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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.
Evaluation of podocin in urine in horses using qualitative and quantitative methods.
PloS one    October 15, 2020   Volume 15, Issue 10 e0240586 doi: 10.1371/journal.pone.0240586
Siwińska N, Pasławska U, Bąchor R, Szczepankiewicz B, Żak A, Grocholska P, Szewczuk Z.No sensitive method for diagnosing early kidney dysfunction in horses has been identified so far. Many studies carried out in humans and small animals show that podocin can be useful to diagnose various kidney diseases, mainly affecting the glomeruli. The aim of this study was to perform a qualitative and quantitative analysis of podocin in urine samples obtained from healthy horses, horses with clinical kidney dysfunction and horses at risk of acute kidney injury. The study objectives aimed to assess: (1) whether the selected podocin tryptic peptide for LC-MS-MRM allows for podocin detection ...
Adjunct Extraction Techniques in Equine Dentistry.
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 565-574 doi: 10.1016/j.cveq.2020.08.002
Henry T, Bishop I.Adjunct extraction techniques are used when the shape or integrity of the tooth, the shape or size of the patient's oral cavity, the location of the tooth, or the location of the proximal teeth prevents or complicates standard oral extraction. Techniques described and discussed include partial coronectomy, tooth sectioning, minimally invasive buccotomy, transbuccal screw extraction, and commissurotomy.
Equine Nasal Endoscopy: Treating Bullae Disease and Sinus Disease.
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 659-669 doi: 10.1016/j.cveq.2020.08.005
Claffey EF, Ducharme NG.The nasal conchal bullae (dorsal and ventral) are separate, air-filled structures within their respective dorsal and ventral nasal conchae. Computed tomography scans have assisted with the increasing diagnosis of empyema of the nasal conchae. This condition is usually associated with dental or sinus disease. Drainage of affected bullae is considered critical for resolution of clinical signs. The ventral conchal bullae can be easily viewed with a standard 10 mm diameter flexible endoscopy via the middle nasal meatus. This approach can also be used for fenestration of the bullae, using a diode ...
Equine dental and skeletal fluorosis induced by well water consumption. Kelly LH, Uzal FA, Poppenga RH, Kinde H, Hill AE, Wilson WD, Webb BT.Two horses that consumed well water with high fluoride content exhibited clinical signs of chronic dental and skeletal fluoride toxicosis and were later euthanized and autopsied. Both horses had degenerative disease of multiple joints and multiple dental defects. Elevated fluoride concentrations were found in bone and tooth samples of both horses, well water, and feed. Microscopically, abnormalities were noted in bone and tooth samples, and consisted mostly of foci of cement necrosis and hypercementosis. Horses exhibiting bilateral, highly symmetrical dental and/or skeletal lesions, with chron...
Update on Equine Odontoclastic Tooth Resorption and Hypercementosis.
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 671-689 doi: 10.1016/j.cveq.2020.08.006
Limone LE.Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is a progressive, painful disease, affecting incisors, canines, and cheek teeth. Examination findings include gingival inflammation, gingival recession and/or hyperplasia, subgingival swelling, bulbous enlargement of teeth, associated periodontal disease, pathologic tooth fracture, and/or tooth mobility and loss. Current hypotheses include biomechanical stresses and secondary bacterial involvement. Early recognition allows case management, but it is a progressive disease. Owner education is crucial; horses with complete or multi...
Horse welfare at slaughter: A novel approach to analyse bruised carcasses based on severity, damage patterns and their association with pre-slaughter risk factors.
Meat science    October 13, 2020   Volume 172 108341 doi: 10.1016/j.meatsci.2020.108341
Miranda-de la Lama GC, González-Castro CA, Gutiérrez-Piña FJ, Villarroel M, Maria GA, Estévez-Moreno LX.The study presents a novel veterinary forensic approach to analyse the bruising of horse carcasses, based on the nature of the bruises and how they are grouped in certain anatomical areas. Data on pre-slaughter logistics was obtained for 113 journeys with horses that travelled from Mexico and the USA to a Mexican abattoir. We found that carcass bruising was a highly prevalent problem (79% of carcasses had bruising) and was especially problematic in journeys lasting longer than 12 h, independently of the animal's country of origin, sex, age, lairage time or vehicle type. Multivariable logistic...
Furosemide administration onehour before bone scintigraphy examination in horses does not improve the image quality or reduce the radiation dose rate. Mageed M, Wegert J, Dyab S, Gerlach K.This prospective, cross-sectional, pilot study aimed to investigate the effects of furosemide as a diuretic on the image quality of bone scintigraphy performed using Tc-HDP and to investigate the impact of furosemide on the radiation dose rate. Thirty-one horses undergoing bone scintigraphy were included. The horses were divided into the control (n = 14) and furosemide group (n = 17), which received 1 mg/kg furosemide intravenously 1 h post Tc-HDP administration. The image quality was assessed subjectively and semi-quantitatively. The bone-to-soft tissue (B:S) ratio was calculated from...
Effect of Topical 1% Tetracaine Hydrochloride on Intraocular Pressure in Ophthalmologically Normal Horses; a Pilot Study.
Journal of equine veterinary science    October 10, 2020   Volume 95 103296 doi: 10.1016/j.jevs.2020.103296
Faghihi H, Rajaei SM, Mehrazin H, Golabdar S, Brooks DE.The aim of this study was to evaluate the effect of topical 1% tetracaine hydrochloride on the intraocular pressure (IOP) in ophthalmologically normal horses. Thirty eyes of 15 clinically normal horses were used for this study. The animals were randomly assigned to two groups (treatment and control). Prior to the instillation of 1% tetracaine or placebo, the baseline IOPs (T0) of each animal were recorded in both groups. Then one drop of tetracaine was instilled randomly into one eye of each horse in the treatment group (8 horses). In the control group (7 horses), one drop of artificial tear w...
Evaluation of the effects of medial saphenous venous pressures as an indirect method of measurement of intra-abdominal pressures in the horse.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    October 8, 2020   Volume 30, Issue 6 660-669 doi: 10.1111/vec.13000
Munsterman AS, Gillen AM, Coleridge MOD, Hanson RR.To evaluate the effect of changes in intra-abdominal pressure (IAP) on medial saphenous venous pressure (MSVP) and hemodynamics in normal horses. Methods: Experimental, in-vivo study. Methods: University Teaching Hospital. Methods: Convenience sample of 7 mixed breed horses; 5 geldings, and 2 mares. Methods: Pneumoperitoneum was induced in horses under standing sedation with carbon dioxide gas using a laparoscopic insufflator for a total of 60 minutes to simulate clinical elevation in IAP. Pressure was increased stepwise to 20 mm Hg over 30 minutes, and maintained at that pressure for 30 minu...
Validation of a Rapid Bronchoalveolar Lavage Fluid Colorimetric Evaluation for Assessing the Severity of Exercise-Induced Pulmonary Hemorrhage in Horses in Field Conditions.
Journal of equine veterinary science    October 8, 2020   Volume 95 103284 doi: 10.1016/j.jevs.2020.103284
Warlick LM, Léguillette R, Kogan C, Gold JR, Bayly WM.Diagnosis and assessment of severity of exercise-induced pulmonary hemorrhage (EIPH) relies on postexercise visualization of fresh blood in the airways via tracheobronchoscopic examination (TBE) and/or counting erythrocytes in bronchoalveolar lavage fluid (BALFRBC). Determining the BALFRBC is more sensitive than TBE but its usefulness is hampered by the need to have BALFRBC counted at a laboratory. We explored the feasibility of evaluating the severity of EIPH by using a color chart comprised of five shades of red and matching those colors with the color of BALF immediately following collectio...
Efficacy of pergolide for the management of equine pituitary pars intermedia dysfunction: A systematic review.
Veterinary journal (London, England : 1997)    October 8, 2020   Volume 266 105562 doi: 10.1016/j.tvjl.2020.105562
Tatum RC, McGowan CM, Ireland JL.Pergolide, a dopamine agonist, is commonly administered to manage pituitary pars intermedia dysfunction (PPID), a progressive neurodegenerative disease prevalent in aged horses. However, available evidence regarding pergolide's efficacy in improving clinical and endocrine parameters is limited. The aim of this systematic review was to assess published literature and evaluate evidence regarding whether pergolide treatment results in improvement of clinical signs and/or adrenocorticotrophic hormone (ACTH) concentration compared to no treatment or other unlicensed treatments. Systematic searches ...
Prevalence of intra-abdominal hypertension in horses with colic.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    October 8, 2020   Volume 30, Issue 6 647-652 doi: 10.1111/vec.13006
Foth PW, Scott VH, Mudge MC, Hurcombe SD.To determine an abdominal pressure cutoff value for intra-abdominal hypertension (IAH) in the horse and characterize IAH in horses with acute colic. Methods: Prospective clinical cohort. Methods: University teaching hospital. Methods: Nine healthy adult horses and 56 horses with acute colic. Methods: Ventral intra-abdominal pressure (IAP) was measured in triplicate at end expiration and averaged. Each colic case was classified as medical or surgical and large intestine (LI) or small intestine (SI). Management and final outcome (alive, euthanized, or died) were recorded. IAH was defined as ≥3...
Radiographic findings and anatomical variations of the caudal cervical area in horses with neck pain and ataxia: case-control study on 116 horses.
The Veterinary record    October 8, 2020   Volume 187, Issue 9 e79 doi: 10.1136/vr.105756
Beccati F, Pepe M, Santinelli I, Gialletti R, Di Meo A, Romero JM.Abnormalities of the ventral lamina of the sixth cervical vertebra (AVL-C6) are thought to exert abnormal stress on the articular process joints (APJs) of the cervicothoracic junction. The aim of the study was to investigate the association between AVL-C6 and radiographic findings in the caudal cervical area and between clinical signs of neck pain and ataxia and radiographic findings. Methods: Medical records of horses subjected to cervical radiography were reviewed. Horses were classified into those with neck pain (group C), those with ataxia (group A) and healthy horses (group H). Presence o...
Effects of administration of ascorbic acid and low-dose hydrocortisone after infusion of sublethal doses of lipopolysaccharide to horses.
Journal of veterinary internal medicine    October 7, 2020   Volume 34, Issue 6 2710-2718 doi: 10.1111/jvim.15896
Anderson MJ, Ibrahim AS, Cooper BR, Woolcock AD, Moore GE, Taylor SD.Sepsis is associated with ascorbic acid (AA) depletion and critical illness-related corticosteroid insufficiency (CIRCI) in humans. Objective: Intravenous infusion of lipopolysaccharide (LPS) would (a) decrease endogneous AA concentrations, (b) induce CIRCI and (c) administration of a combination of AA and hydrocortisone (HC) would have decreased indices of inflammation compared to either drug alone. Methods: Thirty-two healthy horses. Methods: Randomized placebo-controlled experimental trial. Horses were assigned to 1 of 4 groups (saline, AA and HC, AA only, or HC only). Treatments were admin...
Science-in-brief: Equine Cardiology Virtual Retreat June 2020.
Equine veterinary journal    October 6, 2020   Volume 52, Issue 6 787-789 doi: 10.1111/evj.13335
Mitchell KJ, Schwarzwald CC, Bevevino K, Navas de Solis C.No abstract available
Clinical insights: Lameness diagnosis in sports horses.
Equine veterinary journal    October 6, 2020   Volume 52, Issue 6 775-778 doi: 10.1111/evj.13315
Nagy A.No abstract available
Clinical insights: Ophthalmology in the eye of the beholder: Are we properly caring for horses with ocular disease?
Equine veterinary journal    October 6, 2020   Volume 52, Issue 6 779-781 doi: 10.1111/evj.13329
Hartley C.No abstract available
Ultrasonographic measurement of the adrenal gland in neonatal foals: reliability of the technique and assessment of variation in healthy foals during the first five days of life.
The Veterinary record    October 6, 2020   Volume 187, Issue 12 e117 doi: 10.1136/vr.106027
Lauteri E, Mariella J, Beccati F, De Graaf-Roelfsema E, Castagnetti C, Pepe M, Peric T, Barbato O, Montillo M, Rouge S, Freccero F.Adrenal gland ultrasonographic measurements are useful in clinical evaluation of patients with adrenal dysfunction in several species. In human healthy neonates, the ultrasonographic size of the adrenal glands decreases during the first days of life. Ultrasonography of adrenal glands was demonstrated to be feasible in neonatal foals. The aims of this study were to describe a technique for ultrasonographic measurement of adrenal gland size to test its reliability in neonatal foals, and to assess any variation of ultrasonographic measurements during the first five days of life in healthy foals. ...
Outbreak of acute larval cyathostominosis – A “perfect storm” of inflammation and dysbiosis.
Equine veterinary journal    October 6, 2020   Volume 53, Issue 4 727-739 doi: 10.1111/evj.13350
Walshe N, Mulcahy G, Crispie F, Cabrera-Rubio R, Cotter P, Jahns H, Duggan V.Cyathostomins are prevalent and pathogenic intestinal helminths of horses, causing acute and chronic disease, including acute larval cyathostominosis, which has a mortality rate of 50%. Factors determining individual susceptibility to acute larval cyathostominosis are unknown. Investigation of these factors could lead to novel treatment and prevention strategies. Objective: To investigate clinicopathological and faecal microbiota changes associated with disease in individual horses in an acute larval cyathostominosis outbreak. Methods: Case series. Methods: The study population was a herd of 2...
Detection of a Putative Novel Papillomavirus Type within a Large Exophytic Papilloma on the Fetlock of a Horse.
Pathogens (Basel, Switzerland)    October 5, 2020   Volume 9, Issue 10 816 doi: 10.3390/pathogens9100816
Munday JS, Hardcastle MR, Sim M.A 10-year-old horse presented with two 3-cm diameter exophytic masses over the fetlock. Histology was consistent with a hyperplastic squamous papilloma and numerous cell changes consistent with papillomavirus (PV) infection were visible. Partial sequences of PV L1 and E1 ORFs were amplified using consensus PCR primers. The sequences were most similar to Equus caballus type 1 (EcPV1). However, as the sequences were only around 73% similar to EcPV1, they appear to be from a novel PV type that is likely to be within the genus. The papillomas were treated with topical imiquimod and resolved withi...
Pathological, immunohistochemical, and molecular findings of equine protozoal myeloencephalitis due to Sarcocystis neurona infection in Brazilian horses.
Tropical animal health and production    October 4, 2020   Volume 52, Issue 6 3809-3817 doi: 10.1007/s11250-020-02419-y
Henker LC, Bandinelli MB, de Andrade CP, Bianchi MV, Sonne L, Driemeier D, Soares JF, Pavarini SP.Equine protozoal myeloencephalitis (EPM) is an important neurologic disease of horses in the American continent caused by Sarcocystis neurona and Neospora hughesi infection. This study describes the pathological, immunohistochemical, and molecular findings of fatal cases of EPM in southern Brazil. A review was performed on a total of 13 cases compatible with EPM, which were diagnosed by postmortem examination in the period of 2010-2017. Epidemiological information was obtained from necropsy reports. Gross and histological lesions were characterized, and cases were subjected to immunohistochemi...
Pathology, infectious agents and horse- and management-level risk factors associated with signs of respiratory disease in Ethiopian working horses.
Equine veterinary journal    October 2, 2020   Volume 53, Issue 4 670-681 doi: 10.1111/evj.13339
Laing G, Christley R, Stringer A, Ashine T, Cian F, Aklilu N, Newton R, Radford A, Pinchbeck G.Respiratory disease is a common cause for presentation of working horses to clinics in Ethiopia and a priority concern for owners. Objective: To identify risk factors for and association of pathogens with respiratory signs in working horses. Methods: Unmatched case-control study. Methods: Cases were those animals recently coughing (last 7 days) or observed with coughing, nasal discharge or altered respiration at the time of examination. A physical exam and respiratory endoscopy were performed including a tracheal wash sample to detect the presence of pathogens and serology performed on blood....
Effect of heel elevation on breakover phase in horses with laminitis.
BMC veterinary research    October 1, 2020   Volume 16, Issue 1 370 doi: 10.1186/s12917-020-02571-5
Al Naem M, Litzke LF, Geburek F, Failing K, Hoffmann J, Röcken M.In a laminitic horse, the maximal loading of the toe region occurs during the breakover phase. To date, no kinetic data demonstrates the effect of supportive orthopaedic therapy in horses with laminitis on breakover phase. Thus, the purpose of this study was to examine the effect of heel elevation on the breakover phase. Eight horses with acute laminitis treated medically as well as with application of a hoof cast with heel wedge (HCHW) were included in this study. Immediately following cessation of clinical signs of acute laminitis, two measurements using the Hoof™ System were taken: the fi...
Toxicological study of bee venom (Apis mellifera mellifera) from different regions of the province of Buenos Aires, Argentina.
Toxicon : official journal of the International Society on Toxinology    September 30, 2020   Volume 188 27-38 doi: 10.1016/j.toxicon.2020.09.014
de Roodt AR, Lanari LC, Lago NR, Bustillo S, Litwin S, Morón-Goñi F, Gould EG, van Grootheest JH, Dokmetjian JC, Dolab JA, Irazú L, Damin CF.Samples of Apis mellifera mellifera venom from different hives in two regions of the Buenos Aires province and its pool were analyzed for their lethal potency, myotoxic, defibrinogenating, hemolytic and inflammatory-edematizing activity and for the histological alterations they produce in the heart, lungs, kidneys, skeletal muscle and liver of mice. In vitro studies focused on the venom's hemolytic activity in different systems and species (horse, man, sheep and rabbit), the cytotoxicity in cellular lines, and on the proteolytic and coagulant activity in plasma and fibrinogen. Hemolytic activi...
Surgical excision of a malignant metastatic melanoma located in a skeletal muscle of the lateral thorax of a horse.
Veterinary medicine and science    September 29, 2020   Volume 7, Issue 2 297-302 doi: 10.1002/vms3.366
Billi T, Karadima V, Tyrnenopoulou P, Apostolopoulou EP, Brellou GD, Diakakis N.A 20-year-old grey Warmblood gelding that had history of dermal melanomatosis. To report surgical treatment of a 6-cm large malignant metastatic melanoma located in the cutaneous trunci muscle of the left lateral thorax of a horse. A 20-year-old grey Warmblood gelding was referred for evaluation of a large, rapidly growing, thoracic mass. Clinical examination revealed an ovoid, firm, non-painful, movable mass, approximately 6 cm in diameter, located in the cutaneous trunci muscle of the left lateral thorax. Multiple melanocytic nodules were also found at the perianal region and ventral tail. ...
Intragastric pH of foals admitted to the intensive care unit.
Journal of veterinary internal medicine    September 29, 2020   Volume 34, Issue 6 2719-2726 doi: 10.1111/jvim.15888
Wise JC, Raidal SL, Wilkes EJA, Hughes KJ.Intragastric pH profiles of neonatal foals admitted to the intensive care unit (ICU) remain poorly characterized. Objective: To determine intragastric pH profiles and clinical parameters associated with intragastric pH in foals admitted to the ICU. Methods: Forty-two neonatal foals admitted to the ICU and requiring placement of an indwelling nasogastric tube for nutritional management were included. Methods: Intragastric pH was measured for 24 hours from the time of admission. Mean pH, % time pH 4 were determined for each foal. History, clinical findings, and clinicopathological data recorde...
Effects of an anti-IGF-1 receptor monoclonal antibody on laminitis induced by prolonged hyperinsulinaemia in Standardbred horses.
PloS one    September 29, 2020   Volume 15, Issue 9 e0239261 doi: 10.1371/journal.pone.0239261
Rahnama S, Vathsangam N, Spence R, Medina-Torres CE, Pollitt CC, de Laat MA, Bailey SR, Sillence MN.Currently, there are no registered veterinary drugs for the treatment of endocrinopathic equine laminitis, and although this form of the disease is known to be caused by prolonged hyperinsulinaemia, the mechanism of insulin toxicity is unclear. One possibility is that high concentrations of insulin activate IGF-1 receptors (IGF-1R) in lamellar tissue, leading to uncontrolled cell proliferation and epidermal lamellar dysregulation. An equinized version of a human anti-IGF-1R therapeutic monoclonal antibody (mAb11) was generated to test this theory, using a modification of the prolonged euglycae...
Modification of empirical antimicrobial regimens in large animal medicine.
The Veterinary record    September 29, 2020   Volume 187, Issue 9 e78 doi: 10.1136/vr.106039
Redding L, Grunwald H, Cole S, Rankin S, Nolen-Walston R.Empirical antimicrobial regimens can be modified following new diagnostic information or when empirical treatment fails. Little is known about the frequency or clinical context in which these modifications occur. We characterised these modifications in a large animal hospital to identify when antimicrobial use could be optimised. Methods: Chart reviews were performed for all inpatients and outpatients administered antimicrobials at a large animal veterinary referral and teaching hospital in 2017-2018 (n=1163 visits) to determine when and why empirical regimens were modified. Multinomial logist...
Functional Electrical Stimulation (FES) and the Effect on Equine Multifidi Asymmetry.
Journal of equine veterinary science    September 28, 2020   Volume 95 103255 doi: 10.1016/j.jevs.2020.103255
Isbell DA, Schils SJ, Oakley SC, Carraro U, Knaeble BR.Asymmetry of the multifidi has been correlated with scoliosis and back pain in humans and has been investigated as a factor in equine back pain as well. The purpose of this study was to determine if FES would affect the symmetry of equine thoracolumbar multifidi when compared to controls. Twelve horses received 24 FES treatments bilaterally over the thoracolumbar region for 8 weeks. Twelve additional control horses received no FES treatments. Ultrasonographic measurements of the cross-sectional area (CSA) of the multifidi of the treatment horses at seven thoracolumbar levels were compared to ...
Nephrosplenic Space Ablation in Horses After Homologous Pericardium Implant Using a Laparoscopic Stapler.
Journal of equine veterinary science    September 25, 2020   Volume 95 103275 doi: 10.1016/j.jevs.2020.103275
Spagnolo JD, Castro LM, Corrêa RR, Garcia Filho SG, Ambrósio AM, Baccarin RYA, Hagen SCF, de Sá LM, Silva LCLC.This study aimed to describe and evaluate a laparoscopic technique to promote nephrosplenic space ablation in horses using a homologous pericardium implant, preserved in 98% glycerin and fixed using laparoscopic polydioxanone staples. In this experimental study, six Arabian horses without previous related abdominal diseases were used. The surgical procedures were performed in the standing position under sedation with alpha-2 agonists and opioids, associated with local infiltration of the local anesthetic in the portal sites. The horses were restrained in a stock, and the left flanks were clipp...
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