Bovine Flashcards
Trismus
- Trismus, also called lockjaw, is reduced opening of the jaws (limited jaw range of motion). It may be caused by spasm of the muscles of mastication or a variety of other causes.
What causes Tetanus?
Clinical Signs?
- Clostridium tetani
- Classic clinical signs include a sawhorse stance, lockjaw, and an elevated tail (“pump handle tail”)
- These animals are especially sensitive to tactile and auditory stimuli.
- Infection was probably through inoculation of a wound.
- However, there is evidence that infection may occur via ingestion
When formulating late gestation anionic diets for dairy cows to help prevent hypocalcemia in the last 2 to 3 weeks prior to calving, what formula is used?
DCAD = (Na + K) - (Cl + S)
- DCAD stands for Dietary Cation Anion Difference.
- Na=sodium, K=potassium, Cl=chloride, and S=sulfur.
- These are the 4 most important strong ions to be considered.
- When the diet is optimal the urine pH of Holstein cows should range between 6.2 and 6.8 for cows on the ration
Desribe the disease processs in adult cattle from Clostridium hemolyticum
(recently renamed C. Novyi Type D)
Treatment?
- Bacillary haemoglobinuria
- Infection of the liver by migrating flukes (Fasciola hepatica), results in anaerobic tracks that allow the Clostridium to bloom and cause disease
- NOT the same as C. Novyi Type B - causing “Black Disease” (Infectious Necrotic Hepatitis) - pathogenesis is similar!
- Treat with penicillin or oxytetracycline
Persistent infection of a bovine fetus with Bovine Viral Diarrhea (BVD) virus is most likely to occur when the non-immune dam is viremic with a non-cytopathic biotype of BVD at what stage of gestation?
- At 50 to 150 days gestation, the fetal immune system does not recognize the BVD virus as foreign and becomes persistently infected
Bovine Urolithiasis
What can it often lead to? Clinical signs of this phenomena?
- In the bovine, urolithiasis often results in rupture of the urethra.
- Urine then leaks into all the ventral tissues and causes this massive ventral edema, which progresses to necrosis and sometimes to gangrene
- may see: poor appetite, depressed attitude, and ventral swelling (pitting ventral oedema)
A 4 month old Holstein calf presents with a right sided head tilt, a unilateral right ear droop, right eye ptosis and epiphora of the right eye. Otherwise, the calf is bright and alert. The owner mentioned that the calf suffered from a respiratory infection the previous week.
What is the most likely diagnosis?
What is the most common cause? (pathogen)
Most common source of infection?
- Otitis media-externa
- Mycoplasma is a common cause of otitis media-externa
- Usually, the infection is a result of consuming contaminated milk
What is Otobius Megnini?
good differential diagnosis for?
- Otobius is a soft tick with predilection for ears - SPINOSE EAR TICK
- it is a good differential for otitis media - externa
- With Otobius the calf would probably not show such extreme clinical signs and would probably be scratching and rubbing at the ear
Polioencephalomalacia
What is it caused by?
List some clinical signs
Differential Diagnoses? (2)
- Polioencephalomalacia is more likely to present with stargazing, head pressing, depression, and blindness.
- Polioencephalomalacia is caused by a thiamine deficiency
- An excellent differential for the clinical signs described would be listeriosis and thromboembolic meningoencephalitis.
Regarding normal reproductive physiology, the cow differs from the sow, the mare, the ewe, and the nanny/doe in which of the following ways?
Which are seasonal breeders?
Which have an epithelio-chorial placenta?
Which species is in oestrus often for more than 5 days?
- An unusual feature of bovine reproductive physiology is the fact that the cow ovulates after she goes “out” of estrus. The practical implication of this is that one can successfully breed by artificial insemination later, relative to estrus.
- The mare, the ewe, and the nanny/doe are all seasonal breeders, but generally, the cow is not.
- All the animal species listed in the question have an epithelio-chorial placenta.
- Although twin births do occur in a minority of cows, the cow normally ovulates a single oocyte per cycle, as does the mare. Sheep and goats have been selected for fecundity, with the result that multiple ovulations/cycle are the rule, rather than the exception. Litter-bearing pigs ovulate large numbers of oocytes per estrous cycle.
- The sheep and goat are in estrus for only 1.5-3 days; the pig is similar. Only the mare, of the species listed, is physiologically in estrus for 5 days or more.
Is Brucellosis a notifiable disease in the United States?
A: Yes
- after a positive milk ring test, It is reported to state and all of the cows will be serologically tested within 30 days, reactors will be slaughtered
- Brucellosis is a reportable disease and is promptly reported to the appropriate agency in the state. Positive animals should be slaughtered, not treated.
What is this 1/2 inch grub that emerge from the back of cattle in spring?
- This is a cattle warble called Hypoderma.
- The 2 species are H. bovis and H. lineatum.
- They undergo a long migration in tissues and only emerge from the back of the animal in spring.
- The crucial treatment time is early fall when larvae are just beginning to migrate in tissues.
- Organophosphates or one of the macrocyclic lactones (ivermectin, doramectin, eprinomectin or moxidectin) are effective.
You are working with a farmer who is having trouble with calves between the age of 2 weeks and 6 months. They are alert, but weak, dyspneic and die suddenly. On necropsy they have pale cardiac and skeletal muscles. What is the farmer’s problem?
- Selenium Deficiency - “white muscle disease”
- The pale muscle and clinical signs are classic for vitamin E and selenium deficiency.
- This is important to remember!
- Other things that should be on your differential list for this case include cardiotoxic plants. - Milkweed, bacharris spp., etc.
- Struvite
- Struvite is composed of magnesium ammonium phosphate.
- The alkaline urine in cattle along with high dietary phosphate and magnesium levels favors formation of struvite stones.
- Feedlot animals can also develop apatite stones composed of calcium phosphate.
Where would you find the following uroliths in livestock animals?
Silicate?
Calcium Carbonate?
Calcium Oxalate?
- Silicate stones are primarily found in sheep and cattle grazing western rangelands.
- Calcium carbonates are most commonly found in sheep grazing pastures high in calcium and oxalates.
- Calcium oxalate crystals are often present in ruminant urine and may be incorporated in small amounts into other types of stones.
What are benefits of of providing a DCAD (dietary cation-anion difference) diet to cattle?
- cows absorb calcium more readily
- cows remain more relatively acidotic
- There is a lower incidence of milk fever
- parathyroid hormone function is enhanced
- DCAD is used to help prevent milk fever. Cows eating a DCAD diet are actually more acidotic which enhances parathyroid hormone function along with a better ability to utilize dietary calcium. The easy measure is to check urine pH (it should be acid) on cows to be sure they are ingesting the diet.
- To review, DCAD is dietary cation-anion difference. A DCAD diet is enhanced with more anionic salts containing the strong ions chloride and sulfur, and has decreased amounts of strong cations such as sodium and potassium.
- Cations have a positive charge like sodium (Na), potassium (K), calcium (Ca), and magnesium (Mg).
- Cations in the diet promote a more alkaline (higher blood pH) metabolic state which has been associated with an increased incidence of milk fever.
- Anions have a negative charge such as chloride (Cl), sulfur (S) and phosphorus (P).
- Anions promote a more acidic metabolic state (lower blood pH) that is associated with a reduced incidence of milk fever.
- A cow adjusts to a lower blood pH by buffering the acidic condition.
Buffering the blood is done by the cow through mobilization of calcium phosphate from bones. When a lower pH is achieved by feeding more anions, the result causes the cow to mobilize stored calcium which can better prepare her for the time when calcium will be lost in milk. This is the reason that there are various anionic products on the market: to reduce the incidence of milk fever
Presence of dysphonia may indicate a lesion in __________.
CN X
Clinical signs of lesions of the vagus nerve include dysphagia, abnormal vocalizing, inspiratory dyspnea, and megaesophagus.
Bovine leukocyte adhesion deficiency
(BLAD)
- in Holstein Cattle
- autosomal recessive congenital disease characterized by recurrent bacterial infections, delayed wound healing and stunted growth, and is also associated with persistent marked neutrophilia
- The most common inheritance pattern of genetic disease in cattle is a simple recessive trait. The defective calf receives a recessive gene from its sire and dam.
- An autosomal recessive disorder means two copies of an abnormal gene must be present for the disease or trait to occur.
- Surgically remove the intussusception and anastomose the ends of the intestine
- Cows with intussusception usually have colic, scant dark red feces, dilated small bowel proximal to the lesion, and a distended abdomen from accumulated fluid in the proximal gut and forestomachs.
- They may also have a fever if there is leakage and peritonitis is developing.
- The lesion is sometimes palpable per rectum. They are most commonly suffering from hypochloremic hypokalemic metabolic alkalosis
You are called out to a dairy herd that has recently been experiencing reproductive problems. The cows were all acquired 1 year ago from an unknown source and have no known vaccinations or tattoos. The dairyman reports that several cows have had late abortions (6-7 months gestation) and weak or stillborn calves in the past year and he’s never had this problem before. Several of the cows that had abortions developed placental retention and/or metritis. None of the younger pre-pubescent heifers are displaying any clinical signs. You perform a necropsy on two recently aborted fetuses and find lung consolidation in one but no other obvious abnormalities.
What should you recommend?
- Serologic testing for Brucellosis
- You should be most suspicious of Brucellosis based on the assortment of signs (abortions, retained placenta, metritis and lack of signs in younger animals), the timing of abortions (last half of pregnancy), and the relatively normal appearance of the examined fetuses.
- Plus the cattle are not tattooed as they should be if they were given calfhood brucella vaccine.
When do Tritrichomonas fetus abortions generally occur in cattle?
- first half of gestation
- but do have placentitis and pneumonia in the fetus similar to Brucella abortions
Campylobacter fetus subsp venerealis in cattle
- It causes catarrhal inflammation in the female genital tract, temporary infertility and prolonged oestrus cycle
- usually causes early embryonic death
- strict international regulations require animals and animal products to be CFV-free for trade
Neopspora Abortions
- Neospora Caninum is a protozoan parasite that is an important infectious cause of weak calves and abortion in cattle.
- It can affect other species including sheep, goats and camelids, however these are thought to be less susceptible.
- Neospora is the most frequently diagnosed cause of bovine abortion
- Neospora abortions are usually mid gestation and cause necrosis of the cotyledons, with fetal lesions including myocarditis, hepatitis, myositis and encephalitis
Brucellosis
Describe?
Symptoms?
Diagnosis?
- Brucellosis is an infectious disease that occurs from contact with animals carrying Brucella bacteria.
- Brucella can infect cattle, goats, camels, dogs, and pigs.
- The bacteria can spread to humans if you come in contact with infected meat or the placenta of infected animals, or if you eat or drink unpasteurised milk or cheese.
- Brucella is highly contagious, spreading very easily between cattle as the calf, the membranes and the uterine fluids all contain large quantities of bacteria
Symptoms
- Abortion;
- Stillborn
- Weak calf born
- Retention of fetal membranes;
- Signs of infection in the membranes;
- Swollen testicles in bulls
- Infection of the testicles is also seen in bulls.
Diagnosis can be done by laboratory testing of blood or milk samples or by laboratory culture of brucella abortus from the placenta, vaginal discharge or the milk of infected cows.
Gestation of a cow?
What positive pregnancy diagnosis sign is present at 30 days?
75-90 days?
4-7 months?
Uterine artery fremitus?
- 283 days
- Chorioallantoic membrane slip present at 30 days
- Placentomes will be palpable starting between 75-90 days of gestation.
- The fetus itself will be palpable beginning at approximately 60 days gestation, but may be out of reach between months 4-7 of gestation.
- Uterine artery fremitus (palpable turbulence) will be evident on the ipsilateral pregnant horn at about 120 days of gestation.
- From 7 months on, you can feel the fremitus bilaterally. Fremitus does not necessarily always indicate a viable pregnancy
Rectal Temperature of Cow Normal?
calf?
- rectal temperature reference range for an adult cow is 37.8-39.2°Celsius [100.0-102.5°Fahrenheit],
- little higher for a calf at 38.6-39.4°Celsius [101.5-103.5°Fahrenheit].
Radial Nerve Disease - what would the presentation involve?
What would you see with the other thoracic limb nerves?
- With radial nerve disease, the elbow is dropped, the digits are knuckled onto their dorsal surface, and the limb is unable to bear weight.
- With time, the triceps and carpal extensor muscles may also atrophy in radial nerve disease.
- Note: With injury to the suprascapular nerve, the supraspinatus and infraspinatus muscles are atrophied, but little gait deficit is noted. Musculocutaneous nerve injury results in an inability to flex the elbow and biceps atrophy. With lesions to the ulnar nerve, superficial and deep digital flexor muscles atrophy
Thoracic Nerve Placement
canine
equine
bovine
At what age during gestation is a fetus most likely to become persistently infected with the noncytopathic form of bovine viral diarrhea?
- The correct answer is fetus infected before 125 days of gestation, with most of those occurring before 100 days.
- A fetus infected with BVD at any time during gestation can be aborted or be a stillbirth.
- Most congenital defects associated with BVD occur when a fetus is infected between days 90-150 of gestation.
- Persistent infection of fetuses is seen when they are infected before 125 days of gestation. This is of importance because they have a potential to affect many other herdmates since they shed virus but may show no clinical signs.
- About half of the persistently infected calves will die during their first year of life. Clinical signs in BVD carriers vary greatly. They may range from an asymptomatic animal to one that has diarrhea, fever, pneumonia, and oral ulcerations.
- Additionally, you may have infected animals that are just repeat breeders. You may also see abortions, stillbirth, and congenital anomalies. The most common congenital anomaly associated with BVD is cerebellar hypoplasia, but there are many others.
Heart Rate of Adult Cow
The adult cow has a heart rate of between 48 and 84 beats per minute
About 1 hour after a difficult labor where the calf had to be pulled out with force, the cow goes down. She is pale and her heart rate is 100/min. What happened?
- uterine tear.
- With a traumatic fracture or damage to nerves, the cow would have gone down right away rather than an hour later.
- Hypocalcemia is possible but less likely in this case where the calf had to be forcibly extracted which can result in a uterine tear, and would be unlikely to make her pale and tachycardic
Actinomycosis
- Actinomycosis is a specific disease characterized by a classical rarefying mandibular osteomyelitis and commonly known as “lumpy jaw” in cattle. It is caused by a Gram positive, branching filamentous organism—Actinomyces bovis
- caused by the bacteria Actinomyces bovis, which is a normal inhabitant of the bovine mouth.
- Actinomycosis is a chronic bacterial disease and is more common in cattle than in goats and sheep.
- The bacteria enter through cuts and abrasions (i.e. due to teeth eruptions or coarse feed) and migrate to the bone, leading to osteomyeltitis (inflammation and infection of the bony tissues).
- The mandible is affected more commonly than the maxilla. The defining feature of actinomycosis is the presence of a non-painful swelling under the jaw.
- This swelling can rupture and drain pus-type, smelly fluid which contaminates the environment.
Most common pathogens involved with Bovine Respiratory Disease (BRD)? (4)
calves with BRD? (3)
- There are many types of infectious agents involved.
- The most common viruses involved with BRD include Bovine Viral Diarrhea (BVD), Infectious Bovine Rhinotracheitis (IBR), Bovine Respiratory Synctial Virus (BRSV), and Parainfluenza Type-3 Virus (PI-3).
- Exposure to these viruses can cause severe damage to the respiratory tract of calves creating opportunities for bacteria to then settle in the lungs.
- Fortunately, many of these agents can be prevented through vaccination programs.
- The most common bacteria found in the lungs of calves with BRD include Mannheimia haemolytica and Pasteurella multocida.
- Haemophilus somnus may also be involved in cases of pneumonia and can cause severe damage to the heart muscles.
Johnes Disease
- Johne’s disease is a chronic enteritis of ruminants caused by Mycobacterium avium subspecies paratuberculosis (MAP).
- This bacteria embeds itself in the wall of the lower part of the small intestine known as the ileum. As an immune response, infected tissues attempt to regenerate healthy tissue which leads to visible thickening of the intestines.
- The main signs in cattle are progressive weight loss and chronic diarrhoea
Fusobacterium Necrophorum
- Fusobacterium necrophorum, a gram-negative, nonsporeforming anaerobe, is a normal inhabitant of the alimentary, respiratory, and genital tract of animals.
- The organism is an opportunistic pathogen and a primary causative agent of liver abscesses, an economically important disease of grain-fed cattle
FAMACHA Scoring
- FAMACHA scoring identifies anemia in small ruminants, the main symptom of barber’s pole worm infestation. Faffa Malan developed a five color FAMACHA scoring chart that corresponds to a sheep or goat’s bottom eyelid color.
- Pale pink to white indicates anemia; the animal should be dewormed.
- Robust red to salmon pink indicates the animal does not require deworming at time of test.
Bovine Respiratory Syncytial Virus
(BRSV)
- BRSV was named for its characteristic cytopathic effect, the formation in infected tissue of syncytial cells, giant multinuclear cells formed by the fusion of several cells. BRSV has a predilection for the lower respiratory tract, where it can cause varying degrees of pneumonia by itself.
- The key to being able to make this your top differential is noting that the calf has a “honking” cough, dyspnea, and tachypnea, that the calf is not septic
- Pulmonary lesions include severe edema and emphysema.
- Treatment is usually supportive and antibiotics are given to protect from secondary bacterial infection.
- Mannheimia hemolytica is the main culprit in shipping fever, and Haemophilus pleuropneumoniae is an occasional cause of shipping fever in cattle.
- Pasteurella multocida can be a secondary invader in any bovine pneumonia. P multocida also causes the most economic loss in swine with atrophic rhinitis.
Pathogens of “Shipping Fever”
- Mannheimia haemolytica
- Pasteurella multocida
- various other bacteria and viruses
Normally seen 10-30 days after transport
sudden onset
pyrexia, depressed appetite, increased respiratory rate, cough, increased respiratory noise, grunting
can be found dead
“Fog Fever”
Acute Bovine Pulmonary Oedema and Emphysema
Aytipcal Interstitial Pneumonia
Non Infectious Disease - Associated with cattle grazing lush pastures!
- normally cattle over 2 years old
- within 2 weeks of moving to lush autumn pastures
- up to 50% of group affected
- commonly fatal and difficult to treat/manage
- L-tryptophan in grass gets converted to Indole Acetic Acid (IAA) in rumen which is converted to 3- methyl Indole (3MI) which is toxic to cattle lungs and they become fibrous
Use of corticosteroids in pregnant cattle will…..
cause abortion!!
Death Camas Toxicity
- highly toxic to cattle!
- can be found in Montana
- onion-like plant that cattle like to eat when lush in the spring
- There is no treatment for death camas poisoning. The only way to avoid it is to minimize the concentration of the toxin in an animal’s diet. Livestock need to eat as little death camas, and as much grass, as possible
Bacillary hemoglobinuria
“red water disease”
- in cattle is an acute, toxemic and highly fatal clostridial disease exhibiting the clinical signs of hemoglobinuria, fever and jaundice
- caused by germination of Clostridium Novyi type D spores in the liver after anaerobic damage by migrating liver fluke larvae.
- Cl. Novyi was formerly called Cl. hemolyticum.
- Vaccination can prevent this disease.
A young bull presents for a breeding soundness exam. What is the minimum recommended percentage normal morphology of sperm?
- 70% normal
- To be a satisfactory potential breeder, a bull must meet certain requirements including a normal physical exam, adequate scrotal circumference, sperm motility of at least 30% motile, and sperm morphology of at least 70% normal.
What zoontoic infection is of concern from drinking unpasteurized cow’s milk?
- Mycobacterium bovis
- M. bovis is a very serious zoonosis transmitted to humans by raw milk and has been largely controlled by institutional measures and milk pasteurization in the United States
- Mycobacterium bovis (M. bovis) is a slow-growing (16- to 20-hour generation time) aerobic bacterium and the causative agent of tuberculosis in cattle (known as bovine TB).
- It is related to Mycobacterium tuberculosis, the bacterium which causes tuberculosis in humans
When is a chorioallantoic membrane slip first palpable in a heifer?
- 30-35 days
- This is known as the membrane slip and is considered a positive sign of pregnancy.
- gestation of cows: 283 days
Lipofuscinosis
- lipofuscinosis is the general name for a family of at least eight genetically separate lysosomal storage diseases that result from excessive accumulation of lipopigments (lipofuscin) in the body’s tissues.
- These lipopigments are made up of fats and proteins
- Lipofuscinosis is a storage disease that usually gives the liver a dark appearance
What is the main lesion associated with polioencephalomalacia in cattle?
- Necrosis of cortical gray matter
- A deficiency of thiamine is believed to be the main cause of the disease although others have been suggested, including excess intake of sulfur, lead, or sodium. Early recognition of the signs and treatment with thiamine is required to have success in treating the condition.
Predisposing Factors:
● High concentrate diets (pastured animals can also develop disease)
● Feed with corn or sugar cane byproducts
● High grain intake may promote proliferation of thiaminase producing bacteria
● Rations with added sulfate to limit intake
● Ingestion of plant thiaminases or thiamine analogs
Clinical Forms of Polioencephalomalacia
(acute vs. Subacute)
Acute Form
● Blindness
● Seizures
● Recumbency
Subacute Form
● Initial signs
a. Decreased appetite
b. Twitching (ears and face)
c. Separation from the herd
d. Hold head up in an elevated position
e. Staggering, hypermetric gait
Later signs
a. Cortical blindness
i. Absent menace, intact palpebral reflex and pupillary light response
b. Dorsomedial strabismus
c. Head pressing
d. Teeth grinding
e. Opisthotonus
Post-mortem findings of polioencephalomalacia
a. Gyral flattening, brain swelling.
b. Brain tissue may fluoresce under UV light. - accumulation of autofluorescent substances in degenerating neurons that seem to be localized to the mitochondria
c. Cerebrocortical neuronal necrosis.
d. Cortical spongiosis.
e. Cavitation of cortical tissue.
f. Multifocal vascular necrosis, hemorrhage, and necrosis in deep gray matter.
Polioencephalomalacia
some causes: lead poisoning, lactic acidosis (grain overload - kill microbes req. to synthesize thiamine in the rumen), salt intoxication/water deprivation, bracken fern poisoning (produced thiamine destroying substance), sulfur intoxication, amprolium intoxication (competes for active sites wth thiamine)
Neurological Symptoms in Cattle based on location of lesion
Cerebral Cortex?
Brain Stem?
Cerebellum?
Spinal Cord?
Peripheral Nerves?
more common Brainstem lesions in Cattle
(5)
- Listeriosis is by far the most common
- TEME = Thromboembolic meningoencephalitis
Listeria
- Listeriosis is an infectious disease caused by a bacterium, Listeria monocytogenes. It is a zoonotic disease.
- poorly fermented silage - often silage that results in having a high pH
- cranial nerve deficits from microabscesses in the brainstem
signs:
- signs being asymmetrical (but can be symmetrical over time)
- dull, depressed (due to inflammation of reticular activating formation)
- see signs of CN’s being affected (CN. V and VII most commonly affected)
Diagnosis/Tx of Listeriosis
(8)
- Mononuclear (mixed) cell pleocytosis is an increased leucocyte count with a predominance of lymphocytes and macrophages
- definitive Dx often made on necropsies
- gram (+) bacteria that often respond well to these AB therapies
- can also have dysphagia due to CN 9,10,12 being affected - also drool saliva a lot –> need to correct acid/base derrangements (often metabolic acidosis bc as they drool, a lot of bicarbonate is lost and K+)
common cerebral diseases in cattle
(8)
- TEME - caused by histophilus somni (a gram - bacillus) –> can lead to pneumonia, polyarthritis, myocarditis, abortion, and meningoencephalitis
Pathophysiology of CCN (5)
(polioencephalomalacia)
what might CSF analysis show?
PPP = pathway to produce energy via ATP in the brain and red cells
sodium starts to move into the neuronal or RBC’s as a result and water tends to follow –> swelling
see more of a change in mentation than with listeriosis (which is related to brainstem lesions)
What neurological effect can BVDV cause?
- cerebellar hypoplasia
- tend to see signs of cerebellar lesions (in calves infected in utero) = hypermetria, tremors
Oleander toxicity
- All parts of the plant are toxic, including the dried leaves. Oleander contains a complex mixture of cardiac glycosides, mainly oleandrin, which are potent cardiac toxins
- oleander is cardiotoxic and causes arrhythmias
Hepatic Functions:
metabolic? (2)
Synthetic? (3)
Excretory? (2)
- phylloerythrin : a rose-red photosensitizing porphyrin pigment formed as a degradation product of chlorophyll in the digestive tract of herbivorous animals and normally excreted especially in the bile but absorbed by the blood in pathological conditions —> leads to photosensitization in animals with hepatic damage
Cases of Liver Damage that can e somewhat reversible
(a.k.a. not fibrotic or loss of blood supply)
Signs of Liver Failure in Cattle
- Hepatoencephalopathy is less dramatic in cattle than it is in horses
- photosensitization can be a more observable (peeling nose, watering eyes, general oedema of heads and eyes, affects depigmented areas)
Common causes of Liver Failure in Cattle
(4)
hepatic lipidosis: often late in pregnancy or early lactation