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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.
Comparison of the caudal lung borders determined by percussion and ultrasonography in horses with recurrent airway obstruction.
Acta veterinaria Hungarica    October 1, 2003   Volume 51, Issue 3 249-258 doi: 10.1556/AVet.51.2003.3.1
Bakos Z, Vörös K, Kellokoski H, Reiczigel J.The aim of the study was to evaluate the diagnostic value of thoracic percussion and ultrasonography with the help of distance measurements and statistical methods in the determination of the caudal lung border in horses with recurrent airway obstruction (RAO). Examinations were performed on 11 healthy, warm-blooded horses of different breeds, age and grade of disease. First, the caudal lung border was determined by the traditional indirect percussion method in the 10th, 12th, 14th and 16th intercostal spaces at the end of inspiration and expiration on both sides of the thorax. To apply standa...
Small-world topology of UK racing: the potential for rapid spread of infectious agents.
Equine veterinary journal    October 1, 2003   Volume 35, Issue 6 586-589 doi: 10.2746/042516403775467298
Christley RM, French NP.The topology of the network of contacts between individuals has important effects on infectious disease dynamics within a population. Here we examine for the first time a network of contacts between training yards that occurred through racing. Objective: To explore the topology of this network and to consider the effects of the network on the potential for disease transmission. Methods: Race data from one week was analysed. Contacts were defined as occurring between trainers that raced horses in the same race and hence one trainer could contact another trainer several times. A connection was s...
Ovarian function and morphology in the mare after multiple follicular punctures.
Equine veterinary journal    October 1, 2003   Volume 35, Issue 6 575-579 doi: 10.2746/042516403775467243
Bøgh IB, Brink P, Jensen HE, Lehn-Jensen H, Greve T.In the mare, ultrasound-guided transvaginal oocyte recovery and transfer might offer a way to circumvent the demanding procedures of in vitro embryo production. Before clinical application, the possible consequences for subsequent fertility have to be considered. Objective: To examine ovarian function and morphology in mares after repeated follicular punctures. Methods: A total of 14-26 follicular puncture sessions were conducted on each of 4 Norwegian pony mares over a period of 8 years. The ovaries of these mares were recovered by bilateral ovariectomy or at post mortem and subjected to macr...
Severe hypertriglyceridaemia in clinically ill horses: diagnosis, treatment and outcome.
Equine veterinary journal    October 1, 2003   Volume 35, Issue 6 590-595 doi: 10.2746/042516403775467270
Dunkel B, McKenzie HC.Sporadic measurement of serum triglycerides in depressed and inappetant clinically ill horses revealed severe hypertriglyceridaemia without visible evidence of lipaemia on several occasions, leading to the inclusion of serum triglyceride concentrations in the routine serum biochemistry evaluation of our hospital. Since then, more cases have been identified and treated for hypertriglyceridaemia, raising questions about the prevalence, predisposing factors and significance of these findings. Objective: 1) Severe hypertriglyceridaemia without visible opacity of the serum occurs more commonly in c...
Case-control study of factors associated with fibrinous pericarditis among horses in central Kentucky during spring 2001.
Journal of the American Veterinary Medical Association    September 26, 2003   Volume 223, Issue 6 832-838 doi: 10.2460/javma.2003.223.832
Seahorn JL, Slovis NM, Reimer JM, Carey VJ, Donahue JG, Cohen ND.To identify factors significantly associated with an epidemic of fibrinous pericarditis during spring 2001 among horses in central Kentucky. Methods: Case-control study. Methods: 38 horses with fibrinous pericarditis and 30 control horses examined for other reasons. Methods: A questionnaire was developed to solicit information regarding a wide range of management practices and environmental exposures from farm owners or managers. Results: The following factors were found in bivariate analyses to be significantly associated with an increased risk of pericarditis: being from a farm with mares an...
Development of competitive ELISA for serodiagnosis on African horsesickness virus using baculovirus expressed VP7 and monoclonal antibody.
Journal of virological methods    September 23, 2003   Volume 113, Issue 1 13-18 doi: 10.1016/s0166-0934(03)00217-9
Kweon CH, Kwon BJ, Ko YJ, Kenichi S.VP7, the sero-group common antigen, of African horsesickness virus (AHSV-4) was expressed in insect cells by recombinant baculovirus. To develop a specific diagnostic method, monoclonal antibody (Mab) against VP7 was prepared and investigated as diagnostic reagent with the baculovirus expressed VP7. However, the Mab against VP7 of AHSV cross-reacted with Chuzan virus by the indirect immunofluorescence assay (IFA), confirming the presence of conserved domain of VP7 among Orbiviruses. This study describes two types of ELISA; Mab linked indirect (I-ELISA) and competitive-ELISA (C-ELISA) using bac...
Changes in the EEG during castration in horses and ponies anaesthetized with halothane.
Veterinary anaesthesia and analgesia    September 23, 2003   Volume 30, Issue 3 138-146 doi: 10.1046/j.1467-2995.2003.00138.x
Murrell JC, Johnson CB, White KL, Taylor PM, Haberham ZL, Waterman-Pearson AE.To identify changes in the amplitude spectrum of the electroencephalogram (EEG) during a standardized surgical model of nociception in horses. Methods: Thirteen entire male horses and ponies referred to Division of Clinical Veterinary Science, Bristol (n = 9) and Department of Clinical Veterinary Medicine (n = 4) for castration. Methods: Following pre-anaesthetic medication with acepromazine, anaesthesia was induced with guaiphenesin and thiopental and maintained with halothane in oxygen. The EEG was recorded continuously using subcutaneous needle electrodes. Additional monitoring comprised EC...
Understanding stress concentration about a nutrient foramen.
Journal of biomechanics    September 23, 2003   Volume 36, Issue 10 1511-1521 doi: 10.1016/s0021-9290(03)00130-1
Götzen N, Cross AR, Ifju PG, Rapoff AJ.We investigated the microstructural basis of a reduced stress concentration around the primary nutrient foramen of the equine third metacarpus. We quantified the spatial variations of compositional parameters (mineral content, volume fraction, histological architecture, and osteonal trajectories) from microradiographs and polarizing microscopic images of thin sections. These variations in composition and organization in turn cause variations in mechanical properties of cortical bone. We modeled the spatially inhomogeneous anisotropic elastic properties based on the measured compositional param...
Identification of equine herpesvirus-1 antigens recognized by cytotoxic T lymphocytes.
The Journal of general virology    September 19, 2003   Volume 84, Issue Pt 10 2625-2634 doi: 10.1099/vir.0.19268-0
Soboll G, Whalley JM, Koen MT, Allen GP, Fraser DG, Macklin MD, Swain WF, Lunn DP.Equine herpesvirus-1 (EHV-1) causes serious disease in horses throughout the world, despite the frequent use of vaccines. CTLs are thought to be critical for protection from primary and reactivating latent EHV-1 infections. However, the antigen-specificity of EHV-1-specific CTLs is unknown. The aim of this study was to identify EHV-1 genes that encode proteins containing CTL epitopes and to determine their MHC I (or ELA-A in the horse) restriction. Equine dendritic cells, transfected with a series of EHV-1 genes, were used to stimulate autologous CTL precursor populations derived from previous...
Seasonal changes in plasma concentrations of cecum-derived amines in clinically normal ponies and ponies predisposed to laminitis.
American journal of veterinary research    September 19, 2003   Volume 64, Issue 9 1132-1138 doi: 10.2460/ajvr.2003.64.1132
Bailey SR, Katz LM, Berhane Y, Samuels T, De Brauvere N, Marr CM, Elliott J.To measure concentrations of amines formed in the cecum of clinically normal ponies, determine amine concentrations in plasma samples collected in spring and winter, and compare concentrations of amines and serotonin in plasma samples obtained from clinically normal ponies and ponies predisposed to laminitis. Methods: Cecal contents obtained from 10 ponies euthanatized at an abattoir and blood samples obtained from 42 adult ponies. Methods: Cecal contents were assayed for amines by high-performance liquid chromatography (HPLC). Blood samples were collected at various times of the year from 20 ...
Macroscopic changes in the distal ends of the third metacarpal and metatarsal bones of Thoroughbred racehorses with condylar fractures.
American journal of veterinary research    September 19, 2003   Volume 64, Issue 9 1110-1116 doi: 10.2460/ajvr.2003.64.1110
Radtke CL, Danova NA, Scollay MC, Santschi EM, Markel MD, Da Costa Gómez T, Muir P.To determine changes in the distal ends of the third metacarpal and metatarsal bones (MCIII and MTIII) of Thoroughbred racehorses that had sustained a catastrophic condylar fracture during high-speed exercise. Methods: Fractured and contralateral MCIIIs and MTIIIs from 11 Thoroughbred racehorses that sustained a displaced condylar fracture during racing, both MCIIIs from 5 Thoroughbred racehorses euthanatized because of a catastrophic injury other than a condylar fracture, and both MCIIIs from 5 horses of other breeds that had not been professionally trained or raced. Methods: Macroscopic obse...
Effects of monoamines formed in the cecum of horses on equine digital blood vessels and platelets.
American journal of veterinary research    September 19, 2003   Volume 64, Issue 9 1124-1131 doi: 10.2460/ajvr.2003.64.1124
Elliott J, Berhane Y, Bailey SR.To determine in vitro vasoactive potency of monoamines formed in the cecum and found in the systemic circulation of horses. Methods: Segments of digital blood vessels obtained from 6 healthy mixed-breed horses and ponies euthanatized at an abattoir and platelets isolated from 4 healthy ponies. Methods: Paired rings of digital artery and vein from the same horse were examined, and isometric tension was recorded. Concentration-response curves for tryptamine (TRP), tyramine (TYR), phenylethylamine (PEA), isoamylamine (IAA), and isobutylamine (IBA) were obtained. Vasoconstrictor mechanisms were in...
Surveillance results from the first West Nile virus transmission season in Florida, 2001.
The American journal of tropical medicine and hygiene    September 19, 2003   Volume 69, Issue 2 141-150 
Blackmore CG, Stark LM, Jeter WC, Oliveri RL, Brooks RG, Conti LA, Wiersma ST.After West Nile virus (WNV) was first detected in Florida in July 2001, intensive surveillance efforts over the following five months uncovered virus activity in 65 of the state's 67 counties with 1,106 wild birds, 492 horses, 194 sentinel chickens, and 12 people found infected with the virus. Thirteen of 28 mosquito isolations came from Culex mosquitoes. As seen in the northeastern United States, wild bird mortality was the most sensitive surveillance method. However, unlike the predominantly urban 1999 and 2000 epizootics, the Florida transmission foci were rural with most activity detected ...
Molecular phylogenetics and diagnosis of soil and clinical isolates of Halicephalobus gingivalis (Nematoda: Cephalobina: Panagrolaimoidea), an opportunistic pathogen of horses.
International journal for parasitology    September 18, 2003   Volume 33, Issue 10 1115-1125 doi: 10.1016/s0020-7519(03)00134-6
Nadler SA, Carreno RA, Adams BJ, Kinde H, Baldwin JG, Mundo-Ocampo M.Phylogenetic relationships among six isolates of Halicephalobus gingivalis (Stefanski, 1954), a species with pathogenic potential in horses and humans, were evaluated using DNA sequences from the nuclear large-subunit ribosomal RNA (LSU rDNA) gene. Sequences from nematodes obtained from in vitro cultures (soil or clinical sources), or isolated from infected horse tissues, were compared. Gene sequences from a fatal equine clinical case from southern California and a free-living isolate recovered from southern California soil showed no fixed differences. Sequences from isolates representing two ...
Purification and analyses of the specificity of two putative diagnostic antigens for larval cyathostomin infection in horses.
Research in veterinary science    September 18, 2003   Volume 75, Issue 3 223-229 doi: 10.1016/s0034-5288(03)00116-4
Dowdall SM, Proudman CJ, Love S, Klei TR, Matthews JB.Cyathostomins are important equine gastrointestinal parasites. Mass emergence of mucosal stage larvae causes a potentially fatal colitis. Mucosal stages are undetectable non-invasively. An assay that would estimate mucosal larval stage infection would greatly assist in treatment, control and prognosis. Previously, we identified two putative diagnostic antigens (20 and 25 kDa) in somatic larval preparations. Here, we describe their purification and antigen-specific IgG(T) responses to them. Western blots confirmed the purity of the antigens and showed that epitopes in the 20 kDa complex were sp...
What is your diagnosis? Severe bilateral pneumothorax.
Journal of the American Veterinary Medical Association    September 10, 2003   Volume 223, Issue 5 617-618 doi: 10.2460/javma.2003.223.617
Roberts MA, McConnico RS, Pechman RD.No abstract available
Endotoxin contamination contributes to the pulmonary inflammatory and functional response to Aspergillus fumigatus extract inhalation in heaves horses.
Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology    September 6, 2003   Volume 33, Issue 9 1289-1296 doi: 10.1046/j.1365-2745.2003.01651.x
Pirie RS, Dixon PM, McGorum BC.Mould extract inhalation challenges have been used extensively in the investigation of heaves. Such challenges have induced pulmonary neutrophilic inflammation and dysfunction, consistent with, but less severe than the natural disease. However, the method of mould extract production is likely to result in endotoxin contamination. Objective: To investigate whether insufficient dose delivery was responsible for the shortfall in response to inhaled extract compared with natural disease, and whether endotoxin contamination of mould extract contributed to the pulmonary inflammation and dysfunction....
Enhancement of equine infectious anemia virus virulence by identification and removal of suboptimal nucleotides.
Virology    September 5, 2003   Volume 313, Issue 2 588-603 doi: 10.1016/s0042-6822(03)00351-9
Cook RF, Cook SJ, Berger SL, Leroux C, Ghabrial NN, Gantz M, Bolin PS, Mousel MR, Montelaro RC, Issel CJ.Pathogenicity was reportedly restored to an avirulent molecular clone of equine infectious anemia virus (EIAV) by substitution of 3' sequences from the pathogenic variant strain (EIAV(PV)). However, the incidence of disease in horses/ponies was found to be significantly lower (P = 0.016) with the chimeric clone (EIAV(UK)) than with EIAV(PV). This was attributable to 3' rather than 5' regions of the proviral genome, where EIAV(UK) differs from the consensus EIAV(PV) sequence by having a 68-bp duplication in the 3' LTR and arginine (R(103)) rather than tryptophan (W(103)) at position 103 in the ...
Intravascular papillary endothelial hyperplasia of the conjunctiva in a horse.
Veterinary ophthalmology    September 3, 2003   Volume 6, Issue 3 269-272 doi: 10.1046/j.1463-5224.2003.00298.x
Herrera HD, Duchene AG, Croxatto JO, Burgués N, Amusquibar H.Vascular tumors of the conjunctiva in the horse are rare. We present a unique case of an intravascular papillary endothelial hyperplasia of the conjunctiva. Methods: Horse. Methods: Case report. A 6-year-old-mare presented with a red mass in the conjunctiva of the left eye. After complete ophthalmologic examination the lesion was excised. The tissue was processed for light microscopy and studied histopathologically. Results: Pathologic examination revealed a nonencapsulated vascular lesion composed of confluent vascular spaces filled by multiple papillary structures composed of a central colla...
Use of a rigid-type polyethylene T-cannula, silicone tubing, and adhesion netting for surgical cannulation of ileum of the horse.
The Journal of veterinary medical science    September 3, 2003   Volume 65, Issue 8 927-930 doi: 10.1292/jvms.65.927
Taniguchi K, Obitsu T, Ohmura H, Hiraga A, Hata H, Aida H, Akiyama K, Tanaka K.A rigid-type of polyethylene T-cannula was fitted into the anterior ileum of six horses in order to improve the cannulation techniques. A piece of polyethylene net was fastened onto the intestinal wall around the cannula to prevent dislodgment of the cannula by promoting a secure adhesion between the ileum and the abdominal wall. The cannula barrel sheathed with silicone tubing was exteriorized through a stab incision at the lateral ventral wall on the transverse line of the second lumber vertebra, and a flange was screwed onto the barrel. The feeding regime gradually increased concentrate wit...
Endocrinological changes before and after removal of the granulosa theca cell tumor (GTCT) affected ovary in 6 mares.
The Journal of veterinary medical science    September 3, 2003   Volume 65, Issue 8 887-891 doi: 10.1292/jvms.65.887
Hoque S, Senba H, Tsunoda N, Derar RI, Watanabe G, Taya K, Osawa T, Miyake Y.To clarify the endocrinological characteristics of the mares with granulosa theca cell tumor (GTCT), peripheral plasma samples from the 6 mares affected with GTCT were collected before and after the surgical removal of the affected ovary. Concentrations of testosterone (T), follicle stimulating hormone (FSH), luteinizing hormone (LH), immunoreactive-inhibin (ir-INH), progesterone (P) and estradiol-17beta (E(2)) in the plasma samples were measured by radioimmunoassay. Before removal of GTCT in all cases, the concentrations of T were significantly higher than those of normal mares at the breedin...
Sequence variants of bovine papillomavirus E5 detected in equine sarcoids.
Virus research    September 3, 2003   Volume 96, Issue 1-2 141-145 doi: 10.1016/s0168-1702(03)00175-8
Chambers G, Ellsmore VA, O'Brien PM, Reid SW, Love S, Campo MS, Nasir L.The equine sarcoid, one of the most common dermatological lesions in equids, is a benign, locally invasive dermal fibroblastic lesion. Previous studies have suggested an association with two bovine papilloma virus (BPV) types, BPV-1 and BPV-2. In the present study, we examined sarcoids from horses from two geographical areas, Switzerland and the UK, for the major transforming gene of BPV, E5. We detected BPV DNA for the E5 open reading frame and viral E5 RNA transcripts in most sarcoids. Sequence analysis of the E5 open reading frame of sarcoid-associated BPV detected several unique DNA sequen...
Nonulcerative keratouveitis as a manifestation of Leptospiral infection in a horse.
Veterinary ophthalmology    September 3, 2003   Volume 6, Issue 3 191-195 doi: 10.1046/j.1463-5224.2003.00288.x
Wada S, Yoshinari M, Katayama Y, Anzai T, Wada R, Akuzawa M.A 2-year-old Thoroughbred filly presented with ocular pain and epiphora of the left eye. The pupil was miotic and the cornea edematous near the ventro-temporal limbus, but did not retain any fluorescein. The topical antibiotics and atropine and diclofenac, and systemic flunixin meglumine and antibiotic therapy did not resolve the condition. A pink and fleshy infiltrate developed near the limbus indicating nonulcerative keratouveitis. The anterior uveitis deteriorated as manifested by the presence of dyscoria, hypopyon, and organized fibrin in the anterior chamber. Ocular signs were improved by...
Equine placental teratoma.
Veterinary pathology    September 2, 2003   Volume 40, Issue 5 586-588 doi: 10.1354/vp.40-5-586
Gurfield N, Benirschke K.The placenta from a 300-day-gestational age, female, Arabian equine fetus was examined. Multifocal to coalescing, 0.5- to 4-cm-diameter, white, smooth nodules covered 50% of the placenta. Microscopic evaluation of the nodules revealed undifferentiated germ cells and a haphazard arrangement of immature, mesenchymal stroma, cartilage, squamous cornifying epithelium, scattered ducts and secretory acini lined by cuboidal to columnar epithelium, and mineralized foci. No umbilicus, arrangement about an axial skeleton, or organized polarity of structures was present. The lesion was diagnosed as a pla...
Expulsion of small strongyle nematodes (cyathostomin spp) following deworming of horses on a stud farm in Sweden.
Veterinary parasitology    August 29, 2003   Volume 115, Issue 4 289-299 doi: 10.1016/s0304-4017(03)00200-0
Osterman Lind E, Eysker M, Nilsson O, Uggla A, Höglund J.This study was conducted on a stud farm in Sweden to investigate the species composition of cyathostomins expelled in the faeces of horses after deworming using three different anthelmintic preparations. Twenty-seven horses excreting > or = 200 strongyle eggs per gram faeces (EPG) were divided into three comparable groups and dewormed on day 0 with either of following compounds: 0.2 mg ivermectin per kg body weight (bw), 19 mg pyrantel pamoate per kg bw or 7.5 mg fenbendazole per kg bw. For each of the 3 days following anthelmintic treatment faeces was collected from individual horses and s...
Risk factors for fecal shedding of Salmonella from horses in a veterinary teaching hospital.
Preventive veterinary medicine    August 28, 2003   Volume 60, Issue 4 307-317 doi: 10.1016/s0167-5877(03)00143-0
Alinovi CA, Ward MP, Couëtil LL, Wu CC.Identification of risk factors for horses shedding Salmonella in their feces helps identify patients at-risk of infection and protect the overall population through heightened biosecurity. Fecal samples from 230 hospitalized horses were cultured for Salmonella spp. Historical data were collected on 21 putative risk factors and assessed for association with the risk of a horse being culture positive using forwards stepwise logistic regression. Salmonella was isolated from 13 horses--most commonly from either the first (n=5) or second (n=4) sample collected. Only presenting complaint (confounded...
Magnetic resonance imaging for the diagnosis of stress fractures in a horse. Tapprest J, Audigie F, Radier C, Anglade MC, Voisin MC, Foucher N, Collobert-Laugier C, Mathieu D, Denoix JM.In humans, magnetic resonance (MR) imaging is the method of choice for the diagnosis of stress fractures. In this paper, bilateral stress fracture of the lateral condyle of the third metacarpal bone in a French trotter is described. Results of the radiographic, MR imaging, and histologic examinations are presented, with a focus on the MR signal abnormalities found. Based on this patient, the potential use of MR imaging for the diagnosis of stress fractures in horses is discussed.
Pneumonia in horses induced by intrapulmonary inoculation of Streptococcus equi subsp. zooepidemicus.
The Journal of veterinary medical science    August 27, 2003   Volume 65, Issue 7 787-792 doi: 10.1292/jvms.65.787
Yoshikawa H, Yasu T, Ueki H, Oyamada T, Oishi H, Anzai T, Oikawa M, Yoshikawa T.To evaluate the possibility that Streptococcus equi subsp. zooepidemicus (S.z) the causative bacterial agent of equine shipping fever pneumonia (ESFP), as well as to investigate its pathogenesis, 10 horses (seven Thoroughbreds and three Anglo-Arab species, ranging from 2-4 years in age) were experimentally inoculated, via an endoscope, into bronchus of the lung lobe with a dose of 30 ml of 1-7 x 10(8) CFU/ml of S.z. After inoculation, autopsy and pathological examinations were sequentially conducted 30 min, 1, 2, 3, 4, 17, 20 hr and 2 weeks later. Pneumonia induced by the intrapulmonary inocul...
Assessing the agreement of Western blot test results for paired serum and cerebrospinal fluid samples from horses tested for antibodies to Sarcocystis neuronaf.
Veterinary parasitology    August 26, 2003   Volume 115, Issue 3 233-238 doi: 10.1016/s0304-4017(03)00224-3
Rossano MG, Kaneene JB, Schott HC, Sheline KD, Mansfield LS.Equine protozoal myeloencephalitis (EPM) is a neurological disease of equids that is caused by infection of the central nervous system with Sarcocystis neurona. Veterinarians diagnose EPM by performing a neurological examination and by ordering Western blot tests for antibodies to S. neurona in the blood and/or cerebrospinal fluid (CSF). The negative predictive value of the Western blot test is generally accepted to be high for both serum and CSF. If the agreement between serum and CSF test results is strong, serum tests could be used to substitute for CSF tests in some cases. The purpose of t...
Sensitive liquid chromatographic/tandem mass spectrometric method for the determination of beclomethasone dipropionate and its metabolites in equine plasma and urine.
Journal of mass spectrometry : JMS    August 26, 2003   Volume 38, Issue 8 823-838 doi: 10.1002/jms.495
Guan F, Uboh C, Soma L, Hess A, Luo Y, Tsang DS.Beclomethasone dipropionate (BDP) is a potent pro-drug to beclomethasone (BOH) and is used in the treatment of chronic and acute respiratory disorders in the horse. The therapeutic dose of BDP (325 microg per horse) by inhalation results in very low plasma and urinary concentrations of BDP and its metabolites that pose a challenge to detection and confirmation by equine forensic laboratories. To solve this problem, a method involving the use of a liquid chromatography coupled with tandem mass spectrometry (LC/MS/MS) was developed for the detection, confirmation and quantification of the analyt...