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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.
Laryngoplasty with or without ventriculectomy for treatment of left laryngeal hemiplegia in 230 racehorses. The purpose of this study was to examine the influence of laryngoplasty on racing performance and to determine if any of the following variables had a significant effect on outcome: breed (Thoroughbred v Standardbred), endoscopic grade of laryngeal function, ventriculectomy versus no ventriculectomy, type of prosthetic suture used, and number of prostheses placed. Methods: Retrospective study of laryngoplasty with or without ventriculectomy for treatment of left laryngeal hemiplegia in racehorses between 1986 and 1993. Methods: 230 horses (174 Thoroughbreds, 56 Standardbreds). Methods: The med...
Complications associated with use of a one-hole subpalpebral lavage system in horses: 150 cases (1977-1996). To determine type and frequency of complications associated with use of a one-hole subpalpebral lavage (SPL) system in horses. Methods: Retrospective study. Methods: 150 horses with 156 SPL systems. Methods: Signalment, primary complaint, method used for placement, time SPL system was in place, and complications were retrieved from medical records. Results: Complications were not associated with placement, maintenance, or removal of 66 of 156 (42%) SPL systems. A minor complication was reported in association with 53 (34%) SPL systems, and a serious complication was reported in association wit...
Variations in the force applied to flexion tests of the distal limb of horses. A pressure-sensitive device was developed to measure the force applied to flexion tests of the distal limb of horses. The mean force applied by a group of experienced clinicians was 150 N which results in a moment on the flexed fetlock joint of about 28.5 Nm. The coefficient of variation of the force applied by one experienced clinician was only about 12 per cent, but the coefficient of variation between clinicians was considerably higher (20 per cent), irrespective of whether the clinicians were considered to be experienced or not. The mean force applied by a group of women examiners (114 N) ...
Evaluation of the equine respiratory system using physical examination and endoscopy. Defining respiratory disease is not always easy in the horse because auscultation with accurate interpretation of lung sounds can be difficult. However, performing a thorough physical examination, including rebreathing auscultation and percussion of the thorax and sinuses, is very useful in elucidating the problem. Endoscopic examination of the upper respiratory system is also critical for definitively diagnosing certain conditions.
Poor performance and field evaluation of the respiratory system. A thorough examination of the respiratory system is an important part of the work-up for poor performance in horses. This article provides a systematic approach to field evaluation of horses with poor performance due to respiratory system dysfunction. The information is organized to help the reader evaluate pertinent historical and physical examination findings so that a list of differential diagnoses can be generated. Also, pertinent ancillary diagnostic modalities that can help further characterize and localize causes for respiratory dysfunction in horses presented for poor performance are d...
Hypereosinophilia in a horse with intestinal lymphosarcoma. Paraneoplastic eosinophilia is reported in dogs, cats, and humans. Hypereosinophilia (an eosinophil count greater than 1.5 x 10(9) L) is often associated with metastasis and a poor prognosis. This report describes a case of paraneoplastic hypereosinophilia in a pony. Neoplasia should be included in the differential diagnoses in a horse with eosinophilia.
Pharmacokinetics of enrofloxacin in horses after single intravenous and intramuscular administration. Pharmacokinetic behaviour of enrofloxacin was studied in 6 horses after intravenous (i.v.) or intramuscular (i.m.) administration of enrofloxacin (5 mg/kg bwt). Concentration of enrofloxacin and ciproflaxin were measured by high performance liquid chromatography in serum. Antimicrobial activity of the samples was determined with an agar-diffusion technique. Reactions at the site of i.m. injection were monitored clinically and by determination of serum creatine kinase (CK) activity. After i.v. administration, elimination half-life of enrofloxacin was 4.4 h and volume of distribution was 2.3 1/k...
Brodifacoum toxicosis in two horses. Increased popularity during the past decade of brodifacoum, an anticoagulant rodenticide, has led to an increase in cases of accidental poisoning in nontarget species, including pets and farm animals. Pharmacokinetics of second-generation anticoagulant rodenticides such as brodifacoum are substantially different from those of first-generation anticoagulant rodenticides such as warfarin. This difference dramatically influences management of exposure in terms of duration and cost of treatment and may affect outcome. The National Poison Control Center reports that approximately 50 cases of brodif...
The intercarpal ligaments of the equine midcarpal joint, Part 3: Clinical observations in 32 racing horses with midcarpal joint disease. To characterize the clinical features of intercarpal ligament pathology and to determine the relationship among palmar intercarpal ligament tearing, dorsomedial intercarpal ligament (DMICL) hypertrophy, and other intraarticular lesions. Methods: Prospective clinical observations. Methods: Twenty-eight thoroughbred and four standardbred race horses. Methods: Clinical, radiographic, and arthroscopic examination of 53 midcarpal joints of 32 horses. Results: Palmar intercarpal ligament tearing was observed in 30 joints of 22 horses. Some tearing of the medial palmar intercarpal ligament (MPICL) wa...
Pseudocyst of the spermatic cord of a gelding. Clinical, echographic, and histopathological features of an unusual enlarging scrotal mass in a 5-year-old gelding are described. Echography of the scrotal mass in this case provided valuable information concerning the nature of the tissue present, and assisted in narrowing the differential diagnosis.
A double-blind placebo-controlled trial of an evening primrose and fish oil combination vs. hydrogenated coconut oil in the management of recurrent seasonal pruritus in horses. Clinical status and plasma phospholipid fatty acids of 33 horses with seasonal pruritus were investigated following fatty acid supplementation. Principal areas affected by pruritus were mane, tail, head and rump. There were no significant differences in clinical status between horses receiving test and placebo capsules. Horses receiving the test preparation showed significant reduction (weeks 0-12) in linoleic acid (P < 0.05) and significant increases (weeks 0-24) in dihomogammalinolenic acid and alpha linolenic acid (P < 0.05). Placebo-treated horses showed significant reductions (wee...
Effect of combined staphylectomy and laryngotomy on upper airway mechanics in clinically normal horses. To investigate the effect of combined staphylectomy and laryngotomy on upper airway mechanics in clinically normal horses running on a treadmill. Methods: 6 Standardbreds. Methods: Upper airway mechanics were measured with horses trotting or pacing on a treadmill at 5, 8, and 10 m/s before and 6 weeks after combined staphylectomy and laryngotomy. Pharyngeal and tracheal inspiratory and expiratory pressure were measured by use of transnasal tracheal and pharyngeal side hole catheters connected to differential pressure transducers. A pneumotachograph mounted on the rostral end of an airtight fac...
Evaluation of the catabolic activity of cartilage by measurement of serum keratan sulfate concentration in foals. To determine keratan sulfate (KS) concentration in the serum of foals at the early stage of growing, and to evaluate the role of serum KS as a cartilage catabolic marker, comparing its values with the fluctuation of serum alkaline phosphatase (ALP) activity as a measurement of osteoblastic activity. Methods: 12 foals with normal growth and 3 foals with joint abnormalities within 18 months after birth. Methods: Measurement of KS concentration and ALP activity in serum and radiographic and physical examinations were done. Results: In all foals, serum KS concentration was high from 1 week after b...
[Salinomycin poisoning in a Polish stud horse]. 24 cases of salinomycin poisoning in horses occurring recently in Silesia are discussed. All of these horses, used for riding-purposes, were fed with concentrate containing 61 mg/kg salinomycin as faulty prepared by the manufacturer. Each horse received approximately two to three kilograms of this forage. All horses developed severe clinical signs of intoxication. Despite therapy eight horses died within three to six days. Ten others became recumbent and had to be euthanased. Only six horses survived. Clinical and laboratory examinations were performed and are discussed. Laboratory examination...
Neodymium:yttrium-aluminum-garnet laser treatment of cystic granula iridica in horses: eight cases (1988-1996). To determine clinical features of cystic granula iridica in horses and outcome of horses treated with an ophthalmic neodymium:yttrium-aluminum-garnet (Nd:YAG) laser. Methods: Retrospective study. Methods: 8 horses. Methods: An ophthalmic Nd:YAG laser was used to deflate cysts in all horses. Results: Horses were examined because of visual impairment (n = 5), decreased jumping performance (2), or head shaking (1). Clinical signs associated with cysts resolved in all horses after treatment. Short- and long-term complications did not develop, and cysts did not recur. Conclusions: Cystic granula ir...
Caecal disease in equids. To review the breed, age, gender, clinical and laboratory findings, treatment and outcome of horses with caecal disease presented to a referral centre. Methods: Retrospective study of 96 cases. Methods: The breed, age, and gender of the study population were compared with the corresponding hospital population for the same period. The means (+/- SD) for clinical and laboratory findings were recorded for each caecal disorder. Treatment was categorised as medical or surgical, and outcome was recorded. Results: Caecal diseases included impaction (40% of total cases), rupture associated with concur...
Ovariectomy of granulosa cell tumors in mares by use of the diagonal paramedian approach: 12 cases (1989-1995). To describe the short- and long-term survival rates in horses undergoing ovariectomy for granulosa cell tumors by use of the diagonal paramedian approach. Methods: Retrospective case study. Methods: 12 horses with granulosa cell tumors. Methods: A diagonal paramedian approach for unilateral ovariectomy was used for removal of each mare's granulosa cell tumor. Information about complications and outcomes was analyzed. Results: Only minimal complications were detected postoperatively when the diagonal paramedian approach was used, regardless of the preferred technique for ovarian pedicle ligatio...
Ageing draft and trotter horses by their dentition. The accuracy of ageing horses by their dentition was assessed by comparing the dental features with the known dates of birth of 212 trotter horses and 189 Belgian draft horses. The horses ranged in age from two to 25 years. In both breeds it was observed that the shedding of the incisors and the appearance of the dental stars were the most reliable features for age determination. In young animals, the dental configuration was similar in both breeds. With increasing age the incisor teeth of draft horses were more liable to abrasion than those of trotter horses. The sequential changes in appeara...
Nasal septoplasty for correction of septal deviation in a foal. This article reports an alternative to septal resection in nasal septal deviations involving the rostral 7 to 10 cm of the nasal septum. Methods: Case report. Methods: One client-owned foal. Methods: A nasal approach with mucosal elevation was used to gain access to the cartilaginous portion of the nasal septum. Once exposed, a series of parasagittal incisions in the cartilage allowed the septum to be repositioned while providing some intrinsic stabilization. Results: The nasal approach provided good access to the rostral 7 cm of the nasal septum. The technique resulted in minimal hemorrhage f...
Prostaglandin F2alpha release associated with an embryo transfer procedure in the mare. The pattern of the main metabolite of prostaglandin (PG) F2alpha was recorded following a nonsurgical embryo transfer technique in 9 mares under field conditions in Estonia. Three patterns were observed. Two of them were characterised by PG release, thereas the third was not. A tendency towards a shortened cycle was seen in 3 mares. Observations were made regarding the manipulation of the uterus as being normal or difficult to perform. In general, mares where the procedure was considered difficult were also found to have a PG release.
Equine dyschondroplasia (osteochondrosis)–histological findings and type VI collagen localization. This study describes (1) the histological appearance of dyschondroplasia, the primary lesion of osteochondrosis, in articular cartilage of the horse and (2) the localization of type VI collagen which is an important constituent of the extracellular matrix (ECM). Dyschondroplastic cartilage was identified on the basis of the presence of cartilage cores (i.e., cartilage extending into the subchondral bone) and confirmed with subsequent histological examination. Full-thickness cartilage samples from 57 horses were collected and paraffin embedded. Histological examination was used to examine the n...
Incomplete nasomaxillary dysplasia in a foal. Atresia of the nasal punctum is the most common congenital anomaly for the equine nasolacrimal system. Nasomaxillary dysplasia has not been previously documented in foals, is of unknown etiology, and appears to be a rare condition. Conjunctivomaxillary sinostomy was successful in resolving the epiphora.
Clostridium difficile associated with acute colitis in mature horses treated with antibiotics. Clostridium (C.) difficile, or its cytoxin, was demonstrated in faecal samples from 10 of 25 (40%) mature horses investigated with acute colitis treated primarily with antibiotics for disorders other than diarrhoea. C. difficile was not found in faecal samples from 140 horses without signs of enteric disorders, from 21 nondiarrhoeic horses treated with antibiotics, nor from 22 horses with colitis untreated with antibiotics. Except for C. difficile neither Salmonella nor any other investigated intestinal pathogen was isolated in any of the diarrhoeic horses. The findings strongly support some e...
The association of erythromycin ethylsuccinate with acute colitis in horses in Sweden. In Sweden there are several reports of mares developing acute colitis while their foals were being treated orally for Rhodococcus equi pneumonia with the combination of erythromycin and rifampicin. In this study 6 adult horses were given low oral dosages of these antibiotics, singly or in combination. Within 3 days post administration of erythromycin, in one case in combination with rifampicin, 2 horses developed severe colitis (one fatal). Clostridium difficile was isolated from one of the horses, whereas no specific pathogens were isolated from the other. Both horses had typical changes in b...
