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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.
Isolation of Streptococcus pneumoniae from the respiratory tract of horses. Streptococcus pneumoniae was isolated from nasopharyngeal swabs and tracheal washings taken from Thoroughbred horses in training at three of four separate stables that were sampled during investigations into respiratory disease. The growth of Strep pneumoniae in culture was enhanced by an environment enriched with carbon dioxide. In one stable, five of 15 horses that were sampled repeatedly were found to carry the organism for at least four months. There was an apparent association between lower respiratory tract inflammatory disease and heavy growths (10(6) to 10(8) colony forming units/ml) p...
Type II renal tubular acidosis in a mare. Persistent, severe metabolic acidosis complicated the operative and postoperative period in a 4-year-old mare with colic. On the basis of clinical and laboratory findings, a renal tubular disorder was diagnosed. Renal tubular acidosis is rare in horses. In the only report found on the subject, type I renal tubular acidosis was described in 2 horses. Bicarbonate titration studies in our case helped document type II renal tubular acidosis in this mare.
Familial congenital occipitoatlantoaxial malformation (OAAM) in the Arabian horse. Familial occipitalization of the atlas with atlantalization of the axis was defined as a single congenital disease in Arabian horses following a clinical, radiologic, and morphologic study of 16 horses with congenital malformations of the occiput, atlas, and axis, and from a study of three reported cases. The constant morphologic features were interpreted as congenital atlantooccipital fusion, hypoplasia of the atlas and dens, malformation of the axis, and modification of the atlantoaxial joint. Atlantoaxial subluxation was also a frequent finding. The clinical syndromes shown by these horses ...
Evaluation of leukapheresis and thrombocytapheresis in the horse. Continuous-flow centrifugation leukapheresis techniques were used to collect 300-ml volumes of leukocyte-rich plasma from 5 nonmedicated horses and from 5 corticosteroid-stimulated horses. White blood cell counts and differential counts were performed on the horses before (base line) and up to 48 hours after leukapheresis. Systemic administration of hydrocortisone increased numbers of total WBC and neutrophils and improved harvest of these cells. Nonmedicated horses had a mean yield of 3.38 X 10(10) leukocytes in the 300-ml volume. Stimulated horses yielded a mean of 6.88 X 10(10) leukocytes. ...
Effects of spontaneous, assisted, and controlled ventilatory modes in halothane-anesthetized geldings. Cardiopulmonary effects of spontaneous, assisted, and controlled ventilatory modes were determined with 6 young, healthy geldings anesthetized with halothane at a constant dose (1.3 minimum alveolar concentration). All horses were in lateral recumbency, and all modes of ventilation were studied at least once during each anesthetic exposure. Cardiac output did not differ between spontaneous and assisted ventilation modes, but both modes were associated with significantly (P less than 0.05) higher cardiac output than that with controlled ventilation. The PaCO2 differed significantly (P less than...
Radiographic assessment of navicular bones, based on changes in the distal nutrient foramina. Radiographic examination of the navicular bones of 258 horses was carried out. Of these 258 horses, 83 were sound (Group A), 151 had been diagnosed clinically as having navicular disease (Group B), and 24 had a forefoot lameness of unknown aetiology (Group C). Seven basic shapes of distal nutrient foramina were identified from these radiographs. A scoring system was then developed based on these different types of distal nutrient foramina. When this scoring system was applied to the radiographs of the 258 horses examined significant differences were found between the mean navicular scores of t...
Ground reaction force patterns of Dutch Warmblood horses at normal walk. The ground reaction force patterns from 20 clinically sound Dutch Warmblood horses (Group A) were recorded at the normal walk. The data from four to 10 stance phases of each limb were computer averaged after normalisation to the animal's body mass and to the stance time. This analysis method allowed comparison of data from left and right fore- and hindlimbs within and between horses. The left-to-right symmetry in the reaction force peaks of contralateral limbs of one horse exceeded 90 per cent. The time in the stance phase at which the peaks occur were even more symmetrically distributed. A ch...
Haemangioma of the guttural pouch of a 16-year-old thoroughbred mare: clinical and pathological findings. A 16-year old thoroughbred mare was presented with dysphagia and food being ejected from the mouth and nostrils. Clinical signs were exhibited for three weeks before it was euthanased on humanitarian grounds. Post mortem examination revealed a soft haemangioma measuring 7 cm X 5 cm suspended from the roof of the medial compartment of the left guttural pouch.
Heart rate and ECG response to twitching in Thoroughbred foals and mares. Changes of the heart rate and ECG to twitching were examined using 5 Thoroughbred foals at various ages and their mares. The effect of the heart rate decrease to twitching was significantly greater in the foals than in the mares. The decreased heart rate in the foals continued during and after the twitching. Changes of the T wave in the A-B lead ECG shown as enhancement of the negative ingredient of the T wave were observed both in the foals and in the mares, accompanied by a decrease in the heart rate during and/or after the twitching. Two out of the five foals showed second-degree A-V block ...
Bilateral hypoplasia of the soft palate and aryepiglottic entrapment in a horse. Endoscopic examination of a 7-year-old gelding with weight loss indicated a palatal defect with a prominent tissue mass at the caudomedial margin of the defect. At necropsy, the condition was determined to be bilateral hypoplasia of the soft palate.
Lung sounds in cattle, horses, sheep and goats. The purpose of this paper is to emphasize the importance of pulmonary auscultation for the clinician. It suggests a clarification and simplification of the terminology to be used which would be helpful to veterinary students and allow better communications between veterinarians. The interpretation of these sounds and the relationships to conditions and diseases of the lungs in cattle, horses, sheep and goats are discussed.
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.
