Professional Documents
Culture Documents
Submission date:-
2
PRE-PURCHASE EXAMINATION OF A
HORSE
8
Seller’s Questionnaire
Opportunity for seller to fully disclose
history of the horse
Questions:
Level of current work / discipline?
How long has seller owned the horse?
Vaccines / Deworming / Coggins?
Previous medical history?
Previous surgeries?
Previous lameness? • Ie, joint injections,
supplements, etc.
Previous or current medication?
Stereotypies? • Cribbing, weaving, head tossi
biting, kicking, etc. 9
Standard pre-purchase examination
There is a standardized 5-stage PPE procedure:-
to evaluate conditioning,heart,
breathing, and strains
Stage 4-Period of rest and re-examination to
evaluate heart and lung recovery
Stage 5- A second trot in hand and foot
evaluation 10
Examination
Be thorough:-
Examine any and every aspect of the horse
This should be the most complete exam you
will perform in veterinary medicine.
Document everything, even if you are unsure of the
clinical significance
Basics of the Examination
Confirm breed of horse
Document any tattoos or brands present
Document the markings and color of the horse
Attain weight 11
Attain height
Temperature, heart rate, respiratory rate
Document scars, skin lesions or growths
Oral Examination
Check the incisor teeth to ensure the reported age
roughly matches the teeth
Open the mouth (unsedated), grab the tongue and
evaluate for sharp points of enamel on the molars, wolf
teeth, etc.
Sedate the horse (with permission, and after lameness
evaluation)
Open the mouth with a speculum, and fully evaluate all
arcades with dental mirror and probes
Recommend dental radiographs 12
Ophthalmological Examination
o Evaluate both eyelids, the third eyelid, sclera, for any
abnormal masses or pigmentation
o Check direct/indirect pupillary light response
o Check menace response
o With ophthalmoscope, evaluate the cornea,
anterior chamber, iris, pupil, lens
o Further examination, dilate the eye and examine the
optic nerve, retina
Auditory Examination
Evaluate the inner aspect of the ears for any aural
plaques or abnormal skin growths
Produce noise to determine horse can properly
hear 13
Respiratory Examination
Evaluate both nares for normal airflow, any nare
pathology, mucopurulent discharge or odor
Percussion of the sinuses, evaluate facial bones
for any asymmetrical swelling
Palpate the larynx, muscular process
Palpate guttural pouches for swelling, fluid fill
Palpate submandibular lymph nodes for
enlargement
Auscultate trachea & all areas of both sides of the
lungs
Further examination, rebreathing exam with bag
• Upper airway endoscopy exam
14
Cardiovascular Examination
Fully auscultate the heart, from both sides of the
thorax, to evaluate for any valve murmurs
Auscultate heart for normal rhythm, normal rate
Evaluate peripheral artery for pulse quality
Evaluate both jugular veins for normal fill, patency
Further evaluation :-ECG ,Cardiac ultrasound
exam
Abdominal Examination
Palpate ventral midline to feel for previous colic
surgery scar
Auscultate all four quadrants for normal
gastrointestinal motility. 15
Auscultate ventral abdomen for sand in large colon
Palpate flank for previous standing surgery
incisional scars Palpate for ventral midline,
umbilical, abdominal, inguinal hernias
Urogenital Examination
Examine external genitalia for any abnormalities
In mares, evaluate perineal/vulvar conformation
If a stud, palpate for two descended testicles into
scrotum
16
Musculoskeletal Examination
Systematic palpation of the neck, back and
pelvis
Systematic palpation of the four limbs
Walk, trot, canter horse
If abnormal gait is noted, first step is to evaluate
whether horse appears lame or neurological