- Intensive Care
- Opthalmologic (limited)
Equine Diagnostic Services
- Advanced laboratory testing of various tissue and blood samples (for acute or chronic colic, diarrhea, fever of unknown origin etc.)
- Biopsies of masses, internal organs, or bone marrow
- Cerebrospinal fluid (CSF) taps for neurological diseases'; Myelogram studies to rule out cervical spinal cord compression
- Diagnostic Imaging - ultrasound abdomen and thorax; small body parts,and radiograph consultations
- Echocardiography - ultrasound of the heart
- Electrocardiography (ECGs) - electrical reading of the heart's rhythm at rest and during exercise using a Telemetry EKG unit
- Endoscopy - also known as a "scope"of various organs: cystoscopy (bladder & urethra), Esophagogastroduodenoscopy (esophagus, stomach and proximal duodenum), rhinoscopy or upper airway endoscopy (nasal cavity , trachea and guttural pouches of horses)
Upper Airway Endoscopy Examples
Upper airway endoscopy allows us to investigate causes of abnormal airway noise, cough, nasal discharge, nose bleeds, and possible causes of fever and poor performance. This can be performed on the farm for convenience and the horse's comfort. We can use the scope to safely and appropriately obtain samples in cases of pneumonia and Heaves (Equine Asthma).
Normal Guttural Pouch:
This area of the upper airway contains many vital blood vessels and nerves and a bone articulation involved with jaw movement and swallowing. It is important to look in the guttural pouches of animals with head shaking, difficulty eating, certain nerve dysfunctions, nosebleeds, and fever (amongst many other reasons).
This image shows flecks of scattered mucus along the trachea (windpipe) of a horse diagnosed with Equine Asthma. We can use a combination of diagnostics, including tracheal endoscopy to help investigate for this common cause of poor performance.
Upper airway compression:
This image shows compression of the pharynx (back of the throat). This horse had a chronic (long term) abscess that had formed due to scarring down of an opening of the guttural pouch. She underwent an MRI and surgical procedures to facilitate treatment of the abscess and help restore functional anatomy in the area.
Guttural Pouch Mycosis (fungal infection):
This horse had a nose bleed due to fungal invasion of large blood vessels in out-pouchings of the eustachian tubes (known as the guttural pouches). We can easily access this area with the scope. This horse made a full recovery after a surgical procedure.
Tracheal wash using the scope:
We are able to use a double-guarded catheter to obtain samples to investigate for pneumonia. This allows us to culture the sample for the presence of bacteria and determine appropriate antibiotic therapy.
Retropharyngeal lymph node enlargement:
In certain bacterial infections the lymph nodes can enlarge within the upper airway and endoscopy is the only way to diagnose since they are undetectable from the outside. These horses often have fevers and lethargy.