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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.
Movement asymmetries in horses presented for prepurchase or lameness examination.
Equine veterinary journal    June 9, 2021   Volume 54, Issue 2 334-346 doi: 10.1111/evj.13453
Hardeman AM, Egenvall A, Serra Bragança FM, Koene MHW, Swagemakers JH, Roepstorff L, van Weeren R, Byström A.The increasing popularity of objective gait analysis makes application in prepurchase examinations (PPE) a logical next step. Therefore, there is a need to have more understanding of asymmetry during a PPE in horses described on clinical evaluation as subtly lame. Objective: The objective of this study is to objectively compare asymmetry in horses raising minor vet concerns in a PPE and in horses raising major vet concerns with that found in horses presented with subtle single-limb lameness, and to investigate the effect of age/discipline on the clinicians' interpretation of asymmetry on the c...
Position of the midline septum of the guttural pouches in horses subjected to computed tomography.
Journal of equine veterinary science    June 4, 2021   Volume 103 103670 doi: 10.1016/j.jevs.2021.103670
Bryant B, Meehan LJ, Roberts V.Standing computed tomographic (CT) examination of the equine guttural pouch frequently reveals deviation of the midline septum. The significance of deviation is currently unknown. The aims of this retrospective, single-centre study were to determine the prevalence of deviation of the midline septum of the guttural pouch and determine whether there was an association between the presence and degree of deviation of the septum, and guttural pouch disease. Case records were reviewed, identifying 95 horses that had undergone a standing, sedated, head CT and guttural pouch endoscopy. The presence, l...
Proximal interphalangeal locking compression plate for pastern arthrodesis in horses.
Equine veterinary journal    June 1, 2021   doi: 10.1111/evj.13476
Hicks RB, Glass KG, Watkins JP.Outcomes following proximal interphalangeal joint (PIPJ) arthrodesis by a variety of surgical methods are available. Reports detailing clinical outcomes following PIPJ arthrodesis utilising the proximal interphalangeal joint locking compression plate (PIP-LCP) and abaxial transarticular lag screws technique are limited. Objective: To report survival, radiographic and clinical outcomes following PIPJ arthrodesis with PIP-LCP and abaxial transarticular lag screw fixation. Methods: Retrospective case series. Methods: Medical records of all horses undergoing pastern arthrodesis from 2009 to 2018 w...
Influence of multiple factors on hematologic reference intervals in horses residing in livery yards in Spain.
Veterinary clinical pathology    May 30, 2021   Volume 50, Issue 2 273-277 doi: 10.1111/vcp.12965
Buendia A, Teng KT, Camino E, Dominguez L, Cruz-Lopez F.The hemogram is a routine analysis for equine veterinary practitioners in the assessment of patient clinical status. Reference intervals (RIs) of hematologic constituents vary according to different horse populations and are often described for a particular breed or horse type. The aims of this study were to determine RIs for hematologic constituents in a mixed-breed horse population residing in livery yards in central Spain and evaluate the associations between estimated RIs and multiple phenotypic and management characteristics. A total of 122 healthy horses from different breeds in central ...
Pharmacokinetics of mycophenolate mofetil following single-dose intravenous and single- and multiple-dose oral administration and clinicopathologic effects of mycophenolate mofetil following long-term oral administration in healthy horses.
American journal of veterinary research    May 26, 2021   Volume 82, Issue 6 502-509 doi: 10.2460/ajvr.82.6.502
Knych HK, McKemie DS, Kanarr KL, White SD.To characterize the pharmacokinetics of mycophenolate mofetil (MMF) following single-dose IV or PO administration, characterize the pharmacokinetics of MMF following long-term PO administration, and describe the clinicopathologic effects of long-term MMF administration in horses. Methods: 12 healthy adult horses. Methods: In phase 1, 6 horses received a single IV (2.5 mg/kg) or PO (5 mg/kg) dose of MMF in a randomized balanced crossover assessment (≥ 2-week interval between administrations). In phase 2, 6 other horses received MMF for 60 days (5 mg/kg, PO, q 24 h for 30 days and then 5 mg/kg...
Clinical, pathologic, and epidemiologic features of nocardioform placentitis in the mare.
Theriogenology    May 25, 2021   Volume 171 155-161 doi: 10.1016/j.theriogenology.2021.05.023
Fedorka CE, Scoggin KE, Ruby RE, Erol E, Ball BA.Placentitis is the leading cause of infectious abortion in the horse and contributes to roughly 19% of all abortions in the United States. A type of placental infection, nocardioform placentitis (NP) is associated with gram-positive branching actinomycetes localized within the ventral body of the feto-maternal interface to create a lymphoplasmacytic mucoid lesion. While the etiology of this disease is poorly described, this placental infection continues to cause episodic abortions in addition to weak and/or growth retarded neonates. The goal of the present study was to perform a comprehensive ...
Relationship between endogenous plasma adrenocorticotropic hormone concentration and reproductive performance in Thoroughbred broodmares.
Journal of veterinary internal medicine    May 24, 2021   Volume 35, Issue 4 2002-2008 doi: 10.1111/jvim.16145
Tsuchiya T, Noda R, Ikeda H, Maeda M, Sato F.Pituitary pars intermedia dysfunction (PPID) is an endocrine disorder the clinical signs of which include infertility, but few reports have examined the relationship between PPID and reproductive performance in broodmares. Objective: Broodmares with infertility of unknown etiology were screened for PPID using baseline endogenous plasma ACTH concentrations, and its relationship with subsequent reproductive performance was analyzed. Methods: Sixty-seven Thoroughbred broodmares. Methods: Adrenocorticotropic hormone concentrations were measured in autumn. The broodmares were divided into 3 groups ...
Effect of Aerosolised Salbutamol Administration on Arterial Potassium Concentration in Anaesthetised Horses.
Journal of equine veterinary science    May 24, 2021   Volume 103 103667 doi: 10.1016/j.jevs.2021.103667
Loomes K.Aerosolized salbutamol has been associated with hypokalemia in horses undergoing colic surgery. The objective of this study was to evaluate the effect of aerosolized salbutamol on arterial potassium concentration ([K +]) in healthy anaesthetized horses undergoing elective surgery. Anesthetic records were reviewed from healthy adult horses undergoing elective surgery over a 3-year period with two complete sets of arterial electrolyte (sodium [Na +], potassium [K +], chloride [Cl -], calcium [Ca 2+]) concentration measurements. Records were excluded if intra-operative electrolyte supplementation...
Three Manual Noncommercial Methods to Prepare Equine Platelet-Rich Plasma.
Animals : an open access journal from MDPI    May 21, 2021   Volume 11, Issue 6 doi: 10.3390/ani11061478
Segabinazzi LGTM, Podico G, Rosser MF, Nanjappa SG, Alvarenga MA, Canisso IF.In light of PRP's increasing popularity in veterinary practice, this study aimed to compare three manual methods to prepare and cool equine PRP. The blood of 18 clinically healthy mares was collected via venipuncture in a blood transfusion bag (method 1), blood tubes (method 2), and a syringe (method 3). In method 1, samples were double centrifuged; method 2 involved one centrifugation, and in method 3 the syringe was kept in an upright position to sediment for 4 h. After processing with three methods, PRP and platelet-poor plasma (PPP) were extracted and assessed for red (RBC) and white blood...
A Pilot Randomised Clinical Trial Comparing a Short-Term Perioperative Prophylaxis Regimen to a Long-Term Standard Protocol in Equine Colic Surgery.
Antibiotics (Basel, Switzerland)    May 16, 2021   Volume 10, Issue 5 doi: 10.3390/antibiotics10050587
Stöckle SD, Kannapin DA, Kauter AML, Lübke-Becker A, Walther B, Merle R, Gehlen H.For surgical interventions classified as clean or clean-contaminated, including laparotomy, guidelines in human and veterinary medicine recommend a short-term perioperative antibiotic prophylaxis (PAP). In equine colic surgery, however, PAP commonly exceeds 24 h. Objective: The aim of this study was to compare a single-shot to a 5-day lasting PAP considering surgical site infections (SSI) and other adverse effects probably associated with the particular antimicrobial regimen. Methods: The study was designed as a randomised non-inferiority pilot study including horses subjected to colic surgery...
Dentigerous Equine Teratoma in a Stallion: Surgical Management and Clinicopathology.
Veterinary sciences    May 13, 2021   Volume 8, Issue 5 doi: 10.3390/vetsci8050084
Leonardi L, Bertoletti A, Bellezza E, Pettinari I, Gialletti R.Teratoma is a rare germ cell testicular cancer composed of cells that are not normally present in the site where it originates. These tumors are rarely described in horses, where they may develop due to cryptorchidism. Teratomas consist of cells originating from different germinal layers, arising from germinal multi-potential cells with differentiation defects, and can simultaneously contain several tissues from two or more embryonic layers. Testicular teratomas are described in horses, cats, dogs, wild boars, bulls, and humans. In the rare descriptions found in literature of testicular terato...
Use of Electrical Impedance Tomography (EIT) to Estimate Tidal Volume in Anaesthetized Horses Undergoing Elective Surgery.
Animals : an open access journal from MDPI    May 10, 2021   Volume 11, Issue 5 1350 doi: 10.3390/ani11051350
Crivellari B, Raisis A, Hosgood G, Waldmann AD, Murphy D, Mosing M.This study explores the application of electric impedance tomography (EIT) to estimate tidal volume (VT) by measuring impedance change per breath (∆Z). Seventeen healthy horses were anaesthetised and mechanically ventilated for elective procedures requiring dorsal recumbency. Spirometric VT (VT) and ∆Z were recorded periodically; up to six times throughout anaesthesia. Part 1 assessed these variables at incremental delivered VT of 10, 12 and 15 mL/kg. Part 2 estimated VT (VT) in litres from ∆Z at three additional measurement points using a line of best fit obtained from Part 1. During pa...
Transabdominal ultrasonographic measurement of caudal vena cava to aorta derived ratios in clinically healthy neonatal foals.
Veterinary medicine and science    May 3, 2021   Volume 7, Issue 5 1451-1459 doi: 10.1002/vms3.506
Del Prete C, Freccero F, Lanci A, Hallowell GD, Bullone C, Castagnetti C, Pasolini MP.Ultrasonographic measurement of the vena cava and aorta (Ao) diameters and their ratios have been suggested to be a reliable way of quantifying hypovolemia. To evaluate the feasibility and reliability of an ultrasonographic technique for measurement of Ao and caudal vena cava (CVC) and derived ratios using three different acoustic windows in a population of healthy neonatal foals. Correlation between Ao and CVC measurements and ratios and foals' age or bodyweight were also investigated. In 14 healthy foals aged less than 7 days, the diameters of the Ao and of the CVC in long and short axis we...
Isolation of Moraxella spp. from horses with conjunctivitis in Southern Brazil.
Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]    April 30, 2021   Volume 52, Issue 3 1643-1648 doi: 10.1007/s42770-021-00507-1
Seeger MG, Corrêa LFD, Clothier KA, Loy JD, Cargnelutti JF.Infectious keratoconjunctivitis (IKC) is the most frequent ocular disease in livestock worldwide and is primarily caused by Moraxella bovis, M. ovis, and/or M. bovoculi. The economic impact of IKC is mainly due to ocular damage, which leads to weight loss, management difficulties, pain and discomfort, and cost of treatments. In horses, limited information is available on the association of Moraxella spp. with keratoconjunctivitis. The present report describes two cases of equine keratoconjunctivitis caused by members of the genus Moraxella. Both animals presented with lacrimation, conjunctivit...
Use of polyamide cable ties during experimental omentectomy in adult horses with histopathological assessment.
Veterinary surgery : VS    April 30, 2021   Volume 50, Issue 6 1267-1275 doi: 10.1111/vsu.13644
Hurcombe SD, Klein CE, Roessner HA, Engiles JB, Hopster K.To report the use of nylon cable ties (NCT) for omentectomy in the horse. Methods: Experimental study. Methods: Eight healthy adult horses. Methods: Horses underwent nylon cable tie (NCT) ligation of the greater omentum after ventral midline celiotomy. The time required to complete the omentectomy was recorded. Horses were recovered for 14 days before repeat celiotomy, adhesions assessment, and histological examination of the omentectomy site using a proposed histologic grading scheme. The total time for omentectomy procedure and histologic score was assessed for normality. Data are expresse...
Standing trans-nasal endoscopic guided CO2 laser fenestration of the palatine bone to access the sphenopalatine sinus in a horse.
Veterinary surgery : VS    April 29, 2021   Volume 50, Issue 6 1350-1358 doi: 10.1111/vsu.13647
Perez JA, Hutton AE, Cudd SK, Brown JA.To describe a novel standing trans-nasal endoscopic guided CO2 laser fenestration approach to access the sphenopalatine sinus (SPS) in the horse. Methods: Case report. Methods: Cadaver study and client-owned 20-year-old Warmblood gelding. Methods: The rostral palatine bone within the nasopharynx was investigated as a possible site for fenestration to access the SPS in cadavers. The ability to fenestrate the SPS was tested in cadavers using a flexible endoscope and CO2 laser fiber inserted via biopsy channel. The fenestration procedure was then performed in a clinical case presented for unilate...
Outcomes Following Transcorneal Diode Laser Ablation of Uveal Cysts: 48 Horses (2006-2020).
Journal of equine veterinary science    April 28, 2021   Volume 102 103640 doi: 10.1016/j.jevs.2021.103640
Lam K, Pumphrey SA.Uveal cysts can lead to undesirable behaviors and poor performance in horses. Transcorneal laser ablation has been proposed as a safe and effective treatment for uveal cysts suspected of causing behavioral changes but outcomes have been reported in only a small number of horses. In this retrospective study, records were identified for horses who had undergone transcorneal cyst ablation using a diode laser. Information was collected regarding signalment, behavioral or performance issues reported prior to the procedure, and complications. Owners were contacted to provide follow-up information re...
Standing laparoscopic abdominal lavage using a suction-irrigation device in 2 horses with primary suppurative peritonitis.
The Canadian veterinary journal = La revue veterinaire canadienne    April 20, 2021   Volume 62, Issue 4 397-402 
Cribb NC, Arroyo LG, Bouré L.The use of a laparoscopic suction-irrigation device in 2 standing horses for lavage of the abdomen for the treatment of primary suppurative peritonitis is reported. Two horses were presented with a 1- to 2-week history of weight loss. Abdominocentesis revealed highly elevated total nucleated cell count. Peritoneal lavage systems were placed in both horses, but complications prevented adequate lavage. Both horses underwent standing laparoscopy; the dorsal abdomen was explored and the abdomen was profusely lavaged, using a suction-irrigation device. The procedure was efficient and allowed adequa...
Gastric and Large Colon Impactions Combined With Aggressive Enteral Fluid Therapy May Predispose to Large Colon Volvulus: 4 Cases.
Journal of equine veterinary science    April 18, 2021   Volume 102 103617 doi: 10.1016/j.jevs.2021.103617
Giusto G, Cerullo A, Gandini M.To resolve large colon impactions, frequent enteral administration of large volumes of water (8-10 liters in a 500 kg horse) has been suggested. Furthermore, in large colon volvulus, the simultaneous presence of gastric impaction has been described as a possible predisposing factor. To describe the clinical and surgical features of horses with large colon volvulus associated with aggressive enteral fluid therapy performed to resolve an initial large colon impaction. Records of horses that underwent exploratory laparotomy at the Veterinary Teaching Hospital of Turin between 2012-2019 were revie...
Inflammatory response of miniature horses subjected to open and half-closed orchiectomy techniques.
The Veterinary record    April 18, 2021   Volume 189, Issue 7 e240 doi: 10.1002/vetr.240
de Moura Alonso J, de Melo-Neto GB, Dos Santos B, Mogollón García HD, Paim KP, Pinheiro Ferreira JC, Santos Schmidt EM, da Silva ANF, da Cunha GM....This study aimed to evaluate the inflammatory response of miniature horses subjected to open and half-closed orchiectomy by physical examination, blood cell count, peritoneal fluid evaluation, total plasma protein, fibrinogen, and serum amyloid A (SAA) concentrations. Methods: Thirteen male healthy miniature horses were divided into two groups, according to the surgical approach: half-closed technique (HCT) and open technique (OT). The HCT group was subjected to ligation of the spermatic cord followed by its sharp incision, and closure of the vaginal tunic, and the OT group was only submitted ...
Crotalaria spectabilis poisoning in horses fed contaminating oats.
Toxicon : official journal of the International Society on Toxinology    April 18, 2021   Volume 197 6-11 doi: 10.1016/j.toxicon.2021.04.001
Lacerda MDSC, Wilson TM, Argenta VLS, de Araújo Pinto ÉG, E Macêdo JTSA, Soto-Blanco B, Keller KM, Ocampos Pedroso PM, Câmara ACL.The present report describes the clinical and pathological changes induced by the consumption of oats contaminated with Crotalaria spectabilis seeds by horses. Eighty horses were exposed to oats containing 10 g/kg of C. spectabilis seeds with 0.46% pyrrolizidine alkaloids, and 21 horses died within a 6-month period. Clinical signs included jaundice, apathy, a hypotonic tongue, ataxia, hyporexia, weight loss, aimless wandering, violent behavior, and proprioceptive deficits. Pathological findings were predominant in the liver and included periportal bridging fibrosis, megalocytosis, centrilobul...
Images–ECG Localization in ST-Elevation Myocardial Infarction: Spotting the Zebra Among the Horses.
Journal of the Saudi Heart Association    April 15, 2021   Volume 33, Issue 1 51-52 doi: 10.37616/2212-5043.1240
Gujral JS, Shrivastava A.No abstract available
Effect of three different needle holders on gastrointestinal anastomosis construction time and bursting pressure in equine jejunal segments.
BMC veterinary research    April 15, 2021   Volume 17, Issue 1 167 doi: 10.1186/s12917-021-02871-4
Averay K, van Galen G, Ward M, Verwilghen D.Equine small intestinal resection and anastomosis is a procedure where optimizing speed, without compromising integrity, is advantageous. There are a range of different needle holders available, but little is published on the impact surgical instrumentation has on surgical technique in veterinary medicine. The objectives of this study were to investigate if the needle holder type influences the anastomosis construction time, the anastomosis bursting pressure and whether the bursting pressure is influenced by the anastomosis construction time. Single layer end-to-end jejunojejunal anastomoses w...
Clinical insights: Equine analgesia.
Equine veterinary journal    April 10, 2021   Volume 53, Issue 3 407-409 doi: 10.1111/evj.13421
Mackenzie C.No abstract available
Diagnostic imaging in acute interstitial pneumonia in foals: High variability of interpretation of chest radiographs and good conformity between ultrasonographic and post-mortem findings. Punsmann S, Hellige M, Hoppe J, Freise F, Venner M.Acute interstitial pneumonia (AIP) in foals is a rare but challenging syndrome. Diagnostic imaging is crucial for its diagnosis. While there are some reports on radiographic findings, ultrasound is sparsely described. Variability in the evaluation of radiographs in AIP has been well described in human literature. Part one of this study is a prospective, observational, observer agreement study investigating inter- and intraobserver agreement in the assessment of thoracic radiographs. Part two is a prospective, controlled, descriptive study on thoracic ultrasonography in foals with AIP. Eighteen...
CT myelographic diagnosis of ligamentum flavum hypertrophy in a Warmblood Gelding with progressive ataxia. Hellige M, Warnken T, Puff C, Feige K.An 8-year-old Warmblood gelding presented with a history of progressive ataxia for 6 weeks. Intra- and intervertebral ratios measured from lateral radiographs of the cervical spine were within normal limits. Computed tomographic myelography of the cervical spine revealed focal compression of the dorsal and the ventral contrast column as well as a ventral displacement of the spinal cord within the spinal canal due to a bulging of soft tissue attenuating material in the dorsal half of the intervertebral junction of C6 and C7. Post-mortem histopathological examination confirmed chondroid metapla...
Ex Vivo Comparison of a UV-Polymerizable Methacrylate Adhesive versus an Inverting Pattern as the Second Layer of a Two-Layer Hand-Sewn Jejunal Anastomosis in Horses: A Pilot Study.
Veterinary medicine international    April 4, 2021   Volume 2021 5545758 doi: 10.1155/2021/5545758
Lenoir A, Perrin BRM, Lepage OM.Resection and anastomosis of small intestine during colic can lead to adhesions and recurrent colic. Several methods are available to reduce the rate of adhesions in the postoperative period, such as the use of serosal barriers. Surgical glues form a smooth surface, are fast to apply, and could reduce surgery time when performing anastomosis. A recently developed UV-polymerizable methacrylate adhesive (UV-PMA) is designed to anchor into the biological tissues' top surface offering sealant and a smooth cover over the anastomosis site. This adhesive was used ex vivo on fifteen samples of equine ...
Seroprevalence of Leptospira spp. in Horses in Israel.
Pathogens (Basel, Switzerland)    April 1, 2021   Volume 10, Issue 4 doi: 10.3390/pathogens10040408
Tirosh-Levy S, Baum M, Schvartz G, Kalir B, Pe'er O, Shnaiderman-Torban A, Bernstein M, Blum SE, Steinman A.Leptospirosis has been reported in both humans and animals in Israel but has not been reported in horses. In 2018, an outbreak of Leptospira spp. serogroup Pomona was reported in humans and cattle in Israel. In horses, leptospirosis may cause equine recurrent uveitis (ERU). This report describes the first identification of Leptospira serogroup Pomona as the probable cause of ERU in horses in Israel, followed by an epidemiological investigation of equine exposure in the area. Serologic exposure to Leptospira was determined by microscopic agglutination test (MAT) using eight serovars. In 2017, s...
Venom-Induced Consumption Coagulopathy Unresponsive to Antivenom After Echis carinatus sochureki Envenoming.
Wilderness & environmental medicine    March 26, 2021   Volume 32, Issue 2 221-225 doi: 10.1016/j.wem.2021.01.004
Gopalakrishnan M, Yadav P, Mathur R, Midha N, Garg MK.Snakebite envenoming is a serious and life-threatening but neglected problem in the tropics. The focus in the Indian subcontinent is usually on the Indian cobra (Naja naja), common krait (Bungarus caeruleus), Russell's viper (Daboia russelii), and Indian saw-scaled viper (Echis carinatus). The Indian polyvalent antivenom contains hyperimmunized horse antibodies against only these 4 species. However, regional intraspecific variations are important in viper envenomings, leading to marked differences in clinical presentation and response to the available polyvalent antivenom. Echis carinatus soch...
What have we learned from 7 years of equine rhinitis B virus qPCR testing in nasal secretions from horses with respiratory signs.
The Veterinary record    March 24, 2021   Volume 188, Issue 10 e26 doi: 10.1002/vetr.26
Bernardino P, James K, Barnum S, Corbin R, Wademan C, Pusterla N.Equine rhinitis B virus (ERBV) has been given little attention by practitioners compared to other respiratory viruses, mainly because of the lack of diagnostic modalities and association with clinical disease. The objective of the study was to determine the frequency of detection of ERBV in nasal secretions from 6568 horses with acute onset of respiratory signs. ERBV-positive qPCR results from nasal secretions submitted to a molecular diagnostic laboratory from 2013 to 2019 were reviewed. A total of 333 ERBV qPCR-positive samples (5.1%) were detected with increasing yearly frequency since the ...
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