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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.
Hyaluronate and large molecular weight proteoglycans in synovial fluid from horses with various arthritides. To investigate the presence of large molecular weight (MW) proteoglycans (PG) and hyaluronate (HA) in synovial fluid (SF) from horses with various arthritides and from control joints. Methods: Horses with acute (< 2 weeks) or chronic (> 4 weeks) lameness were examined by clinical examination, intrasynovial anesthesia, radiography, arthroscopy, and SF analysis. Joints were grouped on the basis of diagnosis: acute traumatic arthritis, chronic traumatic arthritis (with a subgroup of degenerative joint disease), intra-articular fracture, and infectious arthritis. Methods: 31 horses with arthritis ...
Laparoscopic anatomy of the abdomen in dorsally recumbent horses. To provide an accurate and detailed description of the laparoscopic anatomy of the abdomen of horses positioned in dorsal recumbency and to compare those observations with laparoscopic anatomy of standing horses. The effects of laparoscopy and positional changes on arterial blood pressure and blood gas values also were investigated. Methods: Descriptive anatomic study. Methods: Laparoscopy was performed on 6 horses (2 mares, 2 geldings, and 2 stallions) to record the normal laparoscopic anatomy of the abdomen in dorsal recumbency. Methods: Feed was withheld from all horses for 36 hours. Horses...
Open peritoneal drainage in horses with experimentally induced peritonitis. Peritonitis was induced in 12 horses by median celiotomy and 1 hour of small intestinal ischemia. Six horses had primary closure of the incision, whereas six horses had a plastic mesh sutured to the ventral abdominal wall leaving the abdomen open for ventral drainage. The mesh was removed after 5 days and the abdominal wall was closed by apposition of the linea alba and subcutaneous tissues and approximation ef the skin edges. Peritoneal fluid was collected and analyzed for nucleated cell count and total protein concentration on days 0 and 5. Serum biochemical profiles, serum electrolyte conce...
Evaluation of vaccination of horses as a strategy to control equine monocytic ehrlichiosis. To determine whether preferentially vaccinated horses were at risk for exposure to Ehrlichia risticii, whether horses with equine monocytic ehrlichiosis (EME) were likely to have been nonvaccinated, and whether clinical severity and financial costs associated with care and treatment of EME were less for vaccinated horses with EME than for nonvaccinated horses with EME. Methods: Cross-sectional and case-control studies. Methods: Information on usage of E risticii bacterins to control EME was collected for 2,587 horses located on 511 farms throughout New York. Each horse was tested for serum ant...
GnRH therapy for subfertile stallions. Poor fertility has been associated with hormonal imbalances in the stallion. The primary cause of this imbalance is unknown, but it may be related to abnormal gonadotropin secretion. Secretion of GnRH from the hypothalamus causes the release of LH and FSH from the anterior pituitary and these gonadotropins help maintain adequate steroid levels so that normal spermatogenesis can occur. Hypogonadotropic hypogonadism has not been documented in the stallion; however, GnRH therapy has improved the fertility of a limited number of horses. Downregulation of the HPT axis readily occurs in most other s...
Ageing horses by an examination of their incisor teeth: an (im)possible task? It is generally considered that the age of a horse can be determined by examining its incisor teeth. However, the criteria used to determine age from dental configurations differ widely. The existence of this variety of rules and guidelines was the challenge for the present examination. Detailed descriptions of the incisor teeth of 212 horses of registered age were recorded and the results were compared with the age criteria of various authors. The time at which teeth were shed and the appearance of dental stars seemed to be more reliable features than the disappearance of the cups. The disapp...
Repair and function of synovium after arthroscopic synovectomy of the dorsal compartment of the equine antebrachiocarpal joint. The reparative ability of equine synovium was determined by gross, histological, and ultrastructural examination. The functional potential of the synovium was estimated by examination of synovial cell organelles with transmission electron microscopy. Results from rested and exercised horses were compared to determine the effect of exercise on synovial healing. The response of synovectomized joint to exercise was evaluated with a standardized lameness examination and by gross, histological, and histochemical observations of the articular cartilage. A 7-mm diameter motorized synovial resector wa...
Use of the dry chemistry “Reflotron” blood analyzer under outdoor-field conditions in veterinary medicine. Adapting the concept of "bed-side" patient analysis, the Boehringer-Mannheim Reflotron was evaluated for its possible use in veterinary medicine under outdoor-field conditions. Horse blood was analysed with the Cobas Bio analyzer, and indoor and outdoor analyses were also performed with the Reflotron. All values showed close agreement with no significant differences. Good correlation coefficients (r values around 0.9000) were also seen between all methods used. The Reflotron was operated under outdoor-field conditions by using, whenever available, an on-farm electricity source, or a gas operat...
Effect of a mask and pneumotachograph on tracheal and nasopharyngeal pressures, respiratory frequency, and ventilation in horses. To investigate the effect of a mask and pneumotachograph on ventilation, respiratory frequency, and tracheal and nasopharyngeal pressures in horses running on a treadmill. Methods: Six horses ran at 50, 75, and 100% of the speed that resulted in maximum oxygen consumption, with and without a mask and pneumotachograph. Tracheal and pharyngeal inspiratory and expiratory pressures, respiratory frequency, and arterial blood gases were measured. Methods: Six Standardbred horses. Methods: Oxygen consumption was measured during an incremental exercise test to determine the speed that resulted in maxi...
The diagnosis and surgical correction of congenital portosystemic vascular anomalies in two calves and two foals. Two calves and two foals presented with episodic clinical signs of diffuse central nervous system disease. Portosystemic anomalies were tentatively diagnosed based on the history, clinical signs and increased serum concentrations of blood ammonia and total serum bile acids with normal concentrations of liver derived enzymes. one calf died before intraoperative contrast portography, whereas the other calf and both foals had marked clinical improvement after intensive medical therapy. Surgical correction was attempted in these three animals and was successful in one foal. A right paracostal celi...
Computerized ECG recording in horses during a standardized exercise test. In the horse, it is important to make a reliable ECG recording during exercise as cardiac arrhythmia is one of the possible causes of poor performance. The purpose of the present study was to obtain a satisfactory, standardized method for ECG recording by computer during a standardized treadmill exercise test and to evaluate the procedure both in healthy and in diseased horses. Ten experienced healthy research horses were used to develop and adapt the original method (for humans) of computerized ECG recording with the Cardio Perfect software program and to obtain reference values for heart rat...
Treatment of a coxofemoral luxation secondary to upward fixation of the patella in a Shetland pony. A nine-year-old Shetland pony gelding, with a history of recurrent upward fixation of the patella, suddenly developed severe lameness in its right hindlimb. A luxation of the coxofemoral joint was diagnosed by a clinical and radiographic examination. The initial treatment of the luxation by closed reduction was not maintained, and the limb was placed in an Ehmer sling for four days after a second closed reduction. This allowed the femoral head to remain in the acetabulum, although a persistent subluxation remained, presumably owing to a rupture of the round ligament. The pony remained comforta...
[Luxation of the shoulder joint in a horse. A case report]. Etiology, diagnosis and therapy of the luxation of the shoulder joint in the horse are described. The traumatic luxation is diagnosed by physical examination and radiography. Without complicating changings (like fractures) and in case of early correction the prognosis is good.
Attempts to find phenotypic markers of the virulence plasmid of Rhodococcus equi. Four isolates of Rhodococcus equi, from pneumonic foals, and containing the 85 kb virulence plasmid, a porcine isolate containing an 80 kb plasmid, and their plasmid cured derivatives, were examined for 239 phenotypic properties in an attempt to find characters other than the virulence-associated protein (VapA) which might be encoded by the virulence plasmid in organisms grown at 37 degrees C. Tests chosen included those which have previously given variable results for R. equi isolates, since such variability might be attributed to plasmid curing, and characteristics which have been described ...
Subcutaneous emphysema in a neonatal foal. A 16-hour-old foal was examined because of subcutaneous emphysema, which began developing 3 hours after a routine delivery. Physical examination did not reveal soft-tissue or musculoskeletal trauma, and there were no skin injuries to explain the subcutaneous accumulation of air. Results of CBC and serum biochemical analysis were within reference limits, and findings on endoscopy of the pharyngeal area, trachea, and esophagus were within normal limits other than observation of dorsal pharyngeal compression. A pulmonary bulla, pneumomediastinum, and pneumothorax were detected on thoracic radiogr...
Effects of storage on serum ionized calcium and pH from horses with normal and abnormal ionized calcium concentrations. It has been previously shown that Ca(I) concentration is stable in serum collected from healthy horses for 10 days if stored at 40 degrees C. This may not be true for horses with abnormal Ca(I) concentrations. Thus the stability of ionized calcium (Ca(I)) concentration and pH measurement in serum from horses with both normal and abnormal Ca(I) concentrations stored for various times at 40 degrees C and -10 degrees C was evaluated. Our results indicated that serum Ca(I) concentration was stable throughout 7 days of cold or frozen storage, after being received by the Clinical Chemistry Laborator...
The effect of diagnostic regional nerve blocks in the fore limb on the locomotion of clinically sound horses. The practice of applying diagnostic nerve blocks relies on the assumption that the blocks in themselves do not alter the horse's gait. This assumption has recently been challenged. In the present paper a series of sequential nerve blocks (low palmar digital block, abaxial sesamoid block, high palmar block) was applied to clinically sound horses. Before and after each block the gait was clinically scored and Ground Reaction Forces (GRF) were measured. Clinical scoring did not change after any of the nerve blocks. None of the GRF variables changed significantly except for a slight alteration of ...
Accuracy of clinicians in predicting site and type of lesion as well as outcome in horses with colic. To assess the ability of clinicians to predict the site and type of lesion as well as outcome in horses with colic. Methods: Prospective case study. Methods: 139 horses admitted for evaluation of signs of colic. Methods: Six interns and residents examined horses with colic and predicted the segment of intestine that was affected, the type of lesion, and whether the horse would survive to discharge. Accuracy of prediction of site and type of lesion and survival prediction was compared between the first and second halves of the year, using chi 2 analysis and 95% confidence intervals on sensitivi...
Influence of formulation on the pharmacokinetics and bioavailability of racemic ketoprofen in horses. The bioavailability of S(+) and R(-) ketoprofen (KTP) in six horses was investigated after oral administration of the racemic (rac) mixture. Two oral formulations were studied, an oil-based paste containing micronised rac-KTP and powder from the same source in hard gelatin capsules, each at a dose rate of 2.2 mg/kg. For the oil-based paste two feeding schedules were used; horses were either allowed free access to food or access to food was restricted for 4 h before and 5 h after dosing. The drug in hard gelatin capsules was administered to horses with restricted access to food. After intraveno...
Diagnostic and forensic toxicology. In most competent veterinary diagnostic laboratories, analytical findings are interpreted by the veterinary toxicologist to determine the significance of the finding in view of historic, clinical, and pathologic findings. A veterinary toxicologist also will provide consultation about possible toxic rule-outs for a case, treatment of affected animals, and prevention of additional cases. Once all of the information is available, a complete summary of the findings can be provided to the client. When the procedures outlined are followed, including a systematic approach to collecting all the eviden...
