Equine Medicine and Diagnostics
Horses with cardiac problems are initially seen by the equine internal medicine service. These efforts are supported through consultation with Dr. Lynne Nelson, a board certified veterinary cardiologist. A variety of cardiac diagnostic testing is available including echocardiography, electrocardiography, 24-hour Holter monitoring, and treadmill exercise testing.
Videoendoscopy is available for evaluation of a wide variety of equine disorders including upper airway (nose, throat, mouth) abnormalities, urinary bladder problems, and disorders of the esophagus, stomach, or rectum. This equipment permits simultaneous viewing of internal structures by a large number of people and video recording of the examination for later viewing.
High-Speed Treadmill Evaluation
A high-speed treadmill is available for exercise testing of equine athletes. Treadmill testing can be an invaluable aid in the diagnosis of upper respiratory disorders, heart and lung problems, and muscle disorders.
The Veterinary Teaching Hospital has state-of-the-art isolation facilities for treatment of horses with infectious or contagious diseases such as strangles and salmonellosis. A stringent infection control protocol is followed.
A full range of diagnostic testing support is available for investigation of complicated or difficult internal medicine problems. The clinical pathology laboratory provides a wide range of blood tests and the internal medicine staff is experienced in interpretation of these and many other diagnostic tests. WSU’s Veterinary Teaching Hospital faculty and staff are pioneers in the diagnosis and therapy for immune deficiency, diagnosis of rhodococcus equi, and evaluation of equine narcolepsy.
Lameness Evaluation and Treatment
The equine lameness staff specializes in diagnosis and treatment of lameness in the horse. Advanced diagnostics include nuclear scintigraphy, radiography, magnetic resonance imaging (MRI), ultrasound, computed tomography, and slow motion videography.
The equine internal medicine service can perform comprehensive neurologic evaluations on horses to localize lesions in the central and peripheral nervous systems. Advanced diagnostic tests include myelograms, cerebrospinal fluid analysis, and radiographs. Medical imaging including MRIs (magnetic resonance imaging) and CT scans (computed tomographic) are also available.
Abdominal (Colic) surgery
WSU has a 24 hour emergency service that is available 365 days a year for diagnosis and treatment of abdominal crises in the horse. A team of internists, surgeons, and anesthesiologists are on call to provide state-of-the-art surgery and emergency intensive care for even the most critical patient.
A minimally invasive procedure for joint problems, arthroscopic surgery reduces recovery time and horses are able return to athletic function more quickly.
The orthopedic surgeons at WSU are experienced and knowledgeable in assessment and repair of fractures in horses. Repair of long bone fractures in the leg is facilitated by anesthetic recovery in a hydropool, greatly decreasing the risk of injury or refracture during recovery.
Laparoscopic surgery is available as a minimally invasive surgery for cryptorchid surgery, removal of stones in the urinary bladder, ovariectomy and abdominal surgeries, and other problems of horses. While specific procedures may require general anesthesia, other procedures can be performed with only sedation and local anesthetic blocks. Many horses benefit because of the small incisions that are made with this technique and improved operative viewing.
The equine surgery service can perform a variety of laser surgeries including correction of upper airway problems and removal of skin masses.
Diagnosis and treatment of disease of the upper respiratory tract. Advanced diagnostics include high speed treadmill video endoscopy. Advanced surgical techniques include minimally invasive endoscopy and laser procedures.
Equine Theriogenology (Reproduction)
High-Risk Mare Management
The equine medicine and theriogenology services at WSU work together to provide the optimal environment for foaling the mare at high risk for problems. The hospital is capable of 24-hour monitoring of mares, intensive foal care, and emergency Caesarean deliveries. Ultrasonographic monitoring of the late term mares is available.
Neonatal Intensive Care
The hospital is equipped to provide the highest level of intensive care for premature and sick foals. The intensive care unit is equipped to monitor foals 24 hours a day and provide advanced life support including ventilatory therapy.
Reproductive Services: Facilities and equipment include
- Collection arena with phantom or teaser mare
- Digital ultrasound
- Padded stocks for ultrasound, artificial insemination, and embryo transfer
- Endoscopy (stallions – urethroscopy; mares – hysteroscopy and/or hysteroscopic artificial insemination)
- On-site laboratory for semen analysis, processing, shipment or freezing
- On-site laboratory for endometrial cytology, culture, and biopsy; semen cultures and testicular biopsy; EVA serology
- Capabilities to send out samples for CEM testing, as well as endocrinology panels for progesterone, testosterone, and granulosa-theca cell tumor panels (inhibin)
- Large foaling stalls for high risk pregnancies and/or foaling with 24 hour care
- Consultations and facilities available for surgical or internal medicine cases
Computed Tomography (CT)
WSU is one of only a very few veterinary hospitals in the world equipped to perform computed tomographic (CT) imaging on horses. We can provide quality imaging and interpretation for distal limb (below the carpus and hock) and head disorders of adult horses and full body evaluation of young foals. The availability of this imaging modality is rapidly moving WSU to the forefront of veterinary medicine in the evaluation of lameness and neurologic disorders.
MRI (Magnetic Resonance Imaging)
WSU is one of only a very few veterinary hospitals in the world equipped to perform magnetic resonance (MR) imaging on horses. We can provide quality imaging and interpretation for distal limb (below the carpus and hock) and head disorders in adult horses and full body imaging of young foals. The availability of this imaging modality is rapidly moving WSU to the forefront of veterinary medicine in the evaluation of lameness and neurologic disorders.
WSU is fully licensed to perform a wide array of nuclear scintigraphic imaging. This technique is most commonly used to aid in the diagnosis of lameness problems in horses. It is especially helpful in localizing the sources of lameness in horses with multiple limb problems and in assessing the causes of back pain.
The radiology service at WSU is world renowned for its imaging capabilities. In addition to standard radiography and ultrasonography, the radiology group at WSU can provide magnetic resonance (MR) and computed tomographic (CT) imaging of distal limbs and heads of adult horses and full body imaging of young foals.
The equine medicine and radiology services at WSU can provide a variety of ultrasonographic examinations including evaluation of tendons and ligaments, internal organs, Doppler blood flow analysis, and echocardiography. Ultrasound guided biopsies and aspirates are also available.
Board certified veterinary anesthesiologists are available to assist with anesthesia of even the most critically ill patient. Anesthetized patients receive state-of-the-art monitoring and support.
A full range of dental services is available for horses. These include routine “floating,” tooth extraction, and advanced dental surgeries. Both manual and power equipment are available for use. Much of the routine dentistry work at the WSU Veterinary Teaching Hospital is done by a licensed veterinary technician with advanced training and expertise in equine dentistry, under the supervision of a staff veterinarian.
WSU offers a 24-hour emergency service available 365 days a year to diagnosis and treat acute injuries and diseases (colic, fractures, foals, etc.). A team of internists, surgeons, and anesthesiologists are on call to provide state-of-the-art surgery and emergency intensive care for even the most critical patient.
The Equine Medicine team provides an array of services for the diagnosis and treatment of a wide variety of horse diseases, including heart and lung disorders, colic, diarrhea, neurological diseases, neonatal intensive care, and infectious diseases. Faculty members, Dr. Jenifer Gold and Dr. Macarena Sanz, are board-certified in large animal internal medicine by the American College of Veterinary Internal Medicine (ACVIM). Dr. Sanz has a strong interest in infectious diseases and immunology. Dr. Gold has a strong interest in neonatal foals and respiratory disease including exercise-induced pulmonary hemorrhage.
The Equine Surgery team has special expertise in lameness evaluation and endoscopic surgery. They offer a comprehensive array of surgical services for many conditions including fracture repair, arthroscopic surgery, colic, urinary bladder disorders, upper respiratory abnormalities, and ovariectomy to name a few. Team members also perform high-speed treadmill testing. Dr. Claude Ragle and Dr. Kelly Farnsworth are board-certified by the American College of Veterinary Surgery (ACVS).
The Equine Theriogenology team provides reproductive services with a special expertise in infertility in mares and stallions. Services for mares include diagnosis and treatment of reproductive disorders; artificial insemination (cooled and frozen semen); embryo transfer; twin reduction; management of high risk pregnancies; and foaling and foaling complications management. Services for stallions include breeding soundness evaluation; advanced semen evaluation techniques, semen collection and freezing; and diagnosis and treatment of infertility and reproductive disorders. Dr. Ahmed Tibary is board-certified in the American College of Theriogenology.