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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.
Five things equine veterinarians should know about genomics.
Equine veterinary journal    June 10, 2014   Volume 46, Issue 4 404-407 doi: 10.1111/evj.12271
Bailey E.No abstract available
Hospital biosecurity–how far have we come in the last 10 years?
Equine veterinary journal    June 10, 2014   Volume 46, Issue 4 402-403 doi: 10.1111/evj.12270
Dallap-Schaer B, Aceto HW.No abstract available
Field triage of the neonatal foal.
The Veterinary clinics of North America. Equine practice    June 10, 2014   Volume 30, Issue 2 283-vii doi: 10.1016/j.cveq.2014.05.001
Carr EA.The purpose of this article is to provide a quick reference for field triage of the sick neonatal foal. Therefore, information is focused toward diagnostics and treatments that can be performed in the field. When evaluating a weak, recumbent, or lethargic foal on a farm, it is often difficult to make a definitive diagnosis. Therefore, the approach should be to treat what is treatable and prevent what is preventable. In many cases, the goal will be to stabilize a foal before referral to a tertiary care facility where more intensive and continuous treatment can be performed.
Novel pain assessment developed for horses.
Journal of the American Veterinary Medical Association    June 10, 2014   Volume 244, Issue 10 1117 
No abstract available
Evaluation of the colic in horses: decision for referral.
The Veterinary clinics of North America. Equine practice    June 10, 2014   Volume 30, Issue 2 383-viii doi: 10.1016/j.cveq.2014.04.001
Cook VL, Hassel DM.This article presents an overview of key factors that should alert the practitioner toward referral of a colic patient to a facility capable of surgical exploration or intensive medical management. Discussion includes a review of important aspects of colic history, signalment, physical examination findings, and diagnostic test results that indicate that a more serious medical or surgical condition exists, and advanced therapy is necessary.
Ultrasound of the equine acute abdomen.
The Veterinary clinics of North America. Equine practice    June 10, 2014   Volume 30, Issue 2 353-viii doi: 10.1016/j.cveq.2014.04.011
le Jeune S, Whitcomb MB.Abdominal ultrasound is an invaluable aid in the evaluation of the colic patient but can be heavily influenced by patient preparation, individual horse-to-horse variation, availability of ultrasound transducers, technique, experience level of the examiner, and complexity of the abdominal disorder. This article describes ultrasonographic anatomy of the normal equine abdomen and technique for examination of the equine colic patient. Common abnormalities of the stomach, small intestine, large intestine, and peritoneal cavity are described along with other abnormalities that may be discovered with...
Blood lactate measurement and interpretation in critically ill equine adults and neonates.
The Veterinary clinics of North America. Equine practice    June 10, 2014   Volume 30, Issue 2 399-viii doi: 10.1016/j.cveq.2014.04.006
Tennent-Brown B.Admission blood lactate concentration is widely used as a prognostic indicator in equine medicine and can be a useful indicator of disease severity but typically fails to completely discriminate survivors from nonsurvivors. Increased admission lactate concentrations in adult horses typically return to normal within 12 to 24 hours. Lactate concentrations in neonatal foals are higher than adult concentrations for the first 24 to 72 hours of life. Serial measures reflecting both the magnitude and duration of hyperlactatemia might enable more accurate prognostication and provide insight into dis...
Serum cortisol concentrations in horses with colic.
Veterinary journal (London, England : 1997)    June 10, 2014   Volume 201, Issue 3 370-377 doi: 10.1016/j.tvjl.2014.06.005
Mair TS, Sherlock CE, Boden LA.Few studies have evaluated cortisol concentrations in horses with colic. In humans with septic shock, high cortisol levels are associated with an increased risk of death. The objectives of this study were to compare the serum total cortisol concentrations (STCCs) in horses with colic to those without colic, and to assess whether the STCC relates to the pathological nature or outcome of the disease. STCCs were determined at presentation in horses with colic and in systemically healthy 'control' horses. Horses with colic were grouped based on clinical and clinico-pathological parameters at admis...
Isolation of Moraxella bovoculi from racehorses with keratoconjunctivitis. Liu H, Yan J, Wang Y, Yan Q, Zhao L, Yan R, He H.Moraxella bovoculi was isolated and identified in ocular fluid samples collected from 9 racehorses with infectious keratoconjunctivitis in China in 2013. All 9 M. bovoculi isolates were hemolytic, Gram-negative diplococci that were phenylalanine deaminase positive. The sequence of the 16S ribosomal DNA (rDNA) gene of the isolates matched the 16S rDNA sequence of M. bovoculi. Amplification of the 16S-23S intergenic spacer region followed by AfaI digestion produced a 600-base pair product, a result characteristic of M. bovoculi isolates. The phylogenetic analysis based on the 16S rDNA sequence c...
Production and characterization of monoclonal antibodies against horse immunoglobulins useful for the diagnosis of equine diseases.
Journal of immunoassay & immunochemistry    June 7, 2014   Volume 36, Issue 3 253-264 doi: 10.1080/15321819.2014.928780
Di Febo T, Luciani M, Ciarelli A, Bortone G, Di Pancrazio C, Rodomonti D, Teodori L, Tittarelli M.Monoclonal antibodies (MAbs) against horse IgG were produced by immunizing Balb/c mice with purified horse IgG and were characterized in indirect ELISA versus purified immunoglobulins from donkey, cow, buffalo, sheep, pig, and chicken. Three MAbs (1B10B6C9, 1B10B6C10, 1B10B6E9) reacted only with horse and donkey IgG and IgM and, in western blotting, were specific for the Fc fragment of equine IgG. MAb 1B10B6E9 was used in chemiluminescent immunoblotting assay for the diagnosis of dourine and in indirect immunofluorescence assay (IFA) for the diagnosis of African horse sickness and dourine.
Neurolymphomatosis in three horses with multicentric T-cell-rich B-cell lymphoma.
Journal of comparative pathology    June 7, 2014   Volume 151, Issue 2-3 181-185 doi: 10.1016/j.jcpa.2014.04.004
Lehmbecker A, Liebing J, Barthel Y, Habierski A, Cavalleri J, Puff C, Rademacher B, Lumpe S, Beineke A.Neurolymphomatosis is a rare manifestation of lymphoma and is characterized by neoplastic infiltration of the peripheral nervous system. The present report describes neoplastic infiltration of peripheral nerves in three horses with multicentric lymphoma. Immunohistochemistry revealed the presence of CD79a(+) lymphoblastic cells and well-differentiated CD3(+) T cells, characteristic of T-cell-rich B-cell lymphoma in all cases. Nerve infiltration by lymphoma is rare, but should be considered as a differential diagnosis for peripheral neuropathy in horses with lymphoma.
RNA extraction from equine samples for equine influenza virus.
Methods in molecular biology (Clifton, N.J.)    June 6, 2014   Volume 1161 379-392 doi: 10.1007/978-1-4939-0758-8_33
Balasuriya UB.The primary goals of this chapter are to discuss common viral RNA isolation and purification methods that are routinely used by various diagnostic laboratories, to highlight the advantages and drawbacks of each method, and to identify the most suitable and reliable method to increase the sensitivity and specificity of RT-PCR assays for the detection of equine influenza virus (EIV) in clinical specimens. Our experiences and review of literature show that magnetic bead-based nucleic extraction methods (manual and automatic) work well for isolation and purification of EIV RNA from nasal swab spec...
Equine influenza culture methods.
Methods in molecular biology (Clifton, N.J.)    June 6, 2014   Volume 1161 403-410 doi: 10.1007/978-1-4939-0758-8_35
Chambers TM, Reedy SE.Equine influenza viruses are cultured in embryonated hen eggs, or in mammalian cells, generally Madin-Darby canine kidney (MDCK) cells, using methods much the same as for other influenza A viruses. Mutations associated with host adaptation occur in both eggs and MDCK cells, but the latter show greater heterogeneity and eggs are the generally preferred host. Both equine-1 H7N7 and equine-2 H3N8 viruses replicate efficiently in 11-day-old eggs, but we find that equine-1 viruses kill the embryos whereas equine-2 viruses do not.
Type A influenza virus detection from horses by real-time RT-PCR and insulated isothermal RT-PCR.
Methods in molecular biology (Clifton, N.J.)    June 6, 2014   Volume 1161 393-402 doi: 10.1007/978-1-4939-0758-8_34
Balasuriya UB.Equine influenza (EI) is a highly contagious disease of horses caused by the equine influenza virus (EIV) H3N8 subtype. EI is the most important respiratory virus infection of horses and can disrupt major equestrian events and cause significant economic losses to the equine industry worldwide. Influenza H3N8 virus spreads rapidly in susceptible horses and can result in very high morbidity within 24-48 h after exposure to the virus. Therefore, rapid and accurate diagnosis of EI is critical for implementation of prevention and control measures to avoid the spread of EIV and to reduce the economi...
Equine influenza diagnosis: sample collection and transport.
Methods in molecular biology (Clifton, N.J.)    June 6, 2014   Volume 1161 371-377 doi: 10.1007/978-1-4939-0758-8_32
Chambers TM, Reedy SE.In horses, presumptive diagnosis of equine influenza is commonly made on the basis of clinical signs. This alone is insufficient for confirmation of equine influenza, because other equine infectious respiratory diseases can in some degree have similar clinical presentations. Surveillance and control of equine influenza also necessitate detection of subclinical cases. Effective diagnosis of equine influenza virus infection is critically dependent on obtaining adequate specimens of virus-containing respiratory secretions for testing. These specimens are also valuable as sources for isolation of ...
Equine influenza serological methods.
Methods in molecular biology (Clifton, N.J.)    June 6, 2014   Volume 1161 411-422 doi: 10.1007/978-1-4939-0758-8_36
Chambers TM, Reedy SE.Serologic tests for equine influenza virus (EIV) antibodies are used for many purposes, including retrospective diagnosis, subtyping of virus isolates, antigenic comparison of different virus strains, and measurement of immune responses to EIV vaccines. The hemagglutination-inhibition (HI), single radial hemolysis (SRH), and serum micro-neutralization tests are the most widely used for these purposes and are described here. The presence of inhibitors of hemagglutination in equine serum complicates interpretation of HI assay results, and there are alternative protocols (receptor-destroying enzy...
Brainstem auditory evoked responses in an equine patient population. Part II: foals.
Journal of veterinary internal medicine    June 5, 2014   Volume 28, Issue 4 1318-1324 doi: 10.1111/jvim.12377
Aleman M, Madigan JE, Williams DC, Holliday TA.Reports of the use of brainstem auditory evoked response (BAER) as a diagnostic modality in foals have been limited. Objective: To describe BAER findings and associated causes of hearing loss in foals. Methods: Study group 18 foals (15 neonatal, 3 nonneonatal), control group (5 neonatal foals). Methods: Retrospective. BAER records from the Clinical Neurophysiology Laboratory were reviewed from the years of 1982 to 2013. Peak latencies, amplitudes, and interpeak intervals were measured when visible. Clinical data were extracted from the medical records. Foals were grouped under disease categori...
Clinical Sentinel Surveillance of Equine West Nile Fever, Spain.
Transboundary and emerging diseases    June 5, 2014   Volume 63, Issue 2 184-193 doi: 10.1111/tbed.12243
Saegerman C, Alba-Casals A, García-Bocanegra I, Dal Pozzo F, van Galen G.West Nile fever (WNF) is a viral zoonotic infection caused by a mosquito-borne flavivirus of the Flaviviridae family. According to a comparative study, the passive surveillance of horses by equine veterinarians appeared to be the most cost-effective system in the European context of WNF. Clinical data issued from a passive epidemiosurveillance network from September 2010 to December 2011 on horses in Spain were statistically compared and used to develop a predictive diagnostic decision tree, both with the aim to improve the early clinical detection of WNF in horses. Although clinical signs wer...
Brainstem auditory evoked responses in an equine patient population: part I–adult horses.
Journal of veterinary internal medicine    June 5, 2014   Volume 28, Issue 4 1310-1317 doi: 10.1111/jvim.12379
Aleman M, Holliday TA, Nieto JE, Williams DC.Brainstem auditory evoked response has been an underused diagnostic modality in horses as evidenced by few reports on the subject. Objective: To describe BAER findings, common clinical signs, and causes of hearing loss in adult horses. Methods: Study group, 76 horses; control group, 8 horses. Methods: Retrospective. BAER records from the Clinical Neurophysiology Laboratory were reviewed from the years of 1982 to 2013. Peak latencies, amplitudes, and interpeak intervals were measured when visible. Horses were grouped under disease categories. Descriptive statistics and a posthoc Bonferroni test...
Salmonella enterica serovar Oranienburg outbreak in a veterinary medical teaching hospital with evidence of nosocomial and on-farm transmission.
Vector borne and zoonotic diseases (Larchmont, N.Y.)    June 5, 2014   Volume 14, Issue 7 496-502 doi: 10.1089/vbz.2013.1467
Cummings KJ, Rodriguez-Rivera LD, Mitchell KJ, Hoelzer K, Wiedmann M, McDonough PL, Altier C, Warnick LD, Perkins GA.Nosocomial salmonellosis continues to pose an important threat to veterinary medical teaching hospitals. The objectives of this study were to describe an outbreak of salmonellosis caused by Salmonella enterica serovar Oranienburg within our hospital and to highlight its unique features, which can be used to help mitigate or prevent nosocomial outbreaks in the future. We retrospectively analyzed data from patients that were fecal culture-positive for Salmonella Oranienburg between January 1, 2006, and June 1, 2011, including historical, clinical, and pulsed-field gel electrophoresis (PFGE) data...
Cecal vascular hamartoma causing recurrent colic in an Arabian mare.
The Canadian veterinary journal = La revue veterinaire canadienne    June 4, 2014   Volume 55, Issue 6 547-550 
Nolf M, Maninchedda U, Belluco S, Lepage O, Cadoré JL.A 5-year-old mare was treated for recurrent colic and weight loss by surgical removal of an intraluminal cecal mass. Microscopic examination revealed vascular hamartoma. A 6-month follow-up showed an improvement in the general condition of the mare. Vascular hamartoma should be one of the differential diagnoses for weight loss and colic. Une jument de 5 ans a été traitée pour coliques récurrentes et perte de poids par exérèse chirurgicale d’une masse caecale intraluminale. L’examen microscopique a révélé un hamartome vasculaire. Un suivi de 6 mois a montré une amélioration de l...
Coagulopathies in horses.
The Veterinary clinics of North America. Equine practice    June 4, 2014   Volume 30, Issue 2 437-ix doi: 10.1016/j.cveq.2014.04.002
Epstein KL.Although primary coagulopathies are rare in horses, changes in coagulation and fibrinolysis are commonly associated with inflammatory diseases. A clear understanding of the pathophysiology of normal and abnormal hemostasis is required to be able to choose and interpret diagnostic tests evaluating coagulation and fibrinolysis. After diagnosis, treatment of the underlying disease must occur regardless of whether clinical manifestations (excessive bleeding or thrombosis) of the coagulopathy are present or not. Specific treatment may be initiated if there are clinical signs of coagulopathy.
Is it the systemic inflammatory response syndrome or endotoxemia in horses with colic?
The Veterinary clinics of North America. Equine practice    June 4, 2014   Volume 30, Issue 2 337-viii doi: 10.1016/j.cveq.2014.04.003
Moore JN, Vandenplas ML.Some veterinarians describe particularly sick horses or neonatal foals as being endotoxemic, whereas others refer to the same animals as having the systemic inflammatory response syndrome. This article reviews the basis for the use of each of these terms in equine practice, and highlights the mechanisms underlying the response of the horse's innate immune system to key structural components of the microorganisms that initiate these conditions, including how some of those responses differ from other species. Current approaches used to treat horses with these conditions are summarized, and cauti...
Trauma and wound management: gunshot wounds in horses.
The Veterinary clinics of North America. Equine practice    June 4, 2014   Volume 30, Issue 2 453-ix doi: 10.1016/j.cveq.2014.04.007
Munsterman AS, Hanson RR.Bullet wounds in horses can cause a wide array of injuries, determined by the type of projectile, the energy of the bullet on entry, and the type of tissue the bullet encounters. Treatment includes identification of all structures involved, debridement of the permanent cavity, and establishing adequate drainage. Bullet wounds should be treated as contaminated, and broad-spectrum antibiotics, including those with an anaerobic spectrum, are indicated. Although musculoskeletal injuries resulting from gunshots are most common in horses, they carry a good prognosis for survival and return to functi...
Sinusitis associated with nasogastric intubation in 3 horses.
The Canadian veterinary journal = La revue veterinaire canadienne    June 4, 2014   Volume 55, Issue 6 554-558 
Nieto JE, Yamout S, Dechant JE.Sinusitis has not been reported as a complication of long-term nasogastric intubation in horses. We describe 3 horses that developed nosocomial sinusitis following abdominal surgery with associated perioperative nasogastric intubation. Sinusitis was suspected by the presence of malodorous discharge and confirmed by percussion, upper airway endoscopy, radiographs (n = 3), and bacterial culture (n = 1). La sinusite n’a a pas été signalée comme une complication de l’intubation naso-gastrique à long terme chez les chevaux. Nous décrivons 3 chevaux qui ont développé une sinusite nosocom...
Identification of genomic loci associated with Rhodococcus equi susceptibility in foals.
PloS one    June 3, 2014   Volume 9, Issue 6 e98710 doi: 10.1371/journal.pone.0098710
McQueen CM, Doan R, Dindot SV, Bourquin JR, Zlatev ZZ, Chaffin MK, Blodgett GP, Ivanov I, Cohen ND.Pneumonia caused by Rhodococcus equi is a common cause of disease and death in foals. Although agent and environmental factors contribute to the incidence of this disease, the genetic factors influencing the clinical outcomes of R. equi pneumonia are ill-defined. Here, we performed independent single nucleotide polymorphism (SNP)- and copy number variant (CNV)-based genome-wide association studies to identify genomic loci associated with R. equi pneumonia in foals. Foals at a large Quarter Horse breeding farm were categorized into 3 groups: 1) foals with R. equi pneumonia (clinical group [N = ...
Metabolic syndrome: is equine disease comparable to what we know in humans?
Endocrine connections    June 3, 2014   Volume 3, Issue 3 R81-R93 doi: 10.1530/EC-14-0038
Ertelt A, Barton AK, Schmitz RR, Gehlen H.This review summarizes similarities and differences between the metabolic syndromes in humans and equines, concerning the anatomy, symptoms, and pathophysiological mechanisms. In particular, it discusses the structure and distribution of adipose tissue and its specific metabolic pathways. Furthermore, this article provides insights and focuses on issues concerning laminitis in horses and cardiovascular diseases in humans, as well as their overlap.
Diagnostic evaluation and short-term outcome as indicators of long-term prognosis in horses with findings suggestive of inflammatory bowel disease treated with corticosteroids and anthelmintics.
Acta veterinaria Scandinavica    June 3, 2014   Volume 56, Issue 1 35 doi: 10.1186/1751-0147-56-35
Kaikkonen R, Niinistö K, Sykes B, Anttila M, Sankari S, Raekallio M.Recurrent colic and unexplained weight loss despite good appetite and adequate feeding and management practices are common conditions in the horse. However, little information has been published on the systematic diagnostic evaluation, response to treatment, prognostic factors or outcome of either presentation. The aims of this study were to 1) identify possible prognostic indicators and 2) report the short- and long-term response to treatment with corticosteroid therapy of a variety of horses with a presumptive diagnosis of inflammatory bowel disease (IBD). Thirty-six horses with a history of...
Epidemiology of shivering (shivers) in horses.
Equine veterinary journal    June 3, 2014   Volume 47, Issue 2 182-187 doi: 10.1111/evj.12296
Draper AC, Bender JB, Firshman AM, Baird JD, Reed S, Mayhew IG, Valberg SJ.Investigating the epidemiology of shivering in horses. Objective: The purpose of this study was to characterise the signalment, clinical signs and management factors associated with shivering (also known as shivers), a relatively rare, poorly defined movement disorder in horses. Methods: Web-based case series survey and case-control study. Methods: A Web-based survey was used to obtain information from owners, worldwide, who suspected that their horse had shivering. Survey respondents were asked to answer standardised questions and to provide a video of the horse. Authors reviewed the surveys ...
Analysis in horse hair as a means of evaluating selenium toxicoses and long-term exposures.
Journal of agricultural and food chemistry    June 2, 2014   Volume 62, Issue 30 7393-7397 doi: 10.1021/jf500861p
Davis TZ, Stegelmeier BL, Hall JO.Horses are very susceptible to chronic selenosis if grazed on seleniferous forages for a prolonged period. In this study, mane and tail samples from horses that exhibited classical hoof lesions of chronic selenosis were analyzed by inductively coupled plasma mass spectrometry for selenium (Se) content. The horses had grazed for 6 months, from approximately May 15 until November 15, each year for three grazing seasons in a pasture containing seleniferous forages and water sources with elevated Se concentrations. The segmented hair samples showed a cyclic pattern in Se concentrations in the mane...