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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.
Development of a laparoscopic technique for inguinal hernioplasty in standing horses.
The Veterinary record    January 15, 2023   Volume 192, Issue 8 e2584 doi: 10.1002/vetr.2584
Vitoria A, Romero A, Barrachina L, Fuente S, Gil L, de Blas I, Vázquez Bringas FJ.Most previously described techniques for laparoscopic inguinal hernioplasty (IH) in horses require advanced laparoscopic skills. Our objective was to describe a new laparoscopic IH technique using a surgical anchoring system. Methods: Standing laparoscopic IH was performed unilaterally in eight experimental stallions, using the contralateral inguinal canal (IC) as a control. A polyether ether ketone harpoon was anchored in the craniolateral aspect of the vaginal ring, and an extracorporeal knot was used to fix the device. Clinical evaluation, including testicular palpation and lameness examina...
Bilateral nasal discharge, respiratory noise, and decreased feed intake in a 19-year-old American Quarter Horse mare.
Journal of the American Veterinary Medical Association    January 13, 2023   Volume 261, Issue 3 412-414 doi: 10.2460/javma.22.11.0514
Tomlinson AK, Fontenot RL, Seitz MA.No abstract available
Liposomal bupivacaine is both safe and effective when administered via local infiltration at surgical site and mesovarium for laparoscopic ovariectomy in mares.
Equine veterinary journal    January 9, 2023   Volume 55, Issue 5 755-764 doi: 10.1111/evj.13915
Pezzanite LM, Griffenhagen GM, Bass L, Okudaira M, Larson B, Hendrickson DA.Liposomal local anaesthetic solutions may provide extended-duration analgesia postoperatively but have not been assessed following intra-peritoneal local infiltration in any species. Objective: To evaluate two doses of 1.33% liposomal bupivacaine (LB) versus 0.75% bupivacaine HCL (BHCl) for analgesia following laparoscopic ovariectomy in mares. Methods: Prospective cohort study. Methods: Fifteen healthy Quarter Horse mares (age 2-20 years) with normal bilateral ovarian palpation and appearance were enrolled. Horses were restrained in standing stocks and administered an α-2 agonist, butorpha...
Prevalence and clinical significance of increasing head height asymmetry as a measure of forelimb lameness in horses when trotting in a straight line after palmar digital nerve block.
Equine veterinary journal    January 5, 2023   doi: 10.1111/evj.13921
Kolding SA, Sørensen JN, Kramer J, McCracken MJ, Reed SK, Keegan KG.Some horses increase in forelimb lameness, measured as vertical head height asymmetry, or differences in maximums and minimums of head heights (HDmax, HDmin), after a palmar digital nerve (PDN) block. The prevalence of this finding, or what it means clinically, has not been reported in peer-reviewed literature. Objective: To estimate the prevalence of increasing head height asymmetry after a PDN block and determine if this is associated with cause of forelimb lameness. Methods: Retrospective case series. Methods: Head height asymmetry, normalised to expected vertical head displacement, from in...
Diagnostic Ophthalmology.
The Canadian veterinary journal = La revue veterinaire canadienne    January 4, 2023   Volume 64, Issue 1 85-86 
Levitt S, Sandmeyer LS, Leis ML.No abstract available
Equine blood flow restriction training: Safety validation.
Equine veterinary journal    January 4, 2023   Volume 55, Issue 5 872-883 doi: 10.1111/evj.13904
Johnson SA, Frisbie DD, Griffenhagen GM, King MR.Blood flow restriction (BFR) has become a key rehabilitative tool for human orthopaedic conditions. With modernised technology and evolution of clinical application, patient-specific delivery of occlusion percentages is now considered the standard of care in human patients due to improved therapeutic outcomes and minimised safety risks. Safety validation and limb occlusion pressure (LOP) data for horses, however, are lacking. Objective: (1) To determine if BFR exposure resulted in forelimb biomechanical gait dysfunction as safety validation and (2) to investigate inter-horse and inter-limb LOP...
Red cell distribution width values and red cell distribution width-to-platelet ratio in Thoroughbred foals in the first 24 hours of life.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    December 20, 2022   Volume 33, Issue 2 217-222 doi: 10.1111/vec.13274
Scalco R, Aleman M, Nogueira CEW, Freitas NB, Curcio BR.To report red cell distribution width (RDW) values, to calculate RDW-to-platelet ratio (RPR), and to investigate a possible correlation of RDW and RPR index values in neonatal foals classified as healthy or at risk based on clinical information from a population of foals up to 24 hours of life. Methods: Retrospective study conducted from records and CBCs of foals born between June and November from 2018 to 2020 foaling seasons. Methods: Breeding farm. Methods: Three hundred and nine neonatal full-term Thoroughbred foals. Methods: None. Results: Foals were evaluated by a veterinarian within 15...
Gene Expression Profiles of the Immuno-Transcriptome in Equine Asthma.
Animals : an open access journal from MDPI    December 20, 2022   Volume 13, Issue 1 4 doi: 10.3390/ani13010004
Padoan E, Ferraresso S, Pegolo S, Barnini C, Castagnaro M, Bargelloni L.Mild equine asthma (MEA) and severe equine asthma (SEA) are two of the most frequent equine airway inflammatory diseases, but knowledge about their pathogenesis is limited. The goal of this study was to investigate gene expression differences in the respiratory tract of MEA- and SEA-affected horses and their relationship with clinical signs. Methods: Clinical examination and endoscopy were performed in 8 SEA- and 10 MEA-affected horses and 7 healthy controls. Cytological and microbiological analyses of bronchoalveolar lavage (BAL) fluid were performed. Gene expression profiling of BAL fluid wa...
Comparison of four tonometers in the measurement of intraocular pressure in healthy horses.
Equine veterinary journal    December 20, 2022   doi: 10.1111/evj.13911
Angeluci GC, Ricci CL, Passareli JVGC, Estanho GJG, Oliveira AS, Santos SGA, Giuffrida R, Rodrigues M, Andrade SF.Measurement of the intraocular pressure (IOP) is a useful diagnostic tool in equine ophthalmology. Handheld tonometers, such as Tonovet and Tonovet Plus (rebound), Tono-Pen AVIA Vet (applanation), and Kowa HA-2 (applanation using the Goldmann methodology) are used to obtain IOP measurements in veterinary medicine. Objective: To compare and evaluate the accuracy of four handheld tonometers in measuring IOP using different methodologies in healthy horses. Methods: In vivo experiment and cross-sectional survey of healthy horses. Methods: Intraocular pressure was measured in 72 eyes of 36 horses. ...
Comparison of Six Different Methods for Measuring the Equine Hoof and Recording of its Three-Dimensional Conformation.
Journal of equine veterinary science    December 17, 2022   Volume 121 104195 doi: 10.1016/j.jevs.2022.104195
Sellke L, Patan-Zugaj B, Ludewig E, Cimrman R, Witter K.Different measuring techniques have been used to objectify the classification of hoof shape. The MicroScribe is a novel tool that might prove useful for measuring hooves without prior reconstruction or compensation of projection artefacts. The aim of this study was to compare biometric data of the equine hoof collected by the MicroScribe tool and measurements collected directly from hooves, scaled photographs and radiographs, from photogrammetry models and computed tomography datasets. The suitability of MicroScribe generated data to differentiate individual hoof conformations was tested. A to...
Chronic weight loss, intermittent hematuria, polyuria, and polydipsia in a 23-year-old Quarter Horse gelding.
Journal of the American Veterinary Medical Association    December 15, 2022   Volume 261, Issue 3 407-409 doi: 10.2460/javma.22.10.0453
Ochi A, Falconnier N, Baker R, Botting A, Dehghanpir SD, Langohr IM.No abstract available
Ocular penetration of oral acetaminophen in horses.
Equine veterinary journal    December 14, 2022   Volume 55, Issue 5 899-904 doi: 10.1111/evj.13902
Peraza J, Hector RC, Lee S, Terhaar HM, Knych HK, Wotman KL.Acetaminophen (paracetamol) is increasingly used to treat painful conditions in horses but its ocular penetration has not been studied. Objective: To determine whether orally administered acetaminophen penetrates the aqueous humour of the normal equine eye and report an aqueous humour:serum acetaminophen concentration ratio in horses. Methods: In vivo experiment. Methods: Six privately owned horses with normal ophthalmic examinations weighing 568 ± 65 kg (mean ± standard deviation) and aged 11 ± 4 years were given 20 mg/kg acetaminophen orally every 12 h for a total of s...
Investigation of Thresholds for Asymmetry Indices to Represent the Visual Assessment of Single Limb Lameness by Expert Veterinarians on Horses Trotting in a Straight Line.
Animals : an open access journal from MDPI    December 11, 2022   Volume 12, Issue 24 3498 doi: 10.3390/ani12243498
Macaire C, Hanne-Poujade S, De Azevedo E, Denoix JM, Coudry V, Jacquet S, Bertoni L, Tallaj A, Audigié F, Hatrisse C, Hébert C, Martin P, Marin F....Defining whether a gait asymmetry should be considered as lameness is challenging. Gait analysis systems now provide relatively accurate objective data, but their interpretation remains complex. Thresholds for discriminating between horses that are visually assessed as being lame or sound, as well as thresholds for locating the lame limb with precise sensitivity and specificity are essential for accurate interpretation of asymmetry measures. The goal of this study was to establish the thresholds of asymmetry indices having the best sensitivity and specificity to represent the visual single-lim...
DrugCentral 2023 extends human clinical data and integrates veterinary drugs.
Nucleic acids research    December 10, 2022   Volume 51, Issue D1 D1276-D1287 doi: 10.1093/nar/gkac1085
DrugCentral monitors new drug approvals and standardizes drug information. The current update contains 285 drugs (131 for human use). New additions include: (i) the integration of veterinary drugs (154 for animal use only), (ii) the addition of 66 documented off-label uses and iii) the identification of adverse drug events from pharmacovigilance data for pediatric and geriatric patients. Additional enhancements include chemical substructure searching using SMILES and 'Target Cards' based on UniProt accession codes. Statistics of interests include the following: (i) 60% of the covered drugs are...
The optimal PEEP after alveolar recruitment maneuver assessed by electrical impedance tomography in healthy horses.
Frontiers in veterinary science    December 9, 2022   Volume 9 1024088 doi: 10.3389/fvets.2022.1024088
Andrade FSRM, Ambrósio AM, Rodrigues RR, Faccó LL, Gonçalves LA, Garcia Filho SG, Dos Santos RT, Rossetto TC, Pereira MAA, Fantoni DT.Electrical impedance tomography (EIT) has been an essential tool for assessing pulmonary ventilation in several situations, such as the alveolar recruitment maneuver (ARM) in PEEP titration to maintain the lungs open after atelectasis reversion. In the same way as in humans and dogs, in horses, this tool has been widely used to assess pulmonary aeration undergoing anesthesia, mechanical ventilation, recruitment maneuver, standing horses, or specific procedures. Unassigned: The present study aimed to evaluate the distribution of regional ventilation during ARM based on lung monitoring assessmen...
What is your diagnosis? Scraping from a corneal ulcer in a horse.
Veterinary clinical pathology    December 7, 2022   Volume 52 Suppl 2 138-141 doi: 10.1111/vcp.13180
Conrado FO, Richardson R, Craft SL, Herrmann J, Hamor RE.No abstract available
A seasonal idiopathic hepatitis syndrome in horses presented to a Midwestern veterinary teaching hospital.
Journal of the American Veterinary Medical Association    December 7, 2022   Volume 261, Issue 2 266-272 doi: 10.2460/javma.22.08.0368
Taylor SD, Kritchevsky JE, Huang P, Olave C, Waxman SJ, Miller MA.To report history, clinical examination findings, clinicopathologic findings, diagnostic test results, treatment, and outcome in horses with a novel idiopathic hepatitis syndrome. 13 client-owned horses. Medical records of horses that were presented with fever and increased blood liver enzyme activity over a 16-month period were reviewed (December 1, 2020, to April 1, 2022). Collected data included signalment, history, clinical and clinicopathologic findings, diagnostic test results, treatment, clinical progression, and short-term outcome. Affected horses were presented between December and Ap...
Non-surgical correction of nephrosplenic entrapment and colitis in a Quarter Horse.
The Canadian veterinary journal = La revue veterinaire canadienne    December 6, 2022   Volume 63, Issue 12 1255-1257 
Normandeau J.A 16-year-old Quarter Horse was examined and observed to have acute signs of colic, pyrexia, and diarrhea. A nephrosplenic entrapment was detected via rectal palpation and confirmed with abdominal ultrasound. The nephrosplenic entrapment was resolved non-surgically with jogging and anti-inflammatory medication. Concurrent colitis, toxic laminitis, and inappetence were managed and the horse made a full recovery. Correction non chirurgicale d’emprisonnement néphro-splénique et de la colite chez un Quarter Horse. Un Quarter Horse âgé de 16 ans a été examiné et on a observé des signes ai...
Intracranial medulloblastoma as the cause of progressive ataxia in a 6-month-old draft horse cross gelding.
Journal of veterinary internal medicine    November 25, 2022   Volume 37, Issue 1 361-365 doi: 10.1111/jvim.16592
Palmisano M, Bender S, Johnson AL.We describe the unique clinical presentation of a central nervous system neoplasm in a 6-month-old draft horse cross gelding. Based on the neurologic examination at admission, neurolocalization was most consistent with a mildly asymmetric cervical, multifocal, or diffuse myelopathy. Mild vestibular involvement also was considered, but no cranial nerve deficits were observed. The gelding was negative for Sarcocystis neurona or Neospora hughesi based on paired serum and cerebrospinal fluid (CSF) samples analyzed, with no evidence of cervical compression based on contrast myelography. The horse w...
Variations in the application of equine prosthetic laryngoplasty: A survey of 128 equine surgeons.
Veterinary surgery : VS    November 24, 2022   Volume 52, Issue 2 209-220 doi: 10.1111/vsu.13913
Byrne CA, Hotchkiss JW, Barakzai SZ.To document variations in the application of equine prosthetic laryngoplasty among equine surgeons. Methods: Cross-sectional survey. Methods: Six hundred and seventy-eight equine surgeons performing prosthetic laryngoplasty. Methods: An online questionnaire was sent to equine surgeons, including diplomates of the American College of Veterinary Surgeons and European College of Veterinary Surgeons. Questions focused on participant profile, surgical technique, antimicrobial therapy, and concurrent procedures. Descriptive statistical analysis was performed on the survey output. Results: Complete r...
Complications following transcutaneous cecal trocarization in horses with a cattle trocar and a cecal needle.
PloS one    November 23, 2022   Volume 17, Issue 11 e0277468 doi: 10.1371/journal.pone.0277468
Dória RGS, Reginato GM, Hayasaka YB, Fantinato Neto P, Passarelli D, Arantes JA.Percutaneous decompression of the cecum is a procedure that could be considered for horses with cecal gas distension. The aim of this study was to identify complications such as peritonitis and clinically relevant peritonitis (CRP) after transabdominal cecal trocarization in healthy horses using a cattle trocar and a cecal needle. Mixed breed horses were assigned to three groups (n = 6): horses that underwent trocarization with a cecal needle (G1) or a cattle trocar (G2), and a control group (CG) without cecal trocarization. The same horses were used in each group, respecting a three-month was...
Impact of Different Diagnostic Procedures on Diagnosis, Therapy, and Outcome in Horses with Headshaking: Recommendations for Fast-Track Advanced Diagnostic and Therapeutic Protocols.
Animals : an open access journal from MDPI    November 13, 2022   Volume 12, Issue 22 doi: 10.3390/ani12223125
Kloock T, Hellige M, Kloock A, Feige K, Niebuhr T.Most horses affected by headshaking (HS) are diagnosed with idiopathic trigeminal-mediated headshaking (i-TMHS) when no underlying disease is found. Diagnosis is made by the exclusion of differentials considering history, clinical signs, and diagnostic investigations. Therefore, in horses presented with headshaking, many diagnostic procedures and therapies are conducted. Retrospectively, the digital patient records of 240 horses with HS were analysed regarding the impact of diagnostic procedures on diagnosis, therapy, and outcome. Horses were extensively examined using a standardised protocol ...
Application of Two-Dimensional Entropy Measures to Detect the Radiographic Signs of Tooth Resorption and Hypercementosis in an Equine Model.
Biomedicines    November 13, 2022   Volume 10, Issue 11 2914 doi: 10.3390/biomedicines10112914
Górski K, Borowska M, Stefanik E, Polkowska I, Turek B, Bereznowski A, Domino M.Dental disorders are a serious health problem in equine medicine, their early recognition benefits the long-term general health of the horse. Most of the initial signs of Equine Odontoclastic Tooth Resorption and Hypercementosis (EOTRH) syndrome concern the alveolar aspect of the teeth, thus, the need for early recognition radiographic imaging. This study is aimed to evaluate the applicability of entropy measures to quantify the radiological signs of tooth resorption and hypercementosis as well as to enhance radiographic image quality in order to facilitate the identification of the signs of E...
Malocclusions and Dental Diseases in Privately Owned Horses in the Mazovia Region of Poland.
Animals : an open access journal from MDPI    November 11, 2022   Volume 12, Issue 22 3120 doi: 10.3390/ani12223120
Górski K, Stefanik E, Turek B, Bereznowski A, Czopowicz M, Polkowska I, Domino M.Dental disorders, a term encompassing both malocclusion and dental disease, constitute a serious health problem in horses worldwide. As horse populations differ among countries and regions, a geographically specific characterization of the occurrence of various dental disorders may be helpful for local equine practitioners. This study investigated the prevalence and frequency distribution of selected malocclusions and dental diseases in horses housed in the Mazovia region of Poland, with attention paid to variations among age, gender, and breed categories. Routine dental examinations were cond...
Methods Used for Endotracheal Tube Cuff Inflation and Pressure Verification in Veterinary Medicine: A Questionnaire on Current Practice.
Animals : an open access journal from MDPI    November 8, 2022   Volume 12, Issue 22 3076 doi: 10.3390/ani12223076
Veen I, de Grauw JC.Endotracheal intubation is a routine procedure in veterinary anaesthesia, yet no consensus guidelines exist for endotracheal tube (ETT) cuff inflation and pressure measurement. The aim of this study was to assess current practice of ETT cuff inflation and seal verification in veterinary medicine. An online questionnaire was distributed among veterinary professionals who administer anaesthesia, comprising six demographic and twelve ETT cuff-related questions per species. N = 348 questionnaires were completed. Cuff pressure was measured by 30% of respondents in cats, 32% in dogs and 9% in both f...
Changes in Acute Phase Response Biomarkers in Racing Endurance Horses.
Animals : an open access journal from MDPI    October 31, 2022   Volume 12, Issue 21 doi: 10.3390/ani12212993
Mihelić K, Vrbanac Z, Bojanić K, Kostanjšak T, Ljubić BB, Gotić J, Vnuk D, Bottegaro NB.This study aimed to evaluate if exercise-induced acute phase response (APR) occurs in endurance horses in response to the race. The study included 23 horses competing in an endurance competition with a successfully passed clinical examination before the race. Blood samples were collected before the start and within 30 min after the end of the race. Haematological and biochemical tests were performed and correlated to acute phase biomarkers changes. Values of calprotectin and haptoglobin (Hp) decreased after the races compared to values before, while concentrations of ceruloplasmin and albumin ...
Equine shock wave therapy – where are we now?
Equine veterinary journal    October 28, 2022   Volume 55, Issue 4 593-606 doi: 10.1111/evj.13890
Johnson SA, Richards RB, Frisbie DD, Esselman AM, McClure SR.Over the past three decades, electrohydraulic extracorporeal shock wave therapy (ESWT) as a treatment modality for equine orthopaedic disorders has sparked exponential interest among practitioners, but its clinical applications are quickly evolving and a current review highlighting modernised equine clinical use is lacking. The objective of this review is to summarise the most current ESWT technology, evidence for its use, proposed mechanisms of action and clinical applications in horses while also highlighting the areas requiring further investigation. The three ways to generate a shock wave ...
Cartilaginous Intrusion of the Atrioventricular Node in a Quarter Horse with a High Burden of Second-Degree AV Block and Collapse: A Case Report.
Animals : an open access journal from MDPI    October 24, 2022   Volume 12, Issue 21 2915 doi: 10.3390/ani12212915
Nissen SD, Saljic A, Kjeldsen ST, Jespersen T, Hopster-Iversen C, Buhl R.Second-degree atrioventricular (AV) block is the most common cardiac arrhythmia in horses, affecting 40-90% depending on breed. Usually, the AV blocks occur while the horses are resting and disappear upon exercise and are, therefore, considered to be uneventful for horses. However, if the AV blocks occur frequently, this may result in syncope and collapse. Identifying the cause of second-degree AV block is difficult and often subscribed to high vagal tone. In this report, we present an eight-year-old Quarter horse with a high burden of second-degree AV blocks and multiple collapses. The clinic...
Comparison Between Gynecological Examination Methods and Sample Collection Techniques for the Diagnosis of Endometritis in Subfertile Mares.
Journal of equine veterinary science    October 23, 2022   Volume 119 104147 doi: 10.1016/j.jevs.2022.104147
Teixeira-Soares CM, Viana AGA, Ribeiro IM, Silva KDP, Sancler-Silva YFR, Machado-Neves M.Endometritis is a relevant cause of subfertility in mares. However, the accurate diagnosis, essential for effective treatment, can be difficult due to the variability of results and interpretations resulting from different examination methods and sample collection techniques. The present work compared gynecological evaluation methods and sample collection techniques to diagnose endometritis in subfertile mares. Forty animals with a history of subfertility were selected for gynecological evaluation using clinical methodologies, such as perineal conformation, transrectal palpation and ultrasonog...
Race-Level Reporting of Incidents Using the New Online System During Two Seasons (2019/2020-2020/2021) of Harness Racing in New Zealand.
Journal of equine veterinary science    October 20, 2022   Volume 119 104142 doi: 10.1016/j.jevs.2022.104142
Gibson MJ, Legg KA, Gee EK, Rogers CW.After establishing a baseline of stipendiary stewards' reporting using the paper-based system in the 2015/16 and 2016/17 seasons of harness racing, it is important to examine if the implementation of an online system has altered frequency and descriptors used for clinical outcomes. The objective of this study was to describe the race level injury and reporting outcomes, and horse- and race-level variables associated with the rate of the reporting of these outcomes during the 2019/20 and2020/21 harness racing seasons in New Zealand. The introduction of the online system was associated with few ...
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