Gilger BC, McMullen RJ.To evaluate the normal refractive state in horses in NCSU and ECMR and determine the prevalence of naturally occurring refractive errors and their association with breed, age, coat color, iris color, sex, and geographic location. Methods: Horses from NCSU (January 2009-November 2012) and ECMR (January 2013-September 2016) underwent ophthalmic examination and streak retinoscopy. Location, color, breed, sex, and iris color were recorded. Gross and net refractive values for each meridian (horizontal and vertical), spherical refraction, astigmatism for both eyes, and anisometry were recorded, and ...
The hypothalamic-pituitary-adrenal axis response to ovine corticotropin-releasing-hormone stimulation tests in healthy and hospitalized foals.
Journal of veterinary internal medicine    January 18, 2023   Volume 37, Issue 1 292-301 doi: 10.1111/jvim.16604
Johnson K, Peterson J, Kopper J, Dembek K.The hypothalamic-pituitary-adrenocortical axis (HPAA) response to sepsis can be impaired in critical illness. Corticotropin-releasing hormone (CRH) stimulation test might assess HPAA function in foals. Objective: To evaluate plasma cortisol, ACTH, arginine vasopressin (AVP), and endogenous CRH (eCRH) response to different doses of ovine CRH (oCRH). Methods: Healthy (n = 14) and hospitalized (n = 15) foals <7 days of age. Methods: In this prospective randomized study, oCRH (0.1, 0.3, and 1 μg/kg) was administered intravenously and blood samples were collected before, 15, 30, 60, and ...
Association between insulin dysregulation and adrenocorticotropic hormone in aged horses and ponies with no clinical signs of pituitary pars intermedia dysfunction.
Equine veterinary journal    January 15, 2023   doi: 10.1111/evj.13925
Li FI, Spence RJ, de Laat MA, Harris PA, Sonntag J, Menzies-Gow NJ, Durham AE, Bailey SR, Sillence MN.High concentrations of adrenocorticotropic hormone (ACTH) are used as an indicator of pituitary pars intermedia dysfunction (PPID), but other factors that may influence ACTH need to be understood, if diagnostic reference ranges for ACTH are to be used with confidence. Insulin dysregulation (ID) could be one such factor, as insulin affects pituitary hormones in other species. Objective: To test the hypothesis that a relationship exists between high insulin and high ACTH in aged (>15-year-old) animals with no clinical signs of PPID. Methods: A cohort study. Methods: Thirteen horses and eleven p...
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