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Topic:Diagnostic Technique

Diagnostic techniques in equine medicine encompass a range of procedures and tools used to identify diseases, injuries, or other health conditions in horses. These techniques include imaging methods such as radiography, ultrasonography, and magnetic resonance imaging (MRI), as well as laboratory tests like blood work and tissue biopsies. Each diagnostic method provides specific information that can aid in the assessment and management of equine health issues. Radiography is commonly used for evaluating bone structures, while ultrasonography is useful for soft tissue examination. MRI offers detailed images of both soft and hard tissues, though its use is limited by cost and availability. Laboratory tests can detect biochemical and hematological changes indicative of disease. This page compiles peer-reviewed research studies and scholarly articles that explore the development, application, and efficacy of various diagnostic techniques in equine veterinary practice.
Transcutaneous Detection of Intramural Microchips for Tracking the Migration of the Equine Large Colon: A Pilot Study.
Animals : an open access journal from MDPI    December 5, 2022   Volume 12, Issue 23 3421 doi: 10.3390/ani12233421
Steward SK, McKee HM, Watson AM, Salman MD, Hassel DM.Colic remains the number one cause of mortality in horses, and large colon displacement including colonic volvulus is one of the leading causes for equine hospitalization and surgery. Currently, there is not an adequate model to study the pathophysiology of this condition. The objective of this proof-of-concept study was to determine if subserosal implantation of bioinert microchips in the large intestine would be detectable by a RFID (radio-frequency identification) receiver when the implanted microchips were adjacent to the body wall, thus identifying the location of the colon within the abd...
Sensitivity and specificity for African horse sickness antibodies detection using monovalent and polyvalent vaccine antigen-based dot blotting.
Veterinary world    December 5, 2022   Volume 15, Issue 12 2760-2763 doi: 10.14202/vetworld.2022.2760-2763
Taesuji M, Rattanamas K, Kulthonggate U, Mamom T, Ruenphet S.The immune responses of animals infected with African horse sickness (AHS) virus are determined by enzyme-linked immunosorbent assay (ELISA), complement fixation, and virus neutralization test. During the outbreaks of AHS in Thailand, the immune response after vaccination has been monitored using commercial test kits such as blocking ELISA, which are expensive imported products unavailable commercially in Thailand. This study aimed to assess the sensitivity and specificity of anti-AHS virus antibodies using dot blotting based on monovalent and polyvalent strains of live attenuated AHS vaccine....
Analytical validation of five diagnostic tests for the detection of polymorphonuclear cells in stallion semen.
Journal of equine veterinary science    December 2, 2022   Volume 122 104185 doi: 10.1016/j.jevs.2022.104185
Ferrer MS, Hurley DJ, Norton N, Ellerbrock RE.The objectives of this study were to evaluate the ability of five diagnostic tests to detect polymorphonuclear cells (PMNs) in stallion semen, and to determine the concentration of PMNs that affects sperm motility. We hypothesized that all tests have diagnostic value, and even low concentrations of PMNs affect motility. One ejaculate was obtained from six stallions. Aliquots of 50 × 10 purified sperm were incubated, in triplicate, with six concentrations of purified PMNs: 1) no PMNs, 2) 0.25 × 10 PMN/ml, 3) 0.5 × 10 PMN/ml, 4) 2.5 × 10 PMN/ml, 5) 5 × 10 PMN/ml, 6) 10 × 10 PMN...
Early embryonic death in equines and camelids.
Open veterinary journal    December 1, 2022   Volume 12, Issue 6 903-909 doi: 10.5455/OVJ.2022.v12.i6.16
Ashraf R, Rashid S, Rasheed I, Asif S.This paper includes the study of early embryonic death (EED), predisposing factors of EED and treatment. EED refers to the fetal mortality which varies in mare and camelids but most probably not later than 50 days of gestation. This duration may be divided into very early mortality, early mortality and late embryonic mortality. This also varies in mare and camelids. There are different embryonic, maternal, environmental/external, and infectious and noninfectious factors which lead to early embryonic loss. Diagnosis is very difficult as in most of the cases resorption of fetus occurs but it is ...
Identification of a Novel Post-transcriptional Transactivator from the Equine Infectious Anemia Virus.
Journal of virology    November 30, 2022   Volume 96, Issue 24 e0121022 doi: 10.1128/jvi.01210-22
Li J, Zhang X, Bai B, Zhang M, Ma W, Lin Y, Wang X, Wang XF.All lentiviruses encode a post-transcriptional transactivator, Rev, which mediates the export of viral mRNA from the nucleus to the cytoplasm and which is required for viral gene expression and viral replication. In the current study, we demonstrate that equine infectious anemia virus (EIAV), an equine lentivirus, encodes a second post-transcriptional transactivator that we designate Grev. Grev is encoded by a novel transcript with a single splicing event that was identified using reverse transcription-PCR (RT-PCR) and RNA-seq in EIAV-infected horse tissues and cells. Grev is about 18 kDa in...
Laryngeal tie-forward in standing sedated horses.
Veterinary surgery : VS    November 30, 2022   Volume 52, Issue 2 229-237 doi: 10.1111/vsu.13920
Lean NE, Sole-Guitart A, Ahern BJ.To investigate the feasibility and describe the clinical experience of performing laryngeal tie-forward (LTF) in standing horses unaffected (experimental) and affected (clinical) by intermittent dorsal displacement of the soft palate (iDDSP). Methods: Experimental study and case series. Methods: Five normal experimental controls and five client owned horses affected by iDDSP. Methods: Standing LTF was performed and evaluated in five experimental horses and five clinical cases diagnosed with iDDSP. Standing LTF was performed under endoscopic guidance with horses sedated and the surgical site de...
Transient increases in glutamate dehydrogenase (GLDH) activity occur in neonatal foals.
Veterinary clinical pathology    November 28, 2022   Volume 52, Issue 2 261-270 doi: 10.1111/vcp.13181
Hoffman M, Cheong SH, Stokol T.Liver analyte measurement is important in the evaluation of sick animals. Liver injury in horses is recognized by increased glutamate dehydrogenase (GLDH), sorbitol dehydrogenase (SDH), and aspartate aminotransferase (AST) activities, whereas biliary pathology is identified by increased alkaline phosphatase and γ-glutamyl transferase (GGT) activities or bilirubin concentrations. We have observed high GLDH, but not SDH, activities in neonatal foals admitted for conditions other than liver disease. Only one previous study have evaluated GLDH activity over time in healthy neonatal foals; however...
Recovery of Salmonella bacterial isolates from pooled fecal samples from horses.
Journal of veterinary internal medicine    November 25, 2022   Volume 37, Issue 1 323-327 doi: 10.1111/jvim.16586
Goni JI, Hendrix K, Kritchevsky J.It is important to determine if a horse is shedding Salmonella spp., but a complete culture series can be cost prohibitive. Objective: Determine the optimal pooling technique to maintain high sensitivity of Salmonella spp. culture using spiked samples, and then demonstrate the efficacy of this protocol on clinical submissions. Objective: Pooled fecal samples are as sensitive as 5 individual cultures for the detection of Salmonella shedding. Methods: A single Salmonella-negative horse from the university herd, and 19 hospitalized horses. Methods: Salmonella-free fecal samples were spiked with d...
Variations in the application of equine prosthetic laryngoplasty: A survey of 128 equine surgeons.
Veterinary surgery : VS    November 24, 2022   Volume 52, Issue 2 209-220 doi: 10.1111/vsu.13913
Byrne CA, Hotchkiss JW, Barakzai SZ.To document variations in the application of equine prosthetic laryngoplasty among equine surgeons. Methods: Cross-sectional survey. Methods: Six hundred and seventy-eight equine surgeons performing prosthetic laryngoplasty. Methods: An online questionnaire was sent to equine surgeons, including diplomates of the American College of Veterinary Surgeons and European College of Veterinary Surgeons. Questions focused on participant profile, surgical technique, antimicrobial therapy, and concurrent procedures. Descriptive statistical analysis was performed on the survey output. Results: Complete r...
Changes in serum total protein and immunoglobulin G concentrations and Brix percentages in neonatal Arabian foals from birth up to 21 days of age.
Veterinary immunology and immunopathology    November 24, 2022   Volume 255 110521 doi: 10.1016/j.vetimm.2022.110521
Akköse M, Karabulut E, İnal Ş, Dik GÇ, Özbeyaz C, Kaya U, Çam M, Topal B.The aim of this study was to evaluate changes in the serum immunoglobulin G (IgG) and serum total protein (STP) concentrations and serum Brix percentages of neonatal Arabian foals during first 3 weeks of life. Blood samples were collected from 12 apparently healthy foals by jugular venipuncture at birth and at 12-hours, 24-hours, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15 and 21 days of age. Serum IgG and STP concentrations and Brix percentages were measured by the radial immunodiffusion assay, and digital STP and Brix refractometers, respectively. Based on the serum IgG concentrations measured at 24 h, ...
A Smart Textile Band Achieves High-Quality Electrocardiograms in Unrestrained Horses.
Animals : an open access journal from MDPI    November 23, 2022   Volume 12, Issue 23 3254 doi: 10.3390/ani12233254
McCrae P, Spong H, Rutherford AA, Osborne V, Mahnam A, Pearson W.Electrocardiography (ECG) is an essential tool in assessing equine health and fitness. However, standard ECG devices are expensive and rely on the use of adhesive electrodes, which may become detached and are associated with reduced ECG quality over time. Smart textile electrodes composed of stainless-steel fibers have previously been shown to be a suitable alternative in horses at rest and during exercise. The objective of this study was to compare ECG quality using a smart textile girth band knit with silver and carbon yarns to standard adhesive silver/silver chloride (Ag/AgCl) electrodes. S...
Complications following transcutaneous cecal trocarization in horses with a cattle trocar and a cecal needle.
PloS one    November 23, 2022   Volume 17, Issue 11 e0277468 doi: 10.1371/journal.pone.0277468
Dória RGS, Reginato GM, Hayasaka YB, Fantinato Neto P, Passarelli D, Arantes JA.Percutaneous decompression of the cecum is a procedure that could be considered for horses with cecal gas distension. The aim of this study was to identify complications such as peritonitis and clinically relevant peritonitis (CRP) after transabdominal cecal trocarization in healthy horses using a cattle trocar and a cecal needle. Mixed breed horses were assigned to three groups (n = 6): horses that underwent trocarization with a cecal needle (G1) or a cattle trocar (G2), and a control group (CG) without cecal trocarization. The same horses were used in each group, respecting a three-month was...
Regional antibiotic perfusion through the lateral saphenous vein in two horses with septic calcaneal osteitis.
The Journal of veterinary medical science    November 23, 2022   Volume 85, Issue 1 55-61 doi: 10.1292/jvms.22-0377
Mizuguchi Y, Kato A, Aizu M.In this case report, two horses with chronic refractory infections in the tuber calcanei were successfully managed via intravenous antibiotic regional limb perfusion through the lateral saphenous vein after failure of conventional treatment approaches, including surgery and intravenous regional limb perfusion using the cranial branch of the medial saphenous vein. Surgical delay in these cases may have allowed the development of chronic infection, which prevented the conventional regional perfusion from working effectively. The spatial difference of the vessels relative to the tuber calcanei po...
Evaluation of a Comprehensive Profile of Salivary Analytes for the Diagnosis of the Equine Gastric Ulcer Syndrome.
Animals : an open access journal from MDPI    November 23, 2022   Volume 12, Issue 23 doi: 10.3390/ani12233261
Muñoz-Prieto A, Cerón JJ, Rubio CP, Contreras-Aguilar MD, Pardo-Marín L, Ayala-de la Peña I, Martín-Cuervo M, Holm Henriksen IM....In this report, the measurement of salivary biomarkers as an aid for diagnosis of equine gastric ulcer syndrome (EGUS) was studied. A comprehensive panel of 23 salivary analytes was measured in the saliva of horses affected by EGUS and compared to healthy animals and horses with other diseases clinically similar to EGUS but with a negative diagnosis at gastroscopic examination. A total of 147 horses were included in the study and divided into heathy population (n = 12), the EGUS group (n = 110), and the group of horses with other diseases (n = 25). From the 23 analytes studied, 17 showed incre...
Measuring heart rate variability using a heart rate monitor in horses (Equus caballus) during groundwork.
Frontiers in veterinary science    November 22, 2022   Volume 9 939534 doi: 10.3389/fvets.2022.939534
Kapteijn CM, Frippiat T, van Beckhoven C, van Lith HA, Endenburg N, Vermetten E, Rodenburg TB.Measuring physiological parameters of stress in horses during groundwork, for example when involved in equine-assisted interventions, is important to gain insight into the stress levels of the horses. Heart rate and heart rate variability can be used as physiological indicators of stress in horses. Heart rate monitors could be easily incorporated into practice, as they are not expensive and easy to use. However, it is questionable whether heart rate monitors present accurate heart rate variability results in exercising horses, similar to electrocardiograms. The aim of this study was to determi...
Molecular identification of Trypanosoma cruzi in domestic animals in municipalities of the State of Rio Grande do Norte, Brazil.
Parasitology research    November 21, 2022   Volume 122, Issue 1 207-215 doi: 10.1007/s00436-022-07719-w
de Araújo-Neto VT, Barbosa-Silva AN, Medeiros Honorato NR, Sales LML, de Cassia Pires R, do Nascimento Brito CR, da Matta Guedes PM....Trypanosoma cruzi, the etiologic agent of American trypanosomiasis, is a vector-borne zoonotic parasite which has been little studied regarding its infection in domestic animals. In this study, we evaluated the occurrence of natural infection by T. cruzi in farm animals using molecular markers and phylogenetic analysis in blood clot samples of 60 sheep (Ovis aires), 22 goats (Capra hircus), and 14 horses (Equus caballus) in eight municipalities located in an infection risk area in the state of Rio Grande do Norte (RN), Northeast Region of Brazil. Trypanosoma spp. infection was identified by am...
Detection of Anaplasma phagocytophilum in horses from Germany by molecular and serological testing (2008-2021).
Veterinary parasitology    November 21, 2022   Volume 312 109840 doi: 10.1016/j.vetpar.2022.109840
Schäfer I, Silaghi C, Fischer S, Marsboom C, Hendrickx G, Gehlen H, Müller E.Equine granulocytic anaplasmosis (EGA) is a tick-borne disease caused by Anaplasma (A.) phagocytophilum. In Germany, this pathogen is transmitted primarily by Ixodes ricinus. There is limited knowledge about its prevalence in horses in Germany. The aim of this retrospective study was to analyze the results of serological and molecular testing for A. phagocytophilum in horses which were done in a commercial laboratory in Germany over fourteen years. Additionally, risk factors were evaluated, and hematological abnormalities were addressed in horses with positive PCR results. Methods: This retros...
Relationship between estrus endometrial edema and progesterone production in pregnant mares two weeks after ovulation.
BMC veterinary research    November 21, 2022   Volume 18, Issue 1 414 doi: 10.1186/s12917-022-03512-0
Grabowska A, Kozdrowski R.Progesterone plays a crucial role in the maintenance of pregnancy from conception to about 100-120 days of gestation when placenta becomes the main source of gestagens. The aim of the study was to test progesterone concentration 14 days after ovulation in pregnant mares and relate it to peak estral endometrial edema and the presence of intrauterine fluid (IUF) after artificial insemination (AI), the number of treatments against IUF, and the time from AI to the day when the uterus was found free of fluid. Results: Mares were divided into two groups: group A (n = 13; age 10.8 ± 4.5 y...
Molecular detection of equid herpesvirus in bronchoalveolar lavage fluid from asymptomatic horses in Southern Brazil.
Veterinary world    November 17, 2022   Volume 15, Issue 11 2597-2602 doi: 10.14202/vetworld.2022.2597-2602
Finger MA, Biava JS, Dornbusch PT, Perotta JH, Ullmann LS, Serpa PBDS, Kmetiuk LB, Dos Santos AP, Biondo AW, Leutenegger C, Filho IRB.Molecular approaches to diagnose respiratory viruses have provided an opportunity for early and subclinical pathogen detection, particularly in samples from the upper respiratory tract. This study aimed to investigate the presence of herpesviruses, particularly equid herpesvirus (EHV)-2 and EHV-5, in samples from the lower respiratory tract of healthy racehorses from Southern Brazil. Unassigned: Samples from the lower respiratory tract (i.e., bronchoalveolar lavage fluid [BALF]) were assessed by video endoscopy, cytological evaluation of BALF, and tracheal aspirates (TA), along with quantitati...
Hydroxy levamisole and its phase II conjugates as potential indicators of levamisole doping in thoroughbred horses.
Rapid communications in mass spectrometry : RCM    November 17, 2022   Volume 37, Issue 3 e9430 doi: 10.1002/rcm.9430
Philip M, Karakka Kal AK, Subhahar MB, Karatt TK, Mathew B, Perwad Z, Graiban FM, Caveney MR, Sayed R, Kadry AM.According to previous research, aminorex is the major metabolite of levamisole; however, in the screening of levamisole-positive racehorse urine and plasma samples, aminorex could only be detected in trace amounts or not at all. In forensic laboratories, hydroxy levamisole and its phase II conjugates make it easier to confirm levamisole misuse and to differentiate between the abuse of levamisole and aminorex. This study aimed to identify the major levamisole metabolites that can be detected along with the parent drug. Methods: The study describes levamisole and its metabolites in thoroughbred ...
Cytologic scoring of equine exercise-induced pulmonary hemorrhage: Performance of human experts and a deep learning-based algorithm.
Veterinary pathology    November 17, 2022   Volume 60, Issue 1 75-85 doi: 10.1177/03009858221137582
Bertram CA, Marzahl C, Bartel A, Stayt J, Bonsembiante F, Beeler-Marfisi J, Barton AK, Brocca G, Gelain ME, Gläsel A, Preez KD, Weiler K....Exercise-induced pulmonary hemorrhage (EIPH) is a relevant respiratory disease in sport horses, which can be diagnosed by examination of bronchoalveolar lavage fluid (BALF) cells using the total hemosiderin score (THS). The aim of this study was to evaluate the diagnostic accuracy and reproducibility of annotators and to validate a deep learning-based algorithm for the THS. Digitized cytological specimens stained for iron were prepared from 52 equine BALF samples. Ten annotators produced a THS for each slide according to published methods. The reference methods for comparing annotator's and al...
The ongoing quest for a validated, universally accepted visual lameness grading scale.
Equine veterinary journal    November 16, 2022   Volume 55, Issue 1 5-8 doi: 10.1111/evj.13896
Gómez Álvarez CB, Oosterlinck M.No abstract available
Acute phase protein concentrations following serial procaine penicillin G injections in horses.
Equine veterinary journal    November 16, 2022   Volume 55, Issue 5 916-922 doi: 10.1111/evj.13886
Gordon DL, Foreman JH, Connolly SL, Schnelle AN, Fan TM, Barger AM.Acute phase protein (APP) measurement is used to detect inflammation. Intramuscular (IM) injections could cause tissue injury and induce an acute phase response (APR). Objective: To evaluate the effects of IM procaine penicillin G (PPG) injections on APP concentrations in horses. Methods: Prospective longitudinal design. Methods: PPG was administered intramuscularly to six horses, twice daily, for 5 days. Plasma fibrinogen (FIB), serum amyloid A (SAA), haptoglobin (HAP), creatine kinase (CK), and aspartate aminotransferase (AST) were quantified daily for 5 days before the first injection, ...
Investigation of high gamma-glutamyltransferase syndrome in California Thoroughbred racehorses.
Journal of veterinary internal medicine    November 15, 2022   Volume 36, Issue 6 2203-2212 doi: 10.1111/jvim.16582
Peng S, Magdesian KG, Dowd J, Blea J, Carpenter R, Ho W, Finno CJ.Increases in serum gamma-glutamyltransferase (GGT) activity have been reported in Thoroughbred (TB) racehorses and associated with maladaptation to training but the underlying etiology remains unknown. Objective: Classify the etiology of high GGT syndrome in racing TBs by assessment of pancreatic enzymes, vitamin E concentrations, and both a candidate gene and whole genome association study. We hypothesized that a genetic variant resulting in antioxidant insufficiency or pancreatic dysfunction would be responsible for high GGT syndrome in TBs. Methods: A total of 138 California racing TBs. Amy...
Computed tomographic evaluation of the distal limb in the standing sedated horse: Technique, imaging diagnoses, feasibility, and artifacts. Mathee N, Robert M, Higgerty SM, Fosgate GT, Rogers AL, d'Ablon X, Carstens A.In several veterinary institutions, adjustments of CT machines have been made that allow for imaging of the standing horse. The risk of general anesthesia is eliminated and the shorter scan completion time reduces cost to clients. The objective of this retrospective, analytical study was to evaluate the technique, imaging diagnoses, feasibility, and image artifacts of multi-slice helical CT of horses' distal limbs acquired under standing sedation. The CT images of 250 horses of various breeds, aged 3-23 years, that underwent standing distal limb CT were evaluated. Three observers assessed the ...
Thelazia lacrymalis in horses from Romania: epidemiology, morphology and phylogenetic analysis.
Parasites & vectors    November 14, 2022   Volume 15, Issue 1 425 doi: 10.1186/s13071-022-05532-z
Cotuțiu VD, Ionică AM, Lefkaditis M, Cazan CD, Hașaș AD, Mihalca AD.Equine thelaziosis is a neglected vector-borne parasitic disease in modern veterinary medicine, lacking recent reports. It is transmitted by Musca autumnalis, and potentially other Muscidae species, by ingesting the lachrymal secretions of its equine host. The distribution of both Thelazia lacrymalis and its intermediate hosts remains largely unknown throughout Europe, with most studies dating back 20 years. The aim of this study was to assess the presence, prevalence and distribution of T. lacrymalis in horses from Romania. Methods: The eyes of 273 horses, slaughtered at two abattoirs from t...
The influence of equine hoof conformation on the initiation and progression of laminitis.
Equine veterinary journal    November 14, 2022   Volume 55, Issue 5 862-871 doi: 10.1111/evj.13887
Akbari Shahkhosravi N, Kakavand R, Davies HMS, Komeili A.The health and performance of horses are significantly affected by diseases associated with the hoof. Laminitis is a critical hoof disease that causes pain and, potentially, severe hoof and bone pathology. Objective: To generate an equine hoof finite element (FE) model to investigate the impact of normal and toe-in hoof conformations on the degeneration (decrease in elastic modulus) of the laminar junction (LJ), as occurs in chronic laminitis. Methods: Computer software modelling. Methods: A hoof FE model was generated to investigate the biomechanics of hoof laminitis. A 3D model, consisting o...
Detection of Borrelia burgdorferi Sensu-Lato-Specific Antibodies in Sera of Canine and Equine Origin-A Comparative Study with Two Line Immunoassays.
Veterinary sciences    November 14, 2022   Volume 9, Issue 11 633 doi: 10.3390/vetsci9110633
Doff SC, Wenderlein J, Wiesinger A, Hiereth S, Ulrich S, Straubinger RK.Lyme borreliosis is a vector-borne disease in humans and animals caused by bacteria from the sensu lato complex (sl). The possible transmission of sl from companion animals to humans via ticks makes this disease important in terms of One Health approaches. Thus, early and accurate diagnosis and treatment are of utmost importance. Today's standard for the detection of specific antibodies against sl is a two-tiered test system based on an ELISA for screening combined with a line immunoassay (LIA) for confirmation. In this study, 200 canine and 200 equine serum samples with known antibody status...
Improved molecular detection of Neorickettsia risticii with a duplex real-time PCR assay in the diagnosis of Potomac horse fever. Thirumalapura NR, Livengood J, Beeby J, Wang W, Goodrich EL, Goodman LB, Erol E, Tewari D.Neorickettsia risticii, an obligate intracellular bacterium, is the causative agent of Potomac horse fever (PHF). Diagnosis of PHF is based on demonstration of serum antibodies, isolation of N. risticii, and/or detection of nucleic acid by a PCR assay. An existing real-time PCR assay targeting the N. risticii 16S rRNA has been validated using blood samples from horses with colitis, and snails; to our knowledge, the performance of the assay for other sample types has not been reported. We describe here a modification of the 16S rRNA gene assay by the addition of a set of primers and probe targe...
Impact of Different Diagnostic Procedures on Diagnosis, Therapy, and Outcome in Horses with Headshaking: Recommendations for Fast-Track Advanced Diagnostic and Therapeutic Protocols.
Animals : an open access journal from MDPI    November 13, 2022   Volume 12, Issue 22 doi: 10.3390/ani12223125
Kloock T, Hellige M, Kloock A, Feige K, Niebuhr T.Most horses affected by headshaking (HS) are diagnosed with idiopathic trigeminal-mediated headshaking (i-TMHS) when no underlying disease is found. Diagnosis is made by the exclusion of differentials considering history, clinical signs, and diagnostic investigations. Therefore, in horses presented with headshaking, many diagnostic procedures and therapies are conducted. Retrospectively, the digital patient records of 240 horses with HS were analysed regarding the impact of diagnostic procedures on diagnosis, therapy, and outcome. Horses were extensively examined using a standardised protocol ...
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