Diagnostic Evaluation, Clinical Management, and Transport of Recumbent Horses

Complete evaluation of a recumbent horse involves standard diagnostic testing. Hematologic evaluation can provide important information regarding the primary disease (e.g., the presence of chronic inflammation, electrolyte disturbances, metabolic status). However, additional diagnostics are often required. Collection of cerebrospinal fluid is a routine procedure that can help narrow the differential list in more complex cases, yet it is not an innocuous procedure, and risks should be considered with each patient. Radiographic evaluation of the suspect lesion may provide useful information for the practitioner, whereas additional imaging studies, such as contrast studies, computed tomography, and magnetic resonance imaging, are becoming more widely available and valuable for establishing a diagnosis in some equine patients. Although not necessary in all cases, transport to a referral facility may be indicated for additional diagnostic and therapeutic capabilities. A helpful protocol for transport management of the recumbent equine patient is also discussed.