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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.
Clinical and biochemical abnormalities in endurance horses eliminated from competition for medical complications and requiring emergency medical treatment: 30 cases (2005-2006).
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    October 14, 2009   Volume 19, Issue 5 473-478 doi: 10.1111/j.1476-4431.2009.00441.x
Fielding CL, Magdesian KG, Rhodes DM, Meier CA, Higgins JC.To describe the clinical and clinicopathologic abnormalities in endurance horses eliminated from competition and requiring emergency medical treatment. Methods: Retrospective study over a 2-year period (2005-2006). Ten horses that successfully completed the ride in 2006 were included for comparison. Methods: Temporary equine emergency field hospital. Methods: All horses (n=30) that were removed from endurance competition and treated for a metabolic abnormality were studied. Methods: Horses were treated with IV fluids and analgesics. Monitoring included lab work (PCV, total protein, and electro...
Prevalence of pharyngeal, laryngeal and tracheal disorders in thoroughbred racehorses, and effect on performance.
The Veterinary record    October 13, 2009   Volume 165, Issue 15 431-435 doi: 10.1136/vr.165.15.431
Saulez MN, Gummow B.Endoscopic examinations were performed on 1005 thoroughbred racehorses in South Africa a mean (sd) 24 (12.3) minutes after racing, to determine the prevalence of pharyngeal, laryngeal and tracheal disorders, and to determine the relationship of these disorders with performance (number of wins and placed finishes). Overall, there was a low prevalence of grade 2 and 3 laryngeal function (LF) (2.2 per cent), grade 4 LF (0.6 per cent), epiglottic entrapment (1.3 per cent), subepiglottic cyst (0.2 per cent) and epiglottic deformity (0.6 per cent), while a higher prevalence of grade 2 to 4 pharyngea...
Treatment of septicaemia and severe bacterial infections in foals with a new cefquinome formulation: a field study.
DTW. Deutsche tierarztliche Wochenschrift    October 10, 2009   Volume 116, Issue 9 316-320 
Rohdich N, Zschiesche E, Heckeroth A, Wilhelm C, Leendertse I, Thomas E.A multicentre field study was conducted in accordance with VICH Guideline on Good Clinical Practice (VICH 2000) to confirm the efficacy and safety of a new formulation of cefquinome for the treatment of naturally occurring severe bacterial infections and septicaemia in foals. Thirty-nine foals suffering from severe bacterial infections (such as pneumonia, gastro-enteritis, arthritis, omphalitis, or wound infections) or acute septicaemia were treated twice daily with the test product (1 mg cefquinome/kg body weight) intravenously for three days and then intramuscularly for three to 11 days. Inv...
Regional distribution of collagen and haemosiderin in the lungs of horses with exercise-induced pulmonary haemorrhage.
Equine veterinary journal    October 7, 2009   Volume 41, Issue 6 586-591 doi: 10.2746/042516409x429419
Derksen FJ, Williams KJ, Pannirselvam RR, de Feijter-Rupp H, Steel CM, Robinson NE.Regional veno-occlusive remodelling of pulmonary veins in EIPH-affected horses, suggests that pulmonary veins may be central to pathogenesis. The current study quantified site-specific changes in vein walls, collagen and haemosiderin accumulation, and pleural vascular profiles in the lungs of horses suffering EIPH. Objective: In the caudodorsal lung regions of EIPH-affected horses, there is veno-occlusive remodelling with haemosiderosis, angiogenesis and fibrosis of the interstitium, interlobular septa and pleura. Methods: Morphometric methods were used to analyse the distribution and accumula...
Arthroscopic visualisation of the third metacarpal and metatarsal condyles in the horse.
Equine veterinary journal    October 7, 2009   Volume 41, Issue 6 526-533 doi: 10.2746/042516409x386976
Vanderperren K, Martens A, Haers H, Duchateau L, Saunders JH.Arthroscopy of the fetlock joints is a routine surgical procedure in the horse. It is unclear how much of the articular surface of the condyles of the metacarpal (MCIII)/metatarsal (MTIII) bone can be visualised using either the dorsal or palmar/plantar arthroscopic approach. Objective: To investigate which part of the articular surface of the MCIII/MTIII condyles of the fetlock joints can be evaluated arthroscopically using: 1) dorsal approach in combination with flexion; 2) standard palmar/plantar approach; or 3) additional portal at the base of the sesamoid bone with joint extension. Method...
Transverse stress fracture of the distal diaphysis of the third metacarpus in six Thoroughbred racehorses.
Equine veterinary journal    October 7, 2009   Volume 41, Issue 6 602-605 doi: 10.2746/042516409x444764
Ramzan PH.Fractures involving the fetlock region are encountered commonly in Thoroughbred racehorses. Condylar fractures of the distal metacarpus/metatarsus and mid-sagittal fractures of the proximal phalanx account for the majority of fetlock injuries during both racing and training and clinical features, management and outcome of these injuries have been well described. Transverse fractures of the distal diaphysis of the third metacarpus, however, are seldom observed and have received little attention in the literature. This paper describes clinical and radiological findings associated with 6 cases en...
Evaluation of endotoxin activity in blood measured via neutrophil chemiluminescence in healthy horses and horses with colic.
American journal of veterinary research    October 3, 2009   Volume 70, Issue 10 1183-1186 doi: 10.2460/ajvr.70.10.1183
Koenig JB, Hart J, Harris DM, Cruz AM, Bienzle D.To evaluate the performance of a chemiluminescent endotoxin activity assay in horses with colic and healthy horses. Methods: 20 horses with colic and systemic inflammatory response syndrome (SIRS group), 8 horses with colic with no SIRS (NSIRS group), and 20 healthy horses. Methods: Venous blood was collected into EDTA blood collection tubes after completion of a physical examination, and a chemiluminescent endotoxin activity assay was performed within 60 minutes of collection. Medical or surgical interventions and outcome were recorded for each horse. Results: Mean + or - SE endotoxin activit...
Effects of high plasma fentanyl concentrations on minimum alveolar concentration of isoflurane in horses.
American journal of veterinary research    October 3, 2009   Volume 70, Issue 10 1193-1200 doi: 10.2460/ajvr.70.10.1193
Knych HK, Steffey EP, Mama KR, Stanley SD.To verify the isoflurane anesthetic minimum alveolar concentration (MAC)-sparing effect of a previously administered target plasma fentanyl concentration of 16 ng/mL and characterize an anticipated further sparing in isoflurane MAC associated with higher target plasma fentanyl concentrations. Methods: 8 horses. Methods: Horses were assigned 2 of 3 target plasma fentanyl concentrations (16, 24, and 32 ng/mL), administered in ascending order. Following determination of baseline MAC, horses received a loading dose of fentanyl followed by a constant rate infusion; MAC determination was performed i...
Pelvic lymphoma as a cause of urethral compression in a mare.
The Canadian veterinary journal = La revue veterinaire canadienne    October 2, 2009   Volume 50, Issue 7 751-754 
Montgomery JB, Duckett WM, Bourque AC.A 6-year-old mare was presented for evaluation of dysuria and pollakiuria. A pelvic mass, which caused obstruction of urinary outflow, was identified. Evidence of renal failure was also present. Due to poor prognosis the mare was euthanized. A postmortem examination revealed a pelvic lymphoma that surrounded and compressed the urethra. Lymphome pelvien comme cause de compression urétrale chez une jument. Une jument âgée de 6 ans est présentée pour évaluation de dysurie et de pollakiurie. Une masse pelvienne qui causait l’obstruction de l’écoulement d’urine a été identifiée. Des...
Renal pseudoaneurysm as a cause of hematuria in a colt.
The Canadian veterinary journal = La revue veterinaire canadienne    October 2, 2009   Volume 50, Issue 7 759-762 
Larsdotter S, Ley C, Pringle J.An 8-month-old Arabian-warmblood cross colt was evaluated for overt hematuria. The horse was severely anemic on presentation. A unilateral intrarenal vascular anomaly with unilateral pyelonephritis was diagnosed. Nephrectomy was attempted but was unsuccessful, and postmortem examination demonstrated the presence of an intrarenal pseudoaneurysm. Un poulain arabe de race croisée âgé de 8 mois a été évalué pour une hématurie patente. Le cheval était gravement anémique à la présentation. Une anomalie vasculaire unilatérale intrarénale avec une pyélonéphrite unilatérale a été di...
Imaging diagnosis–enostosis-like lesion in the femur of a horse. Stieger-Vanegas SM, Kippenes-Skogmo H, Nilsson E.An enostosis-like lesion was diagnosed in the left femur of a Swedish Warmblood horse that had a left hindlimb lameness of 3 weeks duration. With scintigraphy using technetium 99m-hydroxymethylene diphosphonate (99mTc-HDP) a marked regional focal increase in radioactivity was identified in the medullary cavity of the left femur. Radiographically there was a corresponding focal increase in bone opacity in the middiaphysis of the left femur. Histopathologically, a 5cm area of bone matrix was present in the diaphysis of the left femur and confirmed as an enostosis-like lesion. Enostosis-like lesi...
Plasma and pulmonary fluid endothelin in horses with seasonal recurrent airway obstruction.
Journal of veterinary internal medicine    September 16, 2009   Volume 23, Issue 6 1239-1246 doi: 10.1111/j.1939-1676.2009.0385.x
Costa LR, Eades SC, Venugopal CS, Moore RM.Summer pasture-associated recurrent airway obstruction (SPA-RAO), a seasonal airway obstructive disease of horses, is characterized by clinical exacerbation after exposure to pasture during warm months of the year. Endothelin (ET)-1, potent bronchoconstrictor, mitogen, secretagogue, and proinflammatory mediator, has been implicated in the pathogenesis of asthma and equine heaves. Objective: Immunoreactive ET-1 concentrations increase during clinical exacerbation and return to basal values during periods of disease remission. Methods: Twelve horses, 6 affected with SPA-RAO and 6 nonaffected. Me...
Fluticasone propionate aerosol is more effective for prevention than treatment of recurrent airway obstruction.
Journal of veterinary internal medicine    September 11, 2009   Volume 23, Issue 6 1247-1253 doi: 10.1111/j.1939-1676.2009.0382.x
Robinson NE, Berney C, Behan A, Derksen FJ.Efficacy of inhaled fluticasone propionate (FP) for management of recurrent airway obstruction (RAO) has only been evaluated after several weeks' treatment. Objective: To compare efficacy of (1) 3-day treatments with FP to dexamethasone (DEX) for management of RAO; and (2) FP and DEX to no treatment in prevention of acute RAO exacerbations. Methods: Nine RAO affected horses. Methods: Crossover studies in RAO-affected horses compared (a) 3-day treatment of RAO exacerbation with FP (3 and 6 mg q12h) and DEX (0.1 mg/kg q24h) and (b) FP (6 mg q12h) and DEX (0.1 mg/kg q24h) to no treatment for prev...
Comparison of high-field and low-field magnetic resonance images of cadaver limbs of horses.
The Veterinary record    September 8, 2009   Volume 165, Issue 10 281-288 doi: 10.1136/vr.165.10.281
Murray RC, Mair TS, Sherlock CE, Blunden AS.Eleven limbs taken postmortem from 10 lame horses were examined by MRI in a low-field 0.27T system designed for standing horses and a high-field 1.5T system used to examine anaesthetised horses. Nine limbs were examined in the foot/pastern region and two in the fetlock region, and the results were compared with gross pathological examinations and histological examinations of selected tissues. The appearance of normal tissues was similar between the two systems, but the anatomical arrangement of the structures was different due to differences in positioning, and a magic angle artefact was obser...
Concentrations of circulating hormones normalized to pulses of a prostaglandin F2alpha metabolite during spontaneous luteolysis in mares.
Theriogenology    September 6, 2009   Volume 72, Issue 8 1111-1119 doi: 10.1016/j.theriogenology.2009.06.024
Ginther OJ, Beg MA.The temporal relationships between a pulse of 13,14-dihydro-15-keto-PGF(2alpha) (PGFM) and the concentrations of circulating hormones during the luteolytic period were studied for 11 pulses in 11 mares (Equus caballus) using samples collected hourly. Mean PGFM pulses encompassed 4h before to 4h after the peak, and hormone data were normalized to the PGFM peak (Hour 0). Concentration of progesterone decreased (P < 0.05) between Hours -4 and -3 and continued to decrease linearly throughout the PGFM pulse. The concentrations of cortisol and prolactin increased (P < 0.004) during Hours -4 to...
Respiratory fluid analysis in horses: An indispensable diagnostic tool in equine respiratory medicine.
Veterinary journal (London, England : 1997)    September 2, 2009   Volume 185, Issue 2 100 doi: 10.1016/j.tvjl.2009.07.033
Kirschvink N.No abstract available
Ivermectin toxicosis in three adult horses.
Journal of the American Veterinary Medical Association    September 2, 2009   Volume 235, Issue 5 558-562 doi: 10.2460/javma.235.5.558
Swor TM, Whittenburg JL, Chaffin MK.3 adult Quarter Horses were evaluated for acute, progressive neurologic signs 18 hours after oral administration of 1 dose of 1.87% ivermectin paste. Results: Clinical signs included depression, forelimb and hind limb ataxia, drooping of the superior and inferior lips, and muscle fasciculations. Bilateral mydriasis, decreased pupillary light reflexes, and absent menace reflexes were evident. Clinical signs progressed in severity for 36 hours after administration of the ivermectin. Results: All horses were treated supportively with IV administration of fluids and anti-inflammatory medications. ...
Clinical problems in dressage horses: identifying the issues and comparing them with knowledge from racing.
Veterinary journal (London, England : 1997)    August 27, 2009   Volume 184, Issue 1 1-2 doi: 10.1016/j.tvjl.2009.07.027
Riggs CM.No abstract available
Effects of platelet-rich plasma gel on skin healing in surgical wound in horses.
Acta cirurgica brasileira    August 26, 2009   Volume 24, Issue 4 276-281 doi: 10.1590/s0102-86502009000400006
DeRossi R, Coelho AC, Mello GS, Frazílio FO, Leal CR, Facco GG, Brum KB.To establish a low-cost method to prepare platelet-rich plasma (PRP) and evaluates the potential of platelet derived factors to enhance wound healing in the surgical wounds in equine. Methods: To obtain a PRP gel, calcium gluconate and autologous thrombin were added to platelet-rich plasma. For the tests six saddle horses were used and two surgical incisions were made in each animal. Wounds were treated with PRP gel or untreated. Sequential wound biopsies collected at Treatment 1: at days 5 and 30 and Treatment 2: at days 15 and 45 post wounding permitted comparison of differentiation markers ...
Transcutaneous ultrasonographic evaluation of the air-filled equine stomach and duodenum following gastroscopy. Kihurani DO, Carstens A, Saulez MN, Donnellan CM.Gastroscopy with air insufflation was performed in 10 ponies, after which a transcutaneous ultrasound examination of the stomach and duodenum was performed immediately and at 1, 2, and 4 h postgastroscopy, and 24 h after feeding. Stomach measurements included the dorsoventral and craniocaudal dimensions, as well as the stomach depth from the skin surface and stomach wall thickness at the different time periods. Gastric wall folding was observed in one pony, becoming most distinct 2-4 h postgastroscopy. An undulating stomach wall was noted in eight other ponies postgastroscopy. These observatio...
Magnetic resonance imaging findings in horses with recent onset navicular syndrome but without radiographic abnormalities. Sampson SN, Schneider RK, Gavin PR, Ho CP, Tucker RL, Charles EM.Seventy-two horses with recent onset of navicular syndrome and normal radiographs were assessed. Horses underwent magnetic resonance (MR) imaging of both front feet. All abnormalities were characterized and the most severe abnormality identified, if possible. Abnormal signal intensity in the navicular bone was the most severe abnormality in 24 (33%) horses. Pathologic change in the deep digital flexor tendon was the most severe abnormality in 13 (18%) horses. Pathologic change in the collateral sesamoidean ligament was the most severe abnormality in 11 (15%) horses. Pathologic change in the di...
Ultrasonographic diagnosis of coxofemoral subluxation in horses. Brenner S, Whitcomb MB.The clinical and ultrasonographic features of seven horses with coxofemoral subluxation are presented. Affected horses included five adult geldings (11-20 years), one large pony (6 years) and a 3-month-old filly. All were lame at the walk except for the pony with grade 3/5 lameness. Lameness was acute in all horses, but three horses progressed after initial improvement. Crepitus, muscle atrophy, and pelvic asymmetry were inconsistent findings. Ultrasonographic diagnosis of subluxation required dynamic visualization of femoral head displacement from the acetabulum while placing weight on the af...
Comparison of viscoelastic coagulation analysis and standard coagulation profiles in critically ill neonatal foals to outcome.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 21, 2009   Volume 19, Issue 1 88-95 doi: 10.1111/j.1476-4431.2009.00378.x
Dallap Schaer BL, Bentz AI, Boston RC, Palmer JE, Wilkins PA.To determine if changes in viscoelastic variables are associated with abnormalities observed in the standard coagulation profile and patient outcome in foals with suspected septicemia. Methods: Prospective clinical trial during 2003 and 2004 foal season. Methods: Neonatal intensive care unit at a veterinary teaching hospital. Methods: Thirty critically ill foals <72-hour-old admitted sequentially meeting criteria for systemic inflammatory response associated with infection. Methods: Hemostatic evaluation, using standard coagulation testing and viscoelastic analysis, was performed at admissi...
Intra-abdominal hypertension in two adult horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 21, 2009   Volume 19, Issue 2 174-180 doi: 10.1111/j.1476-4431.2009.00400.x
Brosnahan MM, Holbrook TC, Gilliam LL, Ritchey JW, Confer AW.To describe the clinical and pathological findings in 2 adult horses with documented increases in intra-abdominal pressure (IAP), and to describe the direct puncture technique used to measure this pressure. Methods: Two adult horses developed increases in IAP secondary to large-volume abdominal effusion. A 9-year-old Quarter Horse cross gelding was presented for evaluation of urinary and neurologic signs. Abdominal ultrasonographic examination showed a hepatic abscess along with abdominal effusion. A 4-year-old Quarter Horse gelding was presented for evaluation of castration complications. A c...
Coagulopathy of the critically ill equine patient.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 21, 2009   Volume 19, Issue 1 53-65 doi: 10.1111/j.1476-4431.2009.00390.x
Dallap Schaer BL, Epstein K.To review the hemostasis literature relevant to development of coagulopathy in the critically ill equine patient. Methods: Original scientific and review articles. Results: Inflammation plays a critical role in the activation and amplification of clot formation, as well as the impairment of physiologic anticoagulant mechanisms, and fibrinolysis. Earlier identification of coagulopathy in patients at risk and restoration of physiologic hemostasis may result in better outcome. Development of scoring systems based on information other than coagulation markers alone may better identify patients wit...
Thrombelastography in 26 healthy horses with and without activation by recombinant human tissue factor.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 21, 2009   Volume 19, Issue 1 96-101 doi: 10.1111/j.1476-4431.2008.00381.x
Epstein KL, Brainard BM, Lopes MA, Barton MH, Moore JN.To develop a standardized technique for thrombelastography (TEG) analysis in healthy adult horses, with and without the ex vivo addition of tissue factor (TF) as an activator. To determine reference intervals for TEG parameters in the horse, and to determine if traditional coagulation tests correlate with TEG. Methods: Prospective, observational. Methods: Veterinary teaching hospital. Methods: Twenty-six healthy adult horses. Methods: None. Results: Thrombelastography with (TF-TEG) and without (TEG) the addition of TF performed by 4 operators. Coagulation profiles (prothrombin time, activated ...
A technique for central venous pressure measurement in normal horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    August 21, 2009   Volume 19, Issue 3 241-246 doi: 10.1111/j.1476-4431.2009.00420.x
Wilsterman S, Hackett ES, Rao S, Hackett TB.To investigate a technique of central venous pressure (CVP) measurement using a newly developed catheter in healthy adult horses. Methods: Prospective experimental study. Methods: University research facility. Methods: Twenty healthy adult horses. Methods: An equine central venous catheter was inserted into the jugular vein to a length of approximately 80 cm from the mid-cervical region in an attempt to catheterize the pulmonary artery. Pulmonary arterial catheterization was confirmed by echocardiography. Insertion distance and pressure were measured at this location with a disposable manomete...
Evaluation of plasma fibrinogen concentration as an indicator of physeal or epiphyseal osteomyelitis in foals: 17 cases (2002-2007).
Journal of the American Veterinary Medical Association    August 18, 2009   Volume 235, Issue 4 415-419 doi: 10.2460/javma.235.4.415
Newquist JM, Baxter GM.To determine whether high plasma fibrinogen concentration (> or = 900 mg/dL) is a valid indicator of physeal or epiphyseal osteomyelitis in foals. Methods: Retrospective case series. Methods: 17 foals with physeal or epiphyseal osteomyelitis with or without septic arthritis, 17 foals with septic arthritis alone, 20 foals with non-Rhodococcus equi pneumonia, and 22 healthy foals. Methods: Medical records were reviewed for information regarding signalment and total WBC count, segmented neutrophil count, and plasma fibrinogen concentration measured when foals were initially evaluated at the ho...
A lateral approach to the repair of propagating fractures of the medial condyle of the third metacarpal and metatarsal bone in 18 racehorses.
Veterinary surgery : VS    August 14, 2009   Volume 38, Issue 6 689-695 doi: 10.1111/j.1532-950X.2009.00562.x
Wright IM, Smith MR.To report the technique, observations on fracture configurations and results of treatment by fixation lag screw following the fracture plane determined by an approach to the third metacarpal/metatarsal bone (MC3/MT3) that begins laterally over the metacarpo(metatarso)phalangeal joint and extends dorsally over the diaphysis of the bone. Methods: Case series. Methods: Thoroughbred horses (n=18) with propagating fractures of the medial condyle of MC3/MT3. Methods: Retrospective analysis of case records of horses with fractures of the medial condyle of MC3/MT3 that propagated sagittaly or in a spi...
Effect of transvenous electrical cardioversion on plasma cardiac troponin I concentrations in horses with atrial fibrillation.
Journal of veterinary internal medicine    August 11, 2009   Volume 23, Issue 5 1103-1107 doi: 10.1111/j.1939-1676.2009.0369.x
Jesty SA, Kraus MS, Gelzer AR, Rishniw M, Moise NS.Whether electrical cardioversion of cardiac arrhythmias results in cardiomyocyte damage is unknown. Objective: To describe effect of transvenous electrical cardioversion (TVEC) on plasma cardiac troponin I (cTnI) concentration in horses. Methods: All horses presented to the Cornell University Hospital for Animals for cardioversion of atrial fibrillation between May 2006 and October 2008 were eligible for inclusion in the study. Owners of 14 horses elected for TVEC and each horse was then enrolled (16 procedures). Methods: Prospective observational study measuring concentrations of plasma cTnI ...
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