Neonatal calf diarrhea Flashcards

1
Q

leading causes of mortality in dairy calves? despite what? what about beef?

A

Undifferentiated calf diarrhea remains the leading cause of mortality in dairy calves, followed by pneumonia
§ Despite increased awareness with regards to importance of:
§ Colostrum / passive transfer
§ Vaccinations ( ETEC; Rota, Corona)
§ Also an important cause of morbidity and mortality in beef calves

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2
Q

can we often get a clear etiologic diagnosis for calf diarrhea? why?

A

It is often impossible to establish a clear etiologic diagnosis, since often several organisms as well as management are involved in this disease complex

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3
Q

THE BIG 6 CAUSES OF DIARRHEA Calves <21 days of age

A
  • Enterotoxigenic E. coli – F5/K99 fimbria (<4 days)
  • Rotavirus (4-21 days)
  • Coronavirus (4-21 days)
  • Cryptosporidium parvum (5-28 days)
  • Salmonella enterica (serotypes Dublin, Typhimurium)
  • Nutritional
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4
Q

ETEC type of diarrhea, zoonotic?

A

type: secretory
not zoonotic

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5
Q

rotavirus type of diarrhea, zoonotic?

A

type: villous atrophy + secretory
* Potential for 2nd transient lactose intolerance
not zoonotic

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6
Q

coronavirus type of diarrhea, zoonotic?

A

type: villous and crypt atrophy + secretory
* Potential for 2nd transient lactose intolerance
not zoonotic

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7
Q

cryptosporidium parvum type of diarrhea, zoonotic?

A

type: villous atrophy + secretory
* Potential for 2nd transient lactose intolerance
zoonotic!!

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8
Q

salmonella spp. type of diarrhea, zoonotic?

A

type: mucosal damage
zoonotic!!

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9
Q

nutritional diarrhea type

A

bacterial overgrowth

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10
Q

ETEC diagnostic confirmation method

A

bacterial culture and slide agglutination +/- ETEC PCR

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11
Q

rotavirus diagnostic confirmation method

A

latex agglutination - rotavirus group A
PCR
ELISA

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12
Q

coronavirus diagnostic confirmation method

A

Ag-detection ELISA - bovine coronavirus

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13
Q

cryptosporidium parvum diagnostic confirmatino method

A

sucrose wet mount

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14
Q

salmonella diagnostic confirmation method

A

bacterial culture (or ELISA, PCR)

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15
Q

nutritional diarrhea diagnostic confirmation method

A

response to lactase

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16
Q

purpose of identifying cause of calf diarrhea

A

Identifying cause is not critical for treatment, but helps with managing control/prevention !

17
Q

ETEC prevention:

A

” F5 (K99) vaccine to dry cows
“ F5 (K99) oral vaccine during outbreaks

18
Q

Metabolic changes resulting from diarrhea

A

Net losses of
* Water
* Sodium
* Potassium
* Chloride
* Bicarbonate
Production D/L-lactate

  • Dehydration
  • Electrolyte abnormalities
  • Strong ion and/or D/L-lactate acidosis
  • Negative energy balance, hypoglycemia and hypoproteinemia
  • Inflammatory changes of GIT
19
Q

CLINICAL SIGNS of calf diarrhea

A
  • Watery diarrhea, usually yellow
    > fever, dysentery, abdominal pain, & tenesmus
  • Dehydration, weakness
  • Loss of suckle
  • Depression (metabolic acidosis, sepsis)
  • Secondary signs (e.g. related to hyperkalemia, hypoglycemia…)
  • Look for other body system involvement (lungs, umbilicus, joints, eyes)
  • Death
20
Q

DEHYDRATION from diarrhea, cause:

A

­increased fluid + elyte loss in stool
decreased ̄fluid intake

21
Q

result of calf dehydration

A

̄ reduced plasma volume
̄ reduced extracellular fluid volume
> reduced venous return
> reduced cardiac output and peripheral perfusion
= HYPOVOLEMIC SHOCK

22
Q

Estimation of Clinical dehydration:

A

The best predictors of degree of dehydration (model of acute diarrhea) were extent of eyeball recession into orbit, skin pliability on neck and thorax, and plasma protein concentration.

23
Q

Estimation of Clinical dehydration summary table: for <5, 6-8, 8-10, 10-12% dehydration

A

<5%: normal demeanor
6-8%: slightly depressed
8-10%: depressed
10-12%: comatose

> eyeball recession and skin tesnt duration increase up to 6-8mm and 5-10s respectively

24
Q

In calves with cachexia or chronic diarrhea, best way to estimate dehydration

A
  • In calves with cachexia or chronic diarrhea, skin pliability in the neck region would be the most reliable indicator of hydration status
25
best spot to look at skin pliability to assess dehydration? what about eyelid?
look at neck, thorax > eyelid skin pliability is inferior to neck and thoracic skin pliability
26
Practical Estimation of degree of metabolic acidosis present in calves with diarrhea in field:
* The more depression the greater the acidosis * Calves > 1 week have much greater acidosis compared to calves < 1week of age with similar clinical signs
27
treatment for calf metabolic acidosis?
bicarbonate (or acetate?)
28
Hypoglycemia signs:
* Weakness, lethargy, coma, convulsions, and opisthotonus (always an emergency)
29
in what conditions is hypoglycemia common? problem?
Especially when milk withheld in cold weather * ... Serious energy deficit!
30
hypoglycemia treatment
Fluids iv should be spiked with dextrose solutions (5% is isotonic, 2.5% is half strength)
31
ASSESSMENT OF ENERGY STATUS when hypoglycemic, tools pros, cons, and strategies
GLUCOSE METERS eg, Precision Xtra, One Touch Vita - Stall side, quick, cheap, easy - May consistently under- or over-estimate the glucose value ...Need to establish reference interval for glucometer (and use the same one each time!)
32
signs of hypoglycemiia and important differentials
- Signs: weakness, lethargy, coma, convulsions, and opisthotonus Important Differentials to consider: ! Salt poisoning due to wrong dilution of electrolytes ! Septicemia > Enlarged joints ?, umbilicus!!!, hypopyon
33
summary of diarrhea key point: clinical signs, how to evaluate dehydration, signs of hypoglycemia
- Clinical signs (diarrhea, dehydration, dull mentation, low body condition) - How to evaluate dehydration – sunken eyeball, skin pinch & twist on neck and chest - Signs of hypoglycemia: weakness, lethargy, convulsions, opisthothonus