Omneity® Pellets
All-In-One Vitamin & Mineral Pellet
Topic:Diagnosis
Diagnosis in horses involves the systematic identification of diseases and conditions affecting equine health. This process relies on a combination of clinical evaluations, laboratory tests, imaging techniques, and other diagnostic tools to assess the health status of horses. Veterinarians utilize these methods to identify symptoms, determine the underlying causes of health issues, and formulate appropriate treatment plans. Diagnostic procedures in equine medicine can include blood tests, ultrasound, radiography, endoscopy, and more specialized tests such as genetic screening or advanced imaging modalities like MRI and CT scans. This page aggregates peer-reviewed research studies and scholarly articles that explore various diagnostic techniques, their applications, and advancements in the field of equine veterinary medicine.
Auscultation for pre-exercise screening in the horse. To describe the highlights of cardiac auscultation of the equine athlete in the context of pre-exercise screening for cardiac adverse event prevention. Unassigned: Horses. Unassigned: Tutorial description. Unassigned: Description of the highlights of cardiac auscultation of the equine athlete in the context of pre-exercise screening for cardiac adverse event and exercise-associated sudden death prevention. Unassigned: Cardiac adverse events and exercise-associated deaths are problems that affect horses' health, riders' safety, and the public perception of welfare during equestrian sports. Scre...
Validation of a point-of-care assay for simultaneous quantification of equine adrenocorticotropic hormone and corticotropin-like intermediate peptide. Plasma adrenocorticotropic hormone (ACTH) concentrations are used to diagnose equine pituitary pars intermedia dysfunction (PPID). The reference chemiluminescent immunoassay for immunoreactive ACTH (iACTH) cross-reacts with corticotropin-like intermediate peptide (CLIP), which is also abnormally high in PPID. Objective: To compare the performance of a novel point-of-care (POC) immunoassay that concurrently measures ACTH and CLIP against the reference iACTH assay. Methods: Twenty-eight university-owned horses (13 PPID, 15 non-PPID). Methods: Prospective observational study. Resting plasma hormo...
Renal dysplasia in horses: 25 cases (1991-2021). Renal dysplasia (RD) is a congenital malformation with variable clinical expression and limited characterization in horses. Objective: We hypothesized that RD occurs in horses across a broad age range and may be overrepresented in specific breeds. Our objective was to describe clinical, clinicopathologic, and histopathologic findings in horses with RD. Methods: Twenty-five horses with RD identified from a veterinary teaching hospital between 1991 and 2021. Horses included neonates, young horses, and adults, with ages ranging from 0 days to 24 years and representing multiple breeds and both s...
Plasma adrenocorticotropin concentrations vary with assay used in horses with and without pituitary pars intermedia dysfunction. Plasma adrenocorticotropin (ACTH) concentration is measured to support a diagnosis of pituitary pars intermedia dysfunction (PPID). However, baseline ACTH and ACTH concentrations after IV administration of thyrotropin releasing hormone (TRH) vary with season and assay used. To compare two ACTH assays (Scantibodies immunoradiometric assay [IRMA] and Immulite 2000Xpi chemiluminescent immunometric assay [CIA]) for diagnosis of PPID, ACTH was measured before and 10 minutes after administration of TRH in three groups of horses: 1) four young horses (6 ± 3 years, no hypertrichosis and a pituita...
Serum amyloid A alone or in combination with white blood cell count and fibrinogen is associated with inflammatory disease status in horses undergoing elective anesthesia. The objective of this study was to assess the clinical utility of common systemic inflammatory markers (WBC count [WBCC], plasma fibrinogen, and serum amyloid A [SAA]) for the detection of disease in patients undergoing general anesthesia. Unassigned: A retrospective review of 1,002 surgical case records (February 2021 to June 2023) was performed. Systemically stable equine patients undergoing elective orthopedic and soft tissue procedures and that had WBCC, fibrinogen, and SAA evaluated preoperatively were eligible for inclusion. Disease status (healthy vs disease) was recorded for each case ...
Jejunal Perforation Associated With a Horseshoe-Shaped Abdominal Contusion After a Horse Kick: A Case Report. A horseshoe-shaped abdominal contusion after a horse kick may indicate the site of underlying bowel injury. When accompanied by persistent abdominal pain or peritoneal signs, hollow viscus injury should be considered. Contrast-enhanced CT can identify free air and focal bowel abnormalities at the impact site, facilitating timely surgical management.
Association Between Matrix Metalloproteinase-9 (MMP-9) Immunohistochemical Expression and Clinicopathological Features in Equine Melanoma. Equine melanoma is one of the most important oncological diseases in horses and exhibits a distinct biological behavior compared with melanoma in other species. Matrix metalloproteinase-9 (MMP-9) has been associated with tumor aggressiveness and metastasis in human and canine melanoma, but its expression in equine melanoma remains unknown. Objective: Evaluate the immunohistochemical expression of MMP-9 in equine melanomas and investigate its association with clinicopathological features. Methods: 68 formalin-fixed, paraffin-embedded equine melanomas from 48 gray horses were evaluated immunohis...
Thymidine kinase 1 activity in serum and body cavity fluids of horses with lymphoma. The accuracy of serum thymidine kinase 1 (TK1S) as a biomarker of lymphoma in horses is variable. The value of measurement in body cavity fluid (TK1F) has not been established. Objective: (1) TK1F and TK1S will be higher in horses with lymphoma compared to diseased controls (DCs); (2) TK1F will be higher than TK1S; and (3) there will be a strong correlation between both measurements. Methods: Twenty animals in the lymphoma and 31 animals with nonneoplastic, gastrointestinal/respiratory disorders in DC group. Methods: This was a cross-sectional study using prospectively collected data and sampl...
Bacterial isolates and antimicrobial susceptibility patterns in tracheal wash samples from horses with equine asthma in Poland. Equine asthma (EA) is a chronic inflammatory lower-airway disease. Bacterial growth from tracheal wash (TW) may occur in samples from horses with EA, but may represent colonisation rather than active infection. This study described cultivable bacterial isolates recovered from TW samples from horses with EA in Poland and assessed their antimicrobial susceptibility patterns and association with month/season of sampling and airway neutrophil percentage. Unassigned: In total, 165 adult horses diagnosed with EA according to American College of Veterinary Internal Medicine-based criteria underwent e...
Inflammatory phenotype and response to intradermal skin testing are not predictive of equine asthma diagnosis. The role of inflammation, allergy, and air quality in the pathogenesis of equine asthma has not yet been fully elucidated. Objective: To evaluate serum inflammatory cytokines, intradermal skin testing (IDT), and air quality in asthmatic horses. It was hypothesized that there would be an association between environmental allergies and poor air quality with asthma. Methods: 52 client-owned horses with clinical signs consistent with asthma were enrolled in this cross-sectional study. Horses were diagnosed with asthma based on the results of bronchoalveolar fluid (BALF) cytology. Blood samples wer...
Serological and molecular detection and phylogenetic characterization of Taylorella equigenitalis in horses in Iraq. Contagious equine metritis caused by is an important venereal disease of equids that can impair reproductive performance and facilitate transmission through clinically inapparent carriers. Information on infection in Iraqi horses remains limited. This study aimed to determine the serological and molecular occurrence of in horses in Iraq, evaluate associations with clinical and epidemiological factors, and characterize PCR-positive isolates using sequencing and phylogenetic analysis. Unassigned: A total of 157 adult horses from Baghdad, Babylon, Nineveh, and Wasit provinces were examined ...
Association of submaximal exercise test variables with diagnosis of asthma in a mixed-breed cohort of leisure horses. Submaximal exercise tests (SET) are used to assess respiratory health in various contexts. The diagnostic value of SETs for the assessment of asthma in the field remains uncertain. Objective: A SET helps distinguish healthy horses and asthma phenotypes. Methods: Twenty-six privately owned mixed-breed leisure horses of a clinical cohort. Horses were healthy (8) or diagnosed with mild (miEA) (4), moderate (modEA) (7), or severe asthma (sEA) (7) according to history, clinical examination, and bronchoalveolar lavage fluid (BALF) cytology. Methods: Cross-sectional study using clinical data and samp...
Use of clinical findings to distinguish between intestinal lymphoma or inflammatory bowel disease in horses. Identifying clinical findings that are distinct between inflammatory bowel disease (IBD) and intestinal lymphoma could be helpful for providing preliminary guidance for clients regarding their horse's prognosis while awaiting histopathologic results. Objective: To describe and compare the clinical findings of horses with a final histopathologic diagnosis of IBD vs intestinal lymphoma. Methods: Forty-six adult (≥1-year-old) horses with a final histopathologic diagnosis of IBD or intestinal lymphoma on endoscopic duodenal biopsy, surgical biopsy, or necropsy. Methods: Retrospective single-cent...
Endocrine and Metabolic Diseases in Donkeys. Donkeys have a plethora of species-specific metabolic traits that make them predisposed to endocrinopathies and metabolic disturbances. Due to their ability to digest poor-quality feedstuff and accumulate adipose tissue, donkeys are prone to obesity. Insulin dysregulation/metabolic syndrome, pituitary pars intermedia dysfunction, and endocrinopathic laminitis are also prevalent in donkeys. Their efficiency to mobilize fat in situations of increased energy demands increases the predisposition to dyslipidemias. There are major endocrine differences between horses and donkeys, with different prot...
Disorders of Calcium in Horses and Foals. Disorders of calcium homeostasis are frequent in equids with acute and chronic disorders. These animals may have abnormal phosphorus concentrations. Prompt identification and treatment are central for a positive outcome. A basic understanding of calcium regulation facilitates the diagnosis and treatment of calcium dysregulation. In horses, hypocalcemia is more often associated with acute conditions linked to systemic inflammation (eg, sepsis, gastrointestinal diseases), although hypocalcemia is also a feature of hypoparathyroidism and acute kidney injury. Magnesium supplementation should be co...
Scintigraphic Characteristics of the Occipitoatlantoaxial Region in Clinically Sound Horses. The equine occipitoatlantoaxial (OAA) region is biomechanically complex, yet normative scintigraphic reference data for this area are lacking. This retrospective study characterized the physiological radiopharmaceutical uptake pattern in the OAA region of 60 clinically sound horses, assigned equally into four age groups: under 6 years (Group A), 6-10 years (Group B), 11-15 years (Group C), and over 15 years (Group D). A standardized, semiquantitative analysis of lateral bone-phase scintigrams was performed using region of interest (ROI) ratios to determine uptake patterns. A highly consist...
Thyroid Diseases. Thyroid hormones in horses fluctuate with factors like time of day, diet, activity, or medications. True hypothyroidism is rare in adults, and other causes for the observed clinical signs, such as equine metabolic syndrome, should be considered. Hyperthyroidism can occur in older horses and is sometimes associated with clinical signs requiring surgical treatment. In neonatal foals, distinct forms of hypothyroidism are associated with dysmaturity and can be life-threatening. While thyroid supplementation can help in managing equine metabolic syndrome, inappropriate use can impair athletic perfo...
Equine asthma – old disease and new concepts. Equine asthma is increasingly recognised as a biologically heterogeneous syndrome in which similar clinical manifestations may arise from distinct molecular mechanisms. Although clinical phenotypes have substantially improved disease classification, increasing evidence indicates that molecular endotypes more accurately reflect the biological mechanisms underlying disease heterogeneity. This review summarises current knowledge regarding the pathophysiological mechanisms of equine asthma, with particular emphasis on inflammatory pathways, molecular endotypes, genetic susceptibility, airway remod...
Disorders of Phosphorus in Critical Illness. Disorders of phosphorus are common in critically ill horses, often occurring secondary to conditions such as endotoxemia, renal failure, or malnutrition. Phosphate imbalances can impair skeletal and cardiac muscle function, erythrocyte integrity, and bone metabolism, thereby complicating recovery. Diagnosis relies on routine biochemical testing. Treatment depends on severity: mild hypophosphatemia may be managed with oral supplementation, whereas severe cases require slow intravenous replacement with calcium monitoring. Hyperphosphatemia is addressed by promoting excretion and limiting absorpt...
Hypothalamic-pituitary-adrenal Axis Dysfunction in Critically Ill Foals and Horses. Critical illness-related corticosteroid insufficiency is a transient dysfunction of the hypothalamic-pituitary-adrenal axis, leading to inadequate cortisol responses during severe stress from endotoxemia and sepsis in horses and foals. This condition is associated with poor outcomes, and its diagnosis is complicated by interindividual variability in cortisol response. Recent advances in dynamic testing and point-of-care hormone tests offer promise for better assessment and treatment, enabling more precise steroid replacement therapy in affected equine patients.
Endocrine Disorders and Their Effect on Equine Reproduction. Continuing the reproductive potential of aged horses is a request many equine practitioners may receive. Reproductive performance may be impacted by a host of age-related comorbidities such as the endocrinopathies, pituitary pars intermedia dysfunction, and equine metabolic syndrome. While limited information is known, reproductive effects described may include irregular estrous cycles, development of anovulatory follicles, increased incidence of uterine infection, or generalized infertility. Accurate diagnosis, management strategies, and monitoring remain critical for improving quality of lif...
Correction: Development of an indirect ELISA for the detection of venezuelan equine encephalitis virus specific antibodies in horses. [This corrects the article DOI: 10.1371/journal.pone.0338819.].
Beyond Body Condition Score: A Proposed Interspecies Framework for Tissue-by-Tissue Nutritional Assessment in Veterinary Practice. In clinical veterinary medicine, the Body Condition Score (BCS) serves as a validated, semi-quantitative estimation of subcutaneous adipose reserves, yet it cannot by itself detect systemic nutrient deficiencies or excesses that do not necessarily imply energy storage. Human clinical dietetics addressed an analogous diagnostic gap through the Nutrition-Focused Physical Examination (NFPE), but veterinary medicine still lacks a unified, multi-species physical examination sequence for nutritional screening. This narrative review synthesizes the comparative and clinical nutrition literature into a...
Diagnosed causes of sinonasal disease in 1600 horses and associations with clinical signs, computed tomographic findings and case outcome. The diagnosis of equine sinonasal disorders has been greatly enhanced by using computed tomographic (CT) imaging. Objective: To explore associations between specific diagnoses and clinical and CT findings and between specific diagnoses and case outcome in equine sinonasal disease. Methods: Retrospective case series. Methods: Data were collected from medical records from 19 equine hospitals on cases of sinonasal disease, all of which underwent CT imaging. Case outcome was obtained from clinical records, and/or by contacting clients and referring veterinarians. Logistic regression analysis was u...
Evaluation of a new immunoassay for measuring equine serum insulin and plasma adrenocorticotrophic hormone: A method comparison study. Insulin dysregulation (ID) and pituitary pars intermedia dysfunction (PPID) are common equine endocrinopathies detected by measurement of circulating insulin and adrenocorticotrophic hormone (ACTH) concentrations. Different assays may yield variable results, limiting comparability. Objective: To compare immunoassays developed specifically to measure equine insulin (VIDAS® Equine Insulin; enzyme-linked fluorescent assay [ELFA]) and equine ACTH (VIDAS® Equine ACTH; ELFA) with results obtained from a chemiluminescence immunoassay (CLIA) measured using IMMULITE 2000XPi, a chemiluminescence enzym...
Pituitary Pars Intermedia Dysfunction. Pituitary pars intermedia dysfunction (PPID) is one of the most common equine endocrine disorders. It is caused by oxidative damage to dopaminergic neurons in the hypothalamus and results in loss of inhibition of the pituitary pars intermedia. This leads to increased circulating concentrations of adrenocorticotropic hormone (ACTH) and related peptides. Diagnosis is based on increased resting and/or thyrotropin releasing hormone-stimulated ACTH concentrations. Assessment of insulin regulation is also important, as insulin dysregulation occurs in at least one-third of PPID cases and is associate...
Diagnostic utility of trigeminocervical reflex and quantitative sensory testing in horses with trigeminal-mediated headshaking. Assessment of trigeminal nerve (TN) function in horses with trigeminal-mediated headshaking (TMHS) using trigeminocervical reflex (TCR) and quantitative sensory testing (QST) has not been investigated. Objective: Horses with TMHS show lower TCR and QST thresholds than controls. A subset shows left-to-right differences. Methods: Privately owned horses with TMHS (n = 12) and secondary headshaking (sHS; n = 4), from a referral hospital. Headshaking-free controls (n = 14), from the hospital's teaching herd or privately owned. Methods: Prospective case-control-study. In unsedated horses, TCR ...
Use of wooden shoes for the treatment of chronic laminitis in an American quarter horse. An 11-year-old American quarter horse mare with bilateral forelimb lameness was examined at a mixed-animal veterinary clinic. Radiographs revealed rotation and distal displacement of the 3rd phalanx in each front foot, confirming chronic laminitis. Wooden shoes (Steward Clogs) were used successfully to manage the lameness. The findings from this case support the use of wooden shoes as part of the treatment of chronic laminitis in a general veterinary practice setting. Utilisation de sabots pour le traitement de la fourbure chronique chez un quarter horse américainUne jument quarter horse amé...
