GIT Flashcards
Cow producing 30L of milk requires how much dry matter?
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Half the number of liters plus five
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Tail end of the 5 station exam
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Left side 5 station clinical exam
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Auscultation of the rumen and left flank
Normal:
- palpate doughy rumen, often with a small gas cap
- Primary contractions approximately every minute
- Secondary cycle approximately every 2 minutes
Abnormal:
- Palpate large gas cap which distends fossa
- Hypermotility (e.g. vagus indigestion)
- Hypomotility (e.g. hypocalcaemia, rumen atony)
- ping (rumen distension)
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Percuss and auscultate body wall
* Requirements for pings
- gas distended viscus
- gas/fluid interface
- gas under pressure
- gas distended viscus might be against body wall
- both percussor and stethoscope must be over gas distended viscus
- viscus is singular of viscera
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Left sided pings DDX
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Abomasal ping
- high pitched/ resonant
- classic location
- beware milk fever!
Rumen ping
- a bit duller
- less resonant
- dorsal location
- can often palpate the gas cap
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Auscultation and ballottement
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Diagnosing a ping
Abomasal ping
- high pitched/ resonant
- classic location
- beware milk fever!
Rumen ping
- a bit duller
- less resonant
- dorsal location
- can often palpate the gas cap
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Right sided auscultation/ percussion
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Fluid splashing sounds audible on deep ballottement (succussion)?
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5 station exam right side
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5 station exam head/neck
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5 station exam tail end revisted steps
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Abnormal rectal findings include:
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Abomasal torsion
Parameters of faeces to assess alimentary tract
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5 station exam ancillary tests
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pH- the normal is between 6.2 and 7.2
Low values of pH are found after the feeding of carbohydrates
A value of below 5 is considered very suggestive of carbohydrate engorgement
Examination of rumen protozoa
(Could also use a stomach tube)
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Measuring pH of the rumen
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Paracentesis sites
- To the left of the midline, 3 to 4 cm medial to and 5 to 7 cm cranial to the foramen for the left subcutaneous vein
- 5 cm caudal to the xiphisternum and 5 cm to left or right of mid-line
- The right ventral abdominal wall in the area of the skin under the flank fold above the udder
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What could air in the intestines indicate?
Blockage or hypocalcaemia
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Tests for abdominal pain
* Grunt test
In the “grunt test” a sharp pressure is applied over and behind the xiphoid whilst listening for an audible grunt from the
cow. The pressure may be applied with a clenched fist, the knee or a pole lifted on both sides. The grunt is sometimes
clearly audible but is often only discerned by auscultation over the trachea. The test is rather subjective and not
particularly reliable. It should be appreciated that a grunt can be elicited from pain in either the anterior abdomen or
chest and the test is not specific for traumatic reticulo-peritonitis, although that is the most common condition associated
with a positive finding
* Withers pinch test
Firm pressure is applied to the whither area by grasping and pinching the whithers. A normal cow will lower the withers to
avoid this contact. A cow with peritonitis may be reluctant to lower her withers and thuis push against the painful
peritoneal surface. This technique requires more subjective interpretation because many nervous cows Are reluctant to
respoind at all to a withers pinch.
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Abdominal pain in the bovine
* May be seen in conditions of gastro-intestinal tract such as:
- volvulus, intussusception, phytobezoars, salmonellosis
- Abomasal torsion, spasmodic colic
* But also:
- Diseases of the liver, associated with distension of the organ capsule
- inflammation of the serous surfaces of the peritoneum
- with pyelonephritis, urethral obstruction and distension of the bladder
- early cases of photosensitisation
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Exploratory laparotomy
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* Anaesthesia- inverted L or paravertebral (disadvantage: a lot of anaesthetic)
- clip area and prepare for surgery
* 20 cm incision right paralumbar fossa
3 steps:
- incise skin and subcutaneous/ external abdominal oblique with vertical incision
- split internal abdominal oblique in direction of fibres
- blunt dissect through transverse abdominous, peritoneum
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Exploratory laparotomy- closure
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Diseases of the abomasum and intestines
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Left Displaced Abomasum (LDA)
Aetiology not fully understood, multifactorial syndrome, heavy grain feeding
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Aetiology of LDA
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Nutritional factors implicated in LDA
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LDA correction
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LDA correction- right flank omentopexy
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* ID pylorus- pull on omental attachment until the pylorus comes into view- palpate and visualise
* Routine closure
* Broad spectrums abs (Oxytet)
* NSAIDs (long acting- tolfedine or metacam)
* Ketol
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LDA correction- rolling
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LDA correction- toggle technique
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Prevention of LDA
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Key Points of LDA
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RDA/RTA typical history and clinical signs
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Aetiology of RDA
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Abomasal dilatation and torsion
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Abomasal dilatation and torsion- correction
* First assess prognosis- melena and HR > 100 are bad signs when corrected, omentopexy to prevent recurrence
* Standard closure
* IV fluids if very shocked
* Antibiotics
* NSAIDs
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RDA Key points
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Dietary abomasal impaction
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Dietary abomasal impaction treatment
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Typical history of physical obstruction of the pylorus
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Typical signs of intestinal phytobezoars
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Physical obstruction of the pylorus treatment
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Intestinal phytobezoars
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* Signs are less severe than seen in cattle suffering from an obstruction due to a volvulus or intussusception
* Findings
- sudden severe depression in milk yield
- dehydration
- commonly a very small amount of greenish rumen discharge observed at nares of affected animals
- ballottement/auscultation right abdomen- may detect fluid splashing sounds
- rectal exam: early stages the amount of faeces is reduced and somewhat pasty… later, grey, yellow faeces- extremely pasty, very foul smell- pathognomonic
** As condition progresses- dehydration increases, HR increases
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Intestinal phytobezoars- treatment?
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* right paralumbar approach
careful search of intestines - palpation
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Key points- intestinal phytobezoar
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Intussusception
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Intussusception surgery
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Key points intussusception
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Intestinal torsion
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Dilatation, volvulus and torsion of the caecum
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Dilation and torsion of the caecum- signs
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Dilatation and torsion of the caecum- treatment
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Caecal dilatation, volvulus and torsion
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Carb overload, two conditions
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History of acute rumen acidosis
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Pathogenesis of acute rumen acidosis
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Rumen acidosis
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Acute rumen acidosis secondary effects
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Diagnosis of acute rumen acidosis
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Four stages of acidosis Treatment
- Cow has above + some systemic effects
- as above plus antibiotics
- avoid secondary effects - Cow is down
- as above plus NSAIDs, fluids
- ? how much fluids and what type
- consider rumenotomy
- careful of water
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Rumen buffers
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Ancillary treatments of ruminal acidosis
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What is sub acute rumen acidosis?
* herd problem due to diet
* reduced rumenation (cud chewing)
* mild diarrhoea
* foamy faeces containing gas bubbles
* undigested grain in faeces
* Reduced milk fat (<3%)
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Indirect indicators of ruminal acidosis
* laminitis
* faeces
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Faeces indicators of fibre intake
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Laminitis and grain
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SARA treatment
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Prevention of rumen acidosis
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Buffers in feed
More than 4 kg a day need buffers in the feed
bicarb 2-3% to the grain
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Virginiamycin
Concern with ab resistant bacteria however works really well with rumen acidosis
Takes a fortnight to work and need veterinary prescription
Produce medicated feed orders (like prescription) send into feedmill and the feedmill adds the Virginiamycin
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Carb engorgement conditions
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Other rumen upsets aside from carb engorgement
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Treatment of abdominal conditions
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Acidosis or alkalosis
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Fluid therapy in adult cattle
* only bother to treat severe dehydration in most cows, if they are down need to correct if for them otherwise they will correct it orally themselves
* Most cows are alkalotic
* At a farm visit, can really only give 5-6 liters of IV fluid at once
* A practical method of treatment is 2-3 L of hypertonic saline (4 ml/kg BW) IV (over about 4 minutes) plus 20 L of water administered by stomach tube
* Can add some bicarbonate in grain overload cows
* Be careful of hypertonic fluids in very dehydrated cows (as distinct from endotoxic shock)
* MUST follow up with oral fluids (Water is ok)
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Define abdominal distension? Bloat?
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Abdominal distension- principles?
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What does a ping mean?
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Left abdominal distension
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Bilateral abdominal distension
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Trilateral abdominal distension
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Abdominal distension left– mechanisms?
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Abdominal distension- diseases
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Bloat
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Frothy bloat
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Drenching cows with bloat
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Other option aside from drenching for cows with bloat?
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Drenching, tubing, or?? cow with bloat?
* the hole sometimes blocks up
* you only need to let enough gas out so that the cow can breathe again
* drench her with bloat oil then
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Emergency rumenotomy
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When does bloat occur?
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Prevention of bloat
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Diet to prevent bloat
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Oils to prevent bloat
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Detergents to prevent bloat
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Monensin
* often added to the grain ration fed to dairy cattle
- increases proprionic acid production
- prevents coccidosis in young stock
* Very toxic for horses
* Typically occurs in feed at 11-18 mg/kg (dairy) or 25-33 mg/kg (beef)
* Horses 20 times more sensitive than cattle (200x more than chooks)
* Heart and skeletal muscle death from mitochondrial dysfunction
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Abdominal distension- diseases
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Free gas bloat acute or chronic
* ANY recumbency
* Oesophageal obstruction
* Hypocalcaemia
* Stop them dying of bloat
* Treat the underlying condition
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Oesophageal obstruction
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Buscopan
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Chronic secondary bloat
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Simple indigestion
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Simple indigestion aetiology? Clinical findings? Diagnosis? Treatment?
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Vagus indigestion
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Vagus nerve
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Diagnosis of vagus indigestion
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Treatment of vagal indigestion
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Abs for peritonitis
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Anti-inflammatories of vagal indigestion
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Post mortem bloat
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Abdominal distension- right
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Needle head placed in to check if fluid comes out
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Abomasal volvulus
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Hydrops amnion and allantois
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DDX to hydrops amnion and allantois
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Abdominal distension- left
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Abdominal distension-right?
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Abomasal ulceration
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Incidence of abomasal ulcers
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history of abomasal ulcers? typical clinical signs?
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Ulceration of the abomasum when severe?
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Key points abomasal ulceration
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Peritonitis
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Traumatic reticuloperitonitis
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Presentation traumatic reticuloperitonitis
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Ruminant digestive system
Ruminants grasp mouthfuls of food and swallow before it is chewed, wrap their tongues around a mouthful of grass, clamp down their teeth and pull to break the grass at its weakest point and swallow
* Ruminants will chew their cud (regurg) their food material and then grind it with their molars at a time when the animal is resting
* this is done until the food particles are small enough to pass through the reticulum into the rumen
* Since ruminants do not chew their food when it is taken in, at times foreign material like rocks, nails, small pieces of wire can be swallowed
* While the animal is chewing its cud foreign particles that are heavy sink in the reticulum, preventing many foreign particles from entering the rest of the digestive system
* Once foreign material enters the reticulum, it can stay there for the life of the animal
* If the reticulum squeezes a piece of wire it may penetrate through into the chest/ heart
Sequelae to traumatic reticuloperitonitis
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Treatment of traumatic reticuloperitonitis
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Prevention of traumatic reticuloperitonitis
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Secondary rumen atony
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Key points of abdominal distension and bloat
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Pathophysiology of Diarrhoea
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Effects of diarrhoea
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Lists of diseases with diarrhoea
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Aetiology of diarrhoea
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BVDV
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Acute disease in naive animals
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In utero infection BVDV
* 100-150 days
- viral damage to developing organs: especially CNS
- may be PI or have high Ab levels
* > 150 days
- usually no clinical effect
- virus free
- seroconverted to pestivirus
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Congenital defects BVDV
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BVDV
Mucosal disease in PI animals (BVDV)
* Acute or chronic forms
* usually in younger animals
* 100% fatal but low numbers affected
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Less typical presentations of BVDV
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Epi of BVDV
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Laboratory diagnosis BVDV
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Control of BVDV
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Salmonellosis
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Epi of S. dublin
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Epi of S. Typhimurium
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Local Epi of BVDV
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Clinical presentation of BVDV
* Acute enteritis
- anorexia, reduced milk production, pyrexia, depression
- profuse, putrid diarrhoea +/- dysentery
- Abdominal pain
- dehydration, recumbency, death
* Abortion may occur subsequently
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Zoonotic BVDV
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Diagnosis of BVDV
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Treatment of BVDV
* Supportive therapy: fluids– oral supplemented with electrolytes, IV for acidosis (NaCl/ H2CO3)
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Short term control of BVDV
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Yersiniosis
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Pathogenesis of Yersiniosis
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Clinical signs of Yersiniosis
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Diagnosis of Yersiniosis
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JD
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Prevalence of JD
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Importance of JD
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Epi of JD
* preclinical
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Clinical signs of JD
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JD
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JD Lab tests
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More tests JD
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Combination of tests for JD
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Treatment of JD
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Control of JD
* If you have got JD in your herd…
- prevent spread
– detect infected adults and remove them
– manage calves to reduce exposure (JDCAP)
- reduce exposure to adult faeces; vaccinate
* Minimize the risk of further introduction
- don’t introduce animals into the herd
- source introduced animals from low risk herds (JDMAP)
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National JD control program
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BJD Zoning
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JD MAP
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JD CAP
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JD CAP
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Fibre requirements in the diet?
Adequate intake of neutral detergent fibre (NDF)– 25% NDF in total dietary DM. 75% of which is supplied by coarse forage to maintain rumen function and health.
* Many pasture diets, especially those supplemented with concentrates, will be near the lower limit of effective fibre required in the diet.
* Estimates of diet NDF should be matched with observations from the field cud-chewing, faecal formation, milk fat and protein content and rumen pH to ensure optimal and safe diet
How are the volatile fatty acids absorbed to buffer the acid in the rumen?
Absorbed through the rumen wall (papillae)
Cow produces huge amounts of bicarbonate in her saliva– enough roughage and food with sufficient particle length that the cow is going to need to regurgitate and chew it
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Could cause if an abscess burst and causes local peritonitis–> LDA, RDA, vagal indigestion
* Predisposing factor carb overload in the first part of lactation
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Undigested grain
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Caval syndrome
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Saw horse stance due to laminitis
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Parasite mechanisms of survival
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Effects of parasites
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Most common nematodes in Australia
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Ostertagia
* Most pathogenic nematode
aka Teladorsagia
Small up to 9 mm
Outbreaks– Type I and Type II
Abomasum
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Trichostrongylus axei
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Haemonchus
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Cooperia
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General life cycle of the nematode
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Length of life cycle
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Timing of dung pat and larval migration
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Dung pats and nematodes
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Larval migration
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Timing of Population % of eggs deposited
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Timing of availability of larvae on pasture
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When do calves have eggs in their faeces? When are they first drenched?
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Type I Ostertagiasis?
When is high risk time of weaned calves?
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Immunity and hypobiosis in yearlings and older beef cattle?
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Type II Ostertagiasis
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Seasonal occurrence of adult worms and inhibited larvae of O. ostertagi in different temperate zone regions of AUS
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Drenching who beef?
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Dairy calves and parasites?
* Grazing dairy cattle likely to be infected with nematodes
* 80% trials showed a positive response to anthelmintics
* Median increase 0.67 litres/day
* There is no way of determining whether an animal or herd has a sufficient parasite burden to interfere with production
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Diagnosis of nematodiasis
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Faecal egg counts
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Plasma pepsinogen
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Bulk Milk ELISA
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Toxocariasis
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Intestinal cestodes
Cysticercosis
◦
Taenia saginata (Cysticercus bovis)
Echinococcus granulosis
◦
The
most
common
cause
of
downgrades
in
QLD
abbattoirs
◦
Notifiable
◦
NZ
is
hydatid free
(?
Tasmania
too)
Coenurosis cerebralis (Taenia multiceps)
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Who does Fasciola hepatica affect?
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Liver fluke effects
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Fasciola hepatica life cycle
IH hosts
Lymnea tomentosa (native)
L columella
Both live in (L. columellla) and around (L. tomentosa) bodies of water
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Pathogenesis of Fasciola hepatica
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Acute Fluke Disease
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Chronic Fasciola hepatica
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Fluke diagnosis
* Antibody ELISA
- Sensitivity of 87.5% reported
* Detects non-patent infections (from 14 d)
* Blood, milk, or bulk milk
* Useful as a screening test for a group of animals
** Post mortem as well– flukes or scarring
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Treatment/ Prognosis of Fasciola hepatica
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Treatement and control of Fasciola hepatica
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Lungworm
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Lungworm life cycle
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Lungworm infection in a group of weaned calves: note the open-mouth breathing in one animal and loss of condition through the entire group
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Field post-mortem examination of a calf with lungworm infection; the airways are characteristically full of a bloody froth and many adult worms are present
Lungworm diagnosis
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Treatment of parasites
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Types of anthelmintics
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White drenches
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Clear drenches
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Macrocyclic lactones
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Choosing a drench– factors
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Which product?
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Control of parasitic gastroenteritis
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Withholding periods
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When to drench dairy calves
* depends who you ask
* Standard recommendation- drench at calving
* drying off?
* Calving?
* Probably not a critical decision
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When to worm beef cattle
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Drench resistance
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Managing AR on dairy farms
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How to apply refugia on dairy farms
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Free living stages on pasture
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Pour ons
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combo anthelmintics
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Quarantine testing
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Mgt of resistance
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What is the best drench for calves?
Injectable Dectomax
Times where it makes a difference is if you have a problem