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Physical Examination of Cattle. Douglas E. Hostetler DVM, MS. Indications:. When an individual animal requires examination to allow diagnosis and treatment for an illness Examination of a representative sample of animals to investigate a herd outbreak of disease
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Physical Examination of Cattle Douglas E. Hostetler DVM, MS
Indications: • When an individual animal requires examination to allow diagnosis and treatment for an illness • Examination of a representative sample of animals to investigate a herd outbreak of disease • Evaluation prior to completing health certificates for intrastate or interstate transport
Procedure: • Develop a systematic procedure for performing a complete physical examination • Personalized • Prevents omission of important information • Enables easier recall of abnormal findings
Dr. Hostetler’s Physical Examination • Observe 1st from a distance • Demeanor • Level of alertness • Responsiveness • Segregation from herdmates • Not possible in a referral situation
Visual Observation: • Proprioception • Strength • Lameness • Head and neck position • Udder symmetry • BCS
Examination: • Restraint • Chute • Halter • Headgate • Ganglock
Examination: • Collect data most affected by sympathetic tone first • Urine Sample for Multistick analysis • Rumination Rate • Heart Rate • Respiratory Rate
Urine Collection: • Gently rub the escutcheon in an upward motion • Perineal region from udder to Ventral commissure of the vulva • Do not hold the tail! • Collect sample in a clean container • Insert thermometer following urine collection • Some Normal Values • pH 8 • Glucose Neg • Ketone Neg • Protein Neg-trace
Start on the Left • From the rear forward
Rumination Rate • Listen, count and record the primary and secondary rumen contractions over two full minutes • Mid Left Paralumbar Fossa • Normal 1-2 per Minute
Direct Heart Rate, Rhythm and Sounds • Left side • Intercostal Spaces 3-5 • Behind the elbow • Normal Rate? • 48-84 Adults • 70-100 Calves
Respiratory Rate and Lung Sounds • Rate can be evaluated by observation of chest excursions • Normal 26-50 • Sounds (triangle) • Point of elbow • T13 at Transverse Processes • Caudal to triceps • Acoustic Percussion • Dullness Dorsal to the Heart Shadow? • SQ Emphysema Dorsally? • Reach up and feel for it
Peripheral Lymph Nodes • Prescapular • Prefemoral • Supramammary • Parotid • Submandibular
Superficial Veins • Jugular • Pulses? • Distension • Caudal Superficial Epigastric • Distension? • Swelling?
Abdominal Auscultation and Percussion • Simultaneous Auscultation and Percussion • “Pinging” • Entire Abdomen
Abdominal Auscultation and Percussion • Simultaneous Auscultation and Percussion • “Pinging” • Entire Abdomen
Left limbs and Udder • Swelling of the limbs? • Fore and Rear • Palpate left quarters of the mammary gland • Heat • Hardness (swelling) • Edema • Teat lesions
Heart Sounds • Right AV Valve Area • 3rd to 5th Intercostal Space • Murmurs?
Respiratory System • Mirror Image of Left Thorax • Crackles • Wheezes • No sounds • Emphysema
Peripheral Lymph Nodes • Prescapular • Prefemoral • Supramammary • Parotid • Submandibular
Superficial Veins • Jugular • Pulses? • Distension • Caudal Superficial Epigastric • Distension? • Swelling?
Abdominal Auscultation and Percussion • Simultaneous Auscultation and Percussion • “Pinging” • Entire Abdomen
Abdominal Auscultation and Percussion • Simultaneous Auscultation and Percussion • “Pinging” • Entire Abdomen
Right Limbs and Udder • Swelling of the limbs? • Fore and Rear • Palpate left quarters of the mammary gland • Heat • Hardness (swelling) • Edema • Teat lesions
Collection of Milk • California Mastitis Test • Relative concentration of somatic sells in the milk • 2 ml Milk from each quarter • Add Reagent • Look for coagulation • Negative • Trace • 1 • 2 • 3 http://www.infovets.com/demo/demo/dairy/D100.HTM
Rectal Examination Reproductive Tract Male Intrapelvic penis Prostate Seminal vessicles Ampullae Internal inguinal rings Internal iliac lymph nodes Sublumbar lymph nodes • Female • Vaginal wall • Cervix • Uterine Body • Uterine Horns • Oviducts • Ovaries • Bursae • Internal iliac lymph nodes • Sublumbar lymph nodes
Rectal Examination • Intra-abdominal Urinary System • Left kidney • Ureters • Bladder
Rectal Examination • Digestive System • Right Cranial • Abomasum • Central • Small intestines • Left • Rumen • Dorsal sac
Vaginal Examination • If indicated by the rectal examination or history
Examination of the Head • Eyes • Enophthalmus • Exophthalmus • Discharge • Corneal Opacity • Lenticular Opacity • Scleral Injection • Pupillary Light Response • Masses
Examination of the Head • Nares • Discharge • Unilateral/Bilateral • Plaques • Erosions • Hemorrhage/ Epistaxis • Flaring
Examination of the Head • Oral Cavity • Dentition • Erosions • Vesicles • Masses • Blunted Oral Papillae
Examination of the Head • Cursory Cranial Nerve Examination • 1-8 • Submandibular Region • Lymph Nodes • Edema • Brisket • Swelling • Edema