1. Clinical Reasoning Flashcards
What are 2 key things to remember when ever you work up a case?
Clients Goals and to Organize your Data
What are 2 ways a clinical decision can be made?
Intuition - Experience
Analysis - Hypothetical-dedutive
What should you always remember to search for when presented with a clinical problem?
Context
4 out of 5 rule outs will be…
wrong
What are some key calf scours differentials?
E.coli (1-3d)
Rotovirus (5-14)
Coronavirus (5-30)
Clostridium (c) (7-28)
Cryptosporidium (7-21d)
Coccidia (21 and up)
Salmonella (5-28d)
Which animals should you sample to try to ID your pathogen?
Sick calve
Fresh Dead calves
What are risk factors for scours?
Lack colostrum
Nutrient Deficiency
Dystocia
Enviromental Extremes
What are some critical things you should have your farmer focus on to reduce this problem?
Early detection of scours or dehydration
Treatment protocol for calves with scours
Managment of calves without scours
Mangement of cows yet to calve
Detection of pathogen
Will the 1st or 10th calf be exposed to more pathogen?
10th
How can you reduce pathogen load in your pastures?
Rotate, have a new pasture to calve in
When working up an abortion case what should you categorize the abortion by?
Characteristics of infection
Trimester
Causative factor or agent
What are some common patterns by trimester of abotion?
Highest abortion in 1st trimester - more genetic and trauma
Middle least abortion - more likely infectious
Final - moderate abortion more likely infectious
What is the likelihood of IDing a cause of abortion?
30% change of ID infectious agent
What kind of plan should you have your producer do for abortions?
Plan for cows that have aborted, those that calved normally and those yet to calve
Abortions are commonly seen after the fact, why?
Infection way earlier and owner will wait for a few to occur since some are normal
