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Topic:Clinical Pathology
Clinical pathology in horses involves the study and analysis of biological samples to diagnose and monitor diseases and health conditions. This discipline encompasses various laboratory tests and procedures that assess the physiological and biochemical status of equines. Common analyses include hematology, biochemistry, urinalysis, and cytology, each providing insights into different aspects of equine health. Hematology evaluates blood components, such as red and white blood cells and platelets, to identify conditions like anemia or infection. Biochemistry tests measure enzymes, electrolytes, and metabolites to assess organ function and metabolic status. Urinalysis examines urine samples for indicators of renal function and systemic diseases. Cytology involves the microscopic examination of cells from tissues or fluids to detect abnormalities. This page aggregates peer-reviewed research studies and scholarly articles that explore the methodologies, applications, and diagnostic value of clinical pathology in equine medicine.
Comparison of peripheral and core temperatures in anesthetized horses. To examine temporal patterns of rectal, nasal, groin, and skin temperatures measured in adult horses undergoing general anesthesia and to determine accuracy and precision of temperatures at these sites, compared with core temperature. Methods: 5 healthy adult horses. Methods: Induction, maintenance of, and recovery from general anesthesia were performed in an air-conditioned surgical suite. Room temperature and relative humidity were approximately 21 C and 40%, respectively. Anesthesia was maintained for 2.5 hours, and body temperatures were measured and recorded every 5 minutes. Mean values w...
Temporal changes in core body temperature in anesthetized adult horses. To examine temporal patterns of core body temperatures in adult horses during general anesthesia and to determine the efficacy of forced-air warming blankets in attenuating decreases in core body temperatures. Methods: 5 clinically normal adult horses. Methods: Horses were assigned to each of 2 trials, warmer and no-warmer, in a randomized crossover design. Horses were instrumented with a thermistor-tipped pulmonary arterial catheter to measure core body temperature. Induction and maintenance of and recovery from general anesthesia were performed in an air-conditioned surgical suite where room...
Disease-specific changes in equine ground reaction force data documented by use of principal component analysis. To assess the force plate as a diagnostic aid in equine locomotor abnormalities, particularly for abnormalities such as navicular disease that do not have specific diagnostic criteria. Methods: 17 Thoroughbreds without observable locomotor abnormalities (group A), 6 Thoroughbreds with superficial digital flexor tendon injury (group B), and 8 Thoroughbreds with navicular disease (group C). Methods: Using a force plate, ground reaction force patterns were recorded at the trot. Peak limb vertical force and force/time curve parameters were derived from 4 identifiable points at the beginning and en...
Equine nasal and paranasal sinus tumours. Part 1: review of the literature and tumour classification. The normal gross and histological anatomy of the equine nasal and paranasal sinuses are reviewed and the relationships between the local anatomy, the occurrence of different tumour types, and of tumour spread are examined. The histological classification of the more common equine sinonasal tumours and tumour-like lesions are discussed. Clinical and pathological descriptions of 50 more recently recorded such tumours are separately tabulated. The literature shows that equine sinonasal tumours, both endemic and sporadic, are relatively uncommon in horses, with non-neoplastic growths such as maxil...
Equine nasal and paranasal sinus tumours: part 2: a contribution of 28 case reports. The clinical and pathological findings of 28 cases (27 horses, 1 donkey) of equid sinonasal tumours examined at the Edinburgh Veterinary School are presented and include: seven cases of squamous cell carcinoma (SCC); five adenocarcinomas; three undifferentiated carcinomas; two adenomas; five fibro-osseous and bone tumours; and single cases of ameloblastoma, fibroma, fibrosarcoma, undifferentiated sarcoma, melanoma and lymphosarcoma. The median ages of animals affected with epithelial, and fibro-osseous/bone tumours were 14 and 4 years, respectively. Unilateral purulent or mucopurulent nasal di...
Thoracic and abdominal blastomycosis in a horse. A 5-year-old Quarter Horse mare was examined because of lethargy, fever, and weight loss of 1 month's duration. Thoracic auscultation revealed decreased lung sounds cranioventrally. Thoracic ultrasonography revealed bilateral anechoic areas with hyperechoic strands, consistent with pleural effusion and fibrin tags. A large amount of free fluid was evident during abdominal ultrasonography. Abnormalities included anemia, hyperproteinemia, hyperglobulinemia, hyperfibrinogenemia, and hypoalbuminemia. Thoracic radiography revealed alveolar infiltrates in the cranial and caudoventral lung fields. A ...
Parietal hernia of the small intestine into the epiploic foramen of a horse. A 12-year old 573-kg (1,261-lb) Quarter Horse gelding was referred with colic of 12 hours' duration and with poor response to medical treatment. On the basis of physical and laboratory findings, a pelvic flexure impaction was suspected. The horse was treated medically. Because signs of mild abdominal pain persisted and the heart rate had increased, an exploratory celiotomy was performed 30 hours after signs of colic were first noticed. At surgery, the ileum was found partially entrapped within the epiploic foramen, in a left-to-right direction, to form a parietal hernia. The entrapped intestin...
Mortality supposedly due to intoxication by pyrrolizidine alkaloids from Heliotropium indicum in a horse population in Costa Rica: a case report. This article describes a case of massive mortality among horses which was probably due to intoxication by pyrrolizidine alkaloids from Heliotropium indicum. Over 4 years more than 75% of a population of about 110 horses on a farm in Costa Rica died after showing nervous neurological symptoms. Two clinical manifestations were encountered, an acute and a chronic one, both with a fatal outcome. Pathological findings in 2 horses coincided with those reported in the literature for intoxication by pyrrolizidine alkaloids and were not specific for VEE. However Venezuelan equine encephalitis (VEE) was...
Cytological and bacteriological findings in guttural pouch lavages of clinically normal horses. Percutaneous washes of the guttural pouches were obtained from two groups of 15 clinically normal horses, one lightly exercised and the other heavily exercised. Microbiological and cytological studies showed a wide variation in the differential cell counts. The cytological pattern of the normal lavages (< 5 per cent neutrophils) was characterised by a large proportion of ciliated columnar epithelial cells, a few non-ciliated cuboidal epithelial cells, and less than 1 per cent monocytes, lymphocytes, and eosinophils. Abnormal lavages (with more than 5 per cent neutrophils) had higher levels ...
Are Sarcocystis neurona and Sarcocystis falcatula synonymous? A horse infection challenge. Equine protozoal myeloencephalitis (EPM) is a debilitating neurologic disease of the horse. The causative agent. Sarcocystis neurona, has been suggested to be synonymous with Sarcocystis falcatula, implying a role for birds as intermediate hosts. To test this hypothesis, opossums (Didelphis virginiana) were fed muscles containing S. falcatula sarcocysts from naturally infected brown-headed cowbirds (Molothrus ater). Ten horses were tested extensively to ensure no previous exposure to S. neurona and were quarantined for 14 days, and then 5 of the horses were each administered 10(6) S. falcatula...
Osseous spinal pathology. Pathologic changes have been observed at the spinous processes, intervertebral articulations, and sacroiliac joints in horses. Varying severity of degenerative articular changes are found in many articular processes, intertransverse, lumbosacral, and sacroiliac joints. Pathologic lesions tend to affect multiple vertebral locations within a specimen. Further studies need to be conducted to evaluate the clinical significance of the numerous vertebral and pelvic pathologic findings found in a sample of Thoroughbred racehorses that died because of unrelated injuries. Increased knowledge of osseous...
Spinal muscle pathology. Clinical signs that are easily referred to spinal muscle pathology include atrophy of epaxial muscles, focal swelling and palpable tenderness, as well as enlarged muscles with increased tone. Less easily recognized signs include rigidity of the spine, shortened stride, hindlimb lameness, and indicators of poor performance. Muscle biopsy is one option in evaluating sore backs and is best used when physical examination and imaging procedures do not reveal a likely diagnosis or when conventional treatments are unsuccessful. Rhabdomyolysis of spinal muscles may be due to nutritional myodegeneratio...
Ultrasonographic evaluation of back lesions. With progressive advances in ultrasonographic equipment, evaluation of a number of axial skeletal structures is now possible. Ultrasonography is presently the best technique for evaluation of the SSpL and lumbosacral intervertebral discs. It is a useful adjunct to radiography for assessment of spinous processes and AP injuries.
Spinal ligament pathology. Young elite athletes, particularly horses used for jumping, are at a relatively high risk for injury to the ligaments associated with the axial skeleton. Extreme back flexion appears to be a contributing factor to ligament damage. Back pain due to injury of the ligaments of the axial skeleton has often been considered to be secondary to lower limb injury, to the extent that a separate definitive diagnosis, treatment, and prognosis were unnecessary. Diagnostic imaging, ultrasound in particular, has demonstrated ligamentous damage that can be the limiting factor in return to previous athletic us...
Back problems. Historical perspective and clinical indications. This article is presented as an introduction to the complex subject of back pain and its management in horses. It considers some of the historical perspectives and deals with some of the limiting factors when attempting to evaluate back pain. The clinical indications of a back problem are considered, as is the important distinction of primary versus secondary back pain. Finally, a list of considerations capable of causing back pain and impaired performance is included.
Dissecting aortic aneurysm in a horse. A case of dissecting aortic aneurysm in a 4-year-old male thoroughbred horse is reported. The horse had a history of inflammation in the right thigh and a fever 2 weeks before sudden death. At necropsy, aortic aneurysms were observed from the aortic valve to the aortic arch, spreading over a distance of 40 cm. An irregular rupture of the intima of the ascending aorta was located in the cardiac side of a ramification to the tunica branchiocephalicus communis. An intramural haematoma, apparent on the cut surface and in the pericardium, had caused cardiac tamponade and sudden death.
Pathology of the distal condyles of the third metacarpal and third metatarsal bones of the horse. This study examined material from Thoroughbred horses, the majority of which had been in race training, for evidence of pathology in the third metacarpal (McIII) and third metatarsal (MtIII) bones which might be related to the occurrence of distal condylar fractures. Whole bone samples were studied and documented by macrophotography prior to macroradiography and computed tomographic (CT) imaging. Microradiographs were made from 100 microm thick mediolateral sections cut perpendicular to the dorsal and palmar/plantar articular surfaces of distal condylar regions of McIII and MtIII. Blocks were ...
Aetiopathogenesis of parasagittal fractures of the distal condyles of the third metacarpal and third metatarsal bones–review of the literature. Fractures are the cause of considerable morbidity and mortality among Thoroughbred racehorses. A significant proportion of these injuries occur in the absence of any particular traumatic incident. Evidence of prefracture pathology interpreted as fatigue damage has been identified in some such cases, but the aetiology of many of these so-called 'spontaneous' fractures remains obscure. Parasagittal fractures of the third metacarpal (McIII) and third metatarsal (MtIII) bones are one of the more common fractures to affect Thoroughbred racehorses. The configuration of each of these fracture types i...
Ocular manifestations of equine motor neuron disease. The characteristics of the ocular manifestations of equine motor neuron disease (EMND) are described. Forty-two horses with histories, clinical signs and necropsies compatible with EMND were the subjects of this study. Ophthalmoscopic lesions that varied in severity were found in 40 of 42 horses and appeared as a distinct pigmented reticulated pattern at the tapetal-nontapetal junction or throughout the fundus, depending upon severity. The pattern colours ranged from yellow brown to black. Areas of hyperreflectivity formed mosaic patterns in the tapetal fundus. ERG B-wave amplitudes were usual...
Thoracic trauma in newborn foals. In a report describing life ending fractures (255 horses) from the Livestock Disease Diagnostic Center, Kentucky (1993 and 1994), 32 foals had rib fractures. The purpose of our study was to examine the incidence of rib fractures in newborn foals on a Thoroughbred studfarm by physical and radiographic examination, to determine factors which may contribute to the problem and to document any clinical consequences. All foals (263) included were examined within 3 days of birth. The thoracic cage was palpated externally for abnormalities and all foals were placed in dorsal recumbency to evaluate tho...
Alveolar clearance in horses with chronic obstructive pulmonary disease. To assess sensitivity of scintigraphic alveolar clearance rate as an indicator of alveolar epithelium damage in horses. Methods: 5 healthy horses (group A) and 5 with chronic obstructive pulmonary disease (COPD; group B). Methods: Horses underwent clearance rate (k [%/min]) determination. Clearance rate of group-B horses was determined after remission of the disease following 2 months at pasture (remission 1), stabling in a controlled environment (remission 2), and during crisis induced by exposure to moldy hay and straw. Methacholine challenge test was performed at each investigation period t...
Use of phenytoin to treat digitalis-induced cardiac arrhythmias in a miniature Shetland pony. Two miniature Shetland ponies showing clinical signs of Digitalis purpurea (foxglove) poisoning were examined. One animal died shortly afterwards, but the second was treated successfully with the anti-arrhythmic agent, phenytoin, and was discharged after 16 days.
[Examination of systemic tumor necrosis factor activity under physiologic and pathophysiologic conditions]. Tumor necrosis factor (TNF) activity in the circulation of several animal species was determined by a bioassay, using the murine cell line L929. In healthy adult cattle, horses, pigs and dogs, species specific differences of systemic TNF activity were visible. In cattle, TNF activity in the circulation increased during growing up from calf to adult animal. In cattle suffering from various diseases, unchanged, elevated, but also reduced systemic TNF activity have proved to possess clinical relevance. Low systemic TNF activity frequently occurs during lethal inflammatory diseases and may be an i...
Equine glanders in Turkey. In the course of an epidemiological study of glanders on a number of Turkish islands in the Sea of Marmara, 1128 horses were examined by using the intracutaneous mallein test. Thirty-five (3-1 per cent) developed an increase in rectal temperature and a swelling at the point of injection. Ten of these horses were killed and glanders was confirmed in five cases by the presence of lesions and by the immunohistological demonstration of the causative agent, Burkholderia mallei. Clinical and pathological findings indicated that in all cases the infection was restricted to the mucous membrane of the ...
A histological and immunohistochemical study of the humoral immune system of the lungs in young Thoroughbred horses. Lungs were obtained from 16 Thoroughbred horses, aged 1 day to 2 years, which had died or been humanely killed for reasons unrelated to disease of the lower respiratory tract. The lungs were then subjected to a histological and immunohistochemical examination of the humoral immune system. At birth there was no evidence of organized lymphoid tissue, and lymphocytes and plasma cells were virtually absent in all tissue compartments in the first week of life. However, by 12 weeks, foals exhibited well developed bronchus- and bronchiole-associated lymphoid tissue, but this had regressed progressive...
Role of interferon and interferon regulatory factors in early protection against Venezuelan equine encephalitis virus infection. To investigate the role of type I interferon (IFN) and its regulatory transacting proteins, interferon regulatory factors (IRF-1 and IRF-2), in early protection against infection with virulent Venezuelan equine encephalitis virus (VEE), we utilized mice with targeted mutations in the IFN-alpha/beta receptor, IRF-1, or IRF-2 genes. IFN-alpha/beta-receptor knockout mice are highly susceptible to peripheral infection with virulent or attenuated VEE, resulting in their death within 24 and 48 h, respectively. Treatment of normal macrophages with anti-IFN-alpha/beta antibody prior to and during infe...
Determinants of the maximal change in pleural pressure during tidal breathing in COPD-affected horses. In six COPD-affected horses, we analysed the factors responsible for the changes in pleural pressure (delta Pplmax) that occur during tidal breathing. Four-hundred-and-sixty-eight measurements of each parameter: pulmonary resistance (RL), dynamic elastance (Edyn), air flow rates, and the timing of breathing, were gathered during a trial of the bronchodilator pirbuterol. Data were placed into seven ranks, based on the magnitude of delta Pplmax; rank 1: 5-15; rank 2: 15-25; rank 3: 25-35; rank 4: 35-45; rank 5: 45-55; rank 6: 55-65; and rank 7 > 65 cm H2O. Up to rank 4 (45 cm H2O), the increa...
