Contents

SECTIONI CLINICAL PHARMACOLOGY

1 Adverse Drug Reactions, 1Jennifer 1. Davis

2 Nonsteroidal Anti-inflammatory Drugs, 7Anthony T. Blikslager

3 Update on Common Antimicrobials,10K. Gary Magdesian

4 Systemic Chemotherapy for Oncologic Diseases, 15TeresaA. Bums and C. Guillenno Couto

5 Fluphenazine Toxicosis, 19Michael Brashier

6 FieldAnesthesia, 21CraigA. E. Mosley

7 Anesthesia at High Altitude, 27KhursheedMama

8 Anesthesia and Sedation of Miniature Horses, 29Nora S. Matthews and Carin Ponder

SECTION 11 MEDICO-LEGAL

9 Reading and Interpreting Scientific Literature, 33Philip H. Kass

10 Equine Insurance, 37Ronald K. Kirk and T. Douglas Byars

11 Protecting Yourself with Medical Records, 39Margaret 1. Neterer and Patricia Q'Handley

12 The Unwanted Horse: An Overview of the Issue, 43Tom R. Lenz

13 Field Necropsy of the Horse, 47Kurt J. Williams

SECTION 11I NUTRITION

14 Nutritional Management of the Starved Horse, 53¡veta Becvarova and Craig D. Thatcher

15 Dietary Management of the Obese Horse, 59Raymond J. Geor and Patricia Harris

16 Updates to the Nutrient Requirements of the Horse: NRC2007 Guidelines, 66Laurie M. Lawrence

17 Antioxidants and Horse Health, 73Pierre Lekeux and Nathalie Kirschvink

18 Nutritional Factors in Developmental Orthopedic Disease, 79Brian D. Nielsen

19 The Pros and Cons of Probiotics, 83VeroniqueJulliand and Annette Zeyner

xxi

20 Herbs and Nutraceuticals, 87Carey A. Wil/iams

21 Use of Nutraceuticals for Equine joint Disease, 94C. Wayne McIlwraith

22 Nutrition for the Critically 11IHorse, 97Susan J.Holcombe and Elizabeth A. Carr

SECTIONIV BEHAVIOR

23 Headshaking Syndrome, 103Katy D. Taylor and Daniel S. Mil/s

24 Management of Stereotypic Behavior(Stable Vices), 108Daniel S. Mil/s

25 Aggression in Horses, 112Sharon Lynn Crowell-Davis

26 Foal Rejection, 116KatherineA. Houpt

27 Transportation of Horses, 119Ted H. Friend

SECTIONV INFECTIOUS DISEASE

28 Strangles: Immunology and Management, 124John F. Timoney

29 Epidemiology of Rhodococcusequi Pneumonia in Foals, 129Noah D. Cohen

30 Control of Salmonellaand Nosocomiallnfections, 132Roberta M. Dwyer

31 Pneumonia Caused by Rhodococcusequi Infection in Foals, 139Nathan M. Slovis

32 LymeDisease, 143Thomas J. Divers and Yung-Fu Chang

33 Leptospirosis, 145Thomas J.Divers and Yung-Fu Chang

34 Systemic IIIness Caused by Corynebacterium pseudotuberculosis, 148Suzanne M. Pratt

35 Equine Viral Arteritis, 153Peter J. Timoney

36 ClostridialDiseases, 158J.Scott Weese

37 Methicillin-ResistantStaphylococci, 167J. Scott Weese

38 LawsoniaintracellularisEnteropathy in Foals,172Ramiro E. Toribio

39 Equine HerpesvirusMyeloencephalopathy, 177Lutz S. Goehringand D. Paul Lunn

SECTIONVI THE CARDIOV ASCULAR SYSTEM

40 Cardiovascular Pharmacology, 182Colin C. Schwarzwald

41 Management of AtrialFibrillation,192Gunther Van Loon

42 The Effectsot Training on Echocardiographic Measurements, 198Rikke Buhl and Annette K. Ersb"ll

43 Congestive Heart Failure,204Sarah Y. Gardner

44 Pericarditis,207Sophy A. Jesty

45 Intective Endocarditis, 212Sophy A. Jesty

46 Pulmonary Hypertension, 216JoAnn Slack

47 BiochemicalTests tor Cardiac Injury,221Simon F. Peek

48 Blood-Donor Horses and Whole-BloodTranstusion in Private Practice, 224J. Barry David

49 Coagulopathies, 227Karsten Feige

SECTIONVII THE RESPlRATORY SYSTEM

50 Dental Radiography in Relationto Sinus Disease, 232David O. Klugh

51 Sinoscopy and Sinus Surgery in the Standing Horse, 239James Schumacher and Justin Perkins

52 Ultrasonographic Examination ot the Upper Airway,243HeatherJ.Chalmers and Norm G. Ducharme

53 Disorders ot the Guttural Pouch, 250R. Scott Pleasant and DouglassB. BerryII

54 Efficacyot Surgery tor LaryngealHemiplegia, 255JenniferA. Brown

55 SurgicalAdvancement ot the Larynxtor Treatment ot Dorsal Displacementot the Soft Palate, 258Norm G. Ducharme

56 Disorders ot the Trachea, 261Niamh M. Collins and PadraicM. Dixon

57 Cough,264Virginia Buechner-Maxwell

58 ViralRespiratory Diseases,269Undine Christmann and VirginiaBuechner-Maxwell

59 AntimicrobialTherapy ot the RespiratorySystem, 274Harold C. McKenzieIII

60 Multimodal Management ot the Horse with AirwayDisease, 279Laurent Couetil

61 Managing Intlammatory AirwayDisease in Pleasure Horses, 284Melissa R. Mazan

62 Intlammatory AirwayDisease in Racehorses, 288Brett A. Berthold and N. EdwardRobinson

63 Pleuropneumonia, 292Marybeth Miskovic and Laurent Couetil

64 Granulomatous Lung Disease, 297T. Douglas Byars

65 EquineMultinodularPulmonaryFibrosis,299Kurt ,. Williams,andPamelaA. Wilkins

66 The Silicosisand Osteoporosis Syndrome, 303Matthew G. Durham

67 RespiratoryFungallnfections, 307Allison ,. Stewart

68 Pneumothorax, 313loel Lugo

69 ThoracoscopicallyGuided Pulmonary Biopsy,315loel Lugo

70 Management of Pulmonary Edema, 317Kate Borer

71 Exercise-InducedPulmonary Hemorrhage, 320Montague N. Saulez

SECTIONVIII THE GASTROINTESTINAL SYSTEM

72 latrogenic Damage Caused by Modern Dentistry Procedures, 324Thomas ,. lohnson

73 Periodontal Disease, 328David o. Klugh

74 Dental Nerve Blocks,335Colleen Porter

75 Dental Extraction, 339W. Henry Tremaine

76 Management of Tongue Injuries,345Mathew P. Gerard

77 Oral Cavity Masses, 348Mathew P. Gerard

78 Esophageal Obstruction, 351Yvonne A. Elce

79 Dysphagia of Neurogenic Origin, 354Monica Aleman

80 Esophageal Surgery, 358David E. Freeman

81 Grass Sickness, 361Bruce C. McGorum, and R. Scott Pirie

82 Gastric UlcerSyndrome, 366lenifer A. Nadeau, and Frank M. Andrews

83 Imaging, Endoscopy, and Other Diagnostic Procedures for the Acute Abdomen, 372Alison l. Morton

84 Stabilizing the SurgicalColic Patient for Referral,377Lance H. Bassage 11

85 Use of Laparoscopy in Abdominal Disease, 382lohn F. Peroni

86 Multimodal Pain Management of the Horse with Acute Abdomen, 386Lori A. Bidwell

87 Gastrointestinal ProkineticDrugs, 389Vanessa 1. Cook

88 Medical Management of HorsesAfter Colic Surgery, 394Louise 1. Southwood

89 lIeallmpaction, 402Kelly Fleming, and P. O. Eric Mueller

90 Cecallmpaction, 405Anthony T. Blikslager

91 Intraluminal Obstruction of the Large Colon, 407Marco A. F. Lopes

92 Extraluminal Obstruction of the Large Colon, 413Marco A. F. Lopes

93 Acute Equine Colitis, 418RebeccaS. McConnico

94 Chronic Colic: Diagnosis and Treatment, 424Debra C. Archer

95 Right Dorsal Ulcerative Colitis, 430Samuel1. Jones

96 Antimicrobial-Associated Diarrhea, 433Samuel1. Jones

97 Mesh Hernioplasty, 436John F. Peroni

98 Infiltrative Bowel Diseases,439John Schumacher

99 Integrated Control of Equine Cyathostomes, 443Anne M. Zajac

100 Neoplastic Diseaseof the Gastrointestinal Tract, 448YvonneA. Elce

101 Management of RectalTears,451Ceri Sherlock,and JohnF. Peroni

102 Icterus, 456Simon F. Peek

SECTION IX THE MUSCULOSKELET AL SYSTEM

103 Heritable Muscle Diseases,461StephanieJ.Valberg

104 Evaluation of BackPain by Clinical Examination, 469Rob Van Wessum

105 AssessingSaddle Fit in Performance Horses,474Hilary M. Clayton

106 Vertebral FacetJoint Syndrome, 479Rob Van Wessum

107 Sacroiliac Disease,483Rob Van Wessum

108 Pelvic Fractures,488Keith Brown

109 Musculoskeletallnjuries in the Western Performance Horse, 492Robin M. Dabareiner

110 Diagnostic Imaging and SurgicalManagement of Conditions Involving the StifleJoint,495Lisa A. Fortier

111 Ultrasound of the Shoulder, 500Mary Beth Whitcomb

112 Hypochoerisradicata-AssociatedStringhalt, 506Sarah Y. Gardner

113 Osteoarthritis, 508Earl M. Gaughan

114 Osteochondrosis, 512PieterA. J. Brama

115 Management of Tendon Injuries,518Linda A. Dahlgren

116 Extracorporeal Shock-WaveTherapy and RadialPressure-WaveTherapy, 524Scott McClure

117 RegionalUmb Perfusionwith Antimicrobials,529JoelLugo

118 White Une Disease, 532R. Scott Pleasant and Stephen E. O'Grady

119 Management of Wounds in the Foot, 535Brian W. Fitzgeraldand CliffordM. Honnas

120 Pathogenesis of Laminitis,541James K. Belknap

121 Pharmacologic Management of Laminitis,543John F. Peroni

122 Prevention of Pasture-AssociatedLaminitis,547R. Scott Pleasant and CraigThatcher

123 Chronic Laminitis,550Andrew H. Parks and Stephen E. O'Grady

124 Ultrasound of the Distal Portion of the Umb, 561Rob Van Wessum

125 Diagnostic Value of Magnetic Resonance Imaging in Horseswith Foot Pain, 567John G. Pelosoand Billie Lynn Hilt

126 Collateral Desmitisof the Coffinjoint, 573Michael C. Schramme and Mark J. Martinelli

127 Deep Digital FlexorTendon Injuriesin the Foot, 579Michael C. Schramme

128 Ossificationof the Cartilages of the Foot (Sidebone), 586Sue J. Dyson

129 RehabilitationTherapy, 593Mimi Porter

SECTIONX THE NERVOUS SYSTEM

130 Making a Neuroanatomic Diagnosis, 598John H. Rossmeisl, Jr.

131 Diagnostic Imaging in Neurologic Disease, 603John S. Mattoon

132 Ataxia, 609Allison J.Stewart

133 Equine Motor Neuron Disease, 615Thomas J.Divers and Hussni O. Mohammed

134 AlphaviralEncephalomyelitis(EEE,WEE,and VEE),618Gabriela Suarez-Mier and Robert J.MacKay

135 West Nile Encephalitis,622Robert J. MacKay

136 Equine Protozoal Myeloencephalitis, 626Debra C. Sellon

137 Atypical Myopathy, 630Vincent Gerberand Dominique-Marie Votion

SECTIONXI THE EYE

138 Equine Recurrent Uveitis,635Brian C. Gilger

139 Ocular Squamous Cell Carcinoma, 639Elizabeth A. Giuliano

140 EosinophilicKeratoconjunctivitis,645lamie Schorling

141 Medical and SurgicalTherapies tor UlcerativeKeratitis,648Mary E. Utterand Dennis E. Brooks

142 Complications ot Chronic Ocular Disease, 652Kathryn L. Wotman and Mary E. Utter

143 Enucleation, 655Brian C. Gilger

144 Intraocular Surgery, 659Wendy M. Townsend

145 Acute Care ot Soft Tissue InjuriesInvolvingthe Eyelids,Ears,and Face, 664Mathew P. Gerard

146 ElectrodiagnosticTesting tor RetinalDisease, 668András M. Komáromy

SECTIONXII THE INTEGUMENT

147 Topical Treatments tor Skin Disease, 672Paul B. Bloom

148 Insect Hypersensitivities,678Annette Petersen

149 Non-neoplastic Nodular and ProliterativeLesions,681Beth A. Valentine and Ion D. Plant

150 Fungal Skin Diseases, 687Rosanna Marsella

151 SkinTumors, 692Virginia Buechner-Maxwell

152 New Developments in Diagnosis and Treatment ot Equine Sarcoid, 698Elizabeth A. Ca"

153 Chronic Progressive Lymphedema in Draft Horses, 703Hilde DeCock and Gregory L. Fe"aro

154 Hereditary Equine Regional Dermal Asthenia, 706Danika L. Bannasch and Stephen D. White

155 Cutaneous Manitestations ot Systemic Disease, 709Harold C. Schott 11

156 Wound Care and Management, 713Linda A. Dahlgren

157 Management ot Wounds in High-Motion Areas, 718Dean Hendricksonand loanna Virgin

158 Skin Grafting, 721Linda A. Dahlgren

SECTIONXIII THE ENDOCRINE SYSTEM

159 InsulinResistanceand EquineMetabolicSyndrome,727Nicholas Frank

160 Pituitary Pars Intermedia Dysfunction, 732Janice Sojka

161 Thyroid Disease, 736Babetta A. Breuhaus

SECTIONXIV THE UROGENITAL SYSTEM

162 Management of Bladder Uroliths, 741Claude A. Ragle

163 Hematuria, 745Jan F. Hawkins

164 ClinicalPathology of Renal Disease, 748FredericS. Almy, BruceE. LeRoy,and MichelleH. Barton

165 Diseasesof the AccessorySex Glands of the Stallion, 753John V. Steiner

166 Inguinal Hernia, 756Wa"en Beard

167 Diseasesof the ExternalGenitalia of Stallions, 760John P. Hurtgen

168 Conditions of the ExternaI Genitalia of Mares, 764Tracey S. Chenier

169 Diseasesof the Uterus, 769CarlosR. F. Pinto

170 Prevention of Estrous Behaviorin Performance Mares, 777TraceyS. Chenier

171 Ovariectomy Techniques, 781Thomas B. Yarbrough

SECTIONXV REPRODUCTION

172 Complications in the Peripartum Mare, 785Pamela A. Wilkins

173 Postpartum Complications in the Mare, 789Grant S. Frazer

174 Newer Techniques for Artificiallnsemination, 799Juan c. Samper

175 Semen Collection and Shipping, 802Juan c. Samper

176 EmbryoTransfer in Prívate Practice, 806Juan José Vázquez

177 Ovarian Diseases, 811Patrick M. McCue

178 Infertilityin the Aged Mare, 815Michelle M. LeBlanc

179 Pregnancy Diagnosis, 824Karen E. W olfsdorf

180 EarlyEmbryonic Loss,830Dirk K. Vanderwall

181 Placentitis, 834FairfieldT. Bain and Walter W. Zent

182 Causes of Abortion, 836Neil M. Williams

183 Diagnostic Approach to Abortion, 843Neil M. Williams

184 Managing the High-RiskPregnancy, 846Karen E. W olfsdorf

SECTIONXVI THE FOAL

185 Rescuing FoalsDuring Dystocia, 848lonathan E. Palmer

186 Placental Evaluationtor Assessment ot Foal Problems and Maternal ReproductiveHealth, 851Peter R. Morresey and Kristina G. Lu

187 Meconium Impaction, 858Susan ,. Holcombeand Kristin P. Chaney

188 Assaystor Evaluationot Transter ot PassiveImmunity, 860lohanna 1. Watson

189 The Systemic Intlammatory Response Syndrome, 862Elizabeth A. Carr

190 Management ot the SickNeonatal Foal in the Field,867FairfieldT. Bain

191 Intlammatory BowelDiseases in Foals,870K. Gary Magdesian

192 Examination ot the Foalwith Colic, 876Susan ,. Holcombeand Kristin P. Chaney

193 Urogenital Disease in Foals,882Sharon Witonsky

194 Angular Limb Detormities, 887Alison B. Chesen and Clifford M. Honnas

195 Juvenile Idiopathic Epilepsyin Arabian Foalsot Egyptian Lineage, 891Monica Aleman

SECTIONXVII MISCELLANEOUS

196 The Geriatric Horse, 894Mary Rose Paradis

197 Diagnostic Approach to Chronic Weight Loss,898Laureline Lecoq and lean-Pierre Lavoie

198 Integrative Medicine: Applications ot Acupuncture, 902Mark V. Chrisman and Rachel H. H. Tann

199 Stem CellTherapy, 908Linda A. Dahlgren

200 Purchasing LaserEquipment, 912Thomas B. Yarbrough

201 Hyperbaric Oxygen Therapy, 914Nathan M. Slovis

202 Maintenance ot Horses in Slings, 918leremy D. Hubert and RebeccaS. McConnico

203 Nursing Care of the Recumbent Horse, 922Jaime 1. Miller

204 The Exhausted Horse, 926Jami Whiting

205 Rattlesnake Envenomization, 930C. Langdon Fielding

206 Mycotoxins, 933Robert H. Poppenga

207 Malignant Hyperthermia, 936Monica Aleman

APPENDICES

1 Table of Common Drugs, Approximate Doses, 939N. Edward Robinson

2 Normal ClinicalPathology Data, 956Bruce W. Parry

COLOR PLA TES

1 to 6, following page 2567 to 13, following page 35214 to 19, following page 68820 to 31, following page 832