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This paper reports the results of a survey conducted among members of the American Association of Equine Practitioners, concerning medical problems of adult horses. A one-page questionnaire listing 36 medical problems grouped by body system was completed by 1,149 veterinarians. The top-ranked disease was colic, followed by viral respiratory tract disease, endometritis, dermatitis, and parasitism. When responses were evaluated by type of practice, location of practice, and number of veterinarians in the practice, ranking of the top 2 diseases was the same for the total respondents. Ranking of diseases 3 through 5 varied when these criteria were taken into consideration.

Echocardiography is a non-invasive, safe means of assessing intracardiac structures and their motion. In the normal motion of the mitral valve there is anterior motion noted during atrial systole. In 3 horses with atrial fibrillation the mitral valve motion had no anterior motion to correspond with atrial contractions. Quinidine returned the electrocardiogram of one horse to a sinus rhythm after which echocardiography demonstrated the reappearance of the anterior motion of the mitral valve.

Experimental and clinical observations were made to treat abnormal sexual behaviour. The most common cause of abnormality was mismanagement of the animal; over-use and rough treatment at service and too-frequent ejaculation during winter had a detrimental effect on the behaviour of young stallions. Pain due to injury incurred at copulation or when associated with mounting attempts was also a common cause of impotence. Most impotent stallions responded well to re-training and recovery can be achieved without pharmacological treatment in most cases.

Haemospermia caused infertility in the stallion and frequently results from a urethritis in the area of the ejaculatory ducts. Urethroscopic examination, urethrography, bacterial and viral cultures, biopsy, surgery of the urethra and histocytological examination should be used for diagnosis and it is essential that the exact cause and location of the haemorrhage be known before treatment is initiated. Optimal treatment includes sexual rest and appropriate antibiotics used systemically in conjunction with local medication of the urethra. Cauterization of the urethra with silver nitrate solution should be avoided.