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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.
Hemodynamic effects of prostacyclin (prostaglandin I2) in conscious ponies. The infusion (IV) of prostacyclin (PGI2) into conscious ponies resulted in systemic arterial hypotension and tachycardia. Mean systemic arterial pressure decreased from 103.3 mm of Hg to 88.5 mm of Hg when 125 ng of PGI2/kg/minute was infused, and heart rate increased from 55.0 to 102.0 beats/minute. When 208 ng of PGI2/kg/minute was infused, mean systemic arterial pressure decreased from 103.3 to 78.0 mm of Hg and heart rate increased from 55.0 to 109.3 beats/minute. There were no significant alterations in pulmonary arterial pressure, lactate, PCV, total WBC count, platelet count, serum lact...
Migration of a spiruroid nematode through the brain of a horse. A pregnant 10-year-old Paint mare was examined because of an acute neurologic disturbance. Physical examination revealed signs consistent with extensive, asymmetric brain stem disease. The hemogram, serum chemical panel, and results of lumbosacral spinal fluid analysis were within normal limits. A primary diagnosis of equine protozoal myeloencephalitis was considered, and the mare was placed on treatment with trimethoprim-sulfadiazine. After 5 weeks of steady improvement, an acute exacerbation of neurologic signs necessitated euthanasia of the mare. At necropsy, large, malacic tracts were foun...
Degenerative joint disease with osteochondrosis of the proximal interphalangeal joint in young horses. Degenerative joint disease of the proximal interphalangeal joint was diagnosed in 9 joint of 6 horses. All of the horses were 3 years old or younger and the affected joints were in the hindlimbs. Radiographic evidence of osteochondrosis involving the distal end of the proximal phalanx was apparent in 5 joints. Lameness and local soft tissue swelling were prominent in all cases. In 1 horse euthanatized tissues because of lameness, histologic examination of joint tissues revealed osteochondrosis as well as severe osteoarthritis. Surgical arthrodesis of the affected joint was performed on 2 horse...
Clinical observations on equine phycomycosis. During a clinical study of equine phycomycosis in tropical northern Australia 3 specific forms of phycomycosis were identified. Of 266 cases diagnosed in 5 different laboratories, hyphomycosis caused by Hyphomyces destruens was responsible for 76.7%, basidiobolomycosis caused by Basidiobolus haptosporus for 18.0%, and entomophthoramycosis caused by Conidiobolus coronatus for 5.3%. Most cases of hyphomycosis were observed between March and July, that is after the monsoonal wet summer, but were calculated from clinical histories to originate in the wet season between November and May. Basidiobol...
Experimental Salmonella anatum infection in horses. Salmonella anatum was given orally to 8 horses on 11 occasions in doses ranging from 9.5 X 10(6) to 8.8 X 10(11) organisms. Four distinct syndromes were induced based upon clinical, laboratory and pathological findings: (1) asymptomatic; (2) moderate clinical signs with or without changes in faecal consistency; (3) fever, depression, anorexia with unstructured or diarrhoeic faeces; and (4) septicaemia with or without diarrhoea, and peripheral circulatory failure. All animals excreted the organism. The peak temperature preceded the onset of diarrhoea by 1 or 2 days. Changes in faecal consistenc...
Internal fixation of a tibial fracture in an adult horse. A 3-year-old Thoroughbred mare was examined because of hindlimb lameness from incomplete fracture of the tibia, which became a complete diaphyseal fracture during the examination. The fracture was repaired by open reduction and internal fixation with lag screws and 2 neutralization plates. A cranial approach was used and the plates were placed craniolateral and medial on the tibia. At 18 months after surgery, there was no evidence of complications resulting from the fracture or its repair. It was concluded that a cranial approach with craniolateral and medial plate placement allows easier inse...
[Artificial infestation of horses with the eggs of the stomach botfly (Gastrophilidae)]. 10 foals were artificially infected for the first time with eggs of Gastrophilus intestinalis, G. veterinus, G. haemorrhoidalis, G. inermis, G. nigricornis. 63 to 67% of the 1st stage larvae die in the first period of life after emergence from the egg, at the moment of invasion into the skin and at the beginning of the migration. In 40 to 45 years after the infection most larvae (73 to 82%), depending on their specific belonging, were found in the stomach, duodenum and rectum.
Lymphosarcoma with leukemia in a horse. A 17-year-old Arabian gelding was presented because of CNS depression and weight loss. Physical examination revealed generalized lymphadenopathy, pitting edema, and ascites. The diagnosis of lymphosarcoma with leukemic manifestations was based on cytologic and histopathologic examination of lymph node biopsy samples and a peripheral leukocyte count of 98,300/microliters, 94% of which were mature lymphocytes. These circulating lymphocytes lacked B-lymphocyte markers and did not respond to mitogenic stimulation, indicating functional incompetence. Though ultrastructural findings were equivocal, ...
Brain abscess in three horses. Three horses with brain abscesses had different clinical manifestations: 1 had a protracted clinical course whereas 2 had a short clinical course. Clinical signs in 2 horses (1 acute case, 1 chronic case) included unilateral loss of vision, head tilt, circling, abnormal mental status, and ataxia. The 3rd horse had bilateral loss of vision, altered mental status, and apparent deafness. Results of cerebrospinal fluid analysis were inconsistent. The horse with the protracted clinical course had paradoxic central vestibular disease.
Acute vitamin D2 (ergocalciferol) toxicosis in horses: case report and experimental studies. Acute accidental vitamin D2 (ergocalciferol) toxicosis was diagnosed in a 6-month-old foal with extensive lesions of soft tissue mineralization. In an experimental study, three 18-month-old horses were given ergocalciferol per os at a rate of 9,300, 22,200, or 47,200 IU/kg of body weight/day for 21 days. Clinical signs or lesions were not seen in horses given the low and intermediate doses, whereas the horse receiving the highest dose developed clinical signs and lesions similar to those noted in the foal. Signs included depression, loss of appetite, weakness, limb stiffness with impaired mobi...
Haematological changes in 2 ponies before and during an infection with equine influenza. MOST viral infections in animals, including man, have been
shown to alter the absolute and relative numbers of circulating
leucocytes. This usually causes a lymphopenia or neutropenia
but, occasionally, a lymphocytosis occurs (Gresser and Lang
1966). Several studies and reviews of respiratory viral
infections in horses have noted changes in the blood pictures
of infected animals, particularly during the early stages of the
disease (Steck and Gerber 1965; Gerber 1966, 1969; Bryans
and Gerber 1972; Hofer, Steck and Gerber 1978). The
transient nature of the leucocyte response is, probabl...
Surgical arthrodesis for the treatment of bone spavin in 20 horses. During a 3 year period 20 horses with bone spavin were treated by surgical arthrodesis of the affected joints. The horses chosen for surgery were those with osteoarthritis, but with little or no evidence of periostitis. Whenever possible they were examined periodically during the postoperative period to evaluate the lameness and to assess the progress of ankylosis by radiography. Three of the horses were still lame 12 months later. The remainder returned to normal work, although one subsequently developed spavin in the other hock and was destroyed. The earliest return to soundness was 3 1/2 mo...
Pulmonary function tests in standing ponies: reproducibility and effect of vagal blockade. Arterial blood gas tensions, pulmonary mechanics, and lung volumes were measured in 4 sedated ponies every hour for 6 hours and in 5 ponies 4 times at 2-month intervals to assess the short- and long-term reproducibility of pulmonary function measurements. Variability in blood gas tensions was small over the short- and long-term measurement periods, whereas the variability in total respiratory resistance and functional residual capacity was small over the short term but larger over the long term. The variability in tidal volume, minute ventilation, respiratory rate, and dynamic and quasistatic ...
Noniatrogenic rectal tears in three horses. Rectal tears were detected in three horses treated for colic. Based on historical, clinical, and postmortem findings, the tears could not be attributed to the attending veterinarian and were therefore not iatrogenic (physician induced). One tear was attributable to an infarction that presumably resulted from thromboembolism; 1 tear occurred without any evidence of external cause and resulted in such severe peritonitis that the cause and resulted in such severe peritonitis that the cause could not be determined, and 1 tear occurred during rectal palpation by the owner, before he called the vete...
The concept of osmolality: its use in the evaluation of “dehydration” in the horse. Osmolality is an indication of the osmotic pressure of plasma and depends on the amount of solute and solvent (water) present. The mean (+sd) plasma osmolality of 100 clinically normal animals was 282 (+6) mOsm/kg using lithium heparin as anticoagulant. The equation, osmolality=1.86 (sodium + potassium) +glucose +blood urea nitrogen + 9, was found to predict only crudely plasma osmolality. The plasma sodium: osmolality ratio was 0.49. Water and electrolyte disorders are classified into 3 types based on the measurement of electrolytes and osmolality: (1) Hypertonic dehydration (true dehydration...
Urinary production in the healthy horse and in horses deprived of feed and water. Total daily 24-hour urinary output was obtained from 11 healthy horses fed alfalfa hay with free access to salt during periods of high environmental temperatures. Daily urinary volume averaged 15.6 L, with mean specific gravity of 1.028, osmolality of 1,040 mOsm/kg, and urinary flow rate of 1.24 ml/kg/hr. Total 24-hour sample collections of urine were also obtained from horses held without access to feed or water for periods of 24, 48, and 72 hours during high environmental temperatures. Average urine production under these conditions was 6.3 L during the 1st day; 3.2 L, the 2nd day; and 3.0 L...
Paradoxic hypercalcemia and hypophosphatemia associated with chronic renal failure in horses. Chronic renal failure associated with hypercalcemia and hypophosphatemia was diagnosed in 6 horses. The renal lesions in 5 of the horses were classified as chronic glomerulonephritis and in the sixth, as chronic interstitial nephritis/pyelonephritis. There was no evidence of primary hyperparathyroidism or pseudohyperparathyroidism, thus suggesting that hypercalcemia associated with advanced renal failure in horses is related to a unique role of the equine kidney in calcium homeostasis.
