07/04/2012 Understanding and diagnosing the sick cow Peter Orpin BVsc MRCVS The normal cow • • • • • • Heart rate 40-60 bts/ minute Temperature 101.5 Rumen contraction every 25 seconds Passing dung and urine Normal head and body position Moves freely without problems 1 07/04/2012 The anatomy 2 07/04/2012 3 07/04/2012 4 07/04/2012 5 07/04/2012 The obviously sick 6 07/04/2012 7 07/04/2012 8 07/04/2012 9 07/04/2012 How to diagnose sick cows Stand back and look • Rumen fill • Legs • Body- rumen fill • Cudding • Respiratory rate • Eyes/ ears/ head position 10 07/04/2012 Closer visual examination Stand closer and look • Jugular pulse • Respiratory rate • Nasal discharge • Gut movements • Muscle twitching • Eyes- very important The clinical examination • Temperature • Heart rate • Skin tent time 11 07/04/2012 Temperature- what does it mean? • Pain • Inflammation • Hot day • Exercise/ exertion Resting animal expect 101-102 102.5 significant 104 very significant 106= IBR/ large surface areas affected Temperatures Subnormal Toxic/ milk fever/ dying/ collapse/ poor rumen function Normal Mild elevation 101.5-103 Low grade infection/ localised inflammation in udder/ uterus/wires Moderate elevation103-104 Wires/ mastitis/ respiratory/ metritis Severe elevation 104 + Acute mastitis in early phase, IBR , pnumonia/salmonella/ large surface area infection etc 12 07/04/2012 Top tips • A high temperature is better than a low one • A very high temperature only exists for a short period of time perhaps 24-48 hours • Must be taken as part of the overall picture with sick animal eg subnormal and down/ toxic animal is major problem whereas subnormal and bright and alert less of a worry Always take the temperature of a sick cow! Heart rate • Underused • Heart rate= pain/ stress/ dehydration/ toxic • Subnormal temperature, slow heart rate, down cow= milk fever • Subnormal temperature, rapid heart rate, down cow= toxic? Bleeding out? • Use your eyes 13 07/04/2012 Skin tent time • Underused • Method of assessing dehydration and shock • Greater than 2 seconds then abnormal • Very useful predictor of outcome of acute mastitis Practical • Observe normal cows • Examine normal cows • Make sure we can take temperatures 14 07/04/2012 Treatment options • • • • Medical Surgical Dog Tucker! Make a decision and work it through • Ask for help if you need it. What are the causes of sick cows? Infected Pain/ inflammation Virus- IBR/BVD Bacteria- Salmonella/ EColi Coccidiosis- Calves/ Scour Parasites- Calves/ Scour Lameness Gut pain Surgery Pneumonia Mastitis Trauma Calving Metabolic Shock/ Dehydration Hypocalcaemia( low calcium) Grass staggers Ketosis( low sugar/ high ketones) Hypoglycaemia( low sugar) Water Electrolytes Toxic shock E Coli mastitis Blood loss Gut twist/ RDA 15 07/04/2012 Treatment Options Infected Pain/ inflammation Antibiotics Coccidiocides Parasiticides Pain killers Antii-nflammatories Finadyne Metacam Rimadyl Metabolic Shock/ Dehydration Calcium Magnesium Glucose Dextrose Propylene Glycol “Glycerol Plus” “Selekt Fresh Cow” Water Electrolytes- Selekt Restore Non Steroidals- Finadyne/ When should we call for help? 16 07/04/2012 What should we do to make sure we treat sick cows effectively? 17
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