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.
Retrospective Evaluation of Neutrophil-to-Lymphocyte Ratio in Horses That Required Emergency Laparotomy: 341 Cases of Noninfectious Causes of Gastrointestinal Colic (2019-2024). To (1) compare total nucleated cell count (TNCC) and neutrophil-to-lymphocyte ratio (NLR) at admission between horses with medically managed, large intestinal (LI) and small intestinal (SI) surgical colic; (2) compare TNCC and NLR between survivors and nonsurvivors; and (3) investigate associations between TNCC, NLR, surgical intervention, and outcome. Methods: Case-control study. Methods: Single, academic institution. Methods: A total of 341 adult horses diagnosed with noninfectious medical or surgical colic. Results: Admission TNCC did not differ between the medical and combined surgical gro...
Draft horses have similar outcomes as nondraft horses presenting for colic at a referral institution in Atlantic Canada. For horses presenting for colic to a referral hospital in Atlantic Canada, we aimed to describe clinical findings, diagnosis, treatment, and outcome for draft breeds; identify associations between clinical findings, diagnosis, treatment, and outcome for draft compared to nondraft breeds; and identify the overall impact of draft breed on mortality. Unassigned: A retrospective review of equine colic cases presenting to the Atlantic Veterinary College (2004 to 2023). Logistic regression models were used to assess associations between parameters and draft breed and mortality. Unassigned: A total o...
High-field magnetic resonance imaging enables diagnosis of central tarsal bone fractures in performance horses with lameness localized to the proximal metatarsus and tarsus. Central tarsal bone (CTB) fractures are challenging to diagnose, and cross-sectional imaging is required for definitive characterization and surgical planning. This retrospective case series aims to provide the first description of high-field (3-T) MRI characteristics of CTB fractures, concurrent pathology, and clinical presentation in 8 performance horses. Unassigned: 8 horses (9 limbs) diagnosed with a CTB fracture on high-field MRI at one tertiary referral hospital between 2013 and 2023 were identified via electronic medical records search. Unassigned: Quarter Horses (6 of 8) used for Weste...
Postmortem diagnosis of venous air embolism in a Wielkopolski horse. Nine days after a surgical intervention due to an injury of the left hind hoof capsule, a 9-y-old, 538-kg female Wielkopolski horse was found recumbent in its stall with an unplugged permanent intravenous catheter positioned in the left jugular vein. Despite immediate resuscitation attempts, the animal died within minutes. Suspecting venous air embolism, radiographic imaging and detailed postmortem examinations were performed. However, visualization of the heart by radiography was hindered by the animal's body mass and postmortem changes. The autopsy followed a modified Richter method, origina...
Equine Pituitary Pars Intermedia Dysfunction. Pituitary pars intermedia dysfunction (PPID) is a common, slowly progressive, neurodegenerative disorder of the older horse. Oxidative damage to the hypothalamic periventricular neurons results in loss of dopaminergic inhibition of the pars intermedia region of the pituitary gland. Consequently, there is increased production of the pro-opiomelanocortin (POMC)-derived hormones normally produced by this region, as well as initial melanocyte hypertrophy and hyperplasia, followed by adenomatous change. Clinical signs that are highly suggestive of the disease are generalised and regional hypertrich...
Influence of a Standardized Lunging Exercise Test on BALF Cytology in Horses Suffering from Mild-Moderate Equine Asthma. Mild-moderate equine asthma (MEA) is a very common but underdiagnosed pulmonary disease in horses, with mild cases not showing clinical respiratory signs. This study evaluates the influence of a standardized lunging exercise test (SLET) on bronchoalveolar lavage fluid (BALF) cytology in MEA horses. We hypothesized that SLET would increase the total nucleated cell count (TNCC) and/or percentages of inflammatory cells associated with EA. In a prospective, randomized, non-blinded, between-subjects study design of two independent groups, 39 horses (17 mild and 22 moderate) were included. They were...
Primary Jejunal Impactions Resolved via Exploratory Celiotomy in Six Horses: 2017-2023. Impactions of the jejunum are rarely described in the literature. The current case series describes six cases of adult horses with jejunal impactions with feed material diagnosed by exploratory celiotomy. Horses underwent exploratory celiotomy based off of their degree of pain despite medical management and concerns for a primary strangulating small intestinal lesion. All jejunal impactions were relieved via manual decompression of the impaction into the cecum. None of the cases underwent a resection or anastomosis at the site of impaction. All horses were treated with gastroprotectants (omepr...
Emergence of a new alveolar dental element after extraction of a molar tooth in a horse. A 2-year-old mixed-breed mare was examined at the property due to swelling and fistula on the right mandible. Oral examination and radiographs revealed the presence of an apical abscess involving the 410 tooth. The tooth was extracted entirely and confirmed radiographically. One year later, the owner reported a reoccurrence of clinical signs. A new radiographic evaluation revealed a radiopaque area in the alveolar socket of the 410 tooth filled with spongy-looking bone. An extraoral approach to the alveolar socket was performed, and the content removed had the appearance of a dental element.
First Equine Herpes Myeloencephalopathy (EHM) Outbreak in Chile. Equine herpes myeloencephalopathy (EHM) is a neurological disease in horses caused by Equine herpesvirus type 1 (EHV-1). It is a serious condition, often resulting in severe neurological deficits, and can be fatal. In this report, we discuss the first outbreak of EHM in Chile (clinical signs, epidemiology, diagnosis, and control measures). A total of 567 polo horses were kept at the facility: 58.4% mares, 41.6% geldings, and stallions. Mean age was 9.7 ± 0.132 years. Thirteen horses showed clinical signs of EHV-1, eight had fevers (1.4%), and eleven developed EHM (1.9%). Only six of the eleve...
Retrospective Evaluation of Synchronous Diaphragmatic Flutter in Horses: 37 Cases (2004-2022). To describe the clinical presentation of horses with synchronous diaphragmatic flutter (SDF) and identify clinical and laboratory variables associated with survival. Methods: Retrospective study from January 2004 to September 2022. Methods: Five large animal referral hospitals in the United States. Methods: Thirty-seven horses of various breeds and ages presenting with clinical signs of SDF, excluding animals participating in an endurance competition. All horses were >1 year of age. Methods: None. Results: Variables recorded and analyzed included signalment, clinical and laboratory data, trea...
Radiographic area of large intestinal sand accumulation in horses may determine clinical significance. Sand enteropathy is a common disease in horses worldwide. The presence of sand does not always cause disease. The amount of sand required to cause clinical disease is not well established. Objective: To establish a weight-indexed cut-off for the diagnosis of clinically relevant sand enteropathy based on radiographic area. Methods: Cross-sectional. Methods: Abdominal radiographs were acquired from clinically normal horses and compared with horses with clinical sand enteropathy. Sand area and sand area per kilogram of body weight were calculated. A receiver operating characteristic (ROC) curve w...
Probing Wnt pathway and functional signal in equine melanocytic neoplasms through quantitative proteomics and immunohistochemistry. Equine melanocytic neoplasm (EMN) is a skin tumor commonly observed in grey horses. Limited research has yet to investigate proteomic profiles of EMN, particularly in the early stages and their expression patterns. This study, therefore, aimed to identify signature proteins from tissue biopsies to distinguish early EMN, severe EMN, and normal groups. Results: Using proteomic analysis of 19 tissue samples (normal: n = 6, early EMN: n = 7, severe EMN: n = 6) through LC-MS/MS, 12,310 proteins were identified. Differentially expressed proteins (DEPs) and functional interaction analysi...
Serological differentiation of West Nile, Usutu, and tick-borne encephalitis virus antibodies in birds and horses using mutant E protein ELISAs. West Nile virus (WNV), Usutu virus (USUV) and tick-borne encephalitis virus (TBEV) are worldwide endemic zoonotic orthoflaviviruses, often co-circulating in the same areas. Serological studies in animals, mostly birds and horses, are important means to monitor the spread of these viruses and the infection risks for humans. However, cross-reactive antibodies to these structurally similar flaviviruses frequently impact serological differentiation in enzyme-linked immunosorbent assays (ELISAs), hence time-consuming virus neutralization tests (VNTs) have to be employed in laboratories with high bi...
Neoplastic and non-neoplastic swellings of the external genitalia in horses and donkeys: clinical, histopathological, and treatment outcomes. External genitalia swellings represent diagnostic and treatment challenges in equids. Thus, the present study aimed to describe the clinical, histopathological, and treatment outcomes of external genitalia swellings in horses and donkeys. Unassigned: Seventy-five equids (49 horses and 26 donkeys) from 6 months to 8 years were enrolled based on the clinical evidence of external genital swellings. The descriptive details, including sex, age, lesion location, and treatment outcomes, for each case were recorded and analyzed. Unassigned: Twenty forms of external genital swellings were recorded ...
Traumatic Ventricular Septal Defect Caused by a Horse Kick Injury: 2 Rare Pediatric Cases. We present 2 cases of traumatic ventricular septal defects (VSDs), both caused by horse kick injuries. Given this rare but critical condition, we decided to share our experiences and the lessons learned managing these cases. Methods: The first patient, a 12-year-old girl, was trampled by a horse, sustained a traumatic apical ventricular septal defect with pseudoaneurysm, was stabilized first, and underwent surgical closure 19 days after the injury. The second patient, a 9-year-old girl, was kicked by a horse in the chest; developed profound cardiogenic shock; and was found to have multiple lar...
Assessment of Salivary Biomarkers of Gastric Ulcer in Horses from a Clinical Perspective. This study arises from the search for non-invasive diagnostic alternatives for equine gastric ulceration (EGUS), which is prevalent, clinically variable and only confirmed by gastroscopy. The aim is to quantify five salivary biomarkers (IL1-F5, PIP, CA VI, serotransferrin, albumin) under clinical conditions by validated assays and analyse their diagnostic value. Horses were grouped in No EGUS (neither clinical signs of EGUS nor gastric lesions), EGUS non-clinical (apparently no clinical signs of EGUS but with gastric lesions), and EGUS clinical (obvious clinical signs of EGUS and with gastric ...
Clinical evaluation of the ADVIA Centaur XPT chemiluminescent immunoassay for equine insulin measurement. Insulin dysregulation is a key component of equine metabolic syndrome and is commonly assessed using basal insulin concentrations. Different analyzers may yield variable insulin results, limiting comparability. Objective: To assess the analytical performance of the ADVIA Centaur XPT chemiluminescent immunoassay (CLIA) for equine insulin measurement and to establish adapted decision thresholds based on comparison with a previously used CLIA method. Methods: Precision, linearity, and dilution recovery were assessed for the ADVIA Centaur XPT. A total of 89 equine serum samples submitted for basal...
The use of systemic immune inflammatory index as a predictor for nematodes infections in horses. Nematode infections are a significant health concern in horses, causing a range of clinical signs and economic losses. Early detection and diagnosis are crucial for effective treatment and management. Unassigned: Examining the application of the systemic immune Inflammatory index (SII) as a predictor for nematode infections in horses, using platelets count, leucocytes count, and neutrophils count. Unassigned: A cross-sectional study was conducted on 164 horses, consisting of 66 horses with nematode infections and 98 horses without infections. The SII was computed using the platelets count, leu...
Advanced equine duodenoscopy technique. Duodenal pathologies are underreported in equine medicine, probably not due to little occurrence, but due to the limitations of current diagnostic techniques. The aim of this report is to describe a novel duodenoscopic approach, that allows a complete visualization of a region inaccessible via standard techniques. Gastroduodenoscopy was performed in a clinical setting in 60 adult horses referred to us due to complaints suspected to be related to gastroduodenal diseases. The initial steps of the procedure were performed using previously published techniques. Once the video-endoscope reached the...
Drivers of decision making in pain diagnosis and treatment: Findings from an ethnographic study of veterinary practice. Poor pain management in horses is a welfare concern. The 'diagnosis' of pain cannot be separated from the broader set of interactions through which it emerges. The interactions that take place during veterinary consultations shape the ways in which, or whether, pain management is discussed. Objective: To understand owners' and veterinarians' decision making in relation to chronic pain and its management. Methods: Qualitative ethnographic study. Methods: Data were collected from four veterinary practices in Great Britain between May 2023 and April 2024. Around 200 h of ethnographic observatio...
Gastric Candidiasis in Five Horses: A Case Series. spp. are ubiquitous yeasts that are part of most mammals' microbiota and can become opportunistic pathogens under predisposing conditions. Interestingly, recent studies in human medicine report an increased abundance of spp. in association with inflammatory bowel disease (IBD). Gastrointestinal candidiasis has been primarily reported in neonatal foals, but not in adult horses. The aim of this study is to describe the morphological, histopathological, and microbiological features of gastric lesions associated with infiltration in five horses referred to two tertiary hospitals for different r...
Endoscopically assessed mucus parameters in equine asthma: Relationship to clinical history and cytological findings data. Mucus parameters are hallmark diagnostic features of equine asthma (EA). Objective: To investigate the relationship between mucus quantity score and mucus viscosity score with signalment, history, clinical findings and cytological parameters. Methods: Retrospective cross-sectional study. Methods: Mucus quantity and viscosity scores, signalment, history and clinical findings recorded for diagnostic purposes from up to 1599 samples, and cytological values of the corresponding bronchoalveolar lavage fluid (BALF) and tracheobronchial secretions were analysed. The cut-off value of a mucus quantity ...
Horse owners seeking online health information: a mixed-methods study. Many people seek health-related information online, not only for themselves but also on behalf of others who cannot articulate their symptoms. This proxy information-seeking behavior is particularly relevant for animal owners, who must interpret their animals' symptoms without direct verbal feedback. While online health information-seeking in the context of one's own health is well-studied, the specific challenges of searching by proxy, especially for animal health information, remain largely unexplored. Unassigned: This study aimed to determine the specific information needs and search behavi...
Plasma C-reactive protein and interleukin-6 concentrations in foals during health and respiratory disease. Early and specific diagnosis of bronchopneumonia in foals is important to prevent severe disease. In human medicine, C-reactive protein (CRP) and interleukin-6 (IL-6) are important diagnostic and prognostic biomarkers in neonatal pneumonia in other species. Evaluation of these markers in foals with naturally occurring respiratory diseases is lacking. Objective: To determine if CRP and IL-6 were useful predictors of respiratory disease in foals from birth to weaning. Methods: Prospective cohort study. Methods: Periodic blood samples from 200 initially healthy foals were collected from birth to ...
A Prevalence Study on Anoplocephala spp. in Serbian Horses: Navigating Diagnostic Challenges and Understanding Infection Risks. spp. are common equine tapeworm species in Europe, frequently found in grazing horses. is the most pathogenic, clinically significant species associated with gastrointestinal disorders, particularly colic, and can have a fatal outcome in some horses. The aim of this study was to determine the infection prevalence of spp. in Serbia and to identify relevant risk factors. A total of 173 horses from various regions were tested using a combination of diagnostic methods: coprological analysis via combined sedimentation-flotation and the Mini-FLOTAC technique, as well as serological testing using ...
Innovating for Curriculum Design Using a Text-Mining Exploration of Common Clinical Topics in Equine Primary Care. To ensure veterinary students are prepared for clinical practice, curricula must provide opportunities for students to learn about the cases most frequently seen in practice. Currently, there is a gap in the literature with regard to the identification of common clinical topics encountered in equine primary care practice in the UK. This study aims to address this gap by utilizing text-mining techniques on electronic medical records (EMRs) to produce a ranked list of the most common clinical topics encountered in equine primary care in the UK. The study included 1,092,731 rows of data from 150,...
The magnitude of hyperchloremia in horses is associated with diarrhea and renal function. To describe the signalment, diagnosis, treatment, and laboratory characteristics of horses with hyperchloremia and identify factors associated with the magnitude of the increased chloride concentration. Unassigned: Horses with a chloride concentration greater than 108 mEq/L were included in this retrospective study. Descriptive statistics and multiple linear regression analysis were used to identify associations between diagnosis, treatment, and laboratory variables and the magnitude of hyperchloremia. Unassigned: 134 horses met the inclusion criteria for this study. Creatinine was a significa...
The first mitogenome of Petrovinema skrjabini from Equus ferus przewalskii: a phylogenetic analysis within the Strongylidae family. Petrovinema skrjabini (Nematoda: Strongylidae, Cyathostominae) is a parasitic nematode colonizing the cecum and colon of equids. Like other cyathostomins, its larvae (L3) invade the intestinal mucosa, forming encysted nodules that may remain dormant for years. Mass larval emergence triggers larval cyathostominosis-a severe syndrome characterized by hemorrhagic typhlocolitis and diarrhea, with mortality rates exceeding 50%. However, owing to the morphological indistinguishability of cyathostomin and frequent mixed infections in natural settings, species-specific contributions to pathogenesis re...
Outcome of arthroscopic debridement for the treatment of incomplete third carpal bone slab fractures in racehorses. To describe the outcomes of arthroscopic debridement of third carpal bone (C3) incomplete slab fractures (ISF) in racehorses. Methods: Retrospective case study. Methods: Horses undergoing arthroscopic debridement of ISF of C3. Methods: The medical records of horses surgically treated for ISF of C3 were reviewed. Age, sex, breed, limb, fracture configuration, preoperative radiographs, arthroscopic findings, postoperative intraarticular therapies, and exercise recommendations were recorded. Racing performance was obtained from online databases. Univariable analyses were used to determine associa...