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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.
Renal dysplasia in horses: 25 cases (1991-2021). Renal dysplasia (RD) is a congenital malformation with variable clinical expression and limited characterization in horses. Objective: We hypothesized that RD occurs in horses across a broad age range and may be overrepresented in specific breeds. Our objective was to describe clinical, clinicopathologic, and histopathologic findings in horses with RD. Methods: Twenty-five horses with RD identified from a veterinary teaching hospital between 1991 and 2021. Horses included neonates, young horses, and adults, with ages ranging from 0 days to 24 years and representing multiple breeds and both s...
Low-Field Magnetic Resonance Imaging Features of Axial Proximal Sesamoid Osteomyelitis and Intersesamoidean Ligament Rupture in a Horse. A 7-year-old Warmblood mare used for show jumping was evaluated for progressive left hindlimb lameness of 5 weeks' duration, localized clinically to the metatarsophalangeal region. Radiography revealed ill-defined osteolysis of the axial apical regions of both proximal sesamoid bones (PSBs). Due to rapid clinical deterioration, low-field magnetic resonance imaging was performed and demonstrated aggressive axial osteomyelitis of both PSBs, partial rupture of the intersesamoidean ligament and proximal scutum with herniation of synovium of the plantar joint recess, and an occult penetrating tract...
Multisystemic and cerebral infection associated with Halicephalobus gingivalis in Brazilian Criollo horses. Halicephalosis is a rare cosmopolitan disease affecting equids, cattle, and humans, manifesting as meningoencephalitis. This study reports the detection of Halicephalobus gingivalis infection in two adult horses with neurological clinical signs in Rio Grande do Sul state, in the Southern Brazil. It underscores the pathological main findings and phylogenetic analyses. In both cases, the horses exhibited severe neurological manifestations and were euthanized due to poor prognosis. Pathological findings revealed gross brain lesions, in addition, alterations in the kidneys and lymph nodes. Histopa...
Race-related fatalities in U.S. jump racing, 2023-2025: incidence and documentation across public reporting sources. Fatality reporting in National Steeplechase Association (NSA)-sanctioned U.S. jump racing is distributed across several public sources, and no single source consistently links the race incident with the final clinical outcome. Objective: To identify and verify race-related fatalities associated with NSA-sanctioned jump-racing starts, compare documentation across public sources, and estimate minimum confirmed fatality incidence. Methods: The study population included official starters in completed NSA-sanctioned hurdle/fence and timber races during 2023-2025. Potential fatalities reported by Ho...
Comparison of blind end closure techniques in equine ileum. To determine the difference in bursting pressure (BP), bursting wall tension (BWT), and closure speed between commonly utilized methods of ileal stump closure. Methods: Randomized experimental study. Methods: A total of 71 ileal segments from 18 healthy horses. Methods: Ileum was collected postmortem from 18 horses and divided into four segments. One end of each segment was closed using one of three techniques: Parker-Kerr (PK), gastrointestinal staples (ST), or gastrointestinal staples with a Lembert staple oversew (SO). Closure time was recorded. Control (C) segments were not altered. Segmen...
Use of clinical findings to distinguish between intestinal lymphoma or inflammatory bowel disease in horses. Identifying clinical findings that are distinct between inflammatory bowel disease (IBD) and intestinal lymphoma could be helpful for providing preliminary guidance for clients regarding their horse's prognosis while awaiting histopathologic results. Objective: To describe and compare the clinical findings of horses with a final histopathologic diagnosis of IBD vs intestinal lymphoma. Methods: Forty-six adult (≥1-year-old) horses with a final histopathologic diagnosis of IBD or intestinal lymphoma on endoscopic duodenal biopsy, surgical biopsy, or necropsy. Methods: Retrospective single-cent...
Significant changes occur in the ultrasonographic appearance of the lungs in horses following exploratory celiotomy. General anesthesia for short periods of time in healthy horses for elective procedures produces minimal ultrasonographic changes in the lungs, but the effect of general anesthesia for exploratory celiotomy in horses has not previously been investigated. The objective of this study was to identify the degree of ultrasonographic changes in the lungs of horses following exploratory celiotomy and to identify risk factors that could increase the magnitude of change. 63 horses ≥ 2 years of age undergoing exploratory celiotomy were initially enrolled in a prospective observational study. Signalme...
Historical, clinical and nasal endoscopic findings in 1600 cases of equine sinonasal disease and associations with case outcome. No large study has described the signalment, pre-referral management or clinical and nasal endoscopic findings in equine sinonasal disease. Objective: To explore associations between case outcome and signalment, pre-referral treatments, clinical and nasal endoscopic variables in sinonasal disease. Methods: Retrospective case series. Methods: Data were collected from medical records of 19 equine hospitals on sinonasal disease cases they had examined and which had undergone computed tomographic (CT) imaging. Case outcome was obtained from clinical records and/or by contacting clients and referri...
Musculoskeletal Assessment of Forelimbs and Hindlimbs in Mounted Police Horses using Infrared Thermography. Infrared thermography (IRT) has become established as a complementary tool in equine veterinary medicine, allowing for the early detection of thermal changes associated with musculoskeletal inflammatory processes. Objective: This study aimed to apply infrared thermography to characterize the surface thermal profile of the forelimbs and hindlimbs of mounted police horses, considering clinical classification, anatomical region, body side, and repeated evaluations over time. Methods: The research was conducted at the Military Police Cavalry in Manaus (AM), Brazil, involving 20 adult horses submit...
Clinical Signs as an Indication of the Presence of Gastric Ulcers in Horses: True or False? Equine Gastric Ulcer Syndrome (EGUS) and its related diseases, Equine Squamous Gastric Disease (ESGD) and Equine Glandular Gastric Disease (EGGD), can be found in horses worldwide, with increased prevalences in racehorses and animals subjected to heavy training loads. Clinical signs of the disease are vague and nonspecific, and most horses affected by the disease are asymptomatic. In this retrospective study, our aim was to determine the percentages of pleasure and breeding horses showing signs compatible with gastric ulcers, and to correlate these signs with the presence of ESGD, EGGD, and bo...
Use of Sildenafil Citrate for the Treatment of Erectile Dysfunction in Stallions: First Case Reports. Pharmacological aids can be useful alternatives to enhance penile erection and/or improve ejaculatory function, thereby prolonging the reproductive life of stallions with ejaculatory disorders. This study aimed to evaluate the effects of sildenafil citrate in the treatment of erectile dysfunction and on semen quality in two aged stallions, a Quarter Horse (18 years) and a Mangalarga Marchador (25 years), presented to the Veterinary Hospital of FMVZ-UNESP, Botucatu, SP, Brazil. The treatment consisted of oral administration of sildenafil citrate at 0.2 mg/kg. Thirty minutes after administ...
Fatal equine gas gangrene associated with Clostridium septicum in the Brazilian Amazon: clinicopathological and molecular characterization of a 20-case series. Clostridial gas gangrene is an acute necrotizing infection of skeletal muscle characterized by rapid tissue destruction and severe systemic toxemia in horses; however, systematically documented case series from tropical settings remain scarce. Here, we describe a clinicopathological and molecularly confirmed series of 20 fatal equine gas gangrene cases diagnosed in the eastern Brazilian Amazon (Pará State) between 2018 and 2026. Horses presented with abrupt onset of severe lameness, rapidly progressive swelling of a limb or muscle group, and palpable subcutaneous crepitus, frequently followin...
Diagnostic and Therapeutic Standing Needle Arthroscopy of the Distal Interphalangeal Joint in 36 Horses. The objective of this study is to describe the technique, complications, and outcomes of standing needle arthroscopy of the distal interphalangeal joint (DIPJ) in horses. Unassigned: This is a retrospective study. Unassigned: Five cadaver forelimbs; 36 client-owned horses. Unassigned: A 1.9-mm needle arthroscope was used to evaluate the DIPJ in cadaver limbs and clinical cases. Horses underwent diagnostic and/or therapeutic arthroscopy under standing sedation and local anaesthesia. Data collected included signalment, diagnostic imaging findings, intraoperative findings, complications, and outc...
Centrifugation of peritoneal fluid improves visual assessment of strangulating lesions in equine colic. Early and accurate recognition of a strangulating lesion is essential to expedite surgical intervention in horses presenting with colic. Objective: To evaluate the use of a colour grading scale in the visual assessment of peritoneal fluid, before and after centrifugation, and assess its ability to predict the presence of a strangulating lesion. Methods: Prospective clinical study. Methods: Peritoneal fluid samples from 231 equids presenting with colic were visually analysed immediately after collection and assigned a numerical value based on a developed colour scale. Peritoneal fluid was centr...
An atypical extrapulmonary presentation of rhodococcus equi infection in a foal: a case report. Rhodococcus equi infection in foals is primarily associated with pulmonary disease but may also present with extrapulmonary manifestations (Giguère et al. 2011; Reuss et al. 2009). Hemolytic anemia is a rare and poorly described complication, with only a single previous report of presumed immune-mediated hemolytic anemia in foals affected by R. equi. This case report describes the clinical presentation, diagnostic findings, disease progression, and postmortem examination of a 4-month-old Holsteiner foal with confirmed R. equi infection and severe anemia consistent with a presumed immune-media...
Isolation of Moraxella spp. strains in horses. Two species of Moraxella were isolated from swabs obtained from two symptomatic horses suffering from conjunctivitis and rhinitis. The isolates were identified via MALDI-TOF as Moraxella osloensis and Moraxella equi respectively, with a good genus identification and a probable species identification score. The first one was also confirmed by BLAST sequence analysis with a high homology (99%). Antimicrobial susceptibility testing obtained by minimum inhibitory concentration method showed that the two isolates were sensitive to all the tested molecules. The therapeutic protocols applied had an e...
Pharmacokinetic/Pharmacodynamic Analysis of Quinidine-Induced Dominant Frequency Reduction in Thoroughbred Horses With Atrial Fibrillation. Quinidine has long been used for the pharmacological treatment of atrial fibrillation (AF) in horses; however, the plasma concentration required for conversion to sinus rhythm remains unclear. Dominant frequency (DF), derived from surface electrocardiograms, reflects atrial activation rate during AF. This study aimed to quantify the relationship between plasma quinidine concentration and DF using a pharmacokinetic/pharmacodynamic (PK/PD) approach. Ten Thoroughbred horses with naturally occurring AF received quinidine sulfate via a nasogastric tube. Plasma quinidine concentrations and DF values...
Intratracheal Leiomyosarcoma in a 13-Year-Old German Riding Pony Mare. A 13-year-old German Riding Pony mare was referred for evaluation of progressive respiratory noise and mixed dyspnoea, which rapidly deteriorated to respiratory distress. Clinical examination revealed marked rattling inspiratory and expiratory tracheal sounds and severe, rattling, vesicular lung sounds. Arterial blood gas analysis demonstrated moderate hypoxaemia (partial pressure of arterial oxygen 76 mmHg at rest). Upper airway endoscopy identified a pink, cauliflower-like pedunculated mass originating from the dorsal tracheal wall approximately 15 cm cranial to the tracheal bifurcation, cau...
Use of extracorporeal hemoperfusion in a 2-day-old foal with neonatal sepsis. A 2-day-old Miniature Horse filly presented with severe clinical and clinicopathologic findings consistent with neonatal sepsis, failure of transfer of passive immunity, and aspiration pneumonia. The filly initially was treated with broad spectrum antimicrobials, hemodynamic support, and hyperimmune plasma. Because of a lack of improvement within the first 24 h, extracorporeal blood purification and cytokine removal were implemented. The foal underwent hemoperfusion (HP) using a polymer-based device (VetResQ). Reported notable changes during and after treatment included improved physical exam...
The Impact of a Horse Kick: A Systematic Review of Horse-Related Maxillofacial Trauma. : To systematically review the evidence on horse-related maxillofacial trauma, with emphasis on horse-kick injuries, anatomical patterns, associated injuries, management, outcomes, and prevention. : This systematic review followed the PRISMA 2020 statement. PubMed/MEDLINE, Scopus, Web of Science, and the Cochrane Library were searched for original clinical studies reporting facial, craniofacial, orbital, dental, or maxillofacial injuries related to horse-associated activities. Data were extracted on study characteristics, demographics, mechanism, mounted/unmounted status, anatomical site, asso...
Complications Following Nictitating Membrane Resection in Horses: 92 Eyes (2015-2024). The goal of this retrospective study is to evaluate the complications following nictitating membrane resection in horses with the aim of providing valuable information on the risks of this surgical procedure. Methods: 83 horses (92 eyes). Methods: Medical records for 83 horses that underwent nictitating membrane resection in 92 eyes between February 2015 and June 2024 were reviewed. Horses were included if they had at least 1 month of follow-up data available. Owners were contacted via telephone or email questionnaire to obtain follow-up information. Complications were recorded only when pre...
Evaluation of Serum Specific IgE Sensitization Profiles in a Korean Domestic Horse Population Using a Multiplex Allergen Line-blot Assay: A Cross-Sectional Screening Study. The purpose of this study was to evaluate the clinical applicability of a multiplex serum specific Immunoglobulin E (sIgE) test kit 'ANITIA Equine IgE' for identifying the causes of allergic diseases in horses raised in Korea, and to determine the major sensitization antigen profiles in the domestic horse population. Serum or plasma samples were collected from a total of 140 horses, classified by management system (Group A, n=108) and purpose (Group B, n=32). IgE concentrations for 120 environmental and dietary allergens were measured using a multiplex line-blot assay based on an indirect immu...
Rethinking Equine Cystitis: Evidence from Four Atypical Clinical Presentations. In this case series, four equines were diagnosed with cystitis, resulting in divergent clinical outcomes. Three animals achieved complete clinical resolution without recurrence, whereas one required euthanasia due to progressive clinical deterioration. All diagnoses were established through a dual-modality investigative protocol comprising cystoscopic evaluation and histopathological examination of bladder mucosal biopsies. The cohort exhibited considerable etiological heterogeneity. One case was classified as chronic idiopathic cystitis, while another was attributed to an opportunistic bacter...
Equine Ulcerative Genital Lesions Associated with Parapoxvirus. In 2026, a widespread outbreak of ulcerative dermatitis of unknown aetiology occurred in breeding horses in Ireland. The lesions resembled those associated with equine herpesvirus 3 (EHV3) infection, i.e., papules, vesicles, and ulcers on the penis of stallions and on the vulval and anal areas of mares. This study aimed to identify the probable causative agent. The methods applied included metagenomic sequencing of DNA, phylogenetic analysis, and real-time PCR. Metagenomic analysis directly from a penile sample confirmed the presence of equine parapoxvirus (EqPPV) DNA. Phylogenetic analysis in...
Health assessment of Tokara horses on Nakanoshima island: potential chronic hepatic dysfunction induced by Leopard plant (Farfugium japonicum) ingestion. We investigated the health of Tokara horses (n=34) on Nakanoshima as part of conservation efforts for this breed. Although the horses were clinically healthy, elevated white blood cell count, neutrophil count and gamma-glutamyl transferase (GGT) levels were observed, leading to suspicion of chronic hepatic dysfunction and infectious disease. A survey revealed that the caretakers had been feeding the horses Leopard plant, which contains toxic pyrrolizidine alkaloids (PAs). The abnormal GGT levels observed in these horses may suggest the possibility of chronic PA poisoning resulting from the con...
Favorable survival of horses with guttural pouch mycosis following hospital-based treatment. To report the clinical outcomes and survival time in horses undergoing treatment of guttural pouch mycosis. Unassigned: Client-owned horses with guttural pouch mycosis admitted between 2005 and 2024 for evaluation and treatment were identified by medical record search. Signalment, disease history, and surgical and treatment details were recorded. Owners were contacted for follow-up information. Unassigned: 41 horses with guttural pouch mycosis were identified, of which 28 had epistaxis or a history of epistaxis on presentation. Thirty-five horses underwent surgical treatment, and the procedure...
Penile and preputial pythiosis in Saudi Arabian horses: clinicopathological features and surgical outcomes. Pythiosis, caused by , is a chronic granulomatous disease of horses characterized by invasive, ulcerative, and pyogranulomatous cutaneous lesions. Involvement of the external genitalia is uncommon and remains poorly characterized, particularly regarding environmental exposure and treatment outcomes. This study aimed to describe the epidemiological pattern, clinicopathological features, diagnostic findings, and surgical outcomes of penile and preputial genital pythiosis in a hospital-presented horse cohort. Unassigned: A retrospective study was conducted on 123 horses presented with cutaneous u...
Clinical and pathologic findings of splenic tumours in four horses: a case series. Splenic tumours are rare in horses, with limited published literature consisting primarily of individual case reports and one hepato-splenic lymphoma case series. This case series analyses the clinical presentation, diagnostic findings and clinical outcomes of four cases of splenic neoplasia that presented to a university referral hospital over a three year period (2022-2025). Methods: Presented are two cases of primary splenic lymphoma, and two cases of metastatic melanoma. Three cases (75%) presented with chronic, non-specific clinical signs including weight loss, colic and ventral oedema. O...
Limited Effects of High-Intensity Laser Therapy on Clinical and Radiographic Outcomes in Three-Year-Old Arabian Racehorses with Dorsal Metacarpal Disease. Dorsal metacarpal disease (DMD) is a common musculoskeletal injury in young racehorses, and effective non-invasive treatments remain of clinical interest. This study aimed to evaluate whether high-intensity laser therapy (HILT), which was applied as the sole intervention in horses retired from training, reduces the clinical signs of DMD compared with untreated controls. During the 2023-2024 racing seasons, 15 Arabian racehorses diagnosed with DMD were enrolled; 9 received HILT and 6 served as controls without laser therapy. The treatment protocol consisted of five daily HILT sessions followed ...
