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Topic:Veterinary Practice

Veterinary practice in relation to horses encompasses the medical care, management, and treatment of equine species. This field involves various aspects of equine health, including preventive care, diagnosis, and treatment of diseases, surgical interventions, and emergency care. Equine veterinarians employ a range of diagnostic tools and techniques such as physical examinations, imaging, and laboratory tests to assess and monitor horse health. In addition to addressing physical ailments, veterinary practice also includes nutritional management, reproductive health, and performance-related issues. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, advancements, and outcomes in veterinary practices specific to equine health.
Nonclassified Lymphoma as a Cause of Radial Nerve Paralysis in a Horse.
Journal of equine veterinary science    January 6, 2021   Volume 98 103371 doi: 10.1016/j.jevs.2021.103371
Barba M, Groover ES, Bailey J, Cole R, Christopherson P, Cattley R.A 4-year-old American Quarter Horse gelding was evaluated for acute non-weight-bearing lameness of the right thoracic limb with swelling in the right shoulder region. Physical examination revealed radial nerve paralysis of unknown etiology. The primary differential diagnosis was musculoskeletal trauma. Ultrasonography of the right shoulder region identified a heterogeneous mass that extended from the point of the shoulder to the thoracic inlet. Cytologic analysis of fluid collected by fine needle aspirate of the mass was consistent with large cell lymphoma. Based on the cytological findings, l...
Evolution of laboratory discovery supporting progress in anesthetic management of horses: the 1950s and 1960s.
Veterinary anaesthesia and analgesia    January 4, 2021   Volume 48, Issue 2 160-166 doi: 10.1016/j.vaa.2020.12.004
Steffey EP.No abstract available
Equine pituitary pars intermedia dysfunction: Identifying research priorities for diagnosis, treatment and prognosis through a priority setting partnership.
PloS one    January 4, 2021   Volume 16, Issue 1 e0244784 doi: 10.1371/journal.pone.0244784
Tatum RC, McGowan CM, Dean RS, Ireland JL.Pituitary pars intermedia dysfunction (PPID) is the most prevalent endocrine disorder of older equids. To date, key research areas likely to have the greatest impact on equine health have not been identified. In human medicine, public and patient involvement is widely used to inform research agendas. This study aimed to engage with veterinary surgeons and horse owners to identify evidence gaps ('uncertainties') and prioritise these into a list of the 10 most important PPID research questions. The James Lind Alliance (JLA) Priority Setting Partnership (PSP) Framework was adapted. Questions abou...
Intra-articular use of analgesic/antinflammatory drugs in dogs and horses.
Research in veterinary science    December 30, 2020   Volume 134 159-170 doi: 10.1016/j.rvsc.2020.12.014
Di Salvo A, Chiaradia E, Nannarone S, Della Rocca G.Joint pain is a major cause of lameness in animals such as horses and dogs, and it may affect their athletic performance and quality of life. The intra-articular administration of analgesic/antinflammatory drugs is a common practice in veterinary medicine, for both lameness diagnosis and joint pain management. It is used either perioperatively, such as in animals undergoing arthroscopy/arthrotomy, and in osteoarthritic animals. However, evidence regarding efficacy and safety of each drug is limited, and controversies persist in these areas. In particular, it is often uncertain whether a define...
Comparison of four peribulbar anaesthetic techniques: a preliminary study in equine cadavers.
Veterinary anaesthesia and analgesia    December 29, 2020   Volume 48, Issue 3 442-450 doi: 10.1016/j.vaa.2020.10.009
Rabbogliatti V, De Zani D, Zani DD, Di Cesare F, Brioschi FA, Gioeni D, Crivellari B, Ravasio G.To compare the peribulbar injectate distribution and probability of regional anaesthesia of four peribulbar anaesthetic techniques in equine cadavers. Methods: Prospective experimental cadaver study. Methods: A total of 12 isolated equine cadaver heads and 24 eyes. Methods: The 24 orbits underwent one of four injection techniques (six orbits each) with a mixture (1:4) of contrast medium and saline (CM): 20 mL ventrolateral peribulbar injection (V-20), 20 mL dorsolateral peribulbar injection (D-20), combined ventrolateral and dorsolateral peribulbar injections 10 mL each (VD-20) or 20 mL each (...
Clinical implications of using adrenocorticotropic hormone diagnostic cutoffs or reference intervals to diagnose pituitary pars intermedia dysfunction in mature horses.
Journal of veterinary internal medicine    December 24, 2020   Volume 35, Issue 1 560-570 doi: 10.1111/jvim.16017
Horn R, Stewart AJ, Jackson KV, Dryburgh EL, Medina-Torres CE, Bertin FR.Diagnosis of pituitary pars intermedia dysfunction (PPID) is problematic because of large variations in ACTH concentrations. Objective: Compare the test characteristics of baseline and post-thyrotropin-releasing hormone (TRH) stimulation plasma ACTH concentrations in horses using diagnostic cutoff values (DCOVs) and reference intervals (RIs) and determine the clinical consequences of using each method. Methods: One hundred six mature horses: 72 control cases and 34 PPID cases. Methods: Prospective case-controlled study. Horses underwent monthly TRH stimulation tests. Diagnostic cutoff values w...
An Investigation Into the Short-Term Effects of Photobiomodulation on the Mechanical Nociceptive Thresholds of M. Longissimus and M. Gluteus Medius, in Relation to Muscle Firing Rate in Horses at Three Different Gaits.
Journal of equine veterinary science    December 24, 2020   Volume 98 103363 doi: 10.1016/j.jevs.2020.103363
Ahmed W, Elbrønd VS, Harrison AP, Hart JO, Williams RE.Back pain is a common condition in horses, yet despite this, quantitative assessments of the efficacy of treatment are scarce. Mechanical nociceptive thresholds (MNTs) and acoustic myography (AMG) recordings were obtained, both preinterventionand postintervention, from the left and right epaxial muscles in eight healthy general riding horses (mean age 17 ± 6 yrs). Using an algometer, MNT readings were taken at each of the 6 preselected points along the thoracolumbar M. longissimus and M. gluteus medius region. AMG recordings of the M. longissimus and M. gluteus medius were taken while wal...
Clinical insights: Update on colic.
Equine veterinary journal    December 22, 2020   Volume 53, Issue 1 6-8 doi: 10.1111/evj.13347
Aitken MR.No abstract available
Assessment of intrasynovial injection in horses by contrast-enhanced ultrasonography using air bubbles created by agitation of solution.
Equine veterinary journal    December 21, 2020   Volume 53, Issue 6 1159-1168 doi: 10.1111/evj.13388
Ogden NKE, Cullen MD, Stack JD.Accuracy of intrasynovial injections can be challenging to assess in a clinical setting in horses. Contrast-enhanced ultrasonography (CEUS) using injectate agitated with air has been used to determine the success rates of synovial injections in human rheumatology. Objective: To assess the diagnostic sensitivity and specificity of CEUS and to describe its clinical use. Methods: Cadaveric study followed by a prospective descriptive observational study. Methods: Part 1: CEUS was performed following injection of agitated methylene-blue solution targeting 13 different anatomical synovial structures...
Concurrent Validity of Equine Joint Range of Motion Measurement: A Novel Digital Goniometer versus Universal Goniometer.
Animals : an open access journal from MDPI    December 19, 2020   Volume 10, Issue 12 2436 doi: 10.3390/ani10122436
Bergh A, Lauridsen NG, Hesbach AL.Goniometry is the measurement of joint angles with a conventional universal goniometer (UG) or a digital goniometer (DG). The UG is validated for use in dogs and cats. However, it demands both of the user's hands when measuring. To avoid this, a novel type of DG has been developed, simplifying measurement by offering single-hand usage. The objective of this study is to examine the concurrent validity of the DG. The study consists of measurement with the DG and UG for flexion of the carpus and fetlock on ten horses, and with the DG in flexion and neutral positioning of the fetlock on a sedated ...
A long-term study of sinoscopic treatment of equine paranasal sinus disease: 155 cases (2012-2019).
Equine veterinary journal    December 14, 2020   Volume 53, Issue 5 979-989 doi: 10.1111/evj.13393
Dixon PM, Kennedy R, Poll K, Barakzai S, Reardon RJM.There is little objective information concerning the intra- and post-operative complications or the long-term outcome of sinoscopic treatment of equine sinus disorders. Objective: To document the long-term outcome, including intra-operative complications, reasons for treatment failure and other complications, in horses undergoing standing sinoscopic treatment of sinus disorders. Methods: Retrospective clinical study. Methods: Records of sinus disease cases presented to The University of Edinburgh Veterinary School between January 2012 and July 2019 were reviewed. Follow-up information was obta...
Towards compound identification of synthetic opioids in nontargeted screening using machine learning techniques.
Drug testing and analysis    December 9, 2020   Volume 13, Issue 5 990-1000 doi: 10.1002/dta.2976
Klingberg J, Cawley A, Shimmon R, Fu S.The constant evolution of the illicit drug market makes the identification of unknown compounds problematic. Obtaining certified reference materials for a broad array of new analogues can be difficult and cost prohibitive. Machine learning provides a promising avenue to putatively identify a compound before confirmation against a standard. In this study, machine learning approaches were used to develop class prediction and retention time prediction models. The developed class prediction model used a naïve Bayes architecture to classify opioids as belonging to either the fentanyl analogues, AH...
Equine influenza vaccination in the UK: Current practices may leave horses with suboptimal immunity.
Equine veterinary journal    December 9, 2020   Volume 53, Issue 5 1004-1014 doi: 10.1111/evj.13377
Wilson A, Pinchbeck G, Dean R, McGowan C.Vaccination is integral to preventive healthcare. Despite numerous guidelines on equine vaccination, evidence of current vaccination practices is lacking. Objective: To describe current vaccination practices advised by vets treating horses in the United Kingdom (UK) and compare practices with manufacturer datasheets and current guidelines. Methods: Cross-sectional survey. Methods: An online questionnaire was distributed using email addresses acquired through professional registration listings and social media, targeting vets who treat horses in the UK. The questionnaire collected demographic d...
Interobserver and intraobserver reliability for 2 grading systems for gastric ulcer syndrome in horses.
Journal of veterinary internal medicine    December 7, 2020   Volume 35, Issue 1 571-579 doi: 10.1111/jvim.15987
Wise JC, Wilkes EJA, Raidal SL, Xie G, Crosby DE, Hale JN, Hughes KJ.Grading of equine gastric ulcer syndrome (EGUS) is undertaken in clinical and research settings, but the reliability of EGUS grading systems is poorly understood. Objective: Investigate interobserver and intraobserver reliability of an established ordinal grading system and a novel visual analog scale (VAS), and assess the influence of observer experience. Methods: Sixty deidentified gastroscopy videos. Methods: Six observers (3 specialists and 3 residents) graded videos using the EGUS Council (EGUC) system and VAS. Observers graded the videos three 3 for each system, using a cross-over design...
Retrospective Evaluation of Fluoxetine Hydrochloride Use in Horses: 95 Cases (2010-2019).
Journal of equine veterinary science    December 4, 2020   Volume 97 103340 doi: 10.1016/j.jevs.2020.103340
Fontenot RL, Mochal-King CA, Sprinkle SB, Wills RW, Calder CD.This study aimed to describe the clinical use of oral fluoxetine hydrochloride administration in horses using a retrospective medical records analysis and to determine owner perception of efficacy via a standardized questionnaire. The records of ninety-five horses for which fluoxetine had been prescribed by the equine service of a veterinary teaching hospital from November 2010 and February 2019 were identified, and data were collected from the medical records. A standardized questionnaire was used to obtain data from owners regarding length of administration, ease of administration, adverse e...
A novel approach for obtaining 12-lead electrocardiograms in horses.
Journal of veterinary internal medicine    December 4, 2020   Volume 35, Issue 1 521-531 doi: 10.1111/jvim.15980
Hesselkilde EM, Isaksen JL, Petersen BV, Carstensen H, Jespersen T, Pehrson S, Kanters JK, Buhl R.In equine medicine, 12-lead electrocardiograms (ECGs) rarely are used, which may in part be a result of shortcomings in the existing guidelines for obtaining 12-lead ECGs in horses. The guidelines recommend placing the limb leads on the extremities, which is inappropriate because the ventricular mean electrical axis is then perpendicular to the limb leads, leading to large variations in ECG configuration even among healthy horses. From an electrophysiological point of view, the leads instead should be parallel to the electrical axis to minimize variability. Objective: Develop an improved metho...
Determination of the pharmacokinetic-pharmacodynamic cut-off values of marbofloxacin in horses to support the establishment of a clinical breakpoint for antimicrobial susceptibility testing.
Equine veterinary journal    December 4, 2020   Volume 53, Issue 5 1047-1055 doi: 10.1111/evj.13385
Bousquet-Mélou A, Schneider M, El Garch F, Broussou DC, Ferran AA, Lallemand EA, Triboulloy C, Damborg P, Toutain PL.Marbofloxacin (MBX), a fluoroquinolone (FQ), is considered as a critical antibiotic requiring antimicrobial susceptibility testing (AST) for prudent use. No clinical breakpoint (CBP) currently exists to interpret the results of such tests in horses. Objective: To compute PK/PD cut-offs (PK/PDCO ) that is one of the three minimum inhibitory concentrations (MICs) considered establishing a CBP for antimicrobial susceptibility test interpretation. Methods: A meta-analysis conducted by combining five sets of previously published pharmacokinetic data, obtained in clinical and nonclinical settings. M...
Lack of Association Between Barometric Pressure and Incidence of Colic in Equine Academic Ambulatory Practice.
Journal of equine veterinary science    December 4, 2020   Volume 97 103342 doi: 10.1016/j.jevs.2020.103342
Cianci J, Boyle AG, Stefanovski D, Biddle AS.Anecdotal accounts correlate equine colic onset to changing weather conditions; however, atmospheric effects on colic have not been studied extensively. We hypothesized that changes in barometric pressure would increase the likelihood of a colic diagnosis compared with other noncolic sick events. Multivariable logistic regression analysis was used to look for associations between colic diagnosis and barometric pressure. The University of Pennsylvania Field Service electronic medical records were searched by identifiable examination type via billing procedure codes collecting 3,108 emergent and...
Clinical assessment and grading of back pain in horses.
Journal of veterinary science    December 3, 2020   Volume 21, Issue 6 e82 doi: 10.4142/jvs.2020.21.e82
Mayaki AM, Abdul Razak IS, Adzahan NM, Mazlan M, Rasedee A.The clinical presentation of horses with back pain (BP) vary considerably with most horse's willingness to take part in athletic or riding purpose becoming impossible. However, there are some clinical features that are directly responsible for the loss or failure of performance. Objective: To investigate the clinical features of the thoracolumbar region associated with BP in horses and to use some of the clinical features to classify equine BP. Methods: Twenty-four horses comprised of 14 with BP and 10 apparently healthy horses were assessed for clinical abnormality that best differentiate BP ...
The Accuracy of Serum Amyloid A in Determining Early Inflammation in Horses After Long-Distance Transportation by Air.
Journal of equine veterinary science    December 1, 2020   Volume 97 103337 doi: 10.1016/j.jevs.2020.103337
Oertly M, Gerber V, Anhold H, Chan DS, Pusterla N.Transportation of sporthorses increases their susceptibility to infectious diseases. Before, caretakers relied on rectal temperature together with their clinical impression to detect travel-associated infections. This study's aim was to assess and compare serum amyloid A (SAA) to rectal temperature as an indicator of early inflammation in sporthorses after air transportation. One hundred and twenty-two Warmblood horses were followed during the Longines Global Champions Tour 2016 to three destinations where the horses flew to compete. Clinical health checks and SAA measurements were performed b...
Intrasynovial triamcinolone treatment is not associated with incidence of acute laminitis.
Equine veterinary journal    November 30, 2020   Volume 53, Issue 5 895-901 doi: 10.1111/evj.13361
Haseler CJ, Jarvis GE, McGovern KF.Intrasynovial corticosteroid injections are commonly used in the treatment of equine orthopaedic disease, but corticosteroid administration is widely considered a risk factor for the development of laminitis. Despite a list of putative mechanisms and a number of case reports of steroid-induced laminitis, no case-control or cohort studies investigating the association between use of intrasynovial corticosteroids and acute laminitis have been published. Objective: To quantify the risk of laminitis posed by intrasynovial triamcinolone acetonide (TA) administration in a mixed population of horses....
Prospective Feasibility and Revalidation of the Equine Acute Abdominal Pain Scale (EAAPS) in Clinical Cases of Colic in Horses.
Animals : an open access journal from MDPI    November 29, 2020   Volume 10, Issue 12 doi: 10.3390/ani10122242
Maskato Y, Dugdale AHA, Singer ER, Kelmer G, Sutton GA.Assessment of the severity of pain in colic cases is subjective. The Equine Acute Abdominal Pain Scale (EAAPS), previously validated using film clips of horses with colic, was tested for feasibility and revalidated in both medical and surgical colic cases in Israel and the UK. Feasibility qualities evaluated were quickness and ease-of-use. Pain in 231 horses, presented for colic, was assessed by 35 participants; 26 in the UK and 9 in Israel. Without prior training, participants assessed the severity of pain using two scales; the EAAPS and a visual analogue scale (VAS). Convergent validity comp...
Echocardiographic assessment of left ventricular size and systolic function in Warmblood horses using linear measurements, area-based indices, and volume estimates: A retrospective database analysis.
Journal of veterinary internal medicine    November 28, 2020   Volume 35, Issue 1 504-520 doi: 10.1111/jvim.15968
Berthoud D, Schwarzwald CC.Echocardiographic assessment of left ventricular (LV) size and function using area-based indices and volumetric estimates is not well established in horses. Objective: To report reference intervals and measurement variability for uni-, 2-, and 3-dimensional echocardiographic indices of LV size and systolic function in Warmblood horses and to provide proof of concept for allometric scaling of variables to body weight. Unidimensional indices were to be compared to area-based indices and LV volume estimates to establish their clinical use. Methods: Thirty healthy Warmblood horses and 70 Warmblood...
Use of color-coded, three-dimensional-printed equine carpus models is preferred by students but does not result in statistically different academic performance. Johnson KL, Hespel AM, Price JM, de Swarte M.Radiology can be a challenging subject for students and finding new techniques that help improve their understanding could have positive effects in their clinical practice. The purpose of this prospective experimental study was to implement the use of color-coded, three-dimensional-printed, handheld equine carpus models into a radiographic anatomy course and evaluate the impact objectively and subjectively using quizzes and student response surveys. A first-year veterinary class was randomly divided into two similarly sized groups (groups A and B) for an equine normal radiographic anatomy labo...
Pressure Algometry for the Detection of Mechanical Nociceptive Thresholds in Horses.
Animals : an open access journal from MDPI    November 24, 2020   Volume 10, Issue 12 doi: 10.3390/ani10122195
Haussler KK.The clinical assessment of pain is subjective; therefore, variations exist between practitioners in their ability to identify and localize pain. Due to differing interpretations of the signs or severity of pain equine practitioners may assign varying levels of clinical significance and treatment options. There is a critical need to develop better tools to qualify and quantify pain in horses. Palpation is the most common method to detect local tenderness or sensitivity. To quantify this applied pressure, pressure algometry has been used to gradually apply pressure over specified landmarks until...
Reliable and clinically applicable gait event classification using upper body motion in walking and trotting horses.
Journal of biomechanics    November 21, 2020   Volume 114 110146 doi: 10.1016/j.jbiomech.2020.110146
Roepstorff C, Dittmann MT, Arpagaus S, Serra Bragança FM, Hardeman A, Persson-Sjödin E, Roepstorff L, Gmel AI, Weishaupt MA.Objectively assessing horse movement symmetry as an adjunctive to the routine lameness evaluation is on the rise with several commercially available systems on the market. Prerequisites for quantifying such symmetries include knowledge of the gait and gait events, such as hoof to ground contact patterns over consecutive strides. Extracting this information in a robust and reliable way is essential to accurately calculate many kinematic variables commonly used in the field. In this study, optical motion capture was used to measure 222 horses of various breeds, performing a total of 82 664 steps...
Standing Sedation and Iocoregional Analgesia in Equine Dental Surgery.
The Veterinary clinics of North America. Equine practice    November 16, 2020   Volume 36, Issue 3 477-499 doi: 10.1016/j.cveq.2020.08.009
Campoy L, Sedgwick SR.Procedural sedation has become popular for describing a semiconscious state that allows patients to be comfortable during certain surgical or diagnostic procedures. Sedation may be enhanced by locoregional anesthetic techniques to produce sufficient analgesia and muscle relaxation for surgery to occur. Sedation and local anesthesia for standing diagnostic and surgical procedures on the horse's head circumvents the potential complications of general anesthesia (particularly, complications related to recovery). However, the implementation of a locoregional anesthetic technique requires a thoroug...
Snapshot of Equine Dentistry: Past, Present, and Future.
The Veterinary clinics of North America. Equine practice    November 16, 2020   Volume 36, Issue 3 xi-xiii doi: 10.1016/j.cveq.2020.10.001
Earley ET, Baratt RM, Galloway SS.No abstract available
A Brief History of Equine Dental Practice.
The Veterinary clinics of North America. Equine practice    November 16, 2020   Volume 36, Issue 3 425-432 doi: 10.1016/j.cveq.2020.08.012
Easley J.Equine dentistry has been practiced for almost 3000 years, making it one of the oldest areas of equine health care. Progress has been slow and mirrored changes seen in human medical care. Many horsemen practiced equine dentistry during the late nineteenth and early twentieth centuries. Most of what was known then concentrated on sharp enamel points and abnormal dental occlusal wear. This changed slowly in the late twentieth century as research in equine dentistry increased. Today, veterinarians performing equine dentistry focus on detailed oral examination and base treatment for proper diagno...
Minimizing Equine Tooth Extraction Complications.
The Veterinary clinics of North America. Equine practice    November 16, 2020   Volume 36, Issue 3 641-658 doi: 10.1016/j.cveq.2020.08.004
Galloway SS, Earley ET.Oral extraction has become the most popular extraction technique owing to its high rate of success with minimal major complication. Repulsion continues to produce unacceptably high iatrogenic complication rates. To avoid tooth repulsion, veterinary dentists have introduced procedures to facilitate difficult intraoral extractions and surgical extraction techniques. Minimizing complications is best achieved preoperatively. A comprehensive preoperative evaluation and treatment plan allows the dentist to predict intraoperative complication and prepare for procedures to produce the best outcome. Wi...
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