Farm 3 Flashcards
(100 cards)
What is vagal indigestion?
An extreme cause of atony involving the rumen, reticulum and abomasum due to interference with vagal innervation of the medial walls by peritoneal adhesions following FB penetrations. The rumen fills with fluid (saliva and drinking water) or in rare occasions gas.
What are the clinical signs of botulism?
Flaccid paralysis Recumbency Constipation Lack of tone in the tail Difficult prehension and mastication Difficulty ruminating and eructating
What are the clinical signs of tetanus?
Tonic spasm of the reticuloruminal musculature Raised tail Stiff movement Erect ears Degree of trismus Constipation
When is rectal prolapse most likely to occur?
Most often piglets and lambs, occasionally in calves; commonly associated with long-term colitis and/or diarrhoea, e.g. coccidiosis.
List 4 conditions of the abomasum
Left displaced abomasum (LDA)
Right displaced abomasum (RDA)
Abomasal torsion/volvulus (AV)
Abomasal ulceration
What is the pathophysiology of an LDA?
There is decreased dry matter intake at calving leading to high starch diet, hypocalcaemia, systemic disease, SARA and fat infiltration of the liver. This leads to decreased abomasal activity and a build up of fluid and gas in the abomasum.
Decreased rumen fill and increased space in the abdomen after calving also contribute.
How does a displaced abomasum lead to ulceration?
After the abomasum there is continued secretion of acid -> dilation -> increased intraluminal pressure -> mucosal damage -> ulceration
What are the risk factors of abomasal disease?
Things that decrease DMI around calving (over fat cows, poor calving management, periparturient disease, poor feed access/palatability)
Lack of long dietary fibre (decreased rumen fill)
Poor control of energy balance around calving
Sudden increased concentrate feeding at calving
Hypocalcaemia
Peak incidence in spring (may be due to lack of long dietary fibre in the grass)
What are the clinical signs of LDA?
Decreased yield (classically 5-10 ltrs)
Decreased feed intake (especially concentrate)
Poor rumen turnover
May be signs of underlying primary disease (e.g. metritis, mastitis)
May show mild colic (rare)
How is an LDA diagnosed?
Percussion auscultation producing a ‘ping’
Spontaneous abomasal noise on the left ‘tinkling’
Splashing/tinkling/ping on ballotment behind the last rib
ALWAYS look for underlying primary disease
May come and go ‘swinging LDA’
What are the 3 broad treatment categories for treating an LDA?
Conservative
Semi surgical
Surgical
How can an LDA be treated conservatively?
Roll the cow (cast onto RHS, slowly roll through dorsal recumbency, may do a brief stop/shake in dorsal recumbency)
May use oral propylene glycol, oral fluids/electrolytes, oral probiotics, systemic prokinetics, long fibre diet as well
What is the relapse rate of LDAs treated with conservative management?
~75-80%
But may be a good option while you manage underlying conditions
How can an LDA be treated semi-surgical?
The roll and toggle method
- Roll as for conservative treatment (+/- sedation)
- Insert toggles through a trochar into the abomasum while the cow is in dorsal recumbency
What are the 5 different surgical approaches for treating an LDA?
Paramedian approach Bilateral flank approach Right flank approach Left flank approach Laparoscopic
Describe a paramedian approach LDA surgery
Sedation and local analgesia
Open the abdomen to visualise the abomasum
Suture the abomasal fundus to the ventral body wall (partial thickness), often include the abomasum the closure of the muscle layer
Describe a bilateral flank approach LDA surgery
Requires 2 surgeons and a standing cow
Local anaesthesia (e.g. paravertebral) and skin prep
Paralumbar fossa incision on each side
Left surgeon – identifies and decompresses the abomasum with 16G needle and tubing, checks there are no adhesions, passes under the abdominal contents via the ventral midline to the right surgeon
Right surgeon – bkrings the abomasum to the right side and fixes it into place with omentopexy, pyloropexy
What is an omentopexy?
Used to fix the abomasum in place in LDA surgery
A continuous suture is put through the omentum and each end of the suture material is sutured to the muscle layer
What is a pyloropexy?
Used to fix the abomasum in place in LDA surgery
Put a partial thickness suture through the pylorus and suture to the muscle wall
Describe a right flank approach LDA surgery
One surgeon, cow standing
Paralumbar fossa incision on the right hand side
The abomasum is palpated by reaching behind the rumen onto the left side (may be difficult with short arms)
+/- abomasum deflated using a needle and tubing
The abomasum falls or is guided to the ventral midline
Abomasum is located and pulled up to the incision
Fixed into place with omentopexy, pyloropexy
Describe a left flank approach to LDA surgery
One surgeon, cow standing
Paralumbar fossa incision on the left had side
The abomasum is identified and a continuous suture line is placed into the fundus. The ends of the suture are left very long ~2m
Abomasum is decompressed if needed
Needle attached to one end of suture material and passed ventrally through abdomen (guarded!) and poked out through ventral body wall to assistant
Repeated with second needle, two ends of material secured on outside as abo repositioned
Describe a laparoscopic approach to LDA surgery
Various techniques, some involve rolling and some are done standing
How can LDAs be prevented?
Maximise DMI around calving/early lactation e.g. check for stress, correct diet and access
Transition diet: some but not too much concentrate, sufficient long fibre
Fresh calved diet: sufficient long fibre
Early lactation energy balance
Check milk fever control
Check incidences of other diseases (e.g. metritis, milk fever and dystocia) and association with LDA cases
What is the pathophysiology of a right displaced abomasum
There is abomasal atony leading to dilation of the abomasum. The abomasum then becomes displaced onto the RHS. Abomasum is susceptible to torsion when dilated.