Bovine GIT Flashcards

1
Q

The bacteria in the rumen are mostly gram what?

A

Gram positive

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2
Q

How long does it take rumen microbes to adapt to a new diet?

A

3 weeks

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3
Q

Out of fibre and FME (fermentable metabolisable energy), which has the highest rate of fermentation?

A

FME (fast)

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4
Q

Give some examples of FMEs

A

Starches

Sugars

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5
Q

What is glucose metabolise into in the rumen?

What is this then metabolised into?

A

Pyruvate

  • > Acetic acid (absorbed)
  • > Propionic acid (absorbed)
  • > Butyric acid (absorbed)
  • > CO2 (vented)
  • > Methane (vented)
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6
Q

What should rumen pH be?

A

6-7

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7
Q

How does a low rumen pH lead to ruminal acidosis?

A

Low pH -> kills microbes, encourages growth of lactobacilli (produce D-lactic acid which can’t be metabolised)
Efficiency of digestion falls if pH falls (destroys papillae)
Undigested particles pass through to hindgut -> osmotic diarrhoea (loose faeces), colonic acidosis (damage to colon wall -> fibrin casts in faeces)
Low pH also destroys rumen papillae -> rumenitis

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8
Q

Give some factors that affect rumen pH

A

Amount of VFAs being produced
Type of acid produced (lactic acid= strong)
Rate of fermentation (fibre-slow, concentrates (FME)-fast)
Rate of acid removal (absorption across rumen wall-papillae)
Buffering by saliva (chewing the cud)

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9
Q

What % of cows should be chewing the cud at any one time?

A

70%

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10
Q

What does saliva contain that is so important for a healthy rumen?

A

Sodium bicarbonate (buffers the acid in the rumen)

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11
Q

Why should dairy cows have plenty of long fibre?

A
Encourages cudding (bicarbonate in saliva buffers acid in rumen)
Forms a rumen mat (home to microbes; keeps food particles in rumen to be digested)
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12
Q

A rumen pH of what value is indicative of SARA (sub-acute ruminal acidosis)?

A

<5.5

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13
Q

What does swishing tails indicate?

A

Sore bums (due to acidic faeces)

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14
Q

How might the faeces of a SARA infected cow appear?

A

Loose and soft
Long fibre present
Undigested grains present
May see fibrin casts (from inflamed colon)

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15
Q

Give some effects of SARA

A

Reduced DMI
Reduced digestibility (reduced energy intake, negative energy balance)
Immunosuppression (susceptible to disease)
Poor milk yields
Milk butterfat may be low (not always)

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16
Q

Give some health effects of SARA

A
Displaced abomasum (VFAs enter abomasum -> atony)
Digestive upsets
Ketosis (negative energy balance)
Lameness (ulcers, white line lesions)
Mastitis
Immunosuppression
Infections eg endocarditis
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17
Q

Give some fertility effects of SARA

A

Cows not seen bulling

Poor conception rates

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18
Q

How can you diagnose SARA?

A

Measure rumen pH 2-4 hours after feeding (gold standard) (<5.5)
Sieve faeces (undigested grain, long fibres over 1/2 inch, mucus casts)
History (nutritional management)
Condition score (>0.5 loss in CS from dry-peak lactation)
Observe the group (eg tail swishing, cudding)
Clues (eg fertility, lameness, LDA, ketosis)

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19
Q

When should you measure rumen pH?

A

2-4 hours after feeding

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20
Q

How would you sample rumen pH in a herd?

A

Sample 2 groups: cows calved 14-21 days ago, and cows calved 60-80 days ago.
First group are still adapting to ration, second group have adapted so have maximal DMI
Sample 6 cows from each group
Diagnosis confirmed when 2 cows from either group are below threshold pH (ie <5.7)

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21
Q

How do you sample rumen pH?

A
Restrain cow
Obtain sample at level of stifle, 6-8" behind last rib
Clip and scrub
LA
3-5" needle, 16-18G
Read sample on pH meter immediately
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22
Q

What is included in a ‘far off diet’?

A

Grass silage and straw

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23
Q

Give the following values for grass silage:
Energy
Protein
Dry matter

A

Energy: 10.5-12MJ ME/kg DM
Protein: 14-16%
Dry matter: 20-35%

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24
Q

Give the following values for maize silage:
Energy
Protein

A

Energy: 11-11.5 ME
Protein: 8-9%

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25
Why is it better to add hay rather than straw to a diet when adding fibre?
Hay is more palatable
26
When does acute ruminal acidosis occur?
When overeating grain
27
What clinical signs would you see with acute ruminal acidosis?
``` Distended rumen Ataxia Diarrhoea (profuse and smelly) Depression Recumbency and shock Anorexia Dilated pupils ```
28
What would you see with peracute ruminal acidosis?
Severe ataxia or recumbency, apparently blind, severe dehydration
29
How would you treat mild acute, subacute and peracute ruminal acidosis?
Mild: give hay and observe Subacute: oral antacids (magnesium hydroxide/carbonate), hay Peracute: rumenotomy (empty rumen contents), sodium bicarbonate iv, balanced fluids, calcium borogluconate (source of calcium) NSAIDs Antibiotics eg oral penicillin Animal may be severely dehydrated so give water
30
How can you prevent ruminal acidosis?
Take care when introducing grain to fattening animals Good fibre source Correct mixing of diets
31
Which part of the rumen acts as a home for microbes?
Fibre mat
32
Give some conditions that may occur in the dairy cow after calving
``` Milk fever (hypocalcaemia) RFM/metritis/endometritis Mastitis Displaced abomasum Ketosis Fertility issues Lameness ```
33
Why does milk fever occur?
Hypocalcaemia +/- hypophosphataemia | Drain on Ca2+ due to colostrum/milk demands from calf
34
What is the role of parathyroid hormone?
Mobilisation of calcium from bone stores | Increased absorption from gut (requires Mg2+)
35
What is the role of calcitonin?
Reduces calcium absorption and availability
36
What is the role of vitamin D?
Increased calcium absorption from gut
37
Ca2+ is present in the blood in which 2 ways?
Bound (chiefly to albumin) | Ionised (active Ca2+)
38
How does pH affect binding of Ca2+ in blood?
Reduced binding with reduced pH
39
What are the roles of Ca2+ in the body?
Muscle function (every muscle and gland requires Ca2+ to function) Nerve impulses Immune response
40
What are the clinical signs of acute milk fever?
At/after calving: Initial hyper-excitement, tremor Recumbent (muscles stop working) Guts/gland stop working: no faeces/ urination, dry nose, bloat, slow pulse/HR
41
Give a common clinical sign of hypophosphataemia
Peri-parturient haemoglobinuria (red urine)
42
How can you treat hypocalcaemia?
IV calium borogluconate 40% (don't administer too fast -> arrhythmias) Hypocalcaemia is often complicated by hypophosphataemia so give foston (organic phosphorus) IV
43
Sub-clinical hypocalcaemia is a risk factor for which other diseases?
Immune function depression Coliform mastitis Metritis/endometritis 'Post-partum depression'
44
How can you prevent hypocalcaemia?
``` Aim to tone up the parathyroids Feed low calcium diet pre-calving Feed high magnesium diet pre-calving Boluses at calving? Maximise DMI pre-calving DCAD diets: aim for a negative DCAD before calving -> induces a compensated metabolic acidosis (causes mobilisation of calcium) ```
45
When does hypocalcaemia occur in sheep?
Pre-lambing; stress
46
How do you treat hypocalcaemia in sheep?
20ml Ca2+ borogluconate IV | or get farmer to give 80ml SC at many sites
47
What is 'grass staggers'?
Hypomagnaesmia
48
Give some clinical signs of hypomagnaesaemia
Peracute/acute-often found dead Early-twitching, hypersensitive, occasionally aggressive Recumbent and convulsive- EMERGENCY Sheep usually found dead
49
Give some trigger factors for hypomagnaesaemia
Lush pastures (Spring) High milk output Stress-weather, movement, handling (noradrenaline binds Mg)
50
How do you treat hypomagnaesemia?
Be quiet- risk of setting off convulsions Control convulsions with xylazine iv Give Ca2+ 40% IV, then slowly give up to 200ml MgSO4 IV
51
How can you prevent hypomagnaesaemia?
Move off affected pasture Give additional Mg (dairy cows-high Mg cake; beef cows-mineral supplements, boluses, give straw to slow gut transit time and give Mg more chance to be absorbed)
52
Where does the reticulum lie?
``` Opposite 6-8th rib on LHS Lies ventrally (is in contact with the ventral body wall) ```
53
Give the clinical signs of traumatic reticulitis
``` SUDDEN milk drop (eg 20l to 5l) Hunched up appearance Stiff gait Inappetence, dull, depressed Often fed a TMR May grunt spontaneously (pain) Increased temp 39.5 Reduced rumen contractions ```
54
How often do rumen contractions occur?
3 rumen/reticular contractions in 2 mins
55
What are the 2 types of rumen contractions?
Primary (starts in reticulum, works backwards to rumen. Biphasic. Mixing) Secondary (moves gas to the cardia. Starts in caudal rumen and moves forwards. Belches afterwards) (2 primary for every 1 secondary)
56
How can you diagnose traumatic reticulitis?
Eric Williams Test- gold standard. Listen over trachea, feel rumen contractions in left flank (hands on L sub-lumbar fossa) (will slow with reticulitis, pain on reticular contraction) Withers pinch-abdominal pain Pole test-abdominal pain Faeces-stiffer with long fibre
57
What 3 scenarios may you encounter when doing the Eric Williams test on a cow with traumatic reticulitis?
Reduction in primary cycles Grunt (pain) immediately prior to primary cycle Breath holding prior to primary cycle
58
What are the problems with swallowing a wire and it penetrating the medial reticulum?
Damage to vagus Abscess in medial wall No pain receptors
59
What clinical signs would you have with traumatic pericarditis?
``` Increased pulse Increased temp Very ill Heart sounds: -Initially: pericardial rub ('grating') -Later: very quiet/absent -Later: 'washing machine sounds' Can be fatal ```
60
How would you identify whether traumatic pericarditis had developed into heart failure? What is the prognosis?
Distended jugular veins Visible jugular pulse Sub-mandibular oedema Euthanasia
61
Give some consequences of traumatic reticuloperitonitis
Vagus nerve injury (penetration in medial wall of reticulum) | Reticular adhesions
62
Give some consequences of vagus nerve injury resulting from traumatic reticulopericarditis
Dorsal vagus nerve injury: achalasia of reticulo-omasal orifice -> food can't pass into omasum -> enlarged rumen +/- bloat Pyloric branch of ventral vagus nerve: achalasia of pylorus -> food can't leave abomasum -> abomasal impaction Hypermotility or hypomotility of rumen (depends on fibre types damaged)
63
Give some clinical findings of a cow with traumatic reticulopericarditis and subsequent vagus indigestion
``` Inappetence '10 to 4' appearance (distension of abdomen in lower right quarter-enlarged rumen) Hypo/hypermotile rumen motility Dehydration Scant faeces Sometimes ping on lower right flank ```
64
How can you treat traumatic reticuloperitonitis?
Poor prognosis-slaughter | Can do rumen lavage, fluid therapy and laxatives, rumenotomy
65
When might you perform a rumenotomy?
Unable to relieve bloat via stomach tube | Recurring chronic bloat
66
What is the definition of bloat?
Accumulation of rumen gas sufficient to change the contour of the rumen Visible distension
67
What are the 2 types of bloat?
Frothy bloat | Free gas bloat
68
Give the pathogenesis of frothy bloat
Froth forms in rumen (dietary- clovers) Covers gas receptors in cardia Failure to eructate
69
How can you treat frothy bloat?
Dose with surfactant to get rid of froth | Emergency: 4"-6" incision through rumen
70
What causes free gas bloat?
Excess carbohydrates Secondary to other conditions eg wire, vagus indigestion Secondary to chronic pneumonia
71
How can you relieve free gas bloat?
Pass stomach tube Trochar in emergency 'Red devil' trochar with chronic bloat Can stitch a trochar in and leave it there/do a rumenostomy (hole) if cow keeps bloating
72
How does fatty liver occur in cows?
Non-essential fatty acids are metabolised to ketones in the liver, then re-synthesised to fat
73
Why don't we want to overcrowd dry cows and cause stress?
Adrenaline stimulates lipolysis and non-essential fatty acid release
74
Ketone bodies are an energy source for what?
Muscle
75
Where is glycogen stored?
Liver
76
What are the functions of insulin?
Enables glucose entry into cells (and glucose use by muscle cells) Decreases liver gluconeogenesis Suppresses NEFA entry to mitochondria and ketogenesis Stimulates lipogenesis in adipose tissue and in liver
77
Why don't we want to overcrowd dry cows and cause them stress?
Adrenaline release -> stimulates lipolysis and NEFA release -> lose weight -> fat mobilisation syndrome and ketosis
78
How is the liver affected by fat mobilisation syndrome?
Yellow fatty liver
79
How does fat mobilisation syndrome result in ketosis?
Insufficient propionate from rumen -> insufficient oxalo-acetate Acetyl CoA formed from fat mobilisation (negative energy balance) and acetate/butyrate (from rumen) cannot enter Kreb's cycle Acetyl CoA is instead mobilised to ketones
80
Give some clinical signs of clinical ketosis
Reduced milk yield Selective appetite (refuses concentrates) Ketone bodies in blood Firm 'shiny' faeces
81
Give some clinical signs of nervous ketosis
Obsessive licking Hyper-excited Twitchy
82
Give the treatment for clinical ketosis
Oral propylene glycol Corticosteroid Glucose 40% iv Combination of above
83
What could you measure in blood to diagnose sub-clinical ketosis?
beta-hydroxy butyrate (cut-off value= 0.9mmol/L) | NEFAs in blood (cut-off value= > 0.4mmol/L) (Indicates fat metabolism)
84
What is sub-clinical ketosis?
An excess of circulating ketone bodies without clinical signs of ketosis
85
``` What are the ideal body condition scores for: Drying off Dry period Early lactation Mid lactation ```
Drying off: 2.5 (-3.0) Dry period: 2.5 (-3.0) Early lactation: 2.0 -2.5 Mid lactation: 2.5 (-3.0)
86
Who loses more condition: a fat cow or a thin cow?
Fat cow as they have a smaller appetite
87
When do we want a dairy cow to have maximal DMI (appetite)?
Dry period | 4-10 weeks post-calving
88
How do we prevent fat mobilisation syndrome and ketosis occurring?
``` Feed in dry period: -Low energy -Maximise DMI (comfort, palatable diet, ad-lib food) Monitor condition score Avoid fat cows! ```
89
Who will get fat and why: Mabel: conceives to 1st service at 85 days Buttercup: conceives to 6th service at 210 days Give a negative consequence of this
Buttercup Longer lactation, long period of high energy food and low yield Will get fat in late lactation so will be fat in dry period Will get fat mobilisation syndrome in next lactation (fat cows become thin -> infertile)
90
What causes Johne's disease?
Mycobacterium avium subspecies paratuberculosis
91
Regarding Johne's disease, where is MAP found?
Macrophages
92
With Johne's disease, what are the stages of MAP infection?
Susceptible Infected but not infectious (cell-mediated response is fine) Infectious (cell-mediated response starts to fail) Resistant
93
What are the clinical signs of Johne's disease?
``` Weight loss Profuse diarrhoea (often with bubbles) Animal remains bright and eating Older animals (>3 yrs old) Often after calving (stress) ```
94
What are the clinical signs of sub-clinical Johne's disease?
Reduced milk yield Mastitis and high SCC Infertility, lameness, LDA
95
Cows with Johne's disease are how many times more likely to be lame?
5 x more likely
96
Cows with Johne's disease are how many times more likely to develop mastitis/SCC problems?
2 x more likely
97
What is the major route of transmission of Johne's disease? | How else is it transmitted?
Oro-faecal route Also: Via colostrum and milk (dam colostrum or pooled colostrum) In utero Dirty environment Dam faeces: teat, contamination of environment
98
Who is most at risk from Johne's disease?
Calves less than 12 months old
99
At what age do dairy cows most commonly show clinical signs of Johne's disease?
5 yrs old (middle age)
100
What does it mean if a cow is ELISA +ve for Johne's?
Losing immune control -> likely to be infectious
101
For a cow to be classed as a 'super shedder' of Johne's, how much bacteria would be present in their faeces?
>1 million cfu/g faeces
102
How can you diagnose Johne's disease?
``` Faecal culture (gold standard) and/or PCR (detects shedders) ELISA (detects antibody, high probability of being a shedder if +ve) ```
103
What is sensitivity (of a test)?
Ability to detect true positives
104
What is specificity (of a test)?
Ability to detect true negatives
105
What is the gold standard test for diagnosing Johne's disease?
Faecal culture
106
How can you reduce transmission of Johne's disease to young stock?
Reduce risk factors (eg clean calving pens, only feed dams colostrum, keep young stock away from adults) Cull animals likely to be shedding the infection
107
Describe a test and cull scheme for Johne's disease
Annual ELISA test: all adults > 2 yrs old Cull all positives Cull daughters We are culling those that are likely to be infectious, not those that are infected
108
How can you control Johne's disease in beef suckler herds?
Outdoor calving (or move outside immediately when calved) Cull daughters Clip and clean teats before calving Ensure bull is clean before purchasing
109
When would you vaccinate against Johne's? Does the vaccine prevent infection?
2nd week of life | No-reduces shedding and reduces incidence of clinical disease
110
Why must you leave a 60 day gap between doing TB testing and a MAP ELISA?
Cross-reaction between MAP and TB test (avian part) -> false negatives
111
Give some diseases of the abomasum
``` Dilation and displacement (most common) -LDA -Right-sided dilation and displacement Abomasal ulcers Geo-sedimentum abomasi (sand impaction) ```
112
What are the risk factors for abomasal disease?
``` Usually seen in early lactation Usually housed animals Imbalance of fibre and concentrate Associated with ketosis and fat mobilisation syndrome Hypocalcaemia Concurrent inflammatory disease Poor comfort Lameness ie anything that reduces DMI ```
113
What is the primary event to occur in LDA? (left displaced abomasum)
Abomasal atony (inflammatory cytokines inhibit motility -> stops moving -> fills with gas from excess VFAs-> lifts to the left)
114
Give the clinical signs of LDA
Reduced milk yield (not as marked or sudden as 'wire') Ketosis Selective appetite-prefers fibre Usually 0-4 weeks post-calving Characteristic 'ping' Absence of rumen sounds over displaced abomasum
115
When casting a cow to fix an LDA, what recumbency should the cow be in?
Right lateral recumbency Then roll to dorsal Then roll over to left lateral
116
What are the advantages and disadvantages of casting a cow to fix an LDA?
Advantages: - Cheap - Non-invasive Disadvantages: - Least successful - Risk of ulcer rupture
117
What is toggling?
Method of fixing an LDA Cheap but nasty method Can get complications: abomasal fistula, can misplace toggles, cow can pull toggles out
118
What are the surgical methods of fixing an LDA?
Left & right-sided approach - 2 surgeons Left side (Utrecht) Right side Right paramedian approach - cow is cast
119
When doing a left and right-sided approach to the surgical method of fixing an LDA, where is the abomasum sutured to?
Pulled up to right incision and 'sows ear' part is sutured into wound closure
120
How should you care for a cow after LDA surgery?
Antibiotics Treat underlying condition eg ketosis High fibre diet
121
Give the progression of a right displaced abomasum
Aetiology not fully understood Similar to LDA Atony of abomasum -> dilation and distension -> displacement -> torsion
122
What are the metabolic consequences of dilation with RDA?
``` Pooling of H+ and Cl- in abomasum Upper intestinal obstruction Metabolic alkalosis Hypochloraemia Dehydration ```
123
What is the outcome of a cow with a right displaced abomasum that has full torsion?
Euthanasia (very hard to fix)
124
What are the metabolic consequences of displacement and torsion with RDA?
``` Mucosal damage (due to increased luminal pressure) Cytokine release and endotoxaemia Metabolic acidosis Severe dehydration ```
125
Give the 9 clinical signs of the dilation and displacement phase of a RDA
``` Inappetent/depressed Reduced faeces Dehydrated Tachycardia Pale, dry mm Doughy rumen Reduced rumen turnover Ping (middle to upper 1/3 of abomasum) Tense viscus rectally ```
126
What are the treatment options for RDA if only dilation/displacement is present?
Medical- Ca 40%, metaclopromide, fluids | Surgical- drain and replace
127
What are the treatment options for a torsion in a cow with RDA?
Surgery | Slaughter
128
What post-operative care should you give after surgery to fix a RDA?
``` Fluid therapy: 50-100 litres (Hartmanns like) NSAIDS Antibiotics Oral KCl (50g daily) Ca 40% Propylene glycol ```
129
Give the clinical signs of a cow with caecal dilation | What about with volvulus?
1st few months of lactation Anorexia Decreased milk yield Reduced faeces Mild abdominal discomfort Ping in upper right flank (right lumbar fossa) Rectally: distended, recognisable viscus With volvulus: as above but with dehydration, tachycardia, abdominal pain
130
Describe the aetiology behind caecal dilation and volvulus
``` Excess carbohydrates are fermented in caecum Increased VFAs Reduced pH Caecal atony Accumulation of ingesta and gas ```
131
What are the risk factors for caecal dilation and volvulus?
Nutritional | SARA
132
What would you find on a rectal exam on a cow with caecal distension and volvulus?
Distension: long cylindrical, movable organ. Blind end points to pelvic cavity Volvulus: points cranial and lateral/medial
133
How can you treat a cow with caecal distension and volvulus?
Good quality hay TLC Surgery to correct torsion
134
What age group of cattle get abomasal ulcers?
Mature cattle
135
How may you identify a cow with an abomasal ulcer?
``` Abdominal pain Melena (black faeces) due to acute abomasal haemorrhage Pale mm Sudden onset anorexia Tachycardia Perforation: - Hypovolaemia - Unable to stand ```
136
What can happen as a result of a perforation of an abomasal ulcer?
Acute local/diffuse peritonitis
137
Give some possible causes of abomasal ulcers
Stress (lactation, transport) High levels of grain (SARA) Secondary to LDA/RDA
138
Give the pathogenesis of abomasal ulcers
Injury to gastric mucosa -> diffusion of H+ ions into tissue -> damage
139
Give the 4 types of abomasal ulcers
Type 1: - Non-perforating - Minimal amounts of intra-luminal haemorrhage Type 2: - Major blood vessel perforates - Severe blood loss - Melena Type 3: - Perforating ulcer - Acute, local peritonitis (localised by greater omentum) Type 4: - Perforating ulcer - Diffuse peritonitis
140
In which part of the abomasum do ulcers occur in cows and calves?
Cows: fundus Calves: pylorus
141
How do you treat an abomasal ulcer?
Antacids: Magnesium oxide po 800g/450kg daily Blood transfusion/fluids (if haematocrit <12%) Surgical excision NO NSAIDS OR STEROIDS
142
What are the clinical signs of a cow with oesophageal obstruction (choke)?
``` Inability to swallow Regurgitation of food and water Drooling Bloat Anxiety/restless Stop eating ```
143
What is the usual cause of oesophageal obstruction?
Potatoes
144
Give some extra-luminal causes of oesophageal obstruction
Pressure by surrounding organs (only occasionally) - Mediastinal abscesses - Tuberculous lymph nodes
145
Where are the 2 locations that choke (oesophageal obstruction) usually occurs?
Cervical oesophagus above larynx | Base of heart/cardia
146
How do you treat oesophageal obstruction (choke)?
Many self-resolve Starve and observe Sedate (Buscopan) Flunixin (NSAID) Can sedate and pull object out with your hand/push into rumen If unsuccessful, trocharise rumen and feed via rumen until obstruction passes
147
What are the 4 grades of abomasal ulcers?
1) Erosion/ulcer without haemorrhage 2) Haemorrhagic 3) Perforated with acute localised peritonitis 4) Perforated with peritonitis within the omental bursa
148
Which volatile fatty acids are produced by: Cellulose (fibre) FME
Cellulose: acetate FME: proprionate
149
What is the 'Dolly Parton effect'?
Large concentrate feeds cause spikes in rumen pH
150
What fibre length causes cows to start sorting?
>4"
151
What is the ideal concentrate:fodder ratio?
60:40
152
How can you distinguish first cut from second cut grass silage?
First cut: more leafy | Second cut: contains seeds
153
When does SARA tend to occur?
After calving when dry cows are changed abruptly from a high-fibre diet to a higher-concentrate milking cow diet. Not enough time for ruminal papillae and bacteria to adjust -> rapid production and accumulation of VFAs. Therefore transition diet is very important!