Upper GIT/Lameness in Cattle/Head and Respiratory Sx Flashcards
What would you suspect if you are called to a farm to evaluate a cow that is bloating, excessive salivation, coughing/retching, head & neck extended with a protruding tongue?
Esophageal choke
DDx: Pharyngeal trauma or Rabies
What type of bloat is associated with esophageal choke?
Type I vagal indigestion-failure to eructate
What are two common complications associated with esophageal choke?
Bloat (Type I vagal indigestion) Metabolic acidosis (excessive loss of saliva-which means loss of HCO3)
What is the most preferred treatment of esophageal choke?
Medical management- sedation, Buscopan, lidocaine and decompress rumen (Red Devil Trochar)
What is the sx option for esophageal choke if all medical options have been exhausted?
Esophagotomy
Why is it not optimal to perform surgery on the esophagus?
There is no serosal covering, constant movement/tension on suture line, doesn’t heal well.
What are the muscular layers of the esophagus?
Adventitial layer
Muscular layer
Submucosa
Mucosa
What are the associated structures of the esophagus?
Recurrent laryngeal n. Carotid sheath Vagosympathetic trunk Tracheal Lymphatic trunk Deep cervical LN
What layers of the esophagus provide tensile strength?
Mucosa & Submucosa layers
What is the difference in closure of a cervical esophagotomy when there is healthy vs. unhealthy skin?
Healthy: close immediately
Unhealthy: close via secondary intention
Where are knots buried in when closing a esophagotomy?
In the lumen to minimize exposure
What type of tube is used for a esophagostomy?
Polyethylene NG tube (caudal to repaired esophagus)
How long should the tube be left in post-esophagostomy?
7-10 days minimum to allow stoma formation
What provides immediate relief of chronic bloat?
Temporary rumen fistula
Where is a temporary rumen fistula performed anatomically?
L paralumbar fossa
How much of the rumen needs to be sticking out of the skin?
1 inch of the rumen
What are the four indications for a rumenotomy?
Chronic bloat
Foreign body
Reticular abscess
Type II vagal indigestion
If the foreign body doesn’t penetrate the thoracic cavity or involve the R side of the reticulum, what prognosis is indicated post-rumenotomy?
Good
If the foreign body involves the R side of the reticulum, what prognosis is indicated post-rumenotomy?
Guarded
If the foreign body penetrated the diaphragm, what prognosis is indicated post-rumenotomy?
Poor
What are the cardinal CS of traumatic reticulopericarditis?
Washing machine murmur, muffled heart sounds, tachypnea, tachycardia, R-sided heart failure (distended jugular, brisket edema)
What is the treatment for hardware disease?
Oxytetracycline, PPG
IF pericarditis is present: Pericardial aspiration –> pericardectomy, rib resection, FB removal
What is the usual cause of death associated with hardware disease?
Constrictive pericarditis
How can hardware disease be prevented?
Rumen magnet
What are the four DDx for R-sided heart failure?
Traumatic reticulopericarditis
Endocarditis
Lymphosarcoma
Mediastinal Mass
What are the causes of acquired cleft palate?
Poison hemlock
Nicotiana spp
What signs may you notice in a calf/cow with a cleft palate?
Regurgitation of milk
Aspiration
What is the tx for cleft palate?
Sx repair (usually need multiple to fix this) Place a NG tube and muzzle/nose ring to prevent cross suckling
How are tongue lacerations tx?
Sx resection with an oblique incision bringing the edges together with mattress suture
How are jaw fractures treated?
Cerclage wire
What group of bovine do you most commonly see granuloma & necrotic vocal cords?
Yearling bulls
What is the tx for granuloma/necrotic vocal cords?
Temporary tracheostomy tube
Where is the incision made for a temporary tracheostomy tube?
This is an EMERGENCY
Incise at junction of cranial and middle 1/3 of neck, incise annular ligament
What is the maximum percentage of the trachea that can be transected?
No more than 50% should be transected (prevents stricture formation)
What is the treatment for arytenoid chondritis?
Sodium iodide
What is the tx for Lumpy Jaw?
Sx resection of the bone masses
What structures are involved with dehorning?
Cornual a. and n.
What is the cornual artery a branch of?
Superficial temporal artery
What is the cornual nerve a branch of?
zygomaticotemporal n.
What is the withdraw period for meat in association with meloxicam?
21 days
What are the dehorning methods used in younger calves with no sinus openings?
Chemical or thermal dehorning (<1 week old)
What is the dehorning method used in an animal <8 wks old?
Tube dehorning
What is the dehorning method used in an animal that is 3 months-year?
Scoop dehorning
How much of the haired skin at the base of the horn should be removed when dehorning to prevent regrowth?
1 cm
What is disbudding and when is it done?
Disbudding is dehorning in small ruminants
Buck: 3-5 days
Doe: 5-7 days
What type of incision is made with cosmetic dehorning?
elliptical incision
What are the main complications associated with dehorning?
Hemorrhage, infection/sinusitis
What time of the year should dehorning be avoided?
During fly season you should avoid dehorning animals- reduces the risk of infection
What is sinusitus most commonly a result from?
Dehorning
What bacteria is associated with dehorning vs. nothing to do with dehorning in relation to sinusitus?
Dehorning: Truperella pyogens
No association: Pasteurella multocida
What is the most common sinus cavity affected by sinusitus?
Frontal cavity (this cavity extends into horns at 4-6 months of age)
What are some CS of sinusitus?
Nasal/horn discharge, facial distortion, halitosis, dull sinus percussion
What is the tx for sinusitus?
Drainage/Lavage (trephine holes or bone flap)
What are most lameness cases due to in cattle?
Foot problems
Why do cattle have less complications with lameness?
They have two toes so they can shift the weight to the other toe
Which digit should a wooden/plastic block be placed on when treating lameness?
Block should be placed on the good toe
Flush with the axial wall and extending to the heel
How long should the toe block be left on for?
4-6 weeks
What type of cattle are vertical fissures/sandcracks seen in and what claw is commonly affected?
Older beef cattle w/ high BCS
Front lateral claw
What is damaged when there is a sandcrack on the claw and where is the pain seen?
Damage to periople (outer layer of upper hoof wall)
Painful right at the coronary band
What is seen if there is infection or excessive movement?
Infection –> lameness
Excessive movement –> proud flesh
What is the tx for sandcrack?
Debride crack and open tract to allow drainage
T/F: Males more commonly get interdigital hyperplasia/corns?
True
What is interdigital hyperplasia?
Chronic irritation due to fibrous mass between digits
What is the tx for interdigital hyperplasia?
Resection and bandage (heal by 2nd intention)
What are some preventative methods for interdigital hyperplasia?
Improve hygiene, hoof trimming, breed it out
What is it called when the solar surface of a claw faces axially causing the cow to weightbear on the abaxial wall?
Corkscrew claw
Which claw most commonly gets corkscrew claw?
Lateral claw of hind limb
What is the treatment of corkscrew claw?
Trim and slope hoof
T/F: Exposure of the corium on the WB surface is common?
TRUE
What is deep digital sepsis caused by?
Severe trauma or ascending infection
What is the tx for deep digital sepsis?
Digit amputation, facilitate ankylosis of coffin joint
What are the CS of a cow with stifle injury?
Short stride Limited flexion of stifle Walking on toes with heels elevated Leg held in abduction Little weight beared
What stifle injury causes joint laxity?
Cranial cruciate injury
What collateral ligament of the stifle is more commonly injured?
Medial
What is the treatment for collateral ligament injury?
Imbrication
What is septic arthritis of the coffin joint caused by?
Extension of solar abscess
What structures are involved with septic arthritis of the coffin joint?
P3, P2, navicular bone & bursa, DDFT & Sheath, interphalangeal joint
What are the radiographic signs of septic arthritis?
Periosteal reaction
Asymmetric swelling of soft tissues
Bone lysis
What is the tx of septic arthritis?
lavage/antibiotics
digit amputation
facilitated ankylosis
cull
When is digit amputation performed?
Treat injury or sepsis distal to P1
When are the post-op amputation prognosis rates increased?
When performed on lateral forelimb digit or medial hindlimb digit
Decreased BW helps
What is facilitated ankylosis?
Removal of infected articular cartilage & bone with curette, lavage and immobilize