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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.
The use of staplers in equine intestinal surgery. Automatic suturing instruments were tested in two ponies and two horses. The TA stapler was used for bowel closure (enterotomies and gut transection) and for end-to-end 'triangulation' anastomoses. The GIA stapler was used for making side-to-side anastomoses. In one horse several enterotomies were made at different stages and the results of suturing by hand and with a stapler were compared. The utility of both types of staplers is discussed in relation to clinical evaluations and macroscopical and microscopical findings post mortem.
Repair of a diaphragmatic hernia in a horse. One month after falling heavily a four-year-old horse developed acute colic while being exercised. A tentative diagnosis of diaphragmatic hernia was reached on the basis of the clinical findings and confirmed at laparotomy. The defect was repaired and the horse made an uneventful recovery.
Use of ultrasonography for the detection of aortic-iliac thrombosis in horses. Two dimensional ultrasonographic evaluation of the iliac arteries and terminal portion of the aorta was utilized in 18 horses with histories of exercise intolerance or hindlimb lameness. A plaque or thrombus was imaged in one or more of these vessels in 5 horses. In 2 horses, the initial rectal examination findings were normal and the thrombus may have been missed without the use of diagnostic ultrasonography.
Midline scrotal ablation technique for unilateral cryptorchid castration in horses. Thirty-nine unilateral cryptorchid horses were castrated, using a midline scrotal ablation technique. This approach was satisfactory to access both inguinal rings, to eliminate the need for 2 incisions, and to allow for completion of the surgery by primary closure. These horses recovered from surgery with few complications, returned to work promptly, and had excellent cosmetic results.
Renal tubular acidosis in two horses: diagnostic studies. An 11-year-old Quarter Horse mare and a 2-year-old Quarter Horse colt with clinical diagnoses of renal tubular acidosis (RTA) were donated to the University of California Veterinary Medical Teaching Hospital. A series of diagnostic tests was performed in an attempt to characterize the type and cause of RTA in these horses. Endogenous creatinine clearance and sodium sulfanilate clearance were within reference ranges; thus, no abnormality of glomerular function was detected. To assess renal tubular function in response to acid loading, each horse was given 0.1 g of NH4Cl/kg of body weight via na...
Hemorrhagic fibrinonecrotic duodenitis-proximal jejunitis in horses: 20 cases (1977-1984). Records of 20 horses with small intestinal disease causing acute colic and affecting the proximal portion of the small intestine were examined retrospectively. The disease was characterized by severe to moderate pain, which was replaced by depression, fever, gastric reflux, slight distention of the affected small intestine, leukocytosis, and high concentrations of total protein in the peritoneal fluid. Grossly, the affected intestines were hemorrhagic and had yellow discoloration. Histopathologic findings included submucosal edema, neutrophilic infiltration of the submucosal and laminal propri...
The experimental infection of horses with Murray Valley encephalitis and Ross River viruses. Eleven weanling horses were inoculated with Murray Valley encephalitis and Ross River viruses either by intravenous injection or by the bite of Culex annulirostris or Aedes vigilax mosquitoes infected orally. Five of the 11 horses circulated trace amounts of MVE virus for 1 to 5d and they infected 7/408 Cx annulirostris which subsequently fed on them. Haemagglutination-inhibiting antibody persisted at detectable levels for the 24-week observation period. With Ross River virus, only one of 11 horses inoculated developed a viraemia detectable by inoculation of suckling mice but 5 horses containe...
Observations on tracheal mucociliary clearance in horses. The rate of movement up the mucociliary escalator of Technetium99m tagged to macroaggregated albumin was measured in 7 normal horses and 8 with respiratory disease. The activity at 2 sites in the neck, separated by 12-15 cm, was measured using a hand held scintillation counter and rate meter. In normal horses the Technetium complex moved as a bolus up the neck with a mean rate of 1.58 cm/min. In the horses with respiratory disease the Technetium complex was less likely to move as a discrete bolus and in three horses it was not possible to measure the transport rate. The remainder had a mean tr...
Correlation between anion gap, blood L lactate concentration and survival in horses. Blood L lactate concentration and anion gap were measured in 32 horses suspected of having metabolic acidosis. There was good linear correlation between these variables (r = 0.90791, P less than 0.0001) and both were good prognostic indicators. Anion gap was a good indicator of the presence but not the severity of L lactic acidosis and was a slightly better prognostic indicator. The ability to predict survival was not improved by the measurement of L lactate in addition to anion gap.
[New observations in the diagnosis of EHV (equine herpes virus) abortions]. Over the last years the percentage of foals lost by EHV at term or close to term seems to be higher than in former years. Furthermore, the pathological findings seem to shift from liver to lung. So far there has been no explanation for this phenomenon.
[Endometrial cysts in the mare. 1. Post-mortem studies: occurrence and morphology]. During macroscopic post-mortem examinations of the genital tract in 104 mares endometrial cysts occurred in 14 (13%) cases. Whereas in mares up to the age of 10 years cystic changes were absent, endometrial cysts occurred in 19% of the animals above the age of 10 years. In 6 mares only 1-2 cysts per uterus were found, and in 8 animals there were between 5 and 18 cystic changes per organ. The cysts were equally distributed in the uterus body and horns. Sporadically occurring cysts were about 11 mm in diameter with a decreasing size to a mean value of 5 mm in multiple cysts. Predominantly in the...
[Neurological examination of the horse]. Neurological examination in equine practice, physiological findings and pathological disturbances are described. Because of the sizes of the horse the neurological examination is more difficult than in small animals. The examination of cerebrospinal fluid is a worthful completion and is able to refer to the etiology of a certain disease. The technique of the puncture of cerebrospinal fluid is described.
The effects of four levels of endophyte-infected fescue seed in the diet of pregnant pony mares. Mean weight of 20 Quarter Horse placentas on a wet basis was 3.27 +/- 0.17 kg. These placentas contained mean dry fat-free tissue, DNA, RNA and collagen weights of 411 +/- 24 g, 11.2 +/- 0.6 g, 12.4 +/- 0.7 g and 210 +/- 15 g, respectively. In Ponies and Quarter Horses, there was a trend towards a decrease in these 4 values as gestation length increased. Analysis of placentas of Ponies fed different amounts of endophyte fungus-infected fescue seed showed that weight of dry fat-free tissue increased with increasing percentages of fescue seed in the diet. Diets containing fescue seed resulted in...
[Legal aspects of veterinary examinations of horses at purchase with regard to the new high court decision and prevailing dogma]. The existing statutory provisions in connection with the seller's liability for defects of a horse are nowadays unsatisfactory. This has led to an increasing number of cases in which veterinarians have been held liable for the purchaser's damages resulting from an incorrect or incomplete veterinary examination at point of sale. Courts have recently imposed extensive duties of care on the veterinary. He has not only to detect and disclose every minute defect of the horse, but has to give a prognosis of the development of the horse's healthiness and its future capability to meet the purchaser's ...
Idiopathic effusive pericarditis with tamponade in the horse. Pericarditis and pericardial effusion are considered to occur rarely in the horse. The clinical and laboratory features of idiopathic pericarditis with effusion diagnosed in 10 horses over a seven-year period were reviewed. Consistent physical findings included tachycardia, ventral oedema, jugular venous distention and diminished heart sounds. Electrocardiographic features included diminished voltages and electrical alternans, and the effusion was identified by echocardiography in the six horses in which it was performed. Pericardiocentesis relieved clinical signs in nine horses. Laboratory an...
Antepartum evaluations of the equine fetus. Measurements were made by real-time ultrasonography in 14 healthy mares to assess fetal growth and estimate newborn foal weights. Intrauterine fluid volumes were estimated and the placenta was measured and observed for maturational changes. The onset and incidence of echogenic particles in the allantoic fluid were recorded. In the second approach, baseline fetal heart rate, physiological rate variations and number, amplitude and duration of recorded accelerations were measured. Estimates of birth weights were within +/- 3.49 kg. Allantoic fluid was evident in all sonographic planes within the ...
[Proteases and protease inhibitors of possible clinical relevance in COPD of horses]. The importance of proteases and protease inhibitors for the pathogenesis of pulmonary emphysema and chronic bronchitis of the horse is described. Endogenous elastases from neutrophil granulocytes and macrophages, which probably provoke emphysema in the human being, are not relevant in horse emphysema. Exogenous elastases from different species of streptomyces may be responsible for emphysema generation in this species. Part of the exogenous elastases are poorly or not inhibited at all by the equine blood protease inhibitors especially by alpha 1-protease inhibitors. A disorder similar to genet...
Investigation into the heredity of congenital lateral patellar (sub)luxation in the Shetland pony. A breeding experiment was carried out in a group of Shetland ponies in order to investigate the heredity of congenital lateral patellar (sub)luxation. A breeding herd was established and consisted of stallions and mares acquired at different times. Some were free from, and others were affected by lateral patellar (sub)luxation in either one or both femoropatellar joints. Over a period of 20 years, 49 foals were born from different mating combinations. Some offspring were free from the defect and others showed the abnormality. Though the number of foals bred during the experiment is rather smal...
An update of chromosomal abnormalities in mares. Chromosomal abnormality was detectable in 98 of 180 mares aged 3 years or over with gonadal dysgenesis. The most common abnormality was X monosomy (63,X). The second most common abnormality was a karyotype indistinguishable by G- or C-banding from that of a male horse (64,XY). Two mares demonstrated structural abnormality of one X chromosome [64,X,del(Xp)] which has not previously been reported in horses. One of these foaled a filly with the same karyotype as her dam. Blood typing confirmed parentage of the foal. This is the only example in our experience of fertility in a mare with gonadal dy...
Apneic oxygenation in anesthetized ponies and horses. Apneic oxygenation was studied in six ponies for 30 minutes, and six horses for 10 minutes. Arterial blood was sampled at regular intervals for measurement of oxygen and carbon dioxide tensions (PaO2 and PaCO2) and calculation of alveolar-arterial oxygen tension difference (PAO2-PaO2). In both groups of animals, PaO2 decreased rapidly during the first 3 minutes of apnea, then more slowly. Although the mean value was above 100 mmHg at 10 minutes, there was considerable inter-animal variability. Before apnea, PAO2-PaO2 was slightly, but not significantly, larger in horses than in ponies and incr...
[Hoof correction in foals]. The conformation of a foal's limbs is of interest beginning in the first days of life. The hoof also must not be neglected. Management and hoof care necessary for normal hoof development are discussed. In addition, pathological hoof shapes and their appropriate treatments are outlined.
Acetabular osteochondrosis dissecans in a foal. Osteochondrosis affecting the acetabula in horses is rarely reported. Osteochondrosis dissecans in foals only a few weeks old is also an uncommon finding. Lesions compatible with osteochondrosis dissecans in the acetabulum were found to be the cause of a chronic coxofemoral lameness in a 3-week-old Arabian filly. The history, physical examination findings, joint fluid analysis, gross pathologic and histopathologic findings are described.
Plasma endotoxin levels in horses subjected to carbohydrate induced laminitis. Thirteen (65 per cent) of 20 horses subjected to carbohydrate overload developed Obel Grade 3 lameness within 56 h. Increases in plasma endotoxin from control levels of less than 0.1 ng/litre to values ranging from 2.4 to 81.53 ng/litre were measured in 11 (85 per cent) of 13 horses during the onset of Obel Grade 3 lameness. Obel Grade 3 lameness was associated with rises in plasma Gram-negative endotoxin levels in 11 (92 per cent) of 12 horses. Two peak increases separated by 16 h were verified in five (45 per cent) of 11 horses that exhibited both endotoxaemia and Obel Grade 3 lameness. The ...
[Examination and treatment of respiratory tract diseases in the horse in clinical practice]. In spite of regular vaccinations against equine influenza we are still observing a high rate of patients with respiratory problems in the equine practice. In our practice in Munich Riem, into which a horse clinic has been integrated, 4000 horses have been treated in 1985 alone. 874 of these showed some form of respiratory disease (= 22%). All of the 4000 horses have only been treated curatively, i.e. preventive forms of treatment such as vaccinations, deworming and examinations for insurance companies and prior to selling have not been taken into account. From 1983 until today in our clinic 25...
Effects of susceptibility of mares to endometritis and stage of cycle on phagocytic activity of uterine-derived neutrophils. Fourteen mares, 7 susceptible and 7 resistant to bacterial endometritis, were used to provide circulating and uterine-derived neutrophils. Uterine neutrophils were recruited by inoculating cell-free filtrates of Streptococcus zooepidemicus, or control vehicle. Mares were assigned to schedules for collection of neutrophils at oestrus or dioestrus. Phagocytic activity of circulating and uterine cells was evaluated by an assay for chemiluminescence after addition of opsonized streptococci. Chemiluminescence generated by circulating neutrophils was greater (P less than 0.05) for susceptible mares ...
[Pathomorphology of chronic obstructive lung disease in the horse]. The chronic obstructive pulmonary disease (COPD) in horses is primarily based on a chronic bronchitis/bronchiolitis with constriction of the tubes in the lower respiratory tract. The outward appearance of the lung is characterized by a diffuse or marginal alveolar emphysema. The big bronchial tubes are usually not altered. Small bronchi and bronchioli can often be seen through the pulmonal pleura. On the sectional area they are visible as opaque grey-red nodules with a central lumen detectable under a magnifying glass. The histopathological picture of alterations in the bronchial tree can vary...
