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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.
An evidence-based approach to clinical questions in the practice of equine neurology.
The Veterinary clinics of North America. Equine practice    July 10, 2007   Volume 23, Issue 2 317-328 doi: 10.1016/j.cveq.2007.03.009
Van Biervliet J.The practice of equine neurology has special challenges posed by the size of the animal being examined. Many diagnostic procedures routinely used in small animal practice are unsafe when applied to the equine patient or unavailable to the equine practitioner. Therefore, astute observation is the mainstay of making a neuroanatomic diagnosis, and detailed evidence on the deficits present may be difficult to obtain. Because clinical observation can sometimes be ambiguous and somewhat subjective, it is even more important to approach equine neurology from an evidence-based point of view. Here, suc...
Effects of intra-articular botulinum toxin type A in an equine model of acute synovitis: a pilot study.
American journal of physical medicine & rehabilitation    July 5, 2007   Volume 86, Issue 10 777-783 doi: 10.1097/PHM.0b013e3181157718
DePuy T, Howard R, Keegan K, Wilson D, Kramer J, Cook JL, Childers MK.To test the hypothesis that botulinum toxin type A (BoNT-A) can attenuate lameness associated with acute synovitis in an equine model. Methods: Four horses 2-6 yrs of age with clinically normal carpi were studied for 15 days. Kinematic gait analysis and clinical measures of lameness were conducted before and after experimental interventions. Horses were randomly assigned to either placebo (saline) or treatment (BoNT-A) groups. On day 0 of the intervention, 50 units of BoNT-A or an equivalent volume of saline (0.09%) was given into the middle carpal joints. On day 14, acute synovitis was induce...
Effect of adjunctive treatment with intravenously administered Propionibacterium acnes on reproductive performance in mares with persistent endometritis.
Journal of the American Veterinary Medical Association    July 4, 2007   Volume 231, Issue 1 107-113 doi: 10.2460/javma.231.1.107
Rohrbach BW, Sheerin PC, Cantrell CK, Matthews PM, Steiner JV, Dodds LE.To determine whether treatment with a preparation of Propionibacterium acnes would improve pregnancy and live foal rates in mares with persistent endometritis. Methods: Randomized placebo-controlled clinical trial. Methods: 95 mares with a cytologic diagnosis of persistent endometritis. Methods: Mares were treated with P acnes or placebo (both administered IV) on days 0, 2, and 6. No attempt was made to alter additional treatments administered by attending veterinarians. Information on breeding history, physical examination findings, results of cytologic examination and microbial culture of ut...
Salinomycin toxicosis in horses.
Journal of the American Veterinary Medical Association    June 19, 2007   Volume 230, Issue 12 1822-1826 doi: 10.2460/javma.230.12.1822
Aleman M, Magdesian KG, Peterson TS, Galey FD.A 4-month-old American Paint filly was evaluated because of sudden onset of ataxia that progressed to recumbency. Five additional horses from the same and neighboring premises developed signs of poor performance, generalized weakness, ataxia, and recumbency; 2 of those horses were also evaluated. A new batch of a commercial feed supplement had been introduced to the horses' diet on each farm within the preceding 3 days. Results: Other than recumbency, findings of physical and neurologic examinations of the foal were unremarkable. The other 2 horses had generalized weakness and mild ataxia, and...
Exposure of veterinary personnel to ionising radiation during bone scanning of horses by nuclear scintigraphy with 99mtechnetium methylene diphosphonate.
The Veterinary record    June 19, 2007   Volume 160, Issue 24 832-835 doi: 10.1136/vr.160.24.832
Gatherer ME, Faulkner J, Voûte LC.The aim of this study was to compare the radiation doses received by the personnel drawing up and injecting the radiopharmaceutical and operating the nuclear scintigraphy equipment, and those restraining nine horses while they were being scanned during scintigraphic investigations of lameness. Sensitive electronic dosimeters were worn by the personnel and the doses they received during the administration of the radiopharmaceutical and during the period of image acquisition were recorded at intervals. On average, 90 per cent of the total doses were received during the period of image acquisitio...
Comparison of ketamine and S(+)-ketamine, with romifidine and diazepam, for total intravenous anesthesia in horses.
Veterinary anaesthesia and analgesia    June 12, 2007   Volume 35, Issue 1 30-37 doi: 10.1111/j.1467-2995.2007.00351.x
Rossetti RB, Gaido Cortopassi SR, Intelizano T, de Lima Machado TS, Ferreira da Cruz RS.To compare the quality of induction and recovery, degree of muscle relaxation, clinically apparent potency and cardiopulmonary effects of racemic ketamine or S(+)-ketamine when used for total intravenous anesthesia in horses. Methods: Prospective randomized clinical trial Methods: Sixteen healthy stallions (323 +/- 99 kg), with a mean age of 6.2 years, undergoing castration. Methods: Horses were pre-medicated with romifidine IV, 15 minutes before induction of anesthesia. Each animal was then randomly allocated to receive either diazepam and ketamine (DK) or diazepam and S(+)-ketamine (DKS) at ...
Effects of syringe type and storage temperature on results of blood gas analysis in arterial blood of horses.
Journal of veterinary internal medicine    June 8, 2007   Volume 21, Issue 3 476-481 doi: 10.1892/0891-6640(2007)21[476:eostas]2.0.co;2
Picandet V, Jeanneret S, Lavoie JP.Results of arterial blood gas analysis can be biased by pre-analytical factors, such as time to analysis, syringe type, and temperature during storage. However, the acceptable delay between time of collection and analysis for equine arterial blood gas remains unknown. Objective: Dedicated plastic syringes provide better stability of arterial blood gases than multipurpose plastic syringes. Methods: Eight mares, 1 stallion, and 1 gelding, ages 3 to 10 years old. Methods: Arterial blood samples were collected in a glass syringe, a plastic syringe designated for blood gas collection, and a multipu...
Thoracic percussion to determine the caudal lung border in healthy horses.
Journal of veterinary internal medicine    June 8, 2007   Volume 21, Issue 3 504-507 
Bakos Z, Vörös K.The application of equine thoracic percussion has been ignored because of the availability of modern imaging techniques. Ultrasonography is a reliable tool in determining the caudal lung border of horses. The aim of the study was to compare percussion with ultrasonography to determine lung borders in horses. Objective: That thoracic percussion can detect the caudal lung border and that its accuracy is comparable with thoracic ultrasonography. Methods: Fifteen randomly chosen, healthy, Warmblood horses. Methods: The caudal lung border was detected by percussion and ultrasonography at the end of...
Serum bile acids concentrations in healthy and clinically ill neonatal foals.
Journal of veterinary internal medicine    June 8, 2007   Volume 21, Issue 3 508-513 doi: 10.1892/0891-6640(2007)21[508:sbacih]2.0.co;2
Barton MH, LeRoy BE.Reference ranges for serum bile acids (SBA) concentration are well established in healthy adult horses. Increased values are indicative of hepatic disease. Objective: SBA concentrations are significantly greater in the neonatal period compared with mature horses, and illness in the neonatal period will further increase SBA. Methods: Ten healthy mature horses, 12 healthy foals, and 31 clinically ill foals. Methods: Prospective cross-sectional study. Blood samples were obtained once from the mature horses, from healthy foals immediately after birth, at 2 days, and at 1, 2, 3, 4, and 6 weeks of a...
Equine endometrial biopsy: enhancement of clinical value by more extensive histopathology and application of new diagnostic techniques?
Theriogenology    June 8, 2007   Volume 68, Issue 3 413-422 doi: 10.1016/j.theriogenology.2007.04.040
Schlafer DH.During the 1960s and 1970s, the clinical value of equine endometrial histopathology was firmly established after it was shown that fertility outcome was correlated with the presence and severity of specific microscopic lesions. The objective of this paper is to summarize reports from the veterinary literature published after the mid 1980s that describe new diagnostic methods of assessing equine uterine health using material collected by endometrial biopsy.
Effects of the cyclooxygenase inhibitor meloxicam on recovery of ischemia-injured equine jejunum.
American journal of veterinary research    June 5, 2007   Volume 68, Issue 6 614-624 doi: 10.2460/ajvr.68.6.614
Little D, Brown SA, Campbell NB, Moeser AJ, Davis JL, Blikslager AT.To determine the effect of meloxicam and flunixin meglumine on recovery of ischemia-injured equine jejunum. Methods: 18 horses. Methods: Horses received butorphanol tartrate; were treated IV with saline (0.9% NaCl) solution (SS; 12 mL; n = 6), flunixin meglumine (1.1 mg/kg; 6), or meloxicam (0.6 mg/kg; 6) 1 hour before ischemia was induced for 2 hours in a portion of jejunum; and were allowed to recover for 18 hours. Flunixin and SS treatments were repeated after 12 hours; all 3 treatments were administered immediately prior to euthanasia. Selected clinical variables, postoperative pain scores...
Septic osteitis of the distal phalanx in foals: 22 cases (1995-2002).
Journal of the American Veterinary Medical Association    June 5, 2007   Volume 230, Issue 11 1683-1690 doi: 10.2460/javma.230.11.1683
Neil KM, Axon JE, Todhunter PG, Adams PL, Caron JP, Adkins AR.To determine the clinical characteristics and outcome of foals with septic osteitis of the distal phalanx. Methods: Retrospective case series. Methods: 22 foals. Methods: Information obtained from medical records included signalment; clinical, laboratory, and radiographic findings; treatment method; and outcome. Foals included in the study had lameness referable to the foot, radiographic evidence of localized lysis or focal loss of bone density of the distal phalanx, and suppurative discharge or necrosis of the affected bone evident at surgery. Foals with a history or evidence of penetrating w...
The clinical evidence article by Proudman et al. (2007).
Equine veterinary journal    May 25, 2007   Volume 39, Issue 3 287 
Freeman DE.No abstract available
Incisional complications following exploratory celiotomy: does an abdominal bandage reduce the risk?
Equine veterinary journal    May 25, 2007   Volume 39, Issue 3 277-283 doi: 10.2746/042516407x193963
Smith LJ, Mellor DJ, Marr CM, Reid SW, Mair TS.Post operative complications following exploratory laparotomy can be potentially life-threatening, increase post operative morbidity and result in an increase in the length of hospitalisation of the affected individual. No study has evaluated the efficacy of specific strategies to reduce the incidence of post operative incisional complications. Objective: The use of an abdominal bandage following colic surgery through a celiotomy incision would significantly reduce the prevalence of post operative incisional complications. Methods: A controlled, randomised clinical trial to test the hypothesis...
Trimetoquinol: bronchodilator effects in horses with heaves following aerosolised and oral administration.
Equine veterinary journal    May 25, 2007   Volume 39, Issue 3 215-220 doi: 10.2746/042516407x173334
Camargo FC, Robinson NE, Berney C, Eberhart S, Baker S, Detolve P, Derksen FJ, Lehner AF, Hughes C, Tobin T.The bronchodilator effects of trimetoquinol (TMQ) have been studied when administered i.v. or intratracheally, but not in an aerosolised form. Objective: To define the relationship between the therapeutic and adverse responses (therapeutic index) of TMQ when administered as an aerosol or by the oral route. Methods: Increasing doses of TMQ were administered to horses with heaves as an aerosol and by the oral route. Dose ranged 100-1000 microg/horse for aerosolised TMQ and from 6-60 microg/kg bwt for the oral route. Airway and cardiac effects were assessed by measurement of maximal change in ple...
Scintigraphic examination of the cartilages of the foot.
Equine veterinary journal    May 25, 2007   Volume 39, Issue 3 250-256 doi: 10.2746/042516407x171174
Nagy A, Dyson SJ, Murray RM.Radiographic examination of the cartilages of the foot is well documented; however, there is limited information about their scintigraphic assessment. Objective: To evaluate the scintigraphic appearance of the cartilages of the foot using subjective and quantitative image analysis and to correlate radiographic and scintigraphic findings. Objective: An ossified cartilage would have similar radiopharmaceutical uptake (RU) to the ipsilateral aspect of the distal phalanx; RU would extend throughout the length of the ossified cartilage; a separate centre of ossification (SCO) would be identified on...
Postmortem diagnosis of idiopathic hyperammonemia in a horse.
Veterinary clinical pathology    May 25, 2007   Volume 36, Issue 2 196-199 doi: 10.1111/j.1939-165x.2007.tb00209.x
Gilliam LL, Holbrook TC, Dechant JE, Johnson BJ.A 6-year-old Quarter Horse stallion was referred to Oklahoma State University Veterinary Medical Teaching Hospital for evaluation of abdominal pain that developed after breeding activity earlier in the day. The horse developed diarrhea and progressively worsening neurologic signs (circling, ataxia, head pressing) within 22 hours of presentation and was subsequently euthanized due to severe self-destructive behavior. Antemortem biochemical and hematologic abnormalities included hypocalcemia but no evidence of hepatic disease. Idiopathic hyperammonemia and encephalopathy were suspected; cerebros...
Glanzmann thrombasthenia in an Oldenbourg filly.
Veterinary clinical pathology    May 25, 2007   Volume 36, Issue 2 204-208 doi: 10.1111/j.1939-165x.2007.tb00211.x
Macieira S, Rivard GE, Champagne J, Lavoie JP, Bédard C.An 18-month-old Oldenbourg filly was presented with a bleeding diathesis. Laboratory testing included platelet count, gingival bleeding time, prothrombin time (PT), activated partial thromboplastin time (aPTT), von Willebrand factor (vWf) antigen, clottable fibrinogen, clot retraction time, PFA-100 closure time, platelet aggregometry (on platelet-rich plasma), and thrombelastography (TEG). TEG was performed by using kaolin and tissue factor as coagulation activators. Expression of the platelet receptor for fibrinogen was assessed by flow cytometry by using anti CD41 (alpha(IIb) or glycoprotein...
Clinical evaluation of the CA530-VET hematology analyzer for use in veterinary practice.
Veterinary clinical pathology    May 25, 2007   Volume 36, Issue 2 155-166 doi: 10.1111/j.1939-165x.2007.tb00202.x
Roleff S, Arndt G, Bottema B, Junker L, Grabner A, Kohn B.The CA530-VET is a completely automated impedance cell hematology analyzer, which yields a 16-parameter blood count including a 3-part leukocyte differential. Objective: The aim of this study was to examine the operational potential of the CA530-VET and its value for use in veterinary practice. Methods: The analyzer was tested for blood carry-over, precision, and accuracy. Comparison methods included the CELL-DYN 3500, microhematocrit centrifugation, manual platelet (PLT) counting for feline and equine species, and a 100-cell manual WBC differential. Blood samples for comparison of the methods...
Dislocation of all metatarsophalangeal joints caused by horse injury.
The Journal of trauma    May 22, 2007   Volume 63, Issue 4 938-939 doi: 10.1097/01.ta.0000235280.94471.e9
Ito MM, Murase K, Tanaka S, Yamashita T.No abstract available
Portable mass spectrometry for measurement of anaesthetic agents and methane in respiratory gases.
Veterinary journal (London, England : 1997)    May 22, 2007   Volume 177, Issue 1 36-44 doi: 10.1016/j.tvjl.2007.03.017
Turner PG, Dugdale A, Young IS, Taylor S.Monitoring the composition of gases breathed by anaesthetised patients requires measurement methods with fast responses, high accuracy and good reliability. There is also an increasing demand for systems to be able to monitor more than one target analyte simultaneously, but some gas analysers can be sensitive to the presence of methane gas in exhaled breath, consequently leading to inaccurate measurements of the anaesthetic agent. This study investigated the feasibility of employing portable quadrupole mass spectrometry to monitor volatile anaesthetic agents (halothane, isoflurane and sevoflur...
Theriogenology question of the month. Abscess in the left hemiscrotum, septic urethritis, and inflammation of the right vas deferens.
Journal of the American Veterinary Medical Association    May 17, 2007   Volume 230, Issue 10 1469-1472 doi: 10.2460/javma.230.10.1469
Chenier TS, Estrada AT, Koenig JB.No abstract available
Osteochondral fragments involving the dorsomedial aspect of the proximal interphalangeal joint in young horses: 6 cases (1997-2006).
Journal of the American Veterinary Medical Association    May 17, 2007   Volume 230, Issue 10 1498-1501 doi: 10.2460/javma.230.10.1498
Fjordbakk CT, Strand E, Milde AK, Ihler CF, Rorvik AM.To determine clinical and diagnostic imaging findings in young horses with osteochondral fragments involving the dorsomedial aspect of the proximal interphalangeal (PIP) joint. Methods: Retrospective case series. Methods: 6 horses. Methods: Medical records were reviewed. Follow-up information was obtained through telephone conversations with owners or trainers or by examining race records. Results: Horses were between 1 and 4 years old. Three had bilateral osteochondral fragments in the forelimbs (n = 2 horses) or hind limbs (1). Radiographically, all but 1 fragment seemed to originate from th...
Survival rate and short-term fertility rate associated with the use of fetotomy for resolution of dystocia in mares: 72 cases (1991-2005).
Journal of the American Veterinary Medical Association    May 17, 2007   Volume 230, Issue 10 1502-1505 doi: 10.2460/javma.230.10.1502
Carluccio A, Contri A, Tosi U, De Amicis I, De Fanti C.To determine survival rate, complications, and short-term fertility rate after fetotomy in mares. Methods: Retrospective study. Methods: 72 mares with severe dystocia. Methods: Records from 1991 to 2005 were searched for mares with dystocia in which a fetotomy was performed. Data relating to presentation and position of foals; survival rate, complications, and short-term fertility rate in mares; and 45-day pregnancy rate in mares bred 2 to 3 months after fetotomy were recorded. Results: Anterior fetal presentation was detected for 54 of 72 (75%) mares, posterior presentation was detected for 1...
What is your diagnosis? Mineralization of the caudal horn of the medial meniscus.
Journal of the American Veterinary Medical Association    May 16, 2007   Volume 230, Issue 8 1149-1150 doi: 10.2460/javma.230.8.1149
Janicek JC, Wilson DA.No abstract available
What is your diagnosis? Subluxation of DIPJ.
Journal of the American Veterinary Medical Association    May 3, 2007   Volume 230, Issue 9 1307-1308 doi: 10.2460/javma.230.9.1307
Janicek JC, Keegan KG.No abstract available
Evaluation of transfixation casting for treatment of third metacarpal, third metatarsal, and phalangeal fractures in horses: 37 cases (1994-2004).
Journal of the American Veterinary Medical Association    May 3, 2007   Volume 230, Issue 9 1340-1349 doi: 10.2460/javma.230.9.1340
Lescun TB, McClure SR, Ward MP, Downs C, Wilson DA, Adams SB, Hawkins JF, Reinertson EL.To evaluate clinical findings, complications, and outcome of horses and foals with third metacarpal, third metatarsal, or phalangeal fractures that were treated with transfixation casting. Methods: Retrospective case series. Animals-29 adult horses and 8 foals with fractures of the third metacarpal or metatarsal bone or the proximal or middle phalanx. Methods: Medical records were reviewed, and follow-up information was obtained. Data were analyzed by use of logistic regression models for survival, fracture healing, return to intended use, pin loosening, pin hole lysis, and complications assoc...
Fractures of the greater tubercle of the humerus in horses: 15 cases (1986-2004).
Journal of the American Veterinary Medical Association    May 3, 2007   Volume 230, Issue 9 1350-1355 doi: 10.2460/javma.230.9.1350
Mez JC, Dabareiner RM, Cole RC, Watkins JP.To determine clinical and radiographic abnormalities in and outcome of horses with fractures of the greater tubercle of the humerus and to develop a radiographic technique for obtaining a cranioproximal-craniodistal oblique projection of the proximal portion of the humerus in standing horses. Methods: Retrospective case series. Methods: 15 horses. Methods: Data collected from medical records included signalment, history, horse use, severity and duration of lameness, radiographic and ultrasonographic findings, treatment, and outcome. Results: All horses had a history of acute, unilateral lamene...
Pimelea trichostachya poisoning (St George disease) in horses.
Australian veterinary journal    May 2, 2007   Volume 85, Issue 5 201-205 doi: 10.1111/j.1751-0813.2007.00126.x
Wilson SJ, Taylor J, Gibson J, McKenzie R.A dense population of Pimelea trichostachya plants (Family Thymelaeaceae) in pasture poisoned a horse herd in southern inland Queensland in October-November 2005. Plant density was 2 to 45 g wet weight/m(2) (mean 16 g/m(2)) from 5 to 69 plants/m(2) (mean 38 plants/m(2)) representing 3 to 20% (mean 9%) of the volume of pasture on offer. Ten of 35 mares, fillies and geldings were affected. Clinical signs were loss of body weight, profound lethargy, serous nasal discharge, severe watery diarrhoea and subcutaneous oedema of the intermandibular space, chest and ventral midline. Pathological finding...
[Prevalence of hereditary diseases in three-year-old horses of the Freiberger breed].
Schweizer Archiv fur Tierheilkunde    April 28, 2007   Volume 149, Issue 4 151-159 doi: 10.1024/0036-7281.149.4.151
Mele M, Gerber V, Straub R, Gaillard C, Jallon L, Burger D.The objective of this study was to investigate clinical signs indicating diseases with known or suspected hereditary components like equine sarcoid, insect bite hypersensitivity, osteochondrosis, allergic airway diseases, podotrochleosis, prognatism and wind-sucking in the franches-montagnes horse. We performed a clinical examination on 702 three-year-old, privately owned franches-montagnes horses, which were shown at the Swiss-Field-Tests in 2004. With the help of the owners a questionnaire on health, environment and feeding habits of the animals was completed. In 11.9% of the horses, sarcoid...
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