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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.
Diseases of the heart. Diagnostic ultrasound has allowed significant findings to be made in the investigation of cardiac disease in the horse. Because of the limited value of thoracic radiography in the adult horse with cardiac disease, ultrasound is the method of choice to document chamber enlargement, pericardial effusion, valvular abnormalities, and decreased contractility of the myocardium. The apparent changes in the flow characteristics and suspicion of abnormality in the right heart of racehorses need further investigation to fully document the etiopathogenesis of spontaneous contrast.
Anti-strongyle activity of a propylene glycol-glycerol formal formulation of ivermectin in horses (mares). Four groups of 10 horses (mares) each were treated with a 1% solution of ivermectin (200 micrograms/kg of body weight) in a propylene glycol-glycerol formal base orally, a 1% solution of ivermectin (200 micrograms/kg) in a propylene glycol-glycerol formal base via nasogastric tube, a 1.87% paste of ivermectin (200 micrograms/kg) orally, or a 22.7% paste of oxibendazole (10 mg/kg) orally. Fecal examinations were done before treatment and on posttreatment days (PTD) 14, 28, 42, 56, and 70. Strongyle egg per gram counts and sugar flotation fecal examinations were performed. Results of fecal exami...
Diabetes mellitus associated with bilateral granulosa cell tumors in a mare. Both ovaries in a 10-year-old American Saddle Horse mare were determined to be larger than normal. The mare had problems with infertility during the preceding 3 years. Clinical evaluation revealed that the mare was polyuric, polydypsic, hyperinsulinemic, and hyperglycemic, and had reduced tolerance to exogenous glucose. Bilateral granulosa cell tumors were identified on histologic examination of the ovaries. The precise mechanism for the secondary diabetes mellitus was not determined; however, the cause was suspected to be a result of the synthesis and release of a hormonal substance by the tu...
Serum concentrations of prolactin, thyroxine and triiodothyronine relative to season and the estrous cycle in the mare. Studies were conducted to characterize circulating concentrations of prolactin, thyroxine (T4) and triiodothyronine (T3) relative to season and the estrous cycle, and to evaluate the ability of thyrotropin-releasing hormone (TRH) to induce prolactin secretion in the horse mare. The increase in serum prolactin following the iv injection of 0, 5, 50 and 500 micrograms TRH was dose-related, while all three doses of TRH induced a significant and comparable increase in serum T4. Seasonal variations in serum prolactin were directly correlated (P less than .001) with changes in photoperiod (r = .80) ...
Diagnostic ultrasonography of equine limbs. In our 3 years of clinical experience, we have found that diagnostic ultrasound provides the veterinarian with a valuable diagnostic tool. It allows the clinician to quantify morphologic change that has occurred as a result of soft-tissue injuries, even when the clinical findings are ambiguous or insufficient. In cases in which aggressive postinjury therapy has been instituted prior to presentation, diagnostic ultrasound is often the only noninvasive method that can ascertain the extent of the horse's injury. Diagnostic ultrasound provides the technology to detect injuries before they become p...
Vertebral body osteomyelitis in the horse. Over a 4-year period, vertebral body abscess was diagnosed in 5 young cattle. The laboratory findings in most of these cases did not suggest a diagnosis of vertebral body abscess. The most important basis for diagnosis of this condition was a thorough neurologic examination. In 4 cases, necropsy revealed abscesses in the lungs or thoracic cavity as well, suggesting that a history of pneumonia preceding paresis may favor the diagnosis of vertebral body abscess.
Intramuscular hemangiosarcoma with pulmonary metastasis in a horse. Intramuscular hemangiosarcoma resulting in severe anemia and thrombocytopenia was diagnosed in a 3-year-old Thoroughbred filly. Necropsy revealed multiple tumors within skeletal muscles and multiple pulmonary metastases.
Emergence of antibiotic-resistant Salmonella agona in horses in Kentucky. Eighty-seven of 283 isolates of salmonellae recovered from horses in Kentucky by the Livestock Disease Diagnostic Center from July 1, 1980 through June 30, 1984 were Salmonella agona. No isolations of S agona were made from Jan 1, 1972 through June 30, 1980. Salmonella agona was isolated from horses on 56 farms and most of the isolations were made in the spring. All age classes of horses were involved. Clinical forms of salmonellosis observed were diarrhea, septicemia, infertility, and abortion. Antibiotic susceptibilities were determined for 83 of the 87 isolates, and 79 were resistant to mul...
Temporary bilateral carotid artery occlusion as an aid to nasal surgery in the horse. One of the major obstacles to successful intranasal surgery in the horse is haemorrhage, even minor interferences causing profuse bleeding. Conventional techniques for haemostasis are ineffective or inhibit the progress of the surgery. Temporary bilateral occlusion of the common carotid artery resulted in a substantial reduction in haemorrhage during intranasal surgery in five horses, with much improved visibility and facility of operation. The large contribution to the circle of Willis by the ventral spinal artery is believed to prevent cerebral ischaemia during this procedure. This paper des...
Serodiagnosis of experimental and natural Babesia equi and B. caballi infections. The sensitivity and specificity of the complement fixation (CF) test for the diagnosis of Babesia infections in equines was assessed, using the indirect fluorescent antibody (IFA) test as a reference. Antibodies were first detected between 11 and 20 days post infection (dpi) in the CF test and between 7 and 14 dpi in the IFA test in ponies infected experimentally with B. equi (USDA strain). The CF test became negative in four of five ponies 63-174 dpi although B. equi was demonstrated microscopically in two of these four ponies up to 364 and 455 dpi. The IFA test remained positive up to 476 dp...
Desmitis of the fetlock annular ligament in the horse. Desmitis of the fetlock annular ligament was diagnosed in 30 horses during a period of eight years. Most of the horses had been lame for a prolonged period and had chronically distended digital flexor tendon sheaths. Air tendograms demonstrated thickened palmar or plantar annular ligaments. In 25 horses the ligament was cut longitudinally; of these, 16 horses returned to full work without any difficulty and one became sound after a second operation. Follow up time varied from three months to seven-and-a-half years. None of the five untreated horses returned to work.
Pathologic findings in the oviducts of mares. Oviducts from 325 mares were evaluated macroscopically, and oviducts from 124 mares were evaluated microscopically. Two hundred and eighty-five (87.69%) of the mares had at least 1 macroscopic lesion and 116 (93.54%) had at least 1 microscopic lesion. The most frequently seen macroscopic lesions were adhesions, paraovarian cysts, and thick fibrous bands. Microscopically, intraepithelial cysts, slight, focal lymphocytic infiltration in the infundibular-ampullary region, and proteinoid material in the oviductal lumen were the most common findings. In general, the proximal segments of the oviduct...
Radiographic anatomy of tendon sheaths and bursae in the horse. Contrast radiography was used to determine the position, shape, relationship and capacity of a number of tendon sheaths and bursae which have clinical significance in the horse. It was possible to establish the normal range of radiographic anatomy for these structures. Some variation in the extent and form of tendon sheaths were found between individual horses and between foals and adults.
Four cases of traumatic optic nerve blindness in the horse. Traumatic optic nerve atrophy is characterised clinically by a unilateral or bilateral sudden onset of blindness. Dilated, fixed pupils and a lack of a menace reflex are the only abnormalities noted soon after the trauma. Within three to four weeks the optic disc becomes paler and the retinal vasculature is markedly decreased. The pathological lesion is a rupture of the nerve axons from stretching forces produced by the posterior movement of the brain against the fixed canalicular portion of the optic nerves. Medical therapy has not been successful.
Anatomic distribution of encysted cyathostome larvae in the horse. The large intestines of 6 horses were divided by length into 12 segments, and each segment was washed and weighed. At least 5% by weight of each segment was examined by mural transillumination, and encysted cyathostome larvae were counted. Total numbers of larvae in each segment were calculated. Encysted larvae (98%) were present in the proximal 7 segments of the large intestine (cecum and proximal 75% of the ventral colon), and 2% were present in the distal 25% of the ventral colon and entire dorsal colon. Encysted larvae (6%) were located in the dorsal colon of 1 heavily infected horse. Larv...
Glucose tolerance and insulin sensitivity in ponies and Standardbred horses. The existence of an innate insulin insensitivity in ponies was investigated and compared with the situation in larger breeds of horse. Ponies that were fat or had previously suffered laminitis were found to be far more intolerant to oral glucose loading (1 g/kg bodyweight [bwt]) than normal ponies or Standardbreds. These ponies also exhibited a far greater response in plasma insulin levels after glucose loading. Insulin response tests (0.4 iu/kg bwt insulin intravenously) showed only a minimal and very protracted response in both the fat and laminitic groups. The relevance of these findings in...
Absorption and pharmacokinetics of phenylbutazone in Welsh Mountain ponies. The disposition of phenylbutazone (4.4 mg/kg), administered intravenously to six Welsh Mountain ponies, was described by a two-compartment open model. Pharmacokinetic parameters were not significantly different after morning dosing in comparison with afternoon dosing. When phenylbutazone (4.4 mg/kg) was administered orally to the same ponies, marked variations in time to peak concentrations were produced with different feeding schedules. When access to hay was permitted before and after dosing, the mean time to peak concentration was 13.2 +/- 1.2 h and double peaks in the plasma concentration-...
Pulmonary lobar hypertrophy in a foal. Pulmonary lobar hypertrophy was diagnosed in a 4-hour-old Quarter Horse full-term foal that had respiratory arrest shortly after birth. The gross and microscopic appearances were consistent with polyalveolar lobe, a congenital anomaly of human infants.
Pharmacokinetics of amikacin in pony foals after a single intramuscular injection. Six healthy pony foals, from 2 to 11 days of age, were given a single IM injection of amikacin sulfate (250 mg/ml) at a dosage rate of 7 mg/kg of body weight. Serum amikacin concentrations were measured serially over a 24-hour period. The mean peak serum concentration was 14.7 micrograms/ml at 0.5 hour. The elimination rate constant for amikacin was 0.24/hour, the elimination half-life was 3.0 hours, and the apparent volume of distribution was 0.58 L/kg.
Exercised-induced pulmonary hemorrhage in polo and racing horses. Philippine polo and racing horses were examined for exercise-induced pulmonary hemorrhage after their competitive exercise. Exercise-induced pulmonary hemorrhage occurred in 11.1% of the polo horses and 64% of the racing horses. None of the horses had blood at the nostrils.
Periorbital skull fractures in five horses. Periorbital skull fractures were diagnosed in 5 horses, and were associated with ophthalmic complications including corneal ulceration, uveitis, and entrapment of the eye by retrobulbar bone fragments. Physical examination was of greater diagnostic use than radiography. Surgical repair was performed on all horses and was associated with a more favorable postoperative appearance in horses treated acutely; however, the cosmetic results were considered acceptable in all horses. Major postoperative complications were not observed.
Effects of lateral recumbency on regional lung function in anesthetized horses. Six horses were anesthetized and placed in lateral recumbency for 1 hour and then were turned to the opposite side for an additional hour. A short-lived radioactive gas, 81mKr, was used to determine the relative spatial distribution of ventilation (V) and perfusion (Q) in these horses. Effects of time, side down, and turning on the distribution were evaluated. A consistent gradient of V/Q was found at all times, with the highest V/Q values at the top (non-dependent) portion of the lung field and the lowest at the bottom (dependent). This gradient was also present within each lung, as well as b...
Technique for arthroscopic repair of third carpal bone slab fractures in horses. A technique involving internal fixation guided by arthroscopy was used to repair third carpal slab fractures in 23 horses. The technique allowed good reduction and compression of the fractures, with minimal surgical trauma. Ten of 17 horses with a 6-month or longer follow-up have returned to race successfully.
Hemostatic abnormalities in equine colic. Hemostatic profiles were determined in 30 horses with clinical colic. Blood samples were obtained at the time of the animal's admission, and the following hemostatic tests were done: blood platelet count, plasma fibrinogen, plasma antithrombin, prothrombin time, partial thromboplastin time, thrombin time, protamine sulfate test for soluble fibrin monomer, and fibrin-fibrinogen degradation products. The patients were categorized in retrospect, according to the cause of the colic: group 1--colic associated with colitis and/or severe diarrhea, group 2--colic associated with torsion or obstruction...
Arthroscopic surgery for osteochondral fractures of the proximal phalanx of the metacarpophalangeal and metatarsophalangeal (fetlock) joints in horses. Arthroscopic surgery for osteochondral fractures of the proximal phalanx was performed on 74 fetlock joints of 63 horses for a total of 87 fractures during a 2-year period. The medial dorsal proximal aspect of the proximal phalanx of the forelimbs was most commonly involved (59 fractures), followed by the lateral aspect (26 fractures), and 2 fractures occurred in the fetlock joint of the right hindlimb. At surgery, 82 fragments were removed and 5 fragments that had healed or were embedded in the joint capsule were not removed. Of the fragments removed, 15 were fixed firmly to the proximal phal...
