Exam 2 - NonInfectious Infertility Flashcards
What is the definition of Metritis?
severe inflammation involving all layers of uterus
- endometrial mucosa & submucoss
- muscularis
- serosa
Occurs w/i 21 days post calving
What is definition of Endometritis?
Inflammation of the endometrium extending no deeper that the stratum spongiosum
Occurs at least 21 days post calving
What is pyometra?
collection of purulent exudate of varialble amt w/i endometrial cavity
persistence of corpus luteum
suspension of estrous cycle
CS of Metritis
fetid red-brown watery uterine discharge
w/i 21 d post calving
definition & CS of puerperal metritis
usually w/i 10 d post parturition
pyrexia
decr. milk yield
dullness
inappetance or anorexia
incr HR
deH2O
Dx of metritis
abn lrg uterus post calving
w/i 21 d
presence of purulent discharge
+/- pyrexia
Metritis Tx
Systemic Abx
Ceftiofur
Penicillin
Oxytet
Anti-inflammatory
+/- uterine lavage
Risk factors for endometritis
RFM (retained fetal membranes)
stillbirth
twins
assisted calving
primiparity
CS of clinical endometritis
purulent discharge detectable in vagina >= 21d or more post calving
no systemic illness
Dx of clinical endometritis
rectal palp
transrectal u/s
exam vaginal contents
- gloved hand
- metricheck device
presence of >50% purulent material (score 3) in uterine discharge detectable in vagina 21d or more post parturition
presence of mucopurulent material (score 2) in vagina after 26d post partum
What is this?
Metricheck device
What is the #1 reason of infertility in herds
Clinical endometritis!
Tx for endometritis
Ceftiofur Sodium
1mg/kg IM or SQ 3-5d
Ceftiofur Crystalline Free Acid
6.6mg/kg SQ SID; 72h 2nd dose
Meat withdrawal 13 days!
On label for metritis, off label for endometritis!
What could this be I wonder?
What are its charcteristics?
Cow pyometra
- purulent exudate in uterus*
- presence of CL*
- no estrus*
Etiology of pyometra
Why?
occurs when metritis, endometritis, lochia, or other contents are present & ovulaton occurs resulting in CL formation
Uterine contents (no matter how gross!) inhibit PgF2a release, & CL is maintained!