Topic:Clinical Findings
Clinical findings in horses encompass a range of observable signs and symptoms identified during veterinary examinations that contribute to diagnosing and managing equine health conditions. These findings can include physical observations, such as changes in behavior, posture, or gait, as well as physiological measurements like heart rate, respiratory rate, and temperature. Diagnostics may also involve laboratory tests, imaging, and other diagnostic procedures to assess organ function and detect abnormalities. Recognizing and interpreting clinical findings are essential components of veterinary practice, aiding in the identification of diseases, monitoring treatment progress, and guiding therapeutic interventions. This page brings together peer-reviewed research studies and scholarly articles that explore the methodologies, interpretations, and implications of clinical findings in the context of equine health care.
Modified Medial Canthoplasty for Correction of Euryblepharon in Two Horses. To describe a medial canthoplasty surgical procedure in two horses for correction of euryblepharon, secondary to microphthalmia, and following excision of retrobulbar fat prolapse. Methods: A 1 year old thoroughbred mare was presented for small globes and chronic ocular discharge bilaterally. Ophthalmic examination revealed microphthalmos, euryblepharon, medial canthal pocket syndrome, and dacryocystitis bilaterally with no visual impairments. A 2 year old Appaloosa gelding was presented for evaluation of a smooth, subconjunctival mass anterior to the right globe in the medial canthus. Oph...
Equine neorickettsiosis: A global perspective of the natural habitat of the bacteria and clinical disease. Equine neorickettsiosis (EN) is an infectious, non-contagious systemic disease of horses caused by the closely related obligatory intracellular bacterial species Neorickettsia risticii and N. findlayensis. Clinical cases are considered endemic in multiple regions across the United States and Canada, as well as in parts of South America, including Uruguay and Brazil. Neorickettsia spp. are obligate endosymbionts of digenean trematodes, which have complex life cycles involving a molluscan first intermediate host, a wide range of invertebrate or vertebrate second intermediate hosts, and a vertebr...
Prolonged wireless measurement of intragastric pH in foals. The pathogenesis of gastric ulceration is not well understood in foals, and its relationship with gastric acidity requires further investigation. A wireless capsule, designed for intraesophageal pH monitoring in humans, was adapted to measure intragastric pH in adult horses. Objective: To (1) determine the feasibility of wireless intragastric pH measurement in foals; (2) determine capsule attachment duration; and (3) describe the intragastric pH profiles recorded. Methods: Eight healthy foals aged 24-98Â days. Methods: Prospective interventional study. Capsules were attached to the glandular g...
Equine Corneal Stromal Invasive Squamous Cell Carcinoma: Clinical and in Vivo Confocal Microscopic Features of 7 Cases. To describe the clinical and in vivo confocal microscopy (IVCM) characteristics of horses with corneal stromal invasive squamous cell carcinoma (CSI-SCC). Methods: Retrospective study of 7 horses with histopathologically confirmed unilateral CSI-SCC. Methods: Horses with corneal CSI-SCC were examined by laser scanning IVCM. Signalment, clinical findings, and histopathology results were compared with IVCM findings. Results: Clinical ocular lesions in all horses included a heavily vascularized, opaque, gray or tan, anterior or midstromal opacity invading the cornea from the limbus. The corneal ...
Unilateral vision loss associated with corneal opacity and posterior lens luxation in the right eye of a Thoroughbred gelding: Case report. A 15-year-old Thoroughbred gelding was presented for examination due to chronic corneal opacity in the right eye, which had been noted for several years. An ophthalmic evaluation revealed dense, irregular corneal opacity; an absence of the direct pupillary light reflex; and a positive dazzle reflex. Fluorescein staining was negative and cytology of a corneal conjunctival swab identified nucleated squamous epithelial cells, but no inflammatory cells. Slit-lamp examination failed to visualize intraocular structure, and the lesion was deemed to be chronic and irreversible. An obstacle-avoidance t...
Fragile foal syndrome: manifestations, heterozygous advantage and the future of breeding policies. Scientific interest in relation to Fragile Foal Syndrome (FFS) has proliferated in the last decade, but before this, many clinical cases were attributed to other similarly presenting equine neonatal disorders. It was thought that FFS-affected foals were mainly miscarried throughout gestation, but recent study results suggest that often, foals are born alive and die shortly after birth. FFS is proposed to have originated as long ago as the Godolphin Arabian, but the definite derivation of the mutant allele is unconfirmed. The discovery that FFS is present in 11-30% of Warmbloods and 2-3% of Tho...
Radiographic findings of candidate stallions presented for licensing at all German Warmblood horse-breeding associations in 2018-2020. Current studies on the health status of young German Warmblood stallions are lacking. Objective: To evaluate the prevalence of radiographic findings at licensing examinations of Warmblood candidate stallions and quantify the environmental influences on the distribution of recorded findings. Methods: In this retrospective observational study, records of 1693 radiographic examinations performed on 1678 German Warmblood stallions presented for licensing in 2018-2020 were reviewed. Data were provided by all German Warmblood horse-breeding associations and their official veterinarians. The collecti...
[Equine laryngeal dysplasia – overview of variable clinical presentation based on 6 cases]. Equine laryngeal dysplasia (ELD) is the umbrella term for various malformations of laryngeal structures that arise from the 4th and 6th branchial arches during embryogenesis. The disease is rare and may be subclinical. In symptomatic patients with clinical signs, the clinical presentation is highly variable and is the result of functional limitations of the larynx as well as of the esophageal sphincter. The spectrum of signs may range from respiratory changes such as abnormal respiratory noise, coughing, and at times dyspnea all the way to poor performance, dysphagia, aerophagia, and colic. Th...
Standing superficial keratectomy provides long-term control of epithelial and stromal equine immune-mediated keratitis. To describe the demographics and treatment outcomes of horses definitively diagnosed with epithelial or stromal immune-mediated keratitis (IMMK) by use of in vivo confocal microscopy (IVCM) and/or histopathology. Unassigned: Medical records of horses presented to the Cornell University Equine Hospital definitively diagnosed with epithelial or stromal IMMK with IVCM and/or histopathology between 2020 and 2024 were reviewed. Patient signalment, affected eye(s), diagnostics, treatments, and outcomes were assessed. Unassigned: 22 horses met the inclusion criteria. The mean age was 16.9 years (SD, ...
Acquired and Degenerative Conditions of the Cervical Vertebral Column in Horses. The cervical vertebral column in horses plays a crucial role in movement, posture, and performance and disorders affecting it can cause pain, ataxia, or lameness. This review discusses major acquired (traumatic, infectious, neoplastic) and degenerative (osteoarthritis, foraminal stenosis, intervertebral disc disease) conditions. Acquired lesions often arise from trauma, bacterial infection, or neoplasia, with clinical signs ranging from neck pain to neurologic deficits. Degenerative disorders, particularly osteoarthritis of articular process joints, are common in the caudal cervical spine and ...
Successful Treatment of Cutaneous Lupus Erythematosus in a Horse With Tacrolimus Ointment. A 9-year-old gelding Quarter Horse with a lesion on the right upper eyelid was diagnosed with cutaneous lupus erythematosus. Clinical resolution and control of UV-induced flares were achieved with topical tacrolimus and a UV-blocking mask without adverse effects over the following 3 years.
Evaluation of long-term postoperative morbidity and survival after equine colic surgery using a complication severity classification. Most studies on colic surgery outcome focus on short-term survival and complications. Long-term outcomes, particularly post-discharge morbidity, are poorly characterised despite their relevance. No standardised system has previously integrated both short- and long-term postoperative complications with survival outcomes. Therefore, this study aimed to evaluate long-term survival and morbidity in horses after colic surgery using the equine postoperative complication score (EPOCS), and to assess the association between complications and survival. Methods: The medical records of horses undergoing ...
Wrong turns, right career: an accidental journey into equine surgery. From average school reports to a surgical residency in the USA and running a 17-vet practice, this is the unplanned route Phil Cramp took to finding a career he loves.
Two cases of primary hepatic neoplasia in young horses: Diagnostic challenges and clinical implications. Primary hepatic neoplasms are rare in horses and often have a poor prognosis due to non-specific clinical signs and delayed diagnosis. This report describes two cases of primary hepatic neoplasia in young horses. The first case was a yearling Hanoverian filly presenting with non-specific clinical signs, including poor weight gain and inappetence, ultimately diagnosed with hepatoblastoma based on ultrasonographic findings and histopathological examination. The second case was a three-year-old Polish Sport Horse stallion that died suddenly, with post-mortem examination revealing advanced cholang...
Developmental Lateral Patellar Luxation in Standardbred Yearlings: Understanding the Condition. To report the incidence, and clinical and pathological findings of developmental lateral patellar luxation in Standardbred yearlings diagnosed with femoropatellar dysplasia (FPD) and demonstrate that osteochondral lesions in the lateral trochlear ridge (LTR) of the femur observed in the affected horses are osteochondral lesions related to patellar maltracking.Retrospective case series. Medical records were retrospectively reviewed for Standardbreds <12 months of age diagnosed with FPD between 2017 and 2023.A total of 10 Standardbred yearlings developed FPD (incidence 6.4 cases per 1,000 foals)...
Clinical and laboratory evaluation in horses submitted to intracecal fluid therapy administered in two different rates. Two routes of administration for electrolyte solutions are commonly used in horses with fluid, electrolyte, and acid-base imbalances: intravenous and nasogastric. Despite the frequent use of these routes, there are situations in which they cannot be applied. In such cases, intracecal fluid therapy represents a viable alternative, as this route enables the administration of enteral electrolyte solutions even in animals lacking normal anterior gastrointestinal function. This study aimed to evaluate the effects of a neutral hypotonic enteral electrolyte solution administered intracecally at two d...
Evaluating the Biochemical and Haematological Safety of the Histoplasma capsulatum var. farciminosum ‘8ZH’ Vaccine in Foals. Epizootic lymphangitis (EEL), caused by Histoplasma capsulatum var. farciminosum (HCF), is a neglected equine fungal disease lacking effective vaccines. The newly developed inactivated '8ZH' vaccine requires safety validation in the target species. Objective: To evaluate the biochemical, haematological and clinical safety of the inactivated HCF '8ZH' vaccine in foals. Methods: A controlled, single-blinded study was conducted on 30 clinically healthy foals (4-6 months), randomized into vaccinated (n = 15) and control (n = 15) groups. Vaccinated animals received a 5 mL intramuscular dose (...
Primary photosensitization in horses associated with ingestion of Malachra fasciata Jacq. (Malvaceae) in the Northeast of Brazil. Malachra fasciata Jacq. (Malvaceae) is an invasive plant widely found in Northeastern Brazil and has been experimentally demonstrated to cause severe dermatitis in sheep. However, its toxic effects in horses have not previously been documented. This report describes primary photosensitization in four Quarter Horses grazing on a pasture heavily infested with M. fasciata in ParaÃba, Brazil. Affected animals developed alopecic, erythematous, crusted, and ulcerated lesions on sun-exposed areas, accompanied by severe pruritus and behavioral signs of distress. Histopathology revealed epidermal ulce...
Outbreak of poisoning by sodium hydrogen methylarsonate (MSMA)-an arsenic-based herbicide-in horses in Brazil. Arsenic poisoning in horses is rarely reported in the literature. However, arsenic compounds can be present in rodenticides, pesticides, and herbicides, representing a potential source of accidental exposure for horses. Objective: To describe the epidemiological, clinical, and laboratory findings from a herd of 31 horses exposed to pasture treated with an overdose of sodium hydrogen methylarsonate, and to compare results in a group of horses exposed to the recommended dosage of the same product. Methods: Observational field study. Methods: Thirty-one horses were evaluated after grazing on a pa...
A Unique Case of Mosaicism for Two Robertsonian Translocations, rob(17;27) and rob(17;29), in a Subfertile Mare (Equus caballus ). Robertsonian translocations (ROBs) or centric fusions of acrocentric chromosomes are the most common structural chromosomal rearrangements in mammals. ROBs are of medical and veterinary concern because of associated subfertility and congenital disorders but are also of interest as a mechanism of chromosome and karyotype evolution. While ROBs are well documented in humans, mice, and cattle/bovids, they are extremely rare in horses, despite the 18 acrocentric chromosomes in the horse karyotype. Methods: We characterize the case using conventional and molecular cytogenetic approaches and DNA anal...
Clinical features, diagnostic findings, and treatment response in Finnish horses examined for equine inflammatory bowel disease. Equine inflammatory bowel disease (IBD) is challenging to diagnose and treat. Although the number of horses examined due to suspicion of IBD is increasing, the different treatments in clinical patients and their responses are not well documented. We sought to characterize the demography, signs, clinical and rectal biopsy findings, and treatment response in Finnish horses suspected to have IBD. Horses undergoing clinical examination due to suspected IBD in 2022 and with a good-quality rectal biopsy were selected for the study. General information, signs, clinical and histological findings, and ...
Treatment evaluation using ultrasonographic scanning of the spleen in Arabian horses affected by babesiosis. Equine babesiosis is a widespread protozoan disease in Saudi Arabia. The most common finding of clinical babesiosis is splenomegaly, which can be detected using non-invasive splenic ultrasonography. Unassigned: This study aimed to investigate changes in the spleen size in horses infected with babesiosis using ultrasonography before and after treatment. Unassigned: This study employed 15 male and female Arabian horses. Each animal was examined clinically for clinical signs, and blood samples were collected in plain tubes to detect antibodies against . The spleens of healthy and affected horses ...
Outbreak of digital extensor dysfunction compatible with acquired equine polyneuropathy observed for the first time in Iceland. Acquired equine polyneuropathy is a neuromuscular syndrome characterized by digital extensor dysfunction, primarily affecting the pelvic limbs, with consistent, repeated knuckling. Despite being recognized as an emerging disease in Scandinavia since 1995, the aetiology remains unknown, and cases have been limited to Norway, Sweden, and Finland. Methods: On a combined breeding and training farm in Iceland, 30 out of 145 horses (21%) presented with acute pelvic weakness, pelvic limb digital extensor dysfunction, knuckling and/or recumbency, from May to August 2019. The affected horses, aged 2-9Â...
Horses and ADHD: the ASTride intervention for cognitive and emotional growth. This study aimed to evaluate the efficacy of the Attention Skill Training (ASTride) protocol, an Equine-Assisted Occupational Therapy (EAOT) intervention, for children diagnosed with Attention Deficit/Hyperactivity Disorder (ADHD) in enhancing and promoting cognitive and emotional aspects including executive functions, self-efficacy, anxiety and hope perception. Methods: A prospective cohort study with an Interrupted Time-Series design was conducted. Fifty participants (mean age = 9.51 years, SD = 1.52) were assessed at four time points: baseline, pre-test (following a 12-week waiting ...
Endoscopically assisted transcutaneous placement of a balloon catheter in the medial guttural pouch compartment of the horse: A surgical approach to local treatment. To describe and report clinical outcomes after transcutaneous guttural pouch (GP) catheterization (TGPC) in standing horses. Methods: Ex vivo study and case series. Methods: One cadaver head, records of 10 normal horses and 14 horses treated with TGPC. Methods: Relevant anatomical landmarks were determined through dissection of one cadaveric specimen and 10 normal radiographic studies. Records of horses diagnosed with empyema or mycosis and treated with standing TGPC were reviewed for complications that occurred during or after the operation. Results: Ex vivo and radiological studies identifie...
Fibrocartilaginous Emboli in a 15-Year-Old Pony Mare. Fibrocartilaginous embolic myelopathy (FCE) was diagnosed in a 15-year-old pony mare by histopathologic examination of the spinal cord. The horse was euthanized and submitted for necropsy following focal seizures and lateral recumbency for approximately 12 h. Histopathology of spinal cord segments C5-C7 revealed severe ischemic myelomalacia with intravascular amorphous material that stained positive with Alcian Blue, consistent with cartilaginous matrix. These features in addition to the acute onset of clinical signs are characteristic for FCE. This case report describes the clinical and histo...
Granulosa cell tumor in Arabian mares: prevalence, risk factors, clinical and histopathological findings and outcome of surgical removal. Granulosa cell tumors (GCTs) represent the most common ovarian neoplasms in mares, yet data on their epidemiology, risk factors, and clinical outcomes in Arabian horses are limited. Understanding their prevalence and diagnostic features is crucial for improving fertility management in this breed. Unassigned: Clinical records from 807 Arabian mares housed on 35 stud farms in central Saudi Arabia were retrospectively reviewed to determine the prevalence of GCT and potential risk factors, including age, parity, and anabolic steroid use. Twenty-four confirmed cases were further investigated using ...
Complications Associated with Equine Diagnostic and Elective procedures. The practice of medicine has always been associated with complications. In fact, in its early stages, these complications contributed to the understanding of certain diseases and advancement of the medical field. In equine practice, virtually every procedure carries an associated risk. In fact, even procedures that would have minimal risk in human medicine may pose significant risk in equine practice owing to the unique nature of the horse. For instance, a simple rectal palpation could result in a rectal tear following an unexpected movement of the patient. Thus, extrapolations of complication...
Detection of degenerative joint disease of the distal interphalangeal joint in thoracic limbs characterized by joint space narrowing using standing low-field MRI in 25 equine patients. To report low-field standing MRI findings and, when available, postmortem findings of 25 thoracic limbs with degenerative joint disease of the distal interphalangeal joint (DIPJ) characterized by narrowing of the joint space suggestive of cartilage loss. Unassigned: Medical records from September 2015 to July 2022 were reviewed for clinical history, signalment, MRI, and postmortem findings. The study retrospectively analyzed cases in which lameness was linked to DIPJ joint space narrowing using a partially nested comparative design. Width was measured at 4 DIPJ sites, as well as a ratio to the...
Iatrogenic aspiration pneumonia in six horses: A retrospective case series. Iatrogenic aspiration pneumonia is rarely reported in horses, with most cases involving lipoid pneumonia from accidental mineral oil administration. Objective: Our aim is to describe horses with iatrogenic aspiration, highlighting clinical findings, treatment, outcomes, and prognostic differences based on the aspirated material. Methods: Management of 6 horses treated at the University of Helsinki Equine hospital due to iatrogenic aspiration between 2018 and 2023 are reported. Results: Of the six horses, three survived, two of whom regained full athletic function. Survivors received water, or ...