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Topic:Physical Examination
Physical examination for horses is a systematic process used to assess the health and well-being of the animal. It involves a thorough evaluation of various physiological parameters to detect signs of illness, injury, or abnormalities. Key components of a physical examination include observing the horse's general appearance and behavior, measuring vital signs such as temperature, heart rate, and respiratory rate, and conducting a detailed assessment of the musculoskeletal, cardiovascular, respiratory, and gastrointestinal systems. Additional evaluations may include examining the eyes, ears, mouth, and skin for any irregularities. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, diagnostic value, and clinical applications of physical examination in equine practice.
Poor performance and field evaluation of the respiratory system. A thorough examination of the respiratory system is an important part of the work-up for poor performance in horses. This article provides a systematic approach to field evaluation of horses with poor performance due to respiratory system dysfunction. The information is organized to help the reader evaluate pertinent historical and physical examination findings so that a list of differential diagnoses can be generated. Also, pertinent ancillary diagnostic modalities that can help further characterize and localize causes for respiratory dysfunction in horses presented for poor performance are d...
Heart rate variability during exercise in the horse. High heart rate variability (HRV) has been associated with more efficient autonomic control, allowing more responsivity and sensitivity to changing environmental demands. Previous results from spectral analysis of interbeat intervals of equine heart rate (HR) indicated increased HRV, reflecting more effective vagal control of the heart. This study focuses on characterizing equine HR and HRV during increasing then decreasing physical demand. A non-invasive ambulatory monitoring system continuously records HR and HRV as horses exercise on a high speed equine treadmill at increasing then decreasi...
Diagnostic approach to exercise intolerance in racehorses. The diagnostic approach to the exercise intolerant racehorse depends on sound, fundamental steps to allow complete examination of the entire horse in a logical, time-efficient fashion. Availability of referral diagnostic modalities should not overshadow the need for collecting a clinical history or performing a complete physical examination. The diagnostic approach to exercise intolerance can be divided into a few basic steps. The first step, conducted without the horse, is a thorough discussion about the horse with the trainer and/or owner. Many clinical histories are complex and therefore fo...
Comparative hematological study of two breeds of foals (Andalusian and Arab) subjected to exercise of progressive intensity. Exercise-induced hematological alterations were studied in 20 four-year old foals, 11 Andalusian and 9 Arabian. They were subjected to a test exercise program consisting of 4 levels of gradually increasing intensity (15, 20, 25 and 30 km/hr) with a duration of 5 min each. Blood samples were taken during resting, after each exercise level and at 10 and 30 min of recovery from exercise. The following hematic parameters were analyzed: red blood count, hematocrit value, hemoglobin, volumetric indexes (MCV, MCH and MHCH) and total plasma proteins. The alterations as a result of the physical effort ...
Determination of the minimum alveolar concentration (MAC) and physical response to sevoflurane inhalation in horses. The minimum alveolar concentration (MAC) of sevoflurane required to prevent gross purposeful movement in response to electrical stimulation of the oral mucous membranes was determined in horses, and their physical responses to inhalation of this anesthetic were observed. The MAC was 2.31 +/- 0.11%. The horses showed good ventilation, without any signs of airway irritation such as coughing. The horses became slightly excited before they laid down. The end tidal sevoflurane concentration (ESC) required to produce recumbency was 2.54 +/- 0.11%. These results suggest that sevoflurane is a clinical...
Arthroscopic removal of a fragment from an intercondylar eminence fracture of the tibia in a two-year-old horse. A 2-year-old Standardbred colt was admitted because of lameness of the left hind limb. Physical examination revealed marked effusion of the left femoropatellar and femorotibial joints and grade IV/V lameness of the left hind limb. Radiography of the left stifle revealed a complete fracture of the medial tubercle of the intercondylar eminence of the tibia. Arthroscopy was used to provide diagnostic, therapeutic, and prognostic information. A cranial approach to the medial compartment of the femorotibial joint was performed. Manipulation of the medial tubercle revealed it to be unstable, but a d...
The long-term influence of biotin supplementation on hoof horn quality in horses. The influence of dietary biotin in horses with brittle hoof horn and chipped hooves was investigated in a long-term study, which was performed over a period from one to six years. 97 horses received 5 mg of biotin per 100 to 150 kg of body weight, per os, daily; 11 horses were not supplemented with biotin and served as controls. The hooves of all horses were evaluated macroscopically every three to four months. Hoof horn specimens of the proximal wall were examined histologically and physically in 25 and 15 horses, respectively. The tensile strength of normal coronary horn was 60 N/mm2 or grea...
Diagnostic techniques for evaluation of the paranasal sinuses. Physical examination of the paranasal sinuses is often insufficient to confidently reach a conclusion concerning suspected pathology in these cavities. Often, other evaluation techniques are necessary. This article describes physical examination, rhinoscopy, sinus centesis, radiology, and sinus endoscopy of the equine paranasal sinuses. These techniques can be used to diagnosis and determine the cause of most sinus disorders.
Clinical examination of the equine head. Examination of the equine head should be a routine part of any complete physical examination. It can be performed rapidly and efficiently while providing important information about the health and function of several major body systems.
Prepurchase evaluation of horses: 134 cases (1988-1990). To quantify some components of prepurchase evaluations in horses, records from 134 evaluations performed during a 2-year period were reviewed and the outcome was determined via telephone follow-up interview. Sixty-two percent of the prepurchase evaluations had been performed at the clinic and 38% had been performed in the field by the ambulatory service. All evaluations included physical and lameness examinations, whereas radiography (49%), endoscopy (15%), nerve blocking (5%), transrectal palpation (3%), hematologic analysis (2%), electrocardiography (2%), drug testing for analgesic agents (2...
Evaluation of the hoof and foot relevant to purchase. The equine hoof and foot are the most commonly affected anatomic sites of lameness encountered during purchase examination of the performance horse. This article presents a thorough, systematic approach to the clinical evaluation of the hoof and foot relevant to the pre-purchase examination. Normal and abnormal conditions are discussed with reference to their potential effects on future performance and soundness. Proper trimming, balancing, and shoeing principles are emphasized.
A comparative study of the metabolic effort expended by horse riders during a jumping competition. The three main Olympic horse riding disciplines are dressage, jumping, and three-day eventing (including dressage, cross country and jumping). In the jumping discipline (obstacle race), the 'team' (horse rider) is judged under the different conditions that might take place in a varied run. The horse is expected to show power and ability; the rider must show riding skill and good physical condition. However, the different conditions encountered by the rider during competition (duration of event, continuous isometric working level, especially in the inferior trunk, lead us to consider the need f...
Epistaxis in two horses with dacryohemorrhea. Unilateral epistaxis in 2 horses was caused by inflammation of the distal portion of the lacrimal system. The origin of epistaxis was identified during physical examination by observing hemorrhage emanating from the nasal opening of the nasolacrimal duct. Dacryohemorrhea caused by bacterial infection was successfully treated with antibacterial drugs administered systemically and instilled into the lacrimal system.
Atresia coli in the foal: a review of six cases. Physical examination and exploratory celiotomy were performed on five neonatal foals presented with signs of acute colic. Atresia coli was confirmed in each foal during surgery. The most consistent finding on physical examination was the absence of meconium staining following repeated enemas. The large, transverse and/or small colon were involved in all foals. One eight month aborted foetus was submitted for necropsy and diagnosed as having atresia coli and congenital hydrocephalus. Atresia coli should be considered for neonatal foals with signs of acute colic.
Characteristics of digital flexor tendon sheath fluid from clinically normal horses. Physical, biochemical, and cytologic properties of synovial fluid from digital flexor tendon sheaths of clinically normal horses were investigated. Tendon sheath fluid was pale yellow, clear, and did not clot. Volume of fluid within a tendon sheath varied minimally, with a mean of 2.11 ml. Total erythrocyte counts were higher than values observed in normal equine joint fluid, whereas values for total leukocyte count (770 +/- 73 cells/mm3), viscosity (6.05 +/- 0.58 cs), and protein concentration (7.87 +/- 0.03 mg/ml) were similar to those in joint fluid. Large mononuclear cells were the predomi...
Renosplenic entrapment of the large colon in horses: 33 cases (1984-1989). Between 1984 and 1989, 33 horses were diagnosed with renosplenic entrapment of the large colon. Duration of colic, signalment, physical findings, and laboratory values were determined, and treatment methods were evaluated. Nonsurgical correction was attempted in 22 of the horses with suspected renosplenic entrapment of the large colon and was successful in 11 cases. Survival and complication rates also were determined. Nonsurgical correction is a viable alternative to immediate surgery for renosplenic entrapment of the large colon, if cases are selected properly.
Cleavage line patterns of the skin in the horse. In 6 equine specimens of both sexes, the morphological features of the cleavage lines of the skin over the entire body were examined using a metal probe with a sharp conical point. Wounds were produced on the skin with the probe and painted with Chinese white or Indian ink. The direction of running of the cleavage lines was determined from their relationship to the long axis of each region or area of the physical structure. The cleavage lines of the head and face revealed a fixed pattern in all specimens. They were similar to those of equine fetuses of 6 to 7 months of age. A transverse patter...
Ethmoidal hematoma in nine horses. Ethmoidal hematoma was diagnosed in 9 horses by results of physical examination, endoscopy, radiography, and histologic examination of tissues. The horses had stertorous breathing (n = 4) or intermittently sanguineous nasal discharge (n = 7). All horses underwent sinusotomy and extirpation of the lesion. At reexamination 15 to 104 months after surgery (mean, 61 months), 3 horses had recurrence of ethmoidal hematoma, and 1 horse had ethmoidal hematoma involving the contralateral ethmoturbinates. One of the horses with recurrence of ethmoidal hematoma also developed a contralateral lesion; both ...
Osteostixis for incomplete cortical fracture of the third metacarpal bone. Results in 11 horses. Eleven horses with acute or chronic incomplete cortical fractures of the left or right third metacarpal bone (McIII) were treated with surgical puncture (osteostixis). The fractures were diagnosed by physical examination and radiography. Four to eight holes, 2.7 or 3.5 mm in diameter, were drilled in the fractured bone. Radiographically, the fractures were healed by month 3, and the drill holes were inapparent by month 7. Nine horses (82%) returned to race competition, and two horses were retired, one the result of a surgical complication. The mean time between surgery and the first race was 9...
Diagnostic and prognostic procedures for equine colic surgery. Evaluation of the horse with colic has always been challenging since the patient's large size precludes many of the diagnostic imaging procedures commonly used in human medicine. Diagnostic methods such as radiography, laparoscopy, endoscopy, and peritoneal fluid analysis can serve to increase the accuracy of presurgical evaluation. Prognosis in individual cases can be best predicted by careful analysis of selected clinicopathological data, physical examination findings, and surgical biopsies. However, no predictive model is 100 per cent accurate, and clinicians must continue to rely on clinic...
Intestinal carcinoid in a mare: an etiologic consideration for chronic colic in horses. Intestinal carcinoid, or argentaffinoma, should be an etiologic consideration for horses with chronic colic. A mare was referred with a history of chronic colic. Previously, the signs of colic had subsided in response to impiric treatment, but recent episodes of colic did not. Clinical signs and results of physical examination supported the finding of strangulating obstruction of the small intestine. Exploratory celiotomy revealed internal herniation with simultaneous volvulus of the jejunum and accompanying carcinoid.
Head tilt in horses. Head tilt in the horse is commonly a sign of either central or peripheral vestibular disease. The confirmation of vestibular disease is based on physical findings, including results of cranial-nerve function evaluation and observation of stance, posture, and gait. Further localization is made by ancillary tests such as cerebral spinal fluid analysis, electrodiagnostic testing, and radiography. The normal anatomy and physiology of the vestibular system, the abnormal clinical signs demonstrated during physical examination, and the various etiologies are discussed.
Bone scintigraphy as an aid in the diagnosis of occult distal tarsal bone trauma in three horses. History, physical examination, and bone scintigraphy were used to diagnose central and/or third tarsal bone trauma in 3 acutely lame horses. In all 3 cases, the results of initial radiographic examination were negative. Bone scintigraphy revealed focal, intense radioisotope uptake at the level of the distal tarsal bones in the 3 horses. Radiographs obtained 4 weeks after injury in one horse demonstrated a slab fracture of the central tarsal bone. Conservative management of the tarsal bone disease resulted in acceptable return to function in all 3 horses.
Periorbital skull fractures in five horses. Periorbital skull fractures were diagnosed in 5 horses, and were associated with ophthalmic complications including corneal ulceration, uveitis, and entrapment of the eye by retrobulbar bone fragments. Physical examination was of greater diagnostic use than radiography. Surgical repair was performed on all horses and was associated with a more favorable postoperative appearance in horses treated acutely; however, the cosmetic results were considered acceptable in all horses. Major postoperative complications were not observed.
Evaluation of the equine cardiovascular system. A thorough examination of the cardiovascular system is an integral part of a physical examination in the horse. The normal equine cardiovascular parameters are discussed, with an emphasis on auscultatory findings. The availability and application of other diagnostic techniques are discussed based upon findings of the physical examination.
Diagnosis and treatment of cardiac arrhythmias. Cardiac arrhythmias are probably more common in horses than in any other domestic animal species. The most frequent clinical complaint associated with cardiac arrhythmias is exercise intolerance. Physical examination is characterized by auscultation abnormalities such as fast or slow heart rate, irregular rhythm, extra sounds, long pauses, or abnormal heart sounds. The electrocardiogram is used to make a definitive diagnosis of the dysrhythmia. Other laboratory and cardiac function tests are employed to determine the etiology and to assess the significance of the arrhythmia. Antiarrhythmic the...
Roaring in Clydesdales. An endoscopic survey was performed to assess arytenoid cartilage movement during quiet respiration in 48 Clydesdale horses. Physical characteristics which could influence the length of the recurrent laryngeal nerves were also recorded from these horses and the relationship of these characteristics to the presence of abnormal left arytenoid cartilage movements was assessed statistically. Some degree of abnormal arytenoid movement was observed in 50% of the animals over one year of age. No significant correlation between sex, age, estimated weight, height, or neck length could be found although ...
Bone strain in the equine tibia: inertia as a cause of the presupport peak. Strain tracings obtained from the tibial cortex of walking ponies reveal peaks in the principal tension and compression strains occurring immediately before and after the support phase. Evidence is presented that the presupport peak is caused by inertial forces.
