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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.
Nasomaxillary fibrosarcomas in three young horses. Nasomaxillary fibrosarcoma was diagnosed in 3 young horses. Clinical signs included epiphora, facial swelling, dyspnea, unilateral serosanguineous nasal discharge, or an external mass. Physical examination, radiography, and cytology were important diagnostic adjuncts. The definitive diagnosis in each case was based on biopsy. In one case, surgical removal of the tumor and extensive curettage of the affected sinus resulted in extended remission from neoplastic disease.
Cutaneous vasculitis in horses: 19 cases (1978-1985). The medical records of 19 horses with cutaneous vasculitis were reviewed. Most (73.7%) affected horses were between 3 and 10 years old, and there were significantly more mares (14) than stallions or geldings (5) (P less than 0.01). Subcutaneous edema of the limbs, body, and/or head was the predominant clinical sign (18/19 horses; 94.7%). The single most prevalent laboratory abnormality was neutrophilia (greater than 7,000 neutrophils/microliter), which was detected in 10 horses (52.6%). Leukocytoclastic vasculitis was evident in skin biopsy specimens from 12 of 14 horses (85.7%). All horses we...
Salinomycin poisoning in horses. Six cases of accidental salinomycin poisoning in horses are described. The horses were fed a contaminated ration and presented clinical signs which were extremely varied in nature and severity. However, the range of signs, including anorexia, colic, weakness and ataxia bore similarities to those described in horses poisoned with the related ionophore monensin. Other similarities became apparent in serum biochemical profiles of the clinical cases. Although ionophore toxicity is rarely reported in horses they appear to be particularly susceptible, and it should therefore be considered as a diffe...
Multiple myeloma in a horse. Multiple myeloma was diagnosed in a horse on the basis of clinical signs, protein electrophoresis pattern, Bence-Jones proteinuria, and radiographic changes in bone. The horse had mild depression, weight loss, edema of the distal portion of the left hind limb, anemia, hyperproteinemia, and monoclonal gammopathy in the beta 2 region. Radiographically, punctate cortical lysis of bone was seen. Specific treatment for the multiple myeloma was not attempted and the horse was euthanatized.
Electron microscopic investigation of intracellular events after ingestion of Rhodococcus equi by foal alveolar macrophages. It has been suggested that R. equi causes pulmonary disease in foals by persisting within the lung as a facultative intracellular parasite of alveolar macrophages. This paper describes an ultrastructural study of the intracellular events after ingestion of R. equi by foal alveolar macrophages, in an attempt to determine the mechanism of intracellular survival of R. equi. Secondary lysosomes of alveolar macrophages recovered from foals by bronchoalveolar lavage were labelled with electron-dense ferritin, and the cells were challenged with either viable or formalin-killed R. equi. After 0-, 3-, ...
Indication and use of electrodiagnostic aids in neurologic disease. Electrodiagnostic aids, electromyography, auditory brainstem response testing, and electroencephalography are extensions of the neurologic examination and provide valuable information about the nervous system. This article discusses the use and interpretation of electrodiagnostic aids in equine neurology as well as the equipment that is employed. It is hoped that with a better understanding of the available electrodiagnostic aids, they will come into greater use.
Neurologic examination of the horse. Methodology for the neurologic examination in the equine species is described. Information is organized to assist the reader in defining neurologic deficits and in localizing lesions to the major subdivisions within the central or peripheral nervous system. Numerous examples of deficits are presented to assist the reader in recognition of common neurologic disease states.
Equine protozoal myeloencephalitis. Equine protozoal myeloencephalitis (EPM) is a disease that produces neurologic signs of brain or spinal cord dysfunction. The causative organism is believed to be a Sarcocystis species of protozoa. A definitive diagnosis can only be made on histopathology of affected spinal cord or brain. No preventive measures or documented treatment is available at this time for suspected cases of EPM.
Two cases of equine primary gastric impaction. The clinical details of two cases of equine primary gastric impaction are described and the syndromes of gastric impaction and dilatation are discussed. Both cases of gastric impaction were successfully treated by gastrotomy and evacuation of the gastric contents.
Seizures in the horse. This article discusses the diagnosis and treatment of extracranial, intracranial, and idiopathic seizures.
Evaluation of granulocyte transfusion in healthy neonatal pony foals. Granulocyte transfusions (GT), 0.98 X 10(9) neutrophils/kg of body weight, were performed on 7 healthy pony foals between 2 and 7 days old. The mean neutrophil count of the foals was significantly (P less than 0.05) greater than base line (4,830 +/- 1,260/microliter) 1 hour after GT (8,870 +/- 3,350/microliter) and was similar to base line by 15 to 18 hours after GT (6,550 +/- 2,310/microliter). Leukocyte concentrates (LC) used for GT were harvested from clinically normal adult horses by continuous-flow centrifugation leukapheresis (CL), 3 to 6 hours after hydrocortisone sodium succinate was a...
Head tilt in horses. Head tilt in the horse is commonly a sign of either central or peripheral vestibular disease. The confirmation of vestibular disease is based on physical findings, including results of cranial-nerve function evaluation and observation of stance, posture, and gait. Further localization is made by ancillary tests such as cerebral spinal fluid analysis, electrodiagnostic testing, and radiography. The normal anatomy and physiology of the vestibular system, the abnormal clinical signs demonstrated during physical examination, and the various etiologies are discussed.
Mitral valvular insufficiency associated with ruptured chordae tendineae in three foals. Mitral valvular insufficiency associated with ruptured chordae tendineae was diagnosed in 3 foals with signs of congestive heart failure, which were believed to be secondary to the development of pulmonary hypertension associated with the valvular insufficiency. The septal leaflet of the mitral valve was affected in all 3 foals, and foal 2 also had ruptured chordae tendineae associated with the caudal mitral valve leaflet. Bacterial endocarditis and myocardial necrosis were associated with the ruptured chordae tendineae in foals 3 and 2, respectively. Idiopathic rupture was considered in foal ...
Ovarian disorders in domestic animals. The histologic appearance of the ovaries and persistence of corpora lutea vary considerably among domestic animals, particularly between spontaneous and induced ovulators. The seasonally polyestrous mare has a variety of unique characteristics in ovarian structure and general reproductive function. Among the anomalies of ovarian development is the bovine freemartin with gonads containing a mixture of male and female elements. A variety of ovarian cysts occur in domestic animals, and persistent corpora lutea with associated reproductive perturbations occur in several species. Ovarian tumors are...
Use of an external skeletal fixation device and bone graft for arthrodesis of the metacarpophalangeal joint in horses. Arthrodesis of the metacarpophalangeal joint was attempted in 9 adult horses, using a new external skeletal fixation device and autogenous cancellous bone graft. Four horses had excellent results, 2 horses had fair results, arthrodesis failed in 2 horses, and 1 horse fractured the third metacarpal bone. The advantages of the technique included minimal surgical trauma to the area of injury, immediate rigid fixation of the metacarpophalangeal joint, and access for treatment of soft-tissue lesions at the site of injury. Although pin loosening and pin-track infection were complications when the de...
Examination of cerebrospinal fluid in the horse. The examination of cerebrospinal fluid (CSF) is often part of the diagnostic work-up of a patient exhibiting signs of disease involving the central nervous system. Awareness of the capabilities and limitations of these laboratory tests is important in assessing the benefit-to-risk ratio of performing such procedures. Collection of CSF is a relatively simple procedure, and together with a thorough history, physical examination, and other diagnostic tests, may be a valuable aid in arriving at a diagnosis or prognosis.
Physiological, biochemical and haematological effects on horses of a phenylbutazone paste. Five matched pairs of horses were used to investigate the biochemical, haematological and general clinical effects of a new dosage schedule of a phenylbutazone paste administered under controlled feeding conditions. One group of horses received a loading dose (8.8 mg/kg) on day 1, followed by doses of 3.3 mg/kg daily on days 2 to 8, 10 and 12 with no treatment on days 9 and 11. The second group received equivalent doses of a placebo paste. Bodyweight, skin temperature, respiratory rate, glutamate dehydrogenase activity, packed cell volume, mean corpuscular volume and neutrophil count were alte...
Rectal leiomyosarcoma in a horse. A mass originating from the dorsal rectal wall of a 4-year-old mare was diagnosed as a leiomyosarcoma. General anesthesia and meticulous surgical dissection were required to effect removal. In spite of incomplete excision, as indicated by histologic sections, the mass has not recurred in the 18 months since removal.
Urethral pressure profilometry in mares. A technique was developed for recording urethral pressure profiles (UPP) in mares. Profiles were obtained from 12 clinically normal mares and from 3 mares with urinary incontinence. Variables measured on the profile included intravesicular pressure and maximal urethral closure pressure. The mean maximal urethral closure pressure of the incontinent mares was significantly less (P less than or equal to 0.001) than that of the normal mares. The technique is simple and reliable for objectively evaluating urethral pressures in mares.
Marsupialization of an abdominal abscess caused by Serratia marcescens in a mare. An intra-abdominal abscess was diagnosed in a 7-year-old mare by palpation per rectum and from abnormal clinicopathologic findings. Initial treatment with procaine penicillin for 21 days was unsuccessful in halting the deterioration of the physical condition of the mare. Surgical exploration of the abdomen revealed a mass in the wall of the left ventral colon. Drainage was achieved by marsupialization. Serratia marcescens was isolated from the abscess. Recovery appeared complete, and the mare has resumed broodmare capability.
Surgical treatment of fractures of the olecranon in the horse: a comparative review of 25 cases. A series of 25 horses with olecranon fractures are reviewed. Twenty-one cases were treated surgically by the application of a tension band plate to the caudal aspect of the ulna. Seventy six per cent of these regained full limb function. The results of treatment are compared with two other series of conservatively and surgically treated cases.
Blood products in large animal medicine: a comparative account of current and future technology. THERE are indications for therapeutic uses of all portions of
whole blood in large animal patients but plasma and its isolated components have the largest number of immediate
applications. As recently as 10 years ago, whole fresh blood
was the only routinely administered blood product. However,
as even cross-match compatible erythrocytes are removed
from circulation within two to four days by the reticuloendothelial system, whole blood is a poor product for expansion of
vascular volume or supplying plasma components if the
patient has no immediate need for increased oxygen carrying
cap...
