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Topic:Clinical Signs

Clinical signs in horses refer to observable physical or behavioral manifestations that may indicate the presence of disease or injury. These signs can include a range of symptoms such as changes in appetite, alterations in gait, abnormal respiratory patterns, or variations in body temperature. Recognizing clinical signs is an integral part of equine veterinary practice, as they provide initial insights into the health status of the animal. Veterinarians rely on these signs to formulate differential diagnoses and guide further diagnostic testing. This page gathers peer-reviewed research studies and scholarly articles that explore the identification, interpretation, and diagnostic value of clinical signs in equine health management.
Severe acute inflammatory reaction (SAIR) of the fetlock joint after intraarticular hyaluronate injection in a horse.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    December 5, 2006   Volume 19, Issue 4 236-238 
Kuemmerle JM, Uhlig H, Kofler J.Hyaluronate (HA) was administered by intra-articular injection to a 13-year-old Haflinger mare for treatment of metacarpophalangeal osteoarthritis. Ten hours after the injection, a severe inflammatory reaction developed in the treated joint. While awaiting results of synovial fluid analysis, treatment for iatrogenic infectious arthritis was initiated, but the analysis did not confirm sepsis. Clinical signs improved significantly following systemic non-steroidal anti-inflammatory medication and the horse was discharged three days later. Following an intravenous hyaluronate injection, four days ...
Studies on some paraclinical indices on intoxication in horses from freshly cut Jimson weed (Datura stramonium)-contaminated maize intended for ensiling.
Journal of the South African Veterinary Association    December 2, 2006   Volume 77, Issue 3 145-149 
Binev R, Valchev I, Nikolov J.Monitoring of changes in some blood laboratory parameters in 34 horses after ingesting freshly harvested maize that was to be used for ensiling, heavily contaminated with young Datura stramonium plants, is described. For a 7-day period the following parameters were monitored: haemoglobin content (HGB), red blood cell counts (RBC), white blood cell counts (WBC), haematocrit (HCT), mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH), mean corpuscular haemoglobin concentration (MCHC), differential white cell counts (DWC), erythrocyte sedimentation rate (ESR), protein fractions, aspa...
Experimental vesicular stomatitis virus infection in horses: effect of route of inoculation and virus serotype.
Veterinary pathology    November 14, 2006   Volume 43, Issue 6 943-955 doi: 10.1354/vp.43-6-943
Howerth EW, Mead DG, Mueller PO, Duncan L, Murphy MD, Stallknecht DE.Horses were inoculated with Vesicular stomatitis New Jersey and Indiana viruses by routes simulating contact and vector transmission. Clinical signs, lesions, antibody development, viral shedding and persistence, and viremia were monitored. Horses were infected with both viruses by all routes as confirmed by seroconversion. Salivation, primary lesions at inoculation sites, and secondary oral lesions were the most common clinical findings. Viral shedding was most often from the oral cavity, followed by the nasal cavity; titers were highest from oral cavity samples. Virus was rarely isolated fro...
Evaluation of the efficacy provided by a Recombinant Canarypox-Vectored Equine West Nile Virus vaccine against an experimental West Nile Virus intrathecal challenge in horses.
Veterinary therapeutics : research in applied veterinary medicine    October 14, 2006   Volume 7, Issue 3 249-256 
Siger L, Bowen R, Karaca K, Murray M, Jagannatha S, Echols B, Nordgren R, Minke JM.Efficacy of the Recombitek Equine West Nile Virus (WNV) vaccine was evaluated against a WNV intrathecal challenge model that results in WNV-induced clinical disease. Ten vaccinated (twice at days 0 and 35) and 10 control horses were challenged 2 weeks after administration of the second vaccine with a virulent WNV by intrathecal administration. After the challenge, eight of 10 controls developed clinical signs of encephalomyelitis whereas one vaccinate exhibited muscle fasciculation only once. Nine controls and one vaccinate developed a fever. Histopathology revealed mild to moderate nonsuppura...
Metallic foreign bodies in the tongues of 16 horses.
The Veterinary record    October 10, 2006   Volume 159, Issue 15 485-488 doi: 10.1136/vr.159.15.485
Pusterla N, Latson KM, Wilson WD, Whitcomb MB.The history, clinical signs, results of diagnostic imaging, treatment methods and outcome of 16 adult horses with a metallic foreign body in the tongue are reviewed. All the horses had a swollen tongue, they salivated excessively and were partially to completely anorexic. Less common clinical signs were fever, an enlarged and painful intermandibular space, dysphagia, unilateral tongue paralysis and halitosis. Most of the horses had shown clinical signs for less than 24 hours. The foreign bodies were diagnosed by oral examination, radiography and ultrasonography; they were removed from the tong...
Advances in equine surgery.
Veterinary surgery : VS    October 10, 2006   Volume 35, Issue 7 587-588 doi: 10.1111/j.1532-950X.2006.00211.x
Pascoe JR.No abstract available
Seasonal pasture myopathy in horses in the midwestern United States: 14 cases (1998-2005).
Journal of the American Veterinary Medical Association    October 4, 2006   Volume 229, Issue 7 1134-1141 doi: 10.2460/javma.229.7.1134
Finno CJ, Valberg SJ, Wünschmann A, Murphy MJ.To determine clinical signs, diagnostic findings, tissue tremetone concentrations, and clinical outcome or postmortem findings in horses evaluated for acute severe nonexertional rhabdomyolysis initially attributed to white snakeroot toxicosis. Methods: Retrospective case series. Methods: 14 horses. Methods: Records of the University of Minnesota Veterinary Medical Center or Diagnostic Laboratory were searched from 1998 to 2005. Inclusion criteria included serum creatine kinase (CK) activity > 45,000 U/L, severe nonexertional myonecrosis of proximal postural muscles at necropsy, or signs of wea...
[Glanders–a comprehensive review].
DTW. Deutsche tierarztliche Wochenschrift    October 3, 2006   Volume 113, Issue 9 323-330 
Wittig MB, Wohlsein P, Hagen RM, Al Dahouk S, Tomaso H, Scholz HC, Nikolaou K, Wernery R, Wernery U, Kinne J, Elschner M, Neubauer H.Since 1990 the number of glanders outbreaks in race, military and pleasure horses in Asia and South America is steadily increasing. Glanders, which is eradicated in Western Europe, Australia and Northern America, is currently considered a re-emerging disease. Consequently, the disease may be introduced into glanders-free regions by subclinical carriers at any time. The causative agent of glanders, Burkholderia (B.) mallei, is highly contagious and leads to chronic disease in horses whereas in donkeys and mules the disease is acute and often fatal. Occurrence of the disease leads to internation...
Why horse behaviour is important to the equine clinician.
Equine veterinary journal    September 22, 2006   Volume 38, Issue 5 386-387 doi: 10.2746/042516406778400538
Houpt KA.No abstract available
Validity of a behavioural measure of heat stress and a skin tent test for dehydration in working horses and donkeys.
Equine veterinary journal    September 22, 2006   Volume 38, Issue 5 433-438 doi: 10.2746/042516406778400646
Pritchard JC, Barr AR, Whay HR.Dehydration and heat stress are serious welfare issues for equids working in developing countries. There is a lack of any standardised method or validated interpretation of the skin tent test in horses and donkeys. Owners of dehydrated and heat-stressed animals often depend on veterinary examination for identification of these conditions, leading to delays in treatment and unnecessary reliance on external sources to effect welfare improvement. Objective: To validate a standardised skin tent test for dehydration and a behavioural measure of heat stress in working equids; and to examine the effe...
Association between the presence of serum antibodies against Neospora spp. and fetal loss in equines.
Veterinary parasitology    September 7, 2006   Volume 142, Issue 3-4 372-375 doi: 10.1016/j.vetpar.2006.07.016
Villalobos EM, Ueno TE, de Souza SL, Cunha EM, do Carmo Custódio de Souza Hunold Lara M, Gennari SM, Soares RM.A study of the association between the presence of serum antibodies against Neospora spp. and fetal loss was performed using serum samples of horses submitted to the laboratory for the detection of antibodies to Equine Herpesvirus-1 and Equine Infectious Anemia Virus. The sera submitted for equine infectious anemia testing were from horses declared healthy and those submitted for the detection of antibodies to Equine Herpesvirus-1 were from mares with late clinical signs of reproductive disorders or males living in close contact with diseased mares. For the detection of Neospora spp. infection...
Radiographic evolution of the forelimb digit in Ardenner horses from weaning to 28 months of age and its clinical significance.
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine    August 23, 2006   Volume 53, Issue 7 364-370 doi: 10.1111/j.1439-0442.2006.00833.x
Lejeune JP, Schneider N, Caudron I, Duvivier DH, Serteyn D.Ossification of collateral cartilages is a common radiographic finding in draught horses and indication of a high frequency of interphalangeal osteo-arthropathy have been found in Ardenner horses. This study first aimed at following the evolution of the digits of the forelimbs on radiographic images in a group of 32 Ardenner horses from weaning to 852 +/- 19 days and, secondly, at evaluating the clinical significance of the observed radiographic changes. At 250 +/- 21 days, only 23% of the horses presented a small separate ossification centre of collateral cartilages above the level of the dis...
Efficacy of training in theriogenology as determined by a survey of veterinarians.
Journal of the American Veterinary Medical Association    August 17, 2006   Volume 229, Issue 4 514-521 doi: 10.2460/javma.229.4.514
Root Kustritz MV, Chenoweth PJ, Tibary A.To determine whether veterinarians perceive that theriogenology training at veterinary medical schools in North America and the Caribbean is adequate for achievement of theriogenology skills commonly used in private practice. Methods: A survey was mailed to members of the veterinary medical associations of Alabama, Kansas, Pennsylvania, and Washington. With regard to reproductive procedures in bovine, equine, porcine, small ruminant, camelid, and small animal species, veterinarians (predominantly practitioners) were asked to rate the importance of that procedure in their job and to assess thei...
Prophylactic administration of ponazuril reduces clinical signs and delays seroconversion in horses challenged with Sarcocystis neurona.
The Journal of parasitology    August 4, 2006   Volume 92, Issue 3 637-643 doi: 10.1645/0022-3395(2006)92[637:PAOPRC]2.0.CO;2
Furr M, McKenzie H, Saville WJ, Dubey JP, Reed SM, Davis W.The ability of ponazuril to prevent or limit clinical signs of equine protozoal myeloencephalitis (EPM) after infection with Sarcocystis neurona was evaluated. Eighteen horses were assigned to 1 of 3 groups: no treatment, 2.5 mg/kg ponazuril, or 5.0 mg/kg ponazuril. Horses were administered ponazuril, once per day, beginning 7 days before infection (study day 0) and continuing for 28 days postinfection. On day 0, horses were stressed by transport and challenged with 1 million S. neurona sporocysts per horse. Sequential neurologic examinations were performed, and serum and cerebrospinal fluid w...
Principles of antimicrobial therapy: what should we be using?
The Veterinary clinics of North America. Equine practice    August 3, 2006   Volume 22, Issue 2 279-vii doi: 10.1016/j.cveq.2006.04.004
Southwood LL.Although the use of antimicrobials has had an insurmountable impact on preventing patient morbidity and mortality, problems with antimicrobial resistance and antimicrobial-induced diarrhea are becoming more apparent in human and veterinary medicine. The mortality associated with nosocomial infection with antimicrobial-resistant bacteria in human patients is alarming. Similarly, in veterinary medicine, the morbidity and high cost of treatment of patients with postoperative infection, for example, are concerns. Specifically in equine medicine, the high morbidity and mortality associated with ant...
Infections of the head and ocular structures in the horse.
The Veterinary clinics of North America. Equine practice    August 3, 2006   Volume 22, Issue 2 591-xi doi: 10.1016/j.cveq.2006.03.009
Gerard MP, Wotman KL, Komáromy AM.Infectious conditions of the equine head are commonly encountered in clinical practice. Pathogenic bacterial, viral, and fungal organisms may localize in the extensive nasal passages, paranasal sinuses, and guttural pouches, creating a range of clinical signs and conditions that can be severe enough to lead to unexpected fatality. Renewed interest in equine dentistry has led to a greater recognition of dental disease that is associated with infection. This article focuses on bacterial and fungal infections of the main anatomic regions of the equine head, where advances in diagnosis and managem...
Characteristics of an outbreak of West Nile virus encephalomyelitis in a previously uninfected population of horses.
Veterinary microbiology    July 26, 2006   Volume 118, Issue 3-4 255-259 doi: 10.1016/j.vetmic.2006.07.016
Ward MP, Schuermann JA, Highfield LD, Murray KO.Equine West Nile virus (WNV) encephalomyelitis cases - based on clinical signs and ELISA serology test results - reported to Texas disease control authorities during 2002 were analyzed to provide insights into the epidemiology of the disease within a previously disease-free population. The epidemic occurred between June 27 and December 17 (peaking in early October) and 1,698 cases were reported. Three distinct epidemic phases were identified, occurring mostly in southeast, northwest and then central Texas. Significant (P<0.05) disease clusters were identified in northwest and northern Texas. M...
Hemoperitoneum in horses: 67 cases (1989-2004).
Journal of the American Veterinary Medical Association    July 18, 2006   Volume 229, Issue 2 253-258 doi: 10.2460/javma.229.2.253
Dechant JE, Nieto JE, Le Jeune SS.To evaluate clinical findings, underlying causes, and short-term outcome associated with hemoperitoneum in horses. Methods: Retrospective case series. Methods: 67 horses with hemoperitoneum. Methods: Medical records of horses with hemo-peritoneum (excluding postoperative abdominal hemorrhage) from 1989 through 2004 were analyzed. Information obtained included history, signalment, physical examination findings, diagnostic test results, and short-term outcome. Results: Breed distribution was 28 Thoroughbreds, 13 Arabians, 10 Quarter Horses, 5 Warmbloods, 3 Appaloosas, and 1 each of 8 other breed...
Efficacy of imiquimod 5% cream in the treatment of equine sarcoids: a pilot study.
Veterinary dermatology    July 11, 2006   Volume 17, Issue 4 259-265 doi: 10.1111/j.1365-3164.2006.00526.x
Nogueira SA, Torres SM, Malone ED, Diaz SF, Jessen C, Gilbert S.Imiquimod is an immune response modifier with potent antiviral and antitumour activity. The objective of this pilot study was to evaluate the efficacy of an imiquimod 5% cream (Aldaratrade mark: 3M, Saint Paul, MN, USA) as a topical treatment for equine sarcoids. Fifteen horses with a total of 19 tumours were enrolled, including mixed (7), fibroblastic (5), flat (3), verrucous (2), and nodular (2) types. Baseline data included history, physical examination, tumour location, measurement and digital photography. Imiquimod was applied by the owners three times a week until complete resolution of ...
Adverse extrapyramidal effects in four horse given fluphenazine decanoate.
Journal of the American Veterinary Medical Association    July 5, 2006   Volume 229, Issue 1 104-110 doi: 10.2460/javma.229.1.104
Baird JD, Arroyo LG, Vengust M, McGurrin MK, Rodriguez-Palacios A, Kenney DG, Aravagiri M, Maylin GA.4 racehorses were examined because of markedly abnormal behavior following administration of fluphenazine decanoate. Results: Clinical signs included restlessness, agitation, profuse sweating, hypermetria, aimless circling, intense pawing and striking with the thoracic limbs, and rhythmic swinging of the head and neck alternating with episodes of severe stupor. Fluphenazine was detected in serum or plasma from all 4 horses. The dose of fluphenazine decanoate administered to 3 of the 4 horses was within the range (25 to 50 mg) routinely administered to adult humans. Results: In 2 horses, there ...
Cartilage-derived biomarkers and lipid mediators of inflammation in horses with osteochondritis dissecans of the distal intermediate ridge of the tibia.
American journal of veterinary research    July 5, 2006   Volume 67, Issue 7 1156-1162 doi: 10.2460/ajvr.67.7.1156
de Grauw JC, Brama PA, Wiemer P, Brommer H, van de Lest CH, van Weeren PR.To assess whether reported alterations in metabolism of cartilage matrix in young (0 to 24 months old) horses with osteochondritis dissecans (OCD) may also be found in older (24 to 48 months old) horses with clinical signs of OCD and to investigate the role of eicosanoids in initiating these clinical signs. Methods: Synovial fluid was collected from 38 tarsocrural joints of 24 warmblood horses with (22 joints of 16 horses) or without (16 joints of 8 horses) clinical signs and a radiographic diagnosis of OCD of the distal intermediate ridge of the tibia. Methods: Turnover of type II collagen wa...
Rapid, multiwell colorimetric assay for measuring neutrophil chemoattractant activity in bronchoalveolar lavage fluid of horses with recurrent airway obstruction. Hall JA, Hoyt D, Zuver C, Skinner MM, Schlipf JW.The criteria used to diagnose recurrent airway obstruction (RAO) in affected horses include demonstration of reversible lower airway obstruction and greater than 25% neutrophils in bronchoalveolar lavage fluid (BALF). Additional objective laboratory tests are needed to improve diagnostic accuracy and to monitor response to treatment. The goal of this study was to determine if neutrophil chemoattractant activity of BALF could be measured by using a previously described, rapid, multiwell colorimetric assay for chemotaxis. In this assay, neutrophils that have migrated through a membrane filter ar...
Clinical and therapeutic studies on mange in horses.
Veterinary parasitology    June 19, 2006   Volume 141, Issue 1-2 191-195 doi: 10.1016/j.vetpar.2006.04.039
Osman SA, Hanafy A, Amer SE.At Kafr El-Sheikh province, Egypt, out of 117 examined drafting horses, mites were detected in 20 (17.09%) horses. The recovered mites were 14 Chorioptes, four Psoroptes and two Sarcoptes whereas mites were not detected in four cases clinically showed typical mange lesions. Interestingly, neither the age nor the sex of the examined horses had a clear influence on the prevalence of the infection. Clinical signs observed in mange infested horses were in the form of irregular skin lesions, severe itching and sometimes biting of affected skin areas and decrease feed consumption. The skin lesions m...
Cardiac arrhythmias associated with piroplasmosis in the horse: a case report.
Veterinary journal (London, England : 1997)    June 12, 2006   Volume 174, Issue 1 193-195 doi: 10.1016/j.tvjl.2006.04.003
Diana A, Guglielmini C, Candini D, Pietra M, Cipone M.Cardiac dysfunction is a rare complication of babesiosis in domestic animals. The horse in this report showed clinical signs of anorexia, depression, fever, icterus and brown urine, and laboratory results (monocytosis, thrombocytopenia, azotemia, hyperbilirubinemia and bilirubinuria) indicated sub-acute piroplasmosis. Furthermore, junctional and polymorphic ventricular premature complexes and tachycardia associated with increased serum cardiac troponin I and myocardial-bound creatine kinase concentration were found. The diagnosis of piroplasmosis was confirmed by serology. Specific and support...
Long-term retrospective study of 52 horses with sinunasal cysts.
Equine veterinary journal    May 19, 2006   Volume 38, Issue 3 198-202 doi: 10.2746/042516406776866372
Woodford NS, Lane JG.The spectrum of clinical presentation, methods of diagnosis, management and prognosis in cases of sinunasal cysts (SNCs) requires more extensive study. Despite the extensive nature of SNCs, the prognosis for afflicted horses appears to have improved since earlier studies were conducted. Objective: To evaluate prognosis and cosmetic outcome of surgical ablation in 52 cases of SNCs. Methods: Fifty-two case records (1982-2005) of horses affected with SNCs were retrieved from the archives. Subject details, clinical signs, diagnostic techniques, surgical management and post surgical complications w...
Scleral rupture in dogs, cats, and horses.
Veterinary ophthalmology    April 26, 2006   Volume 9, Issue 3 149-155 doi: 10.1111/j.1463-5224.2006.00455.x
Rampazzo A, Eule C, Speier S, Grest P, Spiess B.The aim of this retrospective study was to summarize the most frequent clinical signs, ultrasonographic, and histological findings accompanying scleral rupture as a result of blunt trauma in dogs, cats, and horses. ANIMALS STUDIED AND PROCEDURES: Thirty small animals and three horses diagnosed with scleral rupture resulting from blunt trauma. B-mode ultrasonography was performed on 20 animals. Histopathology was carried out on 18 enucleated globes. Results: In small animals, 80% presented hyphema, 60% subconjunctival hemorrhage, and 53% eyelid and conjunctival swelling. In horses, 100% present...
Chronic diarrhea and weight loss in three horses.
The Veterinary clinics of North America. Equine practice    April 22, 2006   Volume 22, Issue 1 e27-e35 doi: 10.1016/j.cveq.2005.12.029
Stämpfli H, Oliver OE.No abstract available
Antibody and IFN-gamma responses induced by a recombinant canarypox vaccine and challenge infection with equine influenza virus.
Veterinary immunology and immunopathology    April 18, 2006   Volume 112, Issue 3-4 225-233 doi: 10.1016/j.vetimm.2006.02.007
Paillot R, Kydd JH, Sindle T, Hannant D, Edlund Toulemonde C, Audonnet JC, Minke JM, Daly JM.In horses, equine influenza virus (EIV) is a leading cause of respiratory disease. Conventional inactivated vaccines induce a short-lived immune response. By comparison, natural infection confers a long-term immunity to re-infection. An aim of new equine influenza vaccines is to more closely mimic natural infection in order to achieve a better quality of immunity. A new live recombinant vaccine derived from the canarypox virus vector and expressing haemagglutinin genes of EIV (subtype H3N8) has been developed. Stimulation of the immune system was studied after immunisation with this canarypox-...
Guttural pouch mycosis in a 6-month-old filly.
The Canadian veterinary journal = La revue veterinaire canadienne    April 12, 2006   Volume 47, Issue 3 259-261 
Millar H.A 6-month-old filly was presented with unilateral epistaxis. Based on clinical signs, endoscopic examination, and postmortem examination, guttural pouch mycosis was diagnosed. The young age of the filly and the fact that this was the 2nd diagnosis of guttural pouch mycosis on this farm was unusual. Mycose de la poche gutturale chez une pouliche de 6 mois. Une pouliche âgée de 6 mois a été présentée pour épistaxis unilatérale. En tenant compte des signes cliniques, de l’examen endoscopique et de l’examen post-mortem, un diagnostic de mycose de la poche gutturale a été posé. Le je...
Fibrosarcoma over the tarsal groove of a 14-month-old Quarter horse.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 6, 2006   Volume 18, Issue 2 115-118 
Story MR, Gaughan EM, Andrews GA, Balch S.A 14-month-old male Quarter horse was presented for evaluation of a grade 3 out of 5 (grade 0 = sound; grade 5 = non-weight bearing) right rear lameness. A firm, 8 x 16 cm mass was palpable at the caudal medial aspect of the distal tibia and proximal tarsal region of the right hind limb. A percutaneous needle aspirate contained mesenchymal cells that were moderate to large in size with single, oblong nuclei. Differential diagnoses included fibrous hyperplasia, fibroma, or well-differentiated fibrosarcoma. Excisional biopsy for both definitive diagnosis and treatment was offered and selected by...
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