Evaluation and Management of the Recumbent Adult Horse

Evaluation and Management of the Recumbent Adult Horse: Initial evaluation of a recumbent horse involves assessment of the entire situation, including the location of the horse and safety of the horse and all involved personnel. A recumbent horse often results in a stressed environment, for both the horse and client, and it is important for the veterinarian to be observant, directive and methodical during the evaluation. Obtaining a good history can provide critical information for reaching a diagnosis as to the cause of recumbency. Signalment and a history of recent health or performance problems should be obtained. Any treatments that the horse has received should also be recorded. Onset (acute vs chronic) of the recumbency, and activity prior to the onset of recumbency should be determined. Knowledge of diet and management practices may also provide clues as to the cause of recumbency. Travel and vaccination history, especially for rabies, should be determined. Until a diagnosis is reached, all recumbent horses should be treated as rabies suspects and barrier protection used.