the down cow

Question 1

possible ddx for a down cow

Answer 1

nerve damage? ischaemic necrosis? d/t going down from fasciolosis, hypocalcaemia, hypomag, acute toxic mastitis/metritis/peritonitis, hypophosphataemia, obstetrical paralysis, CNS issue, fat cow syndrome

Question 2

clinical signs

Answer 2

some attempts to stand - crawler/creeper, normal eating and drinking if provided, sternal recumbency, normal GIT, abnormal position of limbs

Question 3

what to check on physical

Answer 3

dislocations, broken limbs, near function, uterus, pelvis, peritoneum, cruciates, udder - watch her reactions

Question 4

how to care for a downer cow

Answer 4

legs inderneath to reduce ischaemia, milk twice daily for comfort, turn to other side e4-6h, fresh feed and water, soft bedding, hobble, sit in sternal recumbency, grippy floor

Question 5

prognosis of a downer cow

Answer 5

presentation is vital - no progress 48-72hrs = euthanasia, can look at biochem to see muscle enzymes

Question 6

tx of a downer cow

Answer 6

check for underlying metabolic issues, fractures/ligament issues/dislocations = euth, otherwise support - NSAIDs, corticosteroids, vit b? and lift her!

Question 7

methods to lift a downer cow

Answer 7

air bag, water tank, sling, bashaw hoist