FAM Final Exam

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1
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Preputial Prolapse in ruminants

  • Et: Pendulous sheath, Lg preputial orifice, Absence of retractor prepuce muscles, Brahman, Brahman-cross, Angus, Polled Hereford

  • Cs: edema, cellulitis, necrosis

  • Tx: Antibiotics, NSAIDs, Hydrotherapy, Bandaging/sling, Reefing Sx (GA, resection)

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<p>Penile Hematoma in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Penile Hematoma in ruminants

  • Et: Trauma during breeding

    • tunica albuginea rupture at distal sigmoid flexure

  • Cs: Swelling cranial to scrotum, bruising, preputial prolapse, pain, reluctance to breed

  • Tx: 60d sexual rest, NSAIDs + antibiotics, hydrotherapy, Sx to remove clot (suture tunica albuginea)

    • <15 cm: good prognosis (medical)

    • >15 cm: poor prognosis (surgical)

3
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<p>Retropreputial Abscess / Intra-preputial Adhesions in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Retropreputial Abscess / Intra-preputial Adhesions in ruminants

  • Et: Preputial trauma w/ 2ndary infection

  • Tx: Lance + drain

    • Poor repo prognosis <30%

4
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<p>Sheath Rot (Pizzle Rot) / Enzootic Balanoposthitis in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Sheath Rot (Pizzle Rot) / Enzootic Balanoposthitis in ruminants

  • Et: Corynebacterium renale

    • Wethers on high-protein diets

  • Cs: Swollen, inflam, ulcers, pus, foul odor, reluctance to urinate/breed

  • Tx: Antibiotics (Penicillins or cephalosporins), NSAIDs, Topical antiseptics, clean bedding

5
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Penile Ulcerative Dermatosis in ruminants

  • Et: Parapoxvirus (Contagious Ecthyma / Orf)

  • Cs: Swelling, ulcers, scabs, pain, reluctance to breed, secondary infections(abscesses)

  • Tx: Antibiotics (oxytetracycline), Topical antiseptics, NSAIDs, Isolate, Vax, Disinfect equipment

6
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<p>Orchitis and Epididymitis in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Orchitis and Epididymitis in ruminants

  • Number one ram infertility problem

  • Et: Brucella ovis (contagious venereal dx)

    • direct contact

  • Cs: Enlarged, firm epididymis, testicular atrophy, pain, poor semen quality

  • Dt: Serology (ELISA, CFT), PCR (semen/urine)

  • Tx: Cull, virgin/disease-free rams, male vax, biosecurity

7
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<p>Inguinal Hernias in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Inguinal Hernias in ruminants

  • Et: Congenital, Acquired 

    • Inguinal hernia (#1): contents within inguinal canal

    • Scrotal hernia: contents into scrotum

    • Indirect hernia (#1): loop remains within tunica vaginalis

    • Direct hernia: intestine protrudes through rent in vaginal tunic

  • Dt: Rectal palpation, US

  • Tx: 60d sexual rest + Sx

    • Flank Laparotomy: indirect hernias, standing, poor visibility, close inguinal (vertical mattress non-absorbable)

    • Inguinal Herniorrhaphy: better visibility, right lateral, Close tunic then skin Close skin

    • Fertility Outcome: Good

<ul><li><p><span style="color: rgb(136, 136, 136)">Et: </span>Congenital, Acquired&nbsp;</p><ul><li><p><strong>Inguinal hernia (#1): </strong>contents within inguinal canal</p></li><li><p><strong>Scrotal hernia: </strong>contents into scrotum</p></li><li><p><strong>Indirect hernia (#1):</strong> loop remains within tunica vaginalis</p></li><li><p><strong>Direct hernia: </strong>intestine protrudes through rent in vaginal tunic</p></li></ul></li></ul><ul><li><p><span style="color: rgb(136, 136, 136)">Dt: </span>Rectal palpation, US</p></li><li><p><span style="color: rgb(136, 136, 136)">Tx: </span>60d sexual rest + Sx</p><ul><li><p><strong>Flank Laparotomy: </strong>indirect hernias, standing, poor visibility, close inguinal (vertical mattress non-absorbable)</p></li><li><p><strong>Inguinal Herniorrhaphy: </strong>better visibility, right lateral, Close tunic then skin Close skin</p></li><li><p><strong>Fertility Outcome:</strong> Good</p></li></ul></li></ul><p></p>
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Castrations in ruminants

  • Why: Prevent unwanted breeding, Improve temperament, Better feed efficiency, Higher-quality meat, Market preference, Flexible herding

  • When: younger preferred, avoid hot/flys 

  • Rx: Local anesthesia, NSAIDs, Vax for tetnus 

  • Sx: 

    • Open (Bloody): Scrotal incision(most common) → distal 1/3 to 1/2 of scrotum, Newbury knife,

      • Calves <2m : twist and pull

      • Calves >2m : emasculator

        • Best choice for Goats & Llamas

    • Closed (Bloodless): elastrator bands (<3w) → dairy cattle 1-3w, Burdizzo (>2m), Crush not cut

9
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Teaser Maless in ruminants

  • Why: Detect estrus

  • How: Use infertile males w/ libido

    • Penile Translocation: Ventral Midline incision near prepuce, Free penis tunnel to it SQ,  fix with sutures, close SQ + skin

    • Epididymectomy(Infertile, Can Copulate): scrotal incision, remove caudal epididymis, suture tunica vaginalis + skin, can still transmit dx

    • Vasectomy: cut over ductus deferens, ligate ends, close skin, can still transmit dx

10
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<p>Vaginal Prolapses in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Vaginal Prolapses in ruminants

  • Et: Late gestation, pluriparous females, high estrogen, high abdominal pressure

  • Cs: Prolapsed vaginal tissue, tenesmus, edema, contamination

  • Tx: Epidural, clean, hypertonic sugar/glycerin wrap, lubricate, replace (Last out = first in), retention sutures (Bootlace/Buhner), Cull post-calving

    • High Recurrence Rate

    • Remove sutures before calving

  • Prognosis:

    • Grade 1: Minor, easily reduced.

    • Grade 3: Severe necrosis with poor prognosis

11
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<p>Necrotic Vaginitiss in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Necrotic Vaginitiss in ruminants

  • Et: Post-dystocia complication

  • Cs: Anorexia, fever, toxemia, arched back, elevated tail, dysuria, straining, vulvar swelling, purulent vaginal discharge

  • Tx: Antibiotics, NSAIDs, Vaginal douches, IV fluids, epidural

12
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<p>Infectious Pustular Vulvovaginitiss (IPV) in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Infectious Pustular Vulvovaginitiss (IPV) in ruminants

  • Et: BHV-1, Natural breeding, flies, equip

  • Cs: Fever, raised tail, frequent urination, mucopurulent discharge, white ulcers, infertility/abortion 

  • Tx: NSAIDs, antiseptics, Antibiotics, Vax, Isolation, fly control

13
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<p>Uterine Prolapses in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Uterine Prolapses in ruminants

  • Occurs within 0-6 hours postpartum

  • Et: <6hrs post partum, Dystocia, Hypocalcemia, Excessive straining

  • Cs: Fully everted horns, exposed caruncles (“raw hamburger”)

  • Tx: calcium + oxytocin, Epidural, Warm saline + dilute antiseptic wash, Hypertonic sugar/glycerin wrap, lubricate, frog-leg position and palm back in starting cervical, Buhner suture

    • Emergency: moist towels ASAP 

    • Good survival and repo prognosis

14
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<p>Uterine Torsion in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Uterine Torsion in ruminants

  • 90% occur at/near term (>7 months gestation)

  • Et: left-sided, late term

  • Dt: PE

    • Vag: Twisted vaginal lumen

    • Rectal: Crossed broad ligaments (“X” pattern)

  • Tx:

    • Manual Correction (fully dilated): epidural, rotate counterclockwise if left torsion 

    • Plank-in-Flank / Schaffer Method (partially dilated): roll cow around fetus, left torsion = roll left

<ul><li><p><strong><u>90% occur at/near term (&gt;7 months gestation)</u></strong></p></li><li><p><span style="color: rgb(136, 136, 136)">Et:</span> left-sided, late term</p></li><li><p><span style="color: rgb(136, 136, 136)">Dt:</span> PE</p><ul><li><p><strong>Vag:</strong> <u>Twisted vaginal lumen</u></p></li><li><p><strong>Rectal: <u>Crossed broad ligaments (“X” pattern)</u></strong></p></li></ul></li><li><p><span style="color: rgb(136, 136, 136)">Tx:</span></p><ul><li><p><strong><u>Manual Correction (fully dilated):</u> </strong>epidural, rotate <strong><u>counterclockwise if left torsion&nbsp;</u></strong></p></li><li><p><strong><u>Plank-in-Flank / Schaffer Method (partially dilated):</u> </strong>roll cow around fetus,<strong><u> left torsion = roll left</u></strong></p></li></ul></li></ul><p></p>
15
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Uterine Tears and Ruptures in ruminants

  • Et: excessive traction during dystocia, Dorsal wall near cervix: most common

  • Cs: 

    • Immediate: Bleeding, visible uterine defect

    • 3–5 days later: Fever, depression, ileus

  • Dt: Vag palpation, Abdominal tap (cloudy fluid = peritonitis), US, explore Sx

  • Tx: 

    • Sm Tears (<5 cm): Antibiotics, NSAIDs, Oxytocin

    • Lg Tears (>5cm): laparotomy + Sx repair, Cull

16
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Retained Fetal Membranes in ruminants

  • Et: Failure to expel placenta >24hrs postpartum: most resolve in 10d spontaneously

    • Dystocia, twins, stillbirth, hypocalcemia, heat stress, premature birth, Se / Vit E deficiency

  • Seq: Metritis, Displaced abomasum, Ketosis, Reduced fertility

  • Tx: resolve spontaneously <10d, Trim hanging tissue, Ceftiofur, Flunixin, Oxytocin, PGF2α, Vit E/Se/Ca supplements

    • Never manually remove!!!

17
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Toxic/Acute Puerperal Metritis in ruminants

  • Et: E. coli (primary), Trueperella pyogenes (secondary)

    • Dystocia, Retained fetal membranes, Poor hygiene : pre-expose

  • Cs: Fever, depression, anorexia, dehydration, copious fetid uterine discharge, uterine atony, decreased milk yield, laminitis, extended calving interval, poor conception rates

  • Tx: Intrauterine antibiotics (Ceftiofur), NSAIDs (Flunixin), uterine lavage

18
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Pyometra in ruminants

  • Et: Chronic uterine inflam w/ pus accumulation

    • Open: Cervix open → discharge visible

    • Closed: Cervix closed → risk of rupture

  • Cs: Mucopurulent discharge (open), No discharge (closed),Anestrus, Persistent CL

  • Dt: Rectal (fluid-filled uterus), US (echogenic fluid, thick endometrium)

  • Tx: PGF2α, Estrogen + Oxytocin,  Antibiotics, NSAIDs

    • <120d: Good prognosis- can conceive

    • 120d: Poor prognosis- fibrosis, infertility

19
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Pseudopregnancy (Hydrometra/Mucometra) in small ruminants

  • Et: Luteal persistence, uterine fluid buildup

    • Older, multiparous does

  • Cs: Anestrus (no heat cycles), Enlarged, fluid-filled uterus, No fetus

  • Dt: US, low PAGs

  • Tx: PGF2α (dinoprost)

    • Luteolysis, fluid expelled in 2–3d, breeding possible next cycle

20
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<p>Freemartinism in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Freemartinism in ruminants

  • Et: Mixed-sex twins 

  • Cs: Aplastic uterus/cervix, Short vagina, Enlarged clitoris

    • Bull: normal

    • Heifer: sterile

  • Dt: Rectal w/ no uterus/cervix, Vag probe w/ short canal, XX/XY chimerism chromosome test

  • Tx: Cull, Breeding Soundness Exam

21
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Cesarean Section in ruminants

  • Why: Preserve dam and calf survival, Maintain fertility

    • Inadequate space, crushes finger, excessive force, vag tears, fetal distress, exhaustion

      • 2 Feet visible >2 hrs, if in doubt- C section 

  • How: 

    • Left flank: standing, live calf, dead w/o smell

    • Paramedian: down, dad calf w/ smell

    • Steps: Exteriorize uterus by holding fetus limb, long incision, remove placenta, flush

    • Sut: Utrecht suture or double layer inverting for uterus, internal/external oblique, skin w/ ford interlocking 

  • Rx: Caudal epidural, locals, Antibiotics, NSAIDs, Oxytocin, Estradiol

  • Prognosis: 

    • Live fetus: Excellent

    • Dead fetus: Guarded

    • Comp: Peritonitis, Metritis, Retained fetal membranes

  • Prevent: calving-ease sires for heifers

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Normal Urine Characteristics

  • Alkaline urine: normally

  • Viscosity: Watery

  • Colour: light yellow = normal

  • Transparency: Clear = normal

  • Odor: ammonia or ketones = abnormal

  • USG: 1.020–1.040

  • pH: 7.0–8.0

  • Bacti, Bld, Glucose, Ketones, Protein: None

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Abnormal Urine Differentials

  • Red urine

  • Hematuria: Pyelonephritis, cystitis, urolithiasis, enzootic hematuria

  • Hemoglobinuria: Leptospirosis, bacillary hemoglobinuria, copper toxicity, postparturient hemoglobinuria

  • Myoglobinuria: Capture myopathy, recumbency

  • Glucosuria: stress, IV glucose, steroids, xylazine, enterotoxemia

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<p>Congenital Urinary Diseases in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Congenital Urinary Diseases in ruminants

  • Hypospadias: Dermatitis, recurrent UTI

    • Can live with 

  • Polycystic kidneys: Diagnosed at necropsy

  • Bilateral renal hypoplasia: Diagnosed at necropsy

  • Ectopic ureter: Diagnosed at necropsy

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Persistent/Patent Urachus in ruminants

  • Rare, males

  • Et: Urachus fails to close post-birth

  • Cs: Intermittent urine dribbling from umbilicus, wet umbilicus, omphalitis

  • Dt: US

  • Tx: Cauterization, Sx removal of umbilical remnants, Antibiotics, NSAIDs, IV fluids

26
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UTIs: Cystitis, Urethritis, Pyelonephritis in ruminants

  • Pyelonephritis → #1 issue in females

  • Et: Corynebacterium renale, E. coli

    • Ascends uterus to kidneys

    • Common post-parturition(dairy), Multiparous cows

  • Cs: Polyuria, hematuria, pyuria, anorexia, weight loss, hypoproteinemia, anemia, ↑ BUN + creatinine, proteinuria, hematuria, bottle jaw

  • Dt: Rectal palpation of Lg left kidney, UA, culture

  • Tx: Antibiotics for 3w, hygeinene 

    • Poor Prognosis

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<p>Enzootic Hematuria in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Enzootic Hematuria in ruminants

  • Et: Chronic bracken fern ingestion

  • Cs: hemorrhagic cystitis and bladder tumors & GI

  • Zoonotic in milk

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<p>Acute Renal Failure in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Acute Renal Failure in ruminants

  • Et: 

    • Acute tubular necrosis

      • Renal ischemia: severe dehydration, toxemia, sepsis

      • Pigment nephropathy: hemoglobinuria, myoglobinuria

    • Drug-induced nephrosis: aminoglycosides, tetracycline, sulfas, NSAIDs

    • Toxic plants: oak (#1), oxalates, pigweed

    • Ethylene glycol toxicity: calcium oxalate crystals

  • Dt: Isosthenuria despite dehydration, Abnormal UA, Azotemia, electrolyte imbalances, Renal biopsy(blindly), US

  • Tx: Treat primary cause, IV fluids (saline), Furosemide, dopamine

    • No urination = grave prognosis

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<p>Embolic Nephritis / White Spotted Kidney in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Embolic Nephritis / White Spotted Kidney in ruminants

  • Et: Adult cattle w/ septicemia

    • Neonatal calves w/ navel ill

  • Cs: Toxemia, proteinuria, pyuria

  • Dt: Rectal palpation w/ Lg kidney, Necropsy

  • Tx: Antibiotics, IV fluids

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Urolith Types in ruminants

  • Phosphate Calculi: Struvite/magnesium ammonium phosphate (#1)

    • sandy appearance, Crystals visible on preputial orifice

  • Calcium Carbonate: Lush legume/clover or alfalfa hay

    • Smooth, dark appearance

  • Silicate Calculi: Dry, arid climates, Grass/cereal hays

    • Single, rough, hard stones

  • Oxalate Calculi: Oxalate-rich grasses

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<p>Obstructive Urolithiasis in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Obstructive Urolithiasis in ruminants

  • Et: Formation of urinary tract calculi in urethral process or sigmoid flexure

    • castrated males, grain, Ca:P imbalance, Estrogenic or high-silica/oxalate pastures, reduced water intake, sorghum-based rations

    • Phosphate Calculi: Struvite/magnesium ammonium phosphate (#1)

  • Cs: Dysuria, stranguria, hematuria, pulsation of urethra, abdominal pain and distention, mineral deposits on preputial hair, rectal prolapse, Ruptured urethra/Water belly (urine in  subcut tissue of ventral abdomen), Ruptured bladder (uroperitoneum, fluid wave), Pyelonephritis / Hydronephrosis

  • Dt: US, rads, Abdominocentesis

  • Tx

    • Rx: before rupture, w/ diet changes

      • Decompression (temp), Diazepam/Xylazine (relax, not for complete obstruction) dissolution (acid/Ammonium chloride)

    • Sx: Urethral amputation (temp), retrograde catheterization and flushing (tricky), Cystotomy, Urethrotomy, Perineal Urethrostomy, Penile Amputation, Bladder Marsupializatio

      • Perineal urethrostomy and marsupialization #1

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Cystotomy + Urethrotomy in ruminants

  • Indication: Obstructive Urolithiasis

    • Valuable w/ intact bladder and urethra

  • How:

    • Cystotomy: first

      • GA w/ Paramedian laparotomy

      • Incise bladder and remove all stones

      • Perform normograde catheterization & flushing

      • Close bladder w/ 2-layer inverting absorbable sutures

    • Urethrotomy: second

      • Palpate and incise urethra proximal/distal to stone and remove 

      • Close w/ simple interrupted sutures

  • Comp: Stricture formation

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Perineal Urethrostomy in ruminants

  • Indication: Obstructive Urolithiasis

    • Salvage procedure for feedlot calves w/ intact bladder

    • Not suitable for breeding males

    • Does not address bladder stones

  • How: 

    • Standing w/ caudal epidural 

    • Skin incision of upper perineal 

  • Comp: Stricture formation

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Penile Amputation in ruminants

  • Indication: Obstructive Urolithiasis

    • Salvage procedure for feedlot calves w/ intact bladder

    • Not suitable for breeding males

  • How: 

    • Standing w/ caudal epidural 

    • Penis exteriorized and amputated

    • Fix stump to perineal region

35
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<p>Tube Cystostomy in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Tube Cystostomy in ruminants

  • Indication: Obstructive Urolithiasis

    • Valuable w/ intact urethra!!, bladder can be ruptured 

    • Preserves breeding ability

  • How: 

    • GA Laparocystotomy

    • French Foley catheter through bladder and abdominal wall for >7–10d

    • Occlude intermittently to ensure patency

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<p>Urinary Bladder Marsupialization in <span style="color: rgb(115, 90, 90)">ruminants</span></p>

Urinary Bladder Marsupialization in ruminants

  • Indication: Obstructive Urolithiasis

    • Salvage for pets urethral/bladder rupture or stricture formation

  • How:

    • Permanent stoma from bladder mucosa to ventral skin

    • Hole is 1–2 cm

  • Comp: Frequent cystitis, urine scalding, stoma stenosis, urine dribbling

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<p>Pseudorabies (Aujeszky's disease) in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Pseudorabies (Aujeszky's disease) in pigs

  • Et: Herpes virus

    • all ages, feral swine (not commercial) 

  • Cs: CNS signs, death, weak piglets, Foaming at mouth, hemorrhage, liver necrosis

  • Dt: Serology on tonsillar tissues

  • Tx: Vax

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<p>Swine influenza </p>

Swine influenza

  • All ages

  • Et: H1N1, H1N2, H3N2

    • Endemic in most herds

  • Cs: Fever, coughing, pneumonia, Intermittent resp and infertility Dx

  • Dt: nasal swab Serology

  • Tx: rapid return to normality in 7-10d, Vax

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<p>Porcine reproductive and respiratory syndrome (PPRS) in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Porcine reproductive and respiratory syndrome (PPRS) in pigs

  • Et: all ages, economic loss

    • Endemic in most herds

  • Cs: Pneumonia in Weaners, Repro Failure in Sows, 

    • Duroc’s: Red ears, lung edema/hemorrhage, hemorrhagic spots in heart

    • Wild boar: Pulmonary hyperplasia, cardiac edema/hemmorage

  • Dt: VI, Serology

  • Tx: Vax

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<p>&nbsp;Mycoplasma hyopneumoniae (Enzootic Pneumonia) in<span style="color: rgb(230, 155, 255)"> pigs</span></p>

 Mycoplasma hyopneumoniae (Enzootic Pneumonia) in pigs

  • Et: Swine

    • Endemic in most herds

  • Cs: Acute Pneumonia, prolonged cough, breathing difficulty (thumps); Consolidation of lungs- anterior, cardiac, intermediate, and anterior diaphragmatic lobes

  • Dt: PCR, Serology

  • Tx: Medicated feed, Vax, disease-free herd

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<p>&nbsp;Actinobacillus pleuropneumonia in <span style="color: rgb(230, 155, 255)">pigs</span></p>

 Actinobacillus pleuropneumonia in pigs

  • Et: Pigs 8-16w

  • Cs: Resp distress, cyanosis of the ears, sudden death w/ hemorrhage from nose 

  • Dt: Culture, PCR, Serology (ELISA)

    • Ddx: bacillus anthracis

  • Tx: Antibiotics, Medicated feed/water, Vax

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<p>Atrophic Rhinitis in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Atrophic Rhinitis in pigs

  • Et: B. bronchiseptica (mild), Tox P. multocida (severe)

  • Cs: Sneezing, snuffling, nasal discharge, severe turbinate damage, nose malformation, nose bleeds

  • Dt: Nasal Culture

  • Tx: Antibiotics, Medicated feed/water, Vax

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<p>Pneumonic Pasteurellosis in<span style="color: rgb(230, 155, 255)"> pigs</span></p>

Pneumonic Pasteurellosis in pigs

  • Et: Pasteurella multocida, Mycoplasma, pigs

  • Cs: Coughing, fever, anorexia, dyspnea, thumping, cyanosis (especially in extremities), diffuse fibrinous pleuritis and pericarditis

  • Dt: culture of lung tissue

  • Tx: Antibiotic, Medicated feed/water, Vax

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<p>&nbsp;Porcine Circovirus Disease in<span style="color: rgb(230, 155, 255)"> pigs</span></p>

 Porcine Circovirus Disease in pigs

  • Et: Porcine Circovirus Type 2-3

  • Cs:

    • Postweaning Multisystemic Wasting Syndrome: Poor growth in weaners and growers, Repro failure, Death in sows

    • Porcine Dermatitis and Nephropathy Syndrome: Widespread hemorrhages, multifocal erythematous in grower and finisher pigs

    • Porcine circovirus type 2 enteritis: Grower-Finisher Pigs w/ Mild Diarrhea, enlarged Mesenteric Lymph Node, thickening of intestinal mucosa

  • Dt: IMH

  • Tx: Vax

<ul><li><p><span style="color: rgb(136, 136, 136)">Et: </span>Porcine Circovirus Type 2-3</p></li><li><p><span style="color: rgb(136, 136, 136)">Cs:</span></p><ul><li><p><strong>Postweaning Multisystemic Wasting Syndrome:</strong> Poor growth in <u>weaners and growers,</u> Repro failure, Death in sows</p></li><li><p><strong>Porcine Dermatitis and Nephropathy Syndrome:</strong> Widespread hemorrhages, <strong><u>multifocal erythematous</u> in <u>grower and finisher pigs</u></strong></p></li><li><p><strong>Porcine circovirus type 2 enteritis:</strong> <strong><u>Grower-Finisher Pigs w/ Mild Diarrhea</u></strong>, <u>enlarged Mesenteric Lymph Node, </u><strong><u>thickening of intestinal mucosa</u></strong></p></li></ul><img src="https://knowt-user-attachments.s3.amazonaws.com/85d74a86-526d-41b8-8d7b-e27e7590539c.png" data-width="50%" data-align="center"></li><li><p><span style="color: rgb(136, 136, 136)">Dt:</span><strong> </strong>IMH</p></li><li><p><span style="color: rgb(136, 136, 136)">Tx: </span>Vax</p></li></ul><p></p>
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<p>&nbsp;&nbsp;Erysipelas (diamond skin disease, rhomboid urticaria) in<span style="color: rgb(230, 155, 255)"> pigs</span></p>

  Erysipelas (diamond skin disease, rhomboid urticaria) in pigs

  • Et: Endemic in most herds

    • immunocompromised and non-vaccinated pigs

  • Cs: Septicemia, acute death, diamond skin lesions, arthritis, lameness, endocarditis, abortion, infertility

  • Dt: isolation, serology

  • Tx: Antibiotic, Medicated Feed/Water, Vax

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<p>Greasy pig disease (Exudative epidermitis) in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Greasy pig disease (Exudative epidermitis) in pigs

  • Et: Staphylococcus hyicus

    • Affects all ages

  • Cs: Dark patches of flaky greasy skin lesions, toxemia, death

  • Dt: culture

  • Tx: Antibiotic, spray w/ bleach/chlorhexidine, auto vax

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<p>Glässer’s disease in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Glässer’s disease in pigs

  • Et: Haemophilus parasuis

  • Cs: sudden death in sows and suckling pigs, meningitis, middle ear infection, pleuropneumonia, pericarditis, peritonitis

  • Dt: culture

    • Ddx: Anthrax-like

  • Tx: Antibiotic, Medicated Feed/Water, Vax

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<p>Colibacillo<span>sis </span><span>in </span><span style="color: rgb(230, 155, 255)">pigs</span></p>

Colibacillosis in pigs

  • Et: Enterotoxigenic E. coli

    • Piglets 2-4d old, older pigs are not affected

  • Cs: watery yellow diarrhea, dehydration, SI inflam

  • Dt: Fecal culture, necropsy w/ milk filled stomach 

  • Tx: Antibiotic, Medicated Feed/Water, Vax, Electrolytes, All-in-all-out

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<p>Edema diseas<span>e </span><span>in </span><span style="color: rgb(230, 155, 255)">pigs</span></p>

Edema disease in pigs

  • Et: hemolytic E. coli Shiga toxin 2e

    • Weaner pigs, dietary changes, overfeeding, poor hygiene

  • Cs: Swollen face, dullness, blindness, head pressing, lateral recumbency, paddling leg movement, coma, death

  • Dt: ELISA of toxin

  • Tx: Antibiotic, Medicated Feed/Water, Vax

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<p>Rotaviral Diarrhe<span>a </span><span>in</span><span style="color: rgb(230, 155, 255)"> pigs</span></p>

Rotaviral Diarrhea in pigs

  • Et: Group A (#1)

    • Endemic in lg swine herds, fecal-oral exposure, asymptomatic adults

  • Cs: mild osmotic diarrhea, dehydration

    • Villous atrophy

  • Dt: fecal pH <7, ELISA, IHC, FA, EM, PCR, cytoplasmic staining

    • Ddx: E. coli, TGE, coccidia, Cl. perfringens

  • Tx: supportive, vax (sows/nursing/preg)

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<p>Enterotoxe<span>mia </span><span>in </span><span style="color: rgb(230, 155, 255)">pigs</span></p>

Enterotoxemia in pigs

  • Et: C. perfringens Type A + C

    • Very young piglets

  • Cs: bloody pink pasty feces, acute necrotic enteritis in piglets, sudden death; intestinal gas bubbles and white, necrotic villi

  • Dt: culture, ELISA, beta-toxin presence

  • Tx: Medicated feed/water, electrolytes, vax, antitoxin

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<p>Clostridium difficile enteritis (Neonatal typhlocolitis<span>) </span><span>in</span><span style="color: rgb(230, 155, 255)"> pigs</span></p>

Clostridium difficile enteritis (Neonatal typhlocolitis) in pigs

  • Et: piglets <7d of age

  • Cs: Yellow pasty/watery diarrhea, colon edema

  • Dt: Toxin w/ PCR or ELISA

  • Tx: Medicated feed/water, electrolytes, vax, antitoxin

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Salmonella in pigs

  • S. choleraesuis

    • Et: All ages

      • Septicemia/endotoxemia

    • Cs: Necrotizing enterocolitis w/ rectal strictures, cyanosis, fever, bloody diarrhea with necrotic debris, sudden death

    • Dt: culture, PCR

    • Tx: Isolation, antibiotics, electrolytes, medicated feed/water, vax

  • S. typhimurium

    • Et: Zoonotic

    • Cs: yellowish diarrhea, necrotic mucosa, blood, dehydration, proctitis and tenesmus

    • Dt: Red-yellow w/ blank center colonies on culture

    • Tx: Isolation, antibiotics, electrolytes, medicated feed/water, vax

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<p>Porcine Intestinal Spirochetosis in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Porcine Intestinal Spirochetosis in pigs

  • Et: Brachyspira pilosicoli

    • Fecal-oral route, grower-finisher pigs

  • Cs: self-limiting diarrhea <14d

  • Dt: Culture or PCR of intestinal content

    • DDx: Swine dysentery, Salmonella typhimurium, Trichuriasis, PPE

  • Tx: Antibiotics, segregated early weaning, all-in-all-out pig movement, isolate

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<p>Swine dysentery in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Swine dysentery in pigs

  • Et: Brachyspira hyodysenteriae

    • growers and finishers

  • Cs: Colitis with watery bloody diarrhea, black and tarry feces, death

  • Dt: fecal culture or PCR

  • Tx: Antibiotics, medicated feed/water

    • No vax

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<p>Lawsonia intracellularis in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Lawsonia intracellularis in pigs

  • Et: Growers, finishers >6w-20w old

    • Porcine intestinal adenopathy (PIA): Chronic diarrhea, weight loss, pot-bellied

    • Regional ileitis (RI): SI inflam, chronic diarrhea, weight loss, pot-bellied

    • Necrotic enteritis (NE): Hosepipe gut, thickened sm intestine, pale pigs, black tarry feces

    • Proliferative hemorrhagic enteropathy: Bloody gut, massive bleeding into sm intestine, pale pigs, black tarry feces, sudden death

  • Cs: hose like Thickening of mucosa of terminal ileum, Cerebriform pattern visible from serosal surface

  • Dt: Serology, PCR, histopath

  • Tx: antibiotics, medicated feed/water, vax

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<p>Transmissible gastroenteritis (TGE) in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Transmissible gastroenteritis (TGE) in pigs

  • Et: Coronavirus, all ages

  • Cs: Diarrhea, vomiting, thin/transparent intestinal wall, SI distension; GIT w/ foamy, yellow, odoriferous fluid + milk curds

  • Dt: PCR, FAT, IHC, serology

  • Tx: electrolytes, all-in-all-out, vax, feed sows dead piglet GIT

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<p>Isospora suis in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Isospora suis in pigs

  • Et: Coccidiosis, piglets 5-15d

    • Continuous farrowing houses 

  • Cs: watery or pasty yellow to white diarrhea, weakness, dehydration, poor weight gain

    • no blood

  • Dt: Intestinal/fecal smears

  • Tx: Sulfas in water, coccidiostats-medicated feed

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<p>Worms in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Worms in pigs

  • Et: 

    • Trichuris suis (whipworms): Bloody diarrhea in pigs 3w- 6mold

    • Strongyloides ransomi (threadworms): Infects baby pigs through colostrum

    • Ascaris suum (white worms): finishing pigs 2-3m old on concrete floors w/ straw bedding

      • liver milk spots

    • Metastrongyles (earthworm parasite): pigs in pasture

  • Dt: fecal, Postmortum, ELISA, PCR

  • Tx: Ivermectin, Fenbendazole, Levamisole, Pyrantel, Dichlorvos, Piperazine, pasture rotation, age based grouping

<ul><li><p><span style="color: rgb(136, 136, 136)">Et:&nbsp;</span></p><ul><li><p><strong>Trichuris suis (whipworms): <u>Bloody diarrhea in pigs 3w- 6mold</u></strong></p></li><li><p><strong>Strongyloides ransomi (threadworms): </strong>Infects <strong><u>baby pigs through colostrum</u></strong></p></li><li><p><strong>Ascaris suum (white worms):</strong> <strong><u>finishing pigs 2-3m old on concrete floors w/ straw bedding</u></strong></p><ul><li><p>liver milk spots</p></li></ul></li><li><p><strong>Metastrongyles (earthworm parasite):</strong> pigs in <strong><u>pasture</u></strong></p></li></ul></li></ul><img src="https://knowt-user-attachments.s3.amazonaws.com/62ad5073-969d-4a98-a751-6fbb8564b53f.png" data-width="75%" data-align="center"><ul><li><p><span style="color: rgb(136, 136, 136)">Dt:</span> fecal, Postmortum, ELISA, PCR</p></li><li><p><span style="color: rgb(136, 136, 136)">Tx: </span>Ivermectin, Fenbendazole, Levamisole, Pyrantel, Dichlorvos, Piperazine,<u> pasture rotation, age based grouping</u></p></li></ul><p></p>
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<p>Cryptosporidium suis in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Cryptosporidium suis in pigs

  • Et: pigs 8–21d old

    • contaminated water, poor hygiene

  • Cs: Diarrhea, dehydration, weight loss

  • Dt: Acid-fast stain fecal 

  • Tx: electrolytes, hygiene, none specific

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Campylobacter coli in pigs

  • Et: colostrum-deprived piglets

    • Poor farrowing house hygiene 

  • Cs: creamy diarrhea, dehydration, loss of condition

  • Dt: fecal culture

  • Tx: antibiotics, all-in-all-out

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Streptococcus in pigs

  • S. suis

    • Et: suckling and recently weaned pigs

    • Cs: Meningitis (#1), bronchopneumonia, polyarthritis, polyserositis, endocarditis, abortion

      • Multisystem dx

    • Dt: culture

    • Tx: Antibiotic, all-in-all-out, vax

  • S. porcinus (pig strangles)

    • Et: weaners and finishers

    • Cs: Jowl abscesses, purulent lymphadenitis of head/ neck

    • Dt: culture

    • Tx: Antibiotic

<ul><li><p><strong>S. suis</strong></p><ul><li><p><span style="color: rgb(136, 136, 136)">Et: </span><u>suckling and recently weaned pigs</u></p></li><li><p><span style="color: rgb(136, 136, 136)">Cs:</span><strong> <u>Meningitis (#1)</u></strong><u>, bronchopneumonia, polyarthritis, polyserositis, endocarditis, abortion</u></p><ul><li><p><strong><u>Multisystem dx</u></strong></p></li></ul></li><li><p><span style="color: rgb(136, 136, 136)">Dt:</span><strong> </strong>culture</p></li><li><p><span style="color: rgb(136, 136, 136)">Tx: </span>Antibiotic, all-in-all-out, vax</p></li></ul></li><li><p><strong>S. porcinus (pig strangles)</strong></p><ul><li><p><span style="color: rgb(136, 136, 136)">Et: </span><strong><u>weaners and finishers</u></strong></p></li><li><p><span style="color: rgb(136, 136, 136)">Cs: </span><strong><u>Jowl abscesses,</u> </strong>purulent lymphadenitis of head/ neck</p></li><li><p><span style="color: rgb(136, 136, 136)">Dt:</span><strong> </strong>culture</p></li><li><p><span style="color: rgb(136, 136, 136)">Tx:</span><strong> </strong>Antibiotic</p></li></ul></li></ul><p></p>
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<p>Leptospirosis in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Leptospirosis in pigs

  • Et: wildlife, rodents, zoonotic

    • liver and kidneys

  • Cs: Abortions, jaundice, renal damage

    • Sows and gilts: Abortions, stillbirths, infertility

    • Weaners and growers: Jaundice, acute death

  • Dt: Micro-agg serum test, FAT, IHC, PCR

  • Tx: Medicated feed, vax, rodent control

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<p>Brucellosis in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Brucellosis in pigs

  • Et: breeding pigs

  • Cs: 

    • Females: Infertility, return to heat 30–45d after breeding, late-term abortions, stillbirths, weak piglets, vulval discharges

    • Boars: Swollen testicles, infertility

      • Life long carriers

  • Dt: culture, BAPA test, SCT, STT, PCFIA

  • Tx: Cull, no Tx, No vax

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Postpartum dysgalactia syndrome in pigs

  • Et: udder and uterus infection

    • 12hrs-3d after farrowing

  • Cs: Mastitis, Metritis, Agalactia 

    • Sows: Depression, constipation, fever, anorexia, restlessness during suckling

    • Piglets: Diarrhea, reduced weaning weights, starvation, death 

  • Dt: Based on CS

    • Ddx: PRRS, influenza, metritis, cystitis

  • Tx: Antibiotics, anti-inflam, oxytocin, adopt out sm piglets, avoid overfeeding before farrowing, secure footing

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<p>Mastitis in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Mastitis in pigs

  • Acute

    • Et: E. coli, Klebsiella, Pseudomonas

      • around farrowing, solid floors, wood shavings, needle teeth

    • Cs: Depressed, inappetent, reluctant to rise, fever, hard, hot, painful udder, altered milk

    • Tx: Antibiotics, Anti-inflam, Oxytocin, Hygiene, foster out baby’s  

  • Chronic: 

    • Et: after weaning, early preg, injury

    • Cs: Hardened udder lumps in the udder

    • Tx: None; cull

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<p>Ringworm in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Ringworm in pigs

  • Et: Dermatophyte fungal infection

    • All ages

  • Cs: Circular skin lesions behind the ears, back, and flanks

  • Dt: skin scrapings

  • Tx: Self-limiting

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<p>Iron Values in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Iron Values in pigs

  • Iron deficiency anemia

    • Cs: Pale piglets, poor growth, tachypnea, sudden death, thin-walled heart, edema of lungs/CT

    • Dt: Bld smear w/ microcytic hypochromic bld

    • Tx: Iron dextran @ 3 -5d old, supplementation

  • Iron toxicity

    • Et: pigs deficient in vit E/Se injected w/ iron dextran

    • Cs: Lameness in 2rs after iron injection, dark/ swollen injection site, heavy breathing, pale, death in 24hrs

    • Dt: History of iron dextran injection

    • Tx: Vit E/Se injection/supplement in last 2m of preg or 2d before iron injections

<ul><li><p><strong>Iron deficiency anemia</strong></p><ul><li><p><span style="color: rgb(136, 136, 136)">Cs: </span><strong><u>Pale</u> piglets,</strong> poor growth, tachypnea, sudden death, <u>thin-walled heart, edema</u> of lungs/CT</p></li><li><p><span style="color: rgb(136, 136, 136)">Dt:</span><strong> <u>Bld smear w/ microcytic hypochromic bld</u></strong></p></li><li><p><span style="color: rgb(136, 136, 136)">Tx:</span> <strong><u>Iron dextran @ 3 -5d old</u>,</strong> supplementation</p></li></ul></li><li><p><strong>Iron toxicity</strong></p><ul><li><p><span style="color: rgb(136, 136, 136)">Et: </span><strong><u>pigs deficient in vit E/Se injected w/ iron dextran</u></strong></p></li><li><p><span style="color: rgb(136, 136, 136)">Cs:</span> <strong><u>Lameness in 2rs</u></strong> <strong>after iron injection, <u>dark/ swollen injection site</u>,</strong> heavy breathing, pale, death in 24hrs</p></li><li><p><span style="color: rgb(136, 136, 136)">Dt: </span>History of iron dextran injection</p></li><li><p><span style="color: rgb(136, 136, 136)">Tx:</span><strong> </strong><u>Vit E/Se</u> injection/supplement in <u>last 2m of preg or 2d before iron injections</u></p></li></ul></li></ul><p></p>
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Vitamin E deficiency in pigs

  • Et and Cs: 

    • Mulberry heart disease: Cardiomyopathy 

      • sudden death in healthy-looking pigs <4m old 

    • Hepatosis dietetica: Hepatic necrosis and hemorrhage

      • sudden death in apparently healthy pigs

    • White muscle disease: Pale skeletal muscle

      • rare

  • Dt: Bld selenium level

  • Tx: Supplement Vit E/Se last 2m of preg

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Salt poisoning in pigs

  • Et: water deprivation or excess consumption

  • Cs: Dehydration, incoordination, blindness, head pressing, nose twitching, convulsions, dog-sitting, falling, paddling legs, death

  • Dt: Serum or CSF Na level

  • Tx: Slow fluids, mannitol, diazepam/midazolam

    • Poor prognosis even w/ Tx

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Malignant hyperthermia (porcine stress syndrome) in pigs

  • Et: Inherited, calcium dysregulation 

    • Pietrain, Poland China, Landrace

    • Triggered by stress or halothane GA

  • Cs: Hyperthermia, muscle fasciculation, rigidity, tachypnea, tachycardia, arrhythmia, myoglobinuria, metabolic acidosis, renal failure, death

  • Tx: Cooling, dantrolene, Ace, use local analgesia instead of halothane

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Orthopedic issues in pigs

  • Neonatal Polyarthritis

    • Et: Strep suis, Staphylococci, Trueperella pyogenes, E. coli, Actinobacillus suis

      • Common cause of death/culling in suckling pigs

    • Cs: Lethargy, pain, poor suckling, swollen/painful/warm joints, lameness

    • Dt: Clinical exam, pus in joints, swelling of umbilical stalk

    • Tx: Antimicrobials, all-in/all-out, hygiene 

  • Foot disorders

    • Et: Heel erosions, hoof wall cracks, necrotic ulcers

      • Trueperella pyogenes, Fusobacterium necrophorum, Borrelia suilla

      • Slippery floors, heavily preg

    • Cs: Lameness, swelling, progression to three-legged lameness

    • Tx: antibiotics, wound care, NSAIDs, ensure safe flooring, biotin diet support

      • early is key

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Gastric Issues in Potbellied pigs

  • Gastritis & Gastric FB

    • Cs: Vomiting, colic, infection

    • Dt: X-rays

    • Tx: Sx, fuids, nutritional support, antibiotics, tetanus vax

  • Constipation

    • Et: FB, low water intake, low fiber diet

    • Tx: Increase water intake, mineral oil, mild laxatives, stool softeners, enemas, Sx, exercise, dietary fiber

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Skin Disorders in Potbellied pigs

  • Dry, Flaky Skin: Manage with moisturizers

  • Sarcoptic Mange: Intense itching; treat with ivermectin injections

  • Skin Tumors: May be malignant; surgical removal, pathology

  • Sunburn: Common in light-skinned pigs

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Aggression in Potbellied pigs

  • Et: Onset ~1–1.5 years, social dominance behavior

  • Cs: Lunging, snapping, biting

  • Tx: training

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Castration in pigs

  • Commercial 

    • When: <1w old

    • How: Open castration w/ scrotal incision, remove all tunics

  • Potbelly Pigs

    • When: <3m old

    • Rx: TKX or gas

    • How: Prescrotal incision and closed castration w/ ligation

  • Cryptorchids 

    • AKA: one nutters or rigs

    • Et: Retained testicles, show pigs, mounting behavior

    • How: Incise over retained side, ligate spermatic cord, close abdomen

      • Never perform unilateral castration on cryptorchid

  • Teaser Males

    • Use: Heat detection/stimulation

    • Methods:

      • Vasectomy: cranial to scrotum, Isolate and excise vas deferens

      • Epididymectomy: Remove tail of epididymis

        • In very young boars

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<p>Scrotal Hernias in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Scrotal Hernias in pigs

  • Et: Hereditary

  • Dt: detected @ castration

    • DDx: Hydrocele, scirrhous cord, hematoma

  • Tx: 

    • Taping: Elasticon fig 8 around legs post-castration. Revolve in 5d

    • Sx: Pre-castration, incise over inguinal ring, reduce hernia by twisting, ligate spermatic cord, close ring, remove other testicle

<ul><li><p><span style="color: rgb(136, 136, 136)">Et: </span>Hereditary</p></li><li><p><span style="color: rgb(136, 136, 136)">Dt: </span>detected @ castration</p><ul><li><p>DDx: Hydrocele, <strong><u>scirrhous cord</u></strong>, hematoma</p></li></ul></li><li><p><span style="color: rgb(136, 136, 136)">Tx:&nbsp;</span></p><ul><li><p><strong><u>Taping: Elasticon fig 8 around legs post-castration. Revolve in 5d</u></strong></p></li><li><p><strong>Sx</strong>: Pre-<strong><u>castration</u></strong>, incise over inguinal ring, <strong>reduce hernia by t<u>wisting</u>,</strong> ligate spermatic cord, close ring, remove other testicle</p></li></ul></li></ul><p></p>
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<p>Rectal Prolapse in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Rectal Prolapse in pigs

  • Et: Crowding, cold stress, coughing, short tail docking, enteritis, constipation, mycotoxins

  • Tx: Sx (Epidural, Amputation/replace, purse-string suture), Rectal prolapse tube

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Umbilical Hernias / Infected Navels in pigs

  • Et: Origin from umbilical abscess

  • Tx: Elliptical skin incision, stab through body wall, excise hernia sac and flush, close

    • Repair only in valuable animals

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<p>Preputial Diverticulum in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Preputial Diverticulum in pigs

  • Why: Penis entrapment, contamination, diverticulitis

  • How: 

    • Open: Incise over lateral aspect, exteriorize diverticulum, ligate, close incision

    • Closed: through preputial orifice to evert diverticulum

      • Sutures optional in young boars

<ul><li><p><span style="color: #888888">Why:</span> Penis entrapment, contamination, diverticulitis</p></li><li><p><span style="color: #888888">How:&nbsp;</span></p><ul><li><p><strong>Open: </strong>Incise over <u>lateral</u> aspect, exteriorize diverticulum, ligate, close incision</p></li><li><p><strong>Closed</strong>: through <u>preputial orifice</u> to evert diverticulum</p><ul><li><p>Sutures optional in young boars</p></li></ul></li></ul></li></ul><p></p>
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<p>Female Reproductive Management in <span style="color: rgb(230, 155, 255)">pigs</span></p>

Female Reproductive Management in pigs

  • Dystocia

    • PE: Age, vaginal exam, general status

    • Tx:

      • Stable Gilt: Time and oxytocin

      • Open cervix, stable sow: Manual extraction, oxytocin

      • Closed cervix, unstable sow: C-section

  • Ovariohysterectomy in Potbelly Pigs

    • Why: Prevent breeding, treat infection/tumors

    • When: Age: 6–8 weeks optimal

    • How: Linea alba incision, 3-clamp technique, SQ skin closure

  • Cesarean Section

    • Rx: Epidural + line block, TKX or inhalant

    • Sut: Inverting uterine closure

    • How:

      • Op: Lateral flank incision, remove ALL piglets

      • Post Op: Hand-rear piglets

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Routine Trimming in pigs

  • Needle Teeth Removal 

    • When: <24–48 hrs of birth

    • How: Clip sharp tips of 8 needle teeth (deciduous canines/incisors)

      • Use sterile tools; avoid gum trauma

      • Disinfect between litters

  • Tail Docking

    • Why: prevent tail-biting/infection

    • When: 3–7 days of age

    • How: cutters/scissors/cauterizer, leave 1–2 cm tail

      • Too short = risk of rectal prolapse

  • Tusk Trimming

    • Why: Prevent injury

    • When: every 6–12m

    • How: wire saw, bolt cutters, or grinder, sedate, Trim just above gum line

  • Foot Trimming

    • Why: Lameness, overgrowth, infection

    • When: Every 6–12m

    • How: 

      • Restraint: Chute, sling, or sedation

      • Tools: Hoof shears, rasp, or grinder