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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.
Retrospective evaluation of 155 adult equids and 21 foals with tetanus from Western, Northern, and Central Europe (2000-2014). Part 2: Prognostic assessment.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    September 28, 2017   Volume 27, Issue 6 697-706 doi: 10.1111/vec.12669
van Galen G, Rijckaert J, Mair T, Amory H, Armengou L, Bezdekova B, Durie I, Findshøj Delany R, Fouché N, Haley L, Hewetson M, van den Hoven R....To identify prognostic variables for adult equids and foals with tetanus. Methods: Multicenter retrospective study (2000-2014). Methods: Twenty Western, Northern, and Central European university teaching hospitals and private referral centers. Methods: One hundred fifty-five adult equids and 21 foals with tetanus. Methods: None. Results: Variables from history and clinical examination were statistically compared between survivors and nonsurvivors (adults: 49 survivors, 85 nonsurvivors; foals: 7 survivors, 10 nonsurvivors). Cases euthanized for financial reasons were excluded. Mortality rates i...
Neuro-ophthalmology in the Horse.
The Veterinary clinics of North America. Equine practice    September 27, 2017   Volume 33, Issue 3 541-549 doi: 10.1016/j.cveq.2017.07.001
Myrna KE.This article provides a brief, clinically relevant review of neurologic disorders of the eye. A description of the neuro-ophthalmic examination is provided. Stepwise descriptions of the most common neuro-ophthalmic abnormalities are provided along with common rule outs.
Pharmacokinetics of ceftazidime after regional limb perfusion in standing horses.
Veterinary surgery : VS    September 27, 2017   Volume 46, Issue 8 1120-1125 doi: 10.1111/vsu.12720
Oreff GL, Tatz AJ, Dahan R, Segev G, Haberman S, Britzi M, Kelmer G.To determine the metacarpophalangeal joint fluid concentrations of ceftazidime administered via regional limb perfusion (RLP). Methods: Eight healthy horses. Methods: RLP was performed by injecting 2 g of ceftazidime and 60 mL of perfusate volume in the cephalic vein of standing, sedated horses. Serum and synovial fluid from the metacarpophalangeal joint were collected before perfusion and at 0.5, 2, 6, 12, 24 hours postperfusion. Ceftazidime concentrations were measured via liquid chromatography. Maximal concentration (C ), area under the curve (AUC), half-life of the drug (T ½), and the tim...
Comparison of insertion characteristics of tapered and cylindrical transfixation pins in third metacarpal bones of equine cadavers.
American journal of veterinary research    September 26, 2017   Volume 78, Issue 10 1200-1209 doi: 10.2460/ajvr.78.10.1200
Adams MK, Lescun TB, Mechem AS, Johnson WR, Griffin TH, Main RP.OBJECTIVE To compare heat generation and mechanical bone damage for tapered and cylindrical transfixation pins during drilling, tapping, and pin insertion in equine third metacarpal bones. SAMPLE 16 pairs of cadaveric equine third metacarpal bones. PROCEDURES For cylindrical pin insertion, a 6.2-mm hole was drilled and tapped with a cylindrical tap, and then a standard 6.3-mm pin was inserted. For tapered pin insertion, a 6.0-mm hole was drilled, reamed with a tapered reamer, and tapped with a tapered tap, and then a 6.3-mm tapered pin was inserted. Paired t tests and 1-way ANOVAs were used to...
Equine analgesia guidelines to be developed for first-opinion practices.
The Veterinary record    September 25, 2017   Volume 181, Issue 12 305 doi: 10.1136/vr.j4352
No abstract available
Uveal myxoid leiomyosarcoma in a horse.
Clinical case reports    September 25, 2017   Volume 5, Issue 11 1811-1818 doi: 10.1002/ccr3.1190
Grosås S, Østevik L, Revold T, Ottesen N, Ropstad EO.A uveal leiomyosarcoma of a horse is reported. There are few published reports of intraocular tumors in horses. Intraocular tumors challenge animal welfare by causing uveitis, glaucoma, and loss of vision. Knowledge regarding treatment of intraocular tumors with globe preservation is sparse, and further investigations on this topic are required.
Magnetic resonance imaging findings of the proximal metacarpus in Quarter Horses used for cutting: Retrospective analysis of 32 horses 2009-2012.
Equine veterinary journal    September 21, 2017   Volume 50, Issue 2 172-178 doi: 10.1111/evj.12746
Barrett MF, Manchon PT, Hersman J, Kawcak CE.Injury to the proximal suspensory ligament is a common cause of lameness in cutting horses. Radiographic and ultrasonographic imaging of lesions responsible for lameness can provide ambiguous results. MRI provides the most comprehensive diagnostic imaging evaluation of lesions specifically affecting cutting horses. Objective: To describe the distribution and severity of bone and soft tissue lesions present in the proximal metacarpus of Quarter Horse cutting horses and to assess the impact of these lesions on return to competition. Methods: Retrospective case series. Methods: Retrospective anal...
Development and clinical evaluation of a new sensor design for buccal pulse oximetry in horses.
Equine veterinary journal    September 21, 2017   Volume 50, Issue 2 228-234 doi: 10.1111/evj.12744
Reiners JK, Rossdeutscher W, Hopster K, Kästner SBR.The use of pulse oximetry in horses is limited due to inadequate readings with conventional transmission sensor probes. Objective: The objectives of this study were to 1) develop an improved sensor design for horses to be used at an appropriate anatomical site, and 2) evaluate this design in an experimental study. Methods: In vivo experiment. Methods: A new sensor design for reflectance pulse oximetry at the buccal mucosa was developed. A conventional Nonin 2000SL sensor for transmission pulse oximetry was included into this design. Three different prototypes (N1, N2a, N2b) were constructed an...
Characteristic findings of magnetic resonance imaging (MRI) and computed tomography (CT) for severe chronic laminitis in a Thoroughbred horse.
Journal of equine science    September 20, 2017   Volume 28, Issue 3 105-110 doi: 10.1294/jes.28.105
Yamada K, Inui T, Itoh M, Yanagawa M, Sato F, Tominari M, Mizobe F, Kishimoto M, Sasaki N.A Thoroughbred horse with severe chronic laminitis of both forelimbs was evaluated on the same day with magnetic resonance imaging (MRI) and computed tomography (CT). Both MRI and CT revealed loss of the dorsal aspect of the cortical bone of the 3rd phalanx and sclerosis. CT reflected the status of the horny layer and bone of the affected feet, while MRI depicted inflammation of the laminar corium, together with tendon edema. On the 3-dimensional CT venogram, vessels were visualized in both the right and left forelimbs, although there was a difference in the vasculature of the coronary plexus ...
Histopathological findings of apical fracture of the proximal sesamoid bones in young Thoroughbred foals.
Journal of equine science    September 20, 2017   Volume 28, Issue 3 123-126 doi: 10.1294/jes.28.123
Sato F, Endo Y, Horiuchi N, Tominari M, Murase H, Ishimaru M, Korosue K.Although radiographic findings at the apical portion of the proximal sesamoid bone (PSB) are often observed in young Thoroughbred foals, conflicting findings, either fractures or apparent secondary ossifications centers, have been reported. Three cases (aged 2, 5, and 7 weeks) were identified in 30 necropsied foals (0-31 weeks old). Histopathologically, the subchondral trabecular woven bone was fractured and exhibited focal necrosis of woven bone, fibrin exudate, and/or fibrosis within the foci. In the 7-week-old case, proliferations of chondrocytes were also observed. These findings suggest t...
DESCRIPTION OF GASTRIC ULCERS AND OF THEIR SUSPECTED, ASSOCIATED RISK FACTORS IN DECEASED WILD EQUIDS AT THE RÉSERVE AFRICAINE DE SIGEAN, FRANCE (2010-2016).
Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians    September 19, 2017   Volume 48, Issue 3 668-674 doi: 10.1638/2016-0249.1
Lamglait B, Vandenbunder-Beltrame M, Trunet E, Lemberger K.Gastric ulcers are common in domestic horses and foals, affecting at least 90% of unmedicated racehorses in active training. Despite these high prevalences in domestic horses, literature about this condition in wild equids is almost nonexistent. The presence of gastric ulcers was evaluated at necropsy in six species of wild equids that died at the Réserve Africane de Sigean, a safari park in the south of France from 2010 to 2016. Among the 55 individuals that died during that period, a description of the gastric mucosa was available in 82% (45/55) of cases. Considering the cases for which a d...
Insect Bite Hypersensitivity in Horses is Associated with Airway Hyperreactivity.
Journal of veterinary internal medicine    September 18, 2017   Volume 31, Issue 6 1877-1883 doi: 10.1111/jvim.14817
Lanz S, Brunner A, Graubner C, Marti E, Gerber V.Genetic and epidemiologic evidence suggests that in horses, as in other species, different manifestations of hypersensitivity may occur together. Objective: Horses affected with insect bite hypersensitivity (IBH) show airway hyperreactivity (AH) to inhaled histamine, even in the absence of overt clinical signs of equine asthma (EA). Methods: Twenty-two healthy controls (group C), 24 horses suffering from IBH alone (group IBH), and 23 horses suffering from IBH and EA (group IBH/EA). Methods: The clinical histories were assessed using 2 standardized questionnaires, the Horse Owner Assessed Respi...
Kinematic discrimination of ataxia in horses is facilitated by blindfolding.
Equine veterinary journal    September 13, 2017   Volume 50, Issue 2 166-171 doi: 10.1111/evj.12737
Olsen E, FouchÉ N, Jordan H, Pfau T, Piercy RJ.Agreement among experienced clinicians is poor when assessing the presence and severity of ataxia, especially when signs are mild. Consequently, objective gait measurements might be beneficial for assessment of horses with neurological diseases. Objective: To assess diagnostic criteria using motion capture to measure variability in spatial gait-characteristics and swing duration derived from ataxic and non-ataxic horses, and to assess if variability increases with blindfolding. Methods: Cross-sectional. Methods: A total of 21 horses underwent measurements in a gait laboratory and live neurolog...
Interobserver Variation in the Diagnosis of Neurologic Abnormalities in the Horse.
Journal of veterinary internal medicine    September 9, 2017   Volume 31, Issue 6 1871-1876 doi: 10.1111/jvim.14822
Saville WJA, Reed SM, Dubey JP, Granstrom DE, Morley PS, Hinchcliff KW, Kohn CW, Wittum TE, Workman JD.The diagnosis of equine protozoal myeloencephalitis (EPM) relies heavily on the clinical examination. The accurate identification of neurologic signs during a clinical examination is critical to the interpretation of laboratory results. Objective: To investigate the level of agreement between board-certified veterinary internists when performing neurologic examinations in horses. Methods: Ninety-seven horses admitted to the Veterinary Teaching Hospital at The Ohio State University from December 1997 to June 1998. Methods: A prospective epidemiologic research design was used. Horses enrolled in...
Prevalence of obesity in the equine population of Saskatoon and surrounding area.
The Canadian veterinary journal = La revue veterinaire canadienne    September 8, 2017   Volume 58, Issue 9 967-970 
Kosolofski HR, Gow SP, Robinson KA.A retrospective study determined the prevalence of obesity and over-conditioning in horses in Saskatoon, Saskatchewan. Body condition score (BSC) was assessed for 290 horses from the Field Service practice at the Western College of Veterinary Medicine. The median BSC of horses was 6; however, 59 (20.3%) horses were classified as over-conditioned, and 24 (8.3%) as obese. Une étude rétrospective a déterminé la prévalence de l’obésité et du surconditionnement des chevaux à Saskatoon, en Saskatchewan. La note d’état corporel (NEC) a été évaluée pour 290 chevaux à la pratique sur...
Atlanto-axial malformation in an adult Quarter horse gelding.
The Canadian veterinary journal = La revue veterinaire canadienne    September 8, 2017   Volume 58, Issue 9 923-925 
Cole R, Taintor J, Hanson R.An adult gelding was evaluated for bilateral intermittent forelimb lameness of approximately 2 years duration. The horse was found to have grade 2/5 upper motor neuron-general proprioception ataxia with no cranial nerve deficits. During radiographic and gross necropsy examinations a novel atlanto-axial malformation of possible congenital etiology was found. Un hongre adulte a été évalué pour une boiterie intermittente de la jambe avant présente depuis environ 2 ans. On a constaté que le cheval avait une ataxie de proprioception générale des motoneurones supérieurs de grade 2/5 sans d...
Neurotoxicosis in horses associated with consumption of Trema micrantha.
Equine veterinary journal    September 7, 2017   Volume 50, Issue 2 192-195 doi: 10.1111/evj.12741
Lorenzett MP, Pereira PR, Bassuino DM, Konradt G, Panziera W, Bianchi MV, Argenta FF, Hammerschmitt ME, Caprioli RA, de Barros CSL, Pavarini SP....Trema micrantha is a tree widely distributed throughout the Americas. The tree produces highly palatable leaves that have been associated with natural poisoning in goats, sheep and horses, in which hepatic necrosis and hepatic encephalopathy have been observed. Objective: This study describes malacia and haemorrhage in the central nervous system (CNS) due to T. micrantha consumption, with minimal to absent hepatic lesions. Methods: Retrospective case series. Methods: A total of 14 horses with a history of neurological signs and spontaneous consumption of T. micrantha leaves were submitted to...
Elapid snake envenomation in horses: 52 cases (2006-2016).
Equine veterinary journal    September 6, 2017   Volume 50, Issue 2 196-201 doi: 10.1111/evj.12735
Bamford NJ, Sprinkle SB, Cudmore LA, Cullimore AM, van Eps AW, Verdegaal EJMM, Tennent-Brown BS.Snake envenomation is a cause of morbidity and mortality in domestic animals worldwide. The clinical features of crotalid snake (pit viper) envenomation are widely reported and well described in horses but elapid snake envenomation is poorly characterised. Objective: To describe the presentation, clinical and laboratory findings, treatment and outcome of horses with a diagnosis of elapid snake envenomation in Australia. Methods: Retrospective case series. Methods: Medical records of horses with a diagnosis of elapid snake envenomation (2006-2016) at several university and private veterinary pr...
Foramen epiploicum mesh closure (FEMC) through a ventral midline laparotomy.
Equine veterinary journal    September 4, 2017   Volume 50, Issue 2 235-240 doi: 10.1111/evj.12740
van Bergen T, Rötting A, Wiemer P, Schauvliege S, Vanderperren K, Ugahary F, Martens A.Preventive laparoscopic closure of the epiploic foramen (EF) has previously been described, but methods for EF closure during laparotomy for treatment of colic are lacking. Objective: To describe the foramen epiploicum mesh closure (FEMC) technique through a ventral midline laparotomy in horses under general anaesthesia and its outcome. Methods: Terminal surgical experiment and in vivo study. Methods: In a pilot study, a standard ventral midline laparotomy was performed under general anaesthesia in 10 experimental horses and a three-dimensional expandable diabolo-shaped mesh construct was manu...
Clinical significance of equine cheek teeth infundibular caries.
The Veterinary record    September 3, 2017   Volume 181, Issue 9 233-234 doi: 10.1136/vr.j4033
Toit ND.No abstract available
Serum amyloid A protein (SAA), haptoglobin (Hp) and selected hematological and biochemical parameters in wild mares before and after parturition.
Polish journal of veterinary sciences    September 3, 2017   Volume 20, Issue 2 299-305 doi: 10.1515/pjvs-2017-0036
Krakowski L, Bartoszek P, Krakowska I, Olcha P, Piech T, Stachurska A, Brodzki P.The aim of the study was to evaluate physiological changes in hematological and biochemical parameters in mares in perinatal period. Blood samples were collected from 24 pregnant Polish Konik breed mares which were divided into two groups. The first group (Group - I, n=12) comprised mares living in the wild, in the reserve. The second group (Group - II, n=12) consisted of mares kept in stables. The blood was collected 2 weeks prior to the parturition, then 24 hours after the delivery, and then at the 7th and 21st day after foaling. When comparing the two groups before the parturition, no signi...
The effects of multiple anaesthetic episodes on equine recovery quality.
Equine veterinary journal    September 1, 2017   Volume 50, Issue 1 111-116 doi: 10.1111/evj.12728
Platt JP, Simon BT, Coleman M, Martinez EA, Lepiz MA, Watts AE.Although rare, 70% of equine fatalities during recovery from general anaesthesia (GA) are due to catastrophic fractures from poor recovery quality. Objective: To determine the effect of repeated GA recovery on GA recovery quality. Methods: Experimental blinded trial. Methods: Eight adult horses underwent six GA events on sevoflurane for distal limb MRI examination over a 14-week period. Prior to GA recovery, xylazine was administered. Randomly ordered video-recorded GA recoveries were scored by three blinded board certified veterinary anaesthesiologists, unaware of patient identity or GA event...
Radiographic, computed tomographic, gross pathological and histological findings with suspected apical infection in 32 equine maxillary cheek teeth (2012-2015).
Equine veterinary journal    August 29, 2017   Volume 50, Issue 1 41-47 doi: 10.1111/evj.12729
Liuti T, Smith S, Dixon PM.Equine maxillary cheek teeth apical infections are a significant disorder because of frequent spread of infection to the supporting bones. The accuracy of computed tomographic imaging (CT) of this disorder has not been fully assessed. Objective: To compare the radiographic and CT findings in horses diagnosed with maxillary cheek teeth apical infections with pathological findings in the extracted teeth to assess the accuracy of these imaging techniques. Methods: Observational clinical study. Methods: Thirty-two maxillary cheek teeth (in 29 horses) diagnosed with apical infections by clinical, r...
Evaluation of a portable media device for use in determining postural stability in standing horses.
American journal of veterinary research    August 25, 2017   Volume 78, Issue 9 1036-1042 doi: 10.2460/ajvr.78.9.1036
Moorman VJ, Kawcak CE, King MR.OBJECTIVE To determine the ability of an accelerometer within a commercially available portable media device (PMD) to measure changes in postural stability of standing horses during various stance conditions and to compare these results with data obtained by use of a stationary force platform. ANIMALS 7 clinically normal horses. PROCEDURES A PMD was mounted on a surcingle; the surcingle was placed immediately caudal to the highest point of the shoulders (withers). Each horse was examined while standing on a stationary force platform system in a normal square stance, forelimb base-narrow stance...
Evaluation of two methods for topical application of contrast medium to the pharyngeal and laryngeal region of horses.
American journal of veterinary research    August 25, 2017   Volume 78, Issue 9 1098-1103 doi: 10.2460/ajvr.78.9.1098
Colbath AC, Valdés-Martínez A, Leise BS, Hackett ES.OBJECTIVE To determine the pharyngeal and laryngeal distribution of radiopaque contrast medium administered orally or via nasopharyngeal catheter to standing horses. ANIMALS 5 healthy adult horses. PROCEDURES A crossover study was conducted. Radiopaque contrast medium (12 mL) was administered orally and via nasopharyngeal catheter to each horse. Pharyngeal and laryngeal distribution of contrast medium was determined by examination of radiographs obtained immediately after administration of contrast medium, compared with those obtained before administration. Regional distribution of contrast me...
Further investigation of equine fescue oedema induced by Mediterranean tall fescue (Lolium arundinaceum) infected with selected fungal endophytes (Epichloë coenophiala).
New Zealand veterinary journal    August 23, 2017   Volume 65, Issue 6 322-326 doi: 10.1080/00480169.2017.1365660
Finch SC, Munday JS, Sutherland BL, Vlaming JB, Fletcher LR.AIMS To determine if equine fescue oedema (EFO) induced by grazing Mediterranean-type tall fescue (Lolium arundinaceum) infected with selected endophytes (Epichloë coenophiala) could be prevented by treatment with the corticosteroid, methylprednisolone, and anti-histamine, cetirizine, and to determine concentrations of lolines, specifically N-acetyl norloline (NANL), in grasses grazed by horses that did and did not develop EFO. METHODS Four horses were grazed on AR542-infected Mediterranean tall fescue pasture (from Day 0) for 7 days prior to being subjected to euthanasia. Two of these horses...
Generalized papillomatosis in three horses associated with a novel equine papillomavirus (EcPV8).
Veterinary dermatology    August 22, 2017   Volume 29, Issue 1 72-e30 doi: 10.1111/vde.12481
Linder KE, Bizikova P, Luff J, Zhou D, Yuan H, Breuhaus B, Nelson E, Mackay R.Currently, seven equine papillomaviruses (PV) are known and are associated with one of three different and distinct clinical presentations. Objective: To report the clinical, histopathological and immunohistochemical findings in horses with generalized papillomatosis associated with a novel equine PV, Equus caballus papillomavirus 8 (EcPV8). Methods: Three client-owned quarter horses. Methods: Case report, retrospective. Results: Dozens to thousands of papillomas involved the axilla, inguinal area and proximal limbs as well as the ventral and lateral neck, thorax and abdomen. Lesions were some...
Hematologic, Biochemical, and Endocrine Parameters in Horses With Tooth Resorption and Hypercementosis.
Journal of veterinary dentistry    August 18, 2017   Volume 34, Issue 3 155-160 doi: 10.1177/0898756417717039
Earley ET, Rawlinson JR, Baratt RM, Galloway SS, Smedley RC, Scarlett JM, Refsal KR, Dotzel AR, Cox VS, Perkins GA.Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is a frequently diagnosed condition in adult horses. The underlying etiology is still unknown. Hematologic, biochemical, and endocrine values have not been reported in EOTRH-affected horses. The main objective of the study was to describe the hematologic, biochemical, and endocrine parameters in horses with EOTRH. Descriptive cross-sectional study of client-owned animals with EOTRH. A complete blood count, biochemistry panel, and endocrine profile were performed in horses diagnosed with EOTRH. Diagnosis was based on oral and rad...
Acute Leukemia in Horses.
Veterinary pathology    August 16, 2017   Volume 55, Issue 1 159-172 doi: 10.1177/0300985817720983
Cooper CJ, Keller SM, Arroyo LG, Hewson J, Kenney D, Bienzle D.Leukemia is broadly divided into acute and chronic lymphocytic and myeloid types based on the proportion of blasts, morphology of cells, and expression of specific antigens on neoplastic cells. Classifying leukemia in horses can be challenging if blasts predominate and since few antibodies to identify cell types are available. The objective of this study was to describe in detail the clinical and pathologic features of acute leukemia in horses. Twelve horses ranging from 0.2 to 25.9 years of age were diagnosed with acute leukemia. Six cases were classified as acute lymphocytic leukemia (ALL) b...
Fracture of the medial intercondylar eminence of the tibia in horses treated by arthroscopic fragment removal (21 horses).
Equine veterinary journal    August 15, 2017   Volume 50, Issue 1 60-64 doi: 10.1111/evj.12720
Rubio-Martínez LM, Redding WR, Bladon B, Wilderjans H, Payne RJ, Tessier C, Geffroy O, Parker R, Bell C, Collingwood FA.Fractures of the medial intercondylar eminence of the tibia (MICET) are scarcely reported in horses. Objective: To report the clinical and diagnostic findings, surgical treatment and outcome in a series of horses presented with MICET fracture and treated with arthroscopic fragment removal. Methods: Multicentre retrospective case series. Methods: Case records of horses diagnosed with MICET fractures that had undergone surgical treatment were reviewed. Follow-up information was obtained from re-examination visits and/or owners. Results: Twenty-one cases were identified at 9 equine hospitals betw...
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