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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.
Streptococcus equi infections in horses: guidelines for treatment, control, and prevention of strangles.
Journal of veterinary internal medicine    February 18, 2005   Volume 19, Issue 1 123-134 
Sweeney CR, Timoney JF, Newton JR, Hines MT.No abstract available
Use of dressings and bandages in equine wound management.
The Veterinary clinics of North America. Equine practice    February 5, 2005   Volume 21, Issue 1 91-vii doi: 10.1016/j.cveq.2004.11.004
Gomez JH, Hanson RR.The use and aims of various wound dressings are discussed. Application and indications in the horse vary according to the type and location of the wound as well as the nature and availability of the dressing material. Coaptation and immobilization are essential to promote healing in certain locations. Techniques used for bandage application in horses are described, with special emphasis on problem areas.
Look before you leap.
The Veterinary clinics of North America. Equine practice    January 22, 2005   Volume 17, Issue 2 195-208 doi: 10.1016/s0749-0739(17)30056-1
Ramey DW.Learning to critically evaluate therapeutic claims is vital to the success of the practicing veterinarian and the veterinary profession as a whole. Until such time as good scientific data in support of therapies are obtained, veterinarians should be careful in their advocacy and employment of new and unproved practices. They should also be aware of the many reasons why therapeutic "success" may be the result of a variety of factors unrelated to the treatment modality itself. Only by relying on rigorous standards of evidence can equine veterinarians prevent a return to the sincere but misguided...
Equine dental advances.
The Veterinary clinics of North America. Equine practice    January 22, 2005   Volume 17, Issue 2 319-334 doi: 10.1016/s0749-0739(17)30065-2
Greene SK.The reintroduction and development of safe motorized instruments, the increased availability of continuing education, and the understanding and implementation of appropriate procedures allow practitioners to provide better dental care. Veterinarians realize that sedation, analgesia, a full-mouth speculum, and proper instrumentation are necessary to provide these services. Continued instrument design, future research, and new treatment and prophylactic protocols should have a positive impact on the future of equine dental health. New and rediscovered procedures for equilibrating equine occlusio...
[Corneal diseases in horses (part 2)].
Tijdschrift voor diergeneeskunde    January 20, 2005   Volume 130, Issue 1 9-14 
van der Velden MA.No abstract available
Colorectal distention in the horse: visceral sensitivity, rectal compliance and effect of i.v. xylazine or intrarectal lidocaine.
Equine veterinary journal    January 18, 2005   Volume 37, Issue 1 70-74 doi: 10.2746/0425164054406955
Sanchez LC, Merritt AM.Most current models of visceral sensitivity testing in the horse have required visceral cannulation. Colorectal distention (CRD) is a widely used, noninvasive method for testing in other species and could be adapted for use in horses. Objective: To develop a protocol of controlled CRD in the conscious horse and to evaluate the effect of i.v. xylazine or intrarectal lidocaine on CRD threshold and rectal compliance. Methods: Eight horses were used for baseline studies (3 trials each) and 6 horses to evaluate treatments (4 trials, 2 per treatment). A 45 cm diameter polyvinyl balloon attached to p...
Relationship between synovial fluid levels of glycosaminoglycans, hydroxyproline and general MMP activity and the presence and severity of articular cartilage change on the proximal articular surface of P1.
Equine veterinary journal    January 18, 2005   Volume 37, Issue 1 19-25 doi: 10.2746/0425164054406919
van den Boom R, van der Harst MR, Brommer H, Brama PA, Barneveld A, van Weeren PR, DeGroot J.Osteoarthritis (OA) is one of the most prevalent and disabling chronic conditions affecting horses and leads to degeneration of articular cartilage. Diagnosis is based on clinical signs in combination with radiography, which is relatively insensitive and provides only an indication of accumulated damage. Alternative methods, such as molecular markers, are therefore needed that can quantitatively, reliably and sensitively detect osteoarthritic changes in the joints at an early stage of the disease. If such markers are to be used reliably, it is important to know the relationship between marker ...
Occurrence of equine coital exanthema in pastured draft horses and isolation of equine herpesvirus 3 from progenital lesions.
The Journal of veterinary medical science    January 13, 2005   Volume 66, Issue 12 1503-1508 doi: 10.1292/jvms.66.1503
Seki Y, Seimiya YM, Yaegashi G, Kumagai S, Sentsui H, Nishimori T, Ishihara R.During the period from 2001 to the following year, progenital diseases had been epidemic among the draft stallions and mares pastured together in Iwate Prefecture, the northeastern district of Japan. A stallion and 8 of 31 mares were affected in 2001, and 1 of 2 stallions and 10 of 36 mares in 2002. The clinical symptoms consisted of the formation of papules, pustules, ulcers and scabs on the progenital skin and mucosa in stallions and mares. In 2002, Equine herpesvirus 3 (EHV3) was isolated from 2 mares and the glycoprotein G gene of the virus detected from a stallion and 4 mares by polymeras...
Pituitary pars intermedia dysfunction: equine Cushing’s disease.
The Veterinary clinics of North America. Equine practice    January 8, 2005   Volume 18, Issue 2 237-270 doi: 10.1016/s0749-0739(02)00018-4
Schott HC.PPID in older equids has become a major health concern of horse owners. In response, equine practitioners have made greater efforts at understanding, diagnosing, and treating this disorder. Although PPID is recognized to be a different form of pituitary-dependent hyperadrenocorticism than is seen in canine or human patients, relatively little is known about the pathophysiology and natural progression of the disease. At present, the diagnosis is best supported by manifestation of characteristic clinical signs and endocrinologic test results, preferably a supportive DST result. Treatment must fo...
Evaluation of pituitary gland anatomy and histopathologic findings in clinically normal horses and horses and ponies with pituitary pars intermedia adenoma.
American journal of veterinary research    January 6, 2005   Volume 65, Issue 12 1701-1707 doi: 10.2460/ajvr.2004.65.1701
van der Kolk JH, Heinrichs M, van Amerongen JD, Stooker RC, in de Wal LJ, van den Ingh TS.To determine size and weight of the pituitary gland and associations between pituitary gland size and weight and sex and age in horses without clinical signs associated with pituitary pars intermedia adenoma (PPIA) and horses and ponies with PPIA. Methods: Pituitary glands from 100 horses without clinical signs of PPIA and 19 horses and 17 ponies with PPIA. Methods: Pituitary glands were weighed, measured, and examined histologically by use of H&E stain. Masson trichrome and periodic acid-Schiff staining were used, when appropriate. Histologic lesions in the pars intermedia, pars distalis,...
Prevalence of antibodies to Encephalitozoon cuniculi in horses in the Israel.
Annals of agricultural and environmental medicine : AAEM    January 4, 2005   Volume 11, Issue 2 265-267 
Levkutová M, Hípiková V, Faitelzon S, Benath G, Paulík S, Levkut M.Infection with the intracellular microsporidium Encephalitozoon cuniculi can cause a serious disease--encephalitozoonosis in various animals and people. Several species of mammals, including the horse, were seem to be potential sources of encephalitozoonosis for animal as well as human hosts. The disease diagnosis is based on clinical signs, pathological findings, and the detection of E. cuniculi or circulating antibodies directed against the parasite. This study investigates the seroconversion to E. cuniculi in horses admitted to the Veterinary Teaching Hospital of the Hebrew University of Je...
Progressive swelling, hyperkeratosis, and fibrosis of distal limbs in Clydesdales, Shires, and Belgian draft horses, suggestive of primary lymphedema.
Lymphatic research and biology    December 31, 2004   Volume 1, Issue 3 191-199 doi: 10.1089/153968503768330238
De Cock HE, Affolter VK, Wisner ER, Ferraro GL, MacLachlan NJ.A condition characterized by progressive swelling, hyperkeratosis, and fibrosis of the distal limbs has been recognized in Shire, Clydesdale, and Belgian draft horses. This chronic progressive disease starts at an early age, progresses throughout the life of the horse, and often ends in disfigurement and disability of the limbs that inevitably leads to the horse's premature death. This study was undertaken to better characterize this disease. Results: Six affected horses were donated for diagnostic workup. A detailed clinical, radiologic, gross, and histologic description is given in this repo...
Motion-correction techniques for standing equine MRI. McKnight AL, Manduca A, Felmlee JP, Rossman PJ, McGee KP, Ehman RL.Magnetic resonance imaging (MRI) of the distal extremities of the standing, sedated horse would be desirable if diagnostic quality images could be obtained. With the availability of extremity and special purpose magnet designs on the market, a system to safely accommodate the standing horse may gain increasing popularity. This paper considers the issue of motion that will need to be addressed to achieve successful, diagnostic quality images. The motion of the carpus and tarsus of five standing, sedated horses was quantified. The obtained motion records were then used to induce motion in cadave...
Infection of immunodeficient horses with Sarcocystis neurona does not result in neurologic disease.
Clinical and diagnostic laboratory immunology    November 13, 2004   Volume 11, Issue 6 1134-1139 doi: 10.1128/CDLI.11.6.1134-1139.2004
Sellon DC, Knowles DP, Greiner EC, Long MT, Hines MT, Hochstatter T, Tibary A, Dame JB.Equine protozoal myeloencephalitis is a progressive neurologic disease of horses most commonly caused by infection with the apicomplexan parasite Sarcocystis neurona. Factors affecting neuroinvasion and neurovirulence have not been determined. We investigated the pathogenesis of infection with S. neurona in horses with severe combined immune deficiency (SCID). Two immunocompetent (IC) Arabian horses and two Arabian horses with SCID were infected orally with 5 x 10(5) sporocysts of S. neurona. Four IC horses and one SCID horse were infected intravenously (i.v.) with 5 x 10(8) merozoites of the ...
Immune responses and protective efficacy in ponies immunised with an equine influenza ISCOM vaccine containing an ‘American lineage’ H3N8 virus.
Vaccine    November 9, 2004   Volume 23, Issue 3 418-425 doi: 10.1016/j.vaccine.2004.01.074
Crouch CF, Daly J, Hannant D, Wilkins J, Francis MJ.Protective responses generated by vaccination with an immuno-stimulating complex (ISCOM)-based vaccine for equine influenza (EQUIP F), containing a new 'American lineage' H3N8 virus, were studied. Seven ponies in the vaccine group received two intramuscular injections of EQUIP F given 6 weeks apart. Aerosol challenge with an A/eq/Newmarket/1/93 reference strain 4 weeks after booster vaccination resulted in clinical signs of infection and viral shedding in 7 influenza-naive control animals whereas the vaccinated ponies were significantly protected from both clinical signs and virus excretion. I...
Listeria monocytogenes in horses in Iceland.
The Veterinary record    November 3, 2004   Volume 155, Issue 15 456-459 doi: 10.1136/vr.155.15.456
Gudmundsdottir KB, Svansson V, Aalbaek B, Gunnarsson E, Sigurdarson S.Twenty isolates of Listeria monocytogenes associated with five confirmed and four suspected incidents of listeriosis in horses in Iceland were characterised by serotyping, pulsed-field gel electrophoresis and ribotyping. Semiquantitative estimates of the numbers of L monocytogenes were made on faeces from horses with clinical signs of listeriosis and on grass silage fed to them. Large numbers of L monocytogenes were often found in the faeces of horses with severe signs of disease. The 20 isolates could be divided into six genotypes, each incident involving only one genotype. One serovar 1/2a g...
Evaluation of an outbreak of West Nile virus infection in horses: 569 cases (2002).
Journal of the American Veterinary Medical Association    November 2, 2004   Volume 225, Issue 7 1084-1089 doi: 10.2460/javma.2004.225.1084
Schuler LA, Khaitsa ML, Dyer NW, Stoltenow CL.To characterize an outbreak of West Nile virus (WNV) infection in horses in North Dakota in 2002, evaluate vaccine effectiveness, and determine horse characteristics and clinical signs associated with infection. Methods: Retrospective study. Methods: 569 horses. Methods: Data were obtained from veterinary laboratory records, and a questionnaire was mailed to veterinarians of affected horses. Results: Affected horses were defined as horses with typical clinical signs and seroconversion or positive results of virus isolation; affected horses were detected in 52 of the 53 counties and concentrate...
Experimental Clostridium difficile enterocolitis in foals.
Journal of veterinary internal medicine    November 2, 2004   Volume 18, Issue 5 734-738 doi: 10.1892/0891-6640(2004)182.0.co;2
Arroyo LG, Weese JS, Staempfli HR.Despite empirical clinical association of infection with Clostridium difficile with colitis in horses, a causal link has not been confirmed. The objective of this study was to develop a model of C. difficile-associated diarrhea in foals with normal transfer of passive immunity. Nine 1-day-old pony foals were inoculated intragastrically with spores or vegetative cells of C. difficile. Five foals were challenged with spores, with 2 receiving 10(5) colony-forming units (CFUs) and concurrently 3 receiving 10(7) CFUs once daily for 3 days. Clindamycin was administered orally to disrupt gastrointest...
[Rectal tears in the horse: two case reports].
Tijdschrift voor diergeneeskunde    October 29, 2004   Volume 129, Issue 19 618-622 
Sloet van Oldruitenborgh-Oosterbaan MM, Cornelissen BP, Laan TT, Enzerink E, Ensink JM.Rectal tears occur incidentally and often have a poor prognosis. Early recognition of the problem and adequate therapy determine the outcome. The history, clinical examination, therapy, and outcome of two horses with grade IIIb and grade IV rectal tears are discussed.
Relationship between scintigraphic and radiographic evaluations of spinous processes in the thoracolumbar spine in riding horses without clinical signs of back problems.
Equine veterinary journal    October 6, 2004   Volume 36, Issue 6 458-465 doi: 10.2746/0425164044877341
Erichsen C, Eksell P, Holm KR, Lord P, Johnston C.Radiography and scintigraphy are used to aid diagnosis of the cause of back pain, but a large variation in appearance and radiopharmaceutical uptake in fully functioning horses make diagnosis difficult. Objective: To describe the range of and compare scintigraphic and radiographic findings in the spinous processes of horses without clinical signs of back problems. Methods: Thirty-three apparently normal riding horses underwent scintigraphic and radiographic examinations of the spinous processes in the thoracolumbar spine. Scintigraphic images were evaluated in a continuous blue, green and red ...
Occult subchondral osseous cyst-like lesions of the equine tarsocrural joint.
Veterinary surgery : VS    September 15, 2004   Volume 33, Issue 5 557-564 doi: 10.1111/j.1532-950x.2004.04078.x
García-López JM, Kirker-Head CA.To report the clinical signs, diagnosis, management, and outcome of horses with occult sub-chondral osseous cyst-like lesions of the tarsocrural joint. Methods: Retrospective study. Methods: Twelve horses with subchondral osseous cyst-like lesions (SOCLs) in the tarsocrural joint. Methods: Information about history, examination findings, diagnostic techniques, and surgical procedures as obtained from medical records. Outcome was determined by patient re-evaluation and telephone communication with the referring veterinarian, owner, or trainer. Results: Horses were aged from 3 to 29 years. Lamen...
Clinical signs and hematologic, cytokine, and plasma nitric oxide alterations in response to Strongylus vulgaris infection in helminth-naïve ponies.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    September 9, 2004   Volume 68, Issue 3 193-200 
Hubert JD, Seahorn TL, Klei TR, Hosgood G, Horohov DW, Moore RM.The objective of this study was to determine the effect of infection with Strongylus vulgaris on serum cytokines and plasma nitric oxide (NO) concentrations in helminth-naive ponies. Group 1 (n = 21) was given 500 S. vulgaris L3 larvae and group 2 (n = 7) received a saline control. Ponies were monitored daily for clinical signs, and blood was collected for complete blood cell counts and serum cytokines (TNF, IL-1, IL-6) quantification. Group 1 ponies were depressed, anorexic, and febrile for variable periods of time. Plasma NO was increased on day 21 in group 1 and on days 9 and 21 in group 2....
[Primary liver disease in the horse].
Tijdschrift voor diergeneeskunde    September 7, 2004   Volume 129, Issue 16 510-522 
Olsman AF, Sloet van Oldruitenborgh-Oosterbaan MM.The clinical signs of liver disease are highly variable and non-specific. Irrespective of the cause or the duration of liver disease, more specific clinical signs, e.g. hepatic encephalopathy, become apparent in the advanced stages of the disease. Due to the non-specific clinical signs, the possible diagnosis of liver disease is frequently not taken into consideration. However, measurement of the plasma or serum concentrations of total bile acids and gamma glutamyl transferase (gamma GT) may provide valuable diagnostic information. The specific diagnosis can be confirmed by ultrasound examinat...
Outcome of equids with clinical signs of West Nile virus infection and factors associated with death.
Journal of the American Veterinary Medical Association    August 25, 2004   Volume 225, Issue 2 267-274 doi: 10.2460/javma.2004.225.267
Salazar P, Traub-Dargatz JL, Morley PS, Wilmot DD, Steffen DJ, Cunningham WE, Salman MD.To determine outcome of equids in the western United States with clinical signs of West Nile virus (WNV) infection and identify factors associated with risk of death in infected equids. Methods: Cross-sectional study. Methods: 484 equids in Nebraska and Colorado. Methods: Owners of 484 equids with laboratory-confirmed West Nile virus infection in Nebraska and Colorado were contacted by telephone, and a questionnaire was used to obtain information on signalment, management, clinical signs, date of disease onset, duration of disease, WNV vaccination status, and health status at the time of the i...
Right dorsal colitis in the horse: minireview and reports on three cases in Ireland.
Irish veterinary journal    August 1, 2004   Volume 57, Issue 8 467-473 doi: 10.1186/2046-0481-57-8-467
Galvin N, Dillon H, McGovern F.: Right dorsal colitis (RDC) is an ulcerative inflammatory bowel disorder of the horse that has been associated with the administration of non-steroidal anti-inflammatory drugs (NSAIDs), particularly in horses treated when dehydrated or toxaemic. The acute form of RDC may result in profuse diarrhoea, severe colic, dehydration, endotoxic shock and even death; the chronic form may be manifest by mild to moderate intermittent colic, ventral oedema and weight loss with or without diarrhoea. The most consistent laboratory findings are anaemia, hypoproteinaemia, hypoalbuminaemia and hypocalcaemia. M...
Equine corneal surgery and transplantation.
The Veterinary clinics of North America. Equine practice    July 24, 2004   Volume 20, Issue 2 361-vii doi: 10.1016/j.cveq.2004.04.012
Denis HM.Corneal disease is common in equine ophthalmology and requires vigilant monitoring and appropriate therapy to optimize the outcome. Many equine corneal diseases, particularly those that progress rapidly, may benefit from surgical intervention. These include descemetoceles, deep corneal lacerations and ulcers, corneal perforation/iris prolapse, ulcerative keratitis, corneal stromal abscesses, and corneoscleral neoplasia. Indications for corneal transplantation include optical, tectonic, therapeutic, and cosmetic purposes. Corneal transplantation is most often implemented in equine patients for ...
The precorneal tear film in horses: its importance and disorders.
The Veterinary clinics of North America. Equine practice    July 24, 2004   Volume 20, Issue 2 301-318 doi: 10.1016/j.cveq.2004.04.008
Ollivier FJ.The precorneal tear film (PTF) is of critical importance in the physiologic and pathologic findings of the cornea. Clinicians should recall that quantitative and qualitative disorders of the PTF can be a cause of corneal diseases as well as a clinical sign of ocular surface diseases. It is also important to consider that some systemic and topical treatments may affect the PTF volume and composition. Not all interactions are known at this time. There is a continued need for basic research into PTF components in healthy and diseased equine eyes, because much remains unknown. Until additional bas...
Investigation of an outbreak of encephalomyelitis caused by West Nile virus in 136 horses.
Journal of the American Veterinary Medical Association    July 9, 2004   Volume 225, Issue 1 84-89 doi: 10.2460/javma.2004.225.84
Ward MP, Levy M, Thacker HL, Ash M, Norman SK, Moore GE, Webb PW.To describe an outbreak of encephalomyelitis caused by West Nile virus (WNV) in horses in northern Indiana. Methods: Case series. Methods: 170 horses. Methods: Horses with clinical signs suggestive of encephalomyelitis caused by WNV were examined. Date, age, sex, breed, and survival status were recorded. Serum samples were tested for anti-WNV antibodies, and virus isolation was attempted from samples of brain tissue. Climate data from local weather recording stations were collected. An epidemic curve was constructed, and case fatality rate was calculated. Results: The most common clinical sign...
Acute recumbency associated with Anaplasma phagocytophilum infection in a horse.
Journal of the American Veterinary Medical Association    July 3, 2004   Volume 224, Issue 12 1964-1931 
Nolen-Walston RD, D'Oench SM, Hanelt LM, Sharkey LC, Paradis MR.An 11-year-old Hanoverian-cross gelding was evaluated because of acute onset of ataxia, recumbency, and fever. At the stable, this and other horses had recently been infested with ticks. Results of analysis of a sample of CSF were within reference limits, but hematologic abnormalities included lymphopenia, thrombocytopenia, mild anemia, and intracytoplasmic inclusion bodies in neutrophils that were consistent with Anaplasma phagocytophilum (previously Ehrlichia equi). Results of serum biochemical analyses were characteristic of infection and included high, unconjugated bilirubin concentration....
Small intestinal volvulus in 115 horses: 1988-2000.
Veterinary surgery : VS    July 3, 2004   Volume 33, Issue 4 333-339 doi: 10.1111/j.1532-950X.2004.04048.x
Stephen JO, Corley KT, Johnston JK, Pfeiffer D.To evaluate the historical data, signalment, clinical signs, results of laboratory analyses, treatment, and outcome of horses with small intestinal (SI) volvulus. Methods: Retrospective study. Methods: One hundred and fifteen client-owned horses, aged 1 month to 21 years. Methods: Clinical signs, laboratory data, surgical or necropsy findings, and outcome for horses with SI volvulus were obtained from medical records, identified by computer search and manual review. Results: There was no statistical difference in signalment between cases and the hospital population. Seventy-four percent of hor...
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