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How do you BCS camelids?

Reduction in BCS (BW) by:
½ (5%) = observe
1 (10%) = vet should see in next fortnight
2 (20%) urgent (vet out in next 2-3d)
What are the signs of abnormality in camelids?
Ocular discharge
HR, RR, temp
Restless (rather than thrashing during colic like in horses)
What is the technique of taking bloods from a camelid?
Go down the neck —> feel bony lateral protuberances of C5
Slide finger medially to centre of neck —> in jugular groove (will not see vein rise)

Insert needle just above your finger, parallel to neck
What are the different things to consider when treating camelids with fluids?
2ml/kg/hr + deficits, care w/ boluses (don't do for more than 30mins) —> susceptible to pulmonary oedema
Care w/ glucose —> many cria are hyperglycaemic when ill, also a lot of adults insulin resistant
only add glucose if able to monitor twice a day
Youngsters & Adults —> use alkaline fluids (hartmans)
When placing a catheter which location will you go for?
Right jugular
(right is right —> L = closer to oesophagus & vagus n. —> if local reaction generated → nerve irritation)
Top 1/3 of neck (less chance of hitting carotid)
Skin nick before because skin is tough
Always place down towards heart
Can go for cephaliic in young crias that are still nursing —> more likely to cont. nursing because no jugular irritation
What classes as hypoproteinaemia & how can you rectify this?
Albumin 20g/l, TP less than 40g/l
Plasma transfusion
What do you think about this alpaca

Stress lines under eyes & open mouth breathing
Tensed facial muscles
Stressed (leave this animal alone)
will become comatosed —> don’t surpass stress threshold
What do you suspect this is due to?

Bilat abdo distention:
Free fluid in the abdomen
SI obstruction
What are the common causes of colic?
Phytobezoar (plant material blockage)
Enteritis
Spiral colon torsion
What piece of imaging equipment is best for abdo work up?
U/S —> shows several forestomachs present
not seen on rads

Where would a microchip be placed?
L ear base, over cartilage
no longer in neck top 1/3 because can migrate
when scanning for microchip, scan entire animal

What vaccinations should you give?
Clostridial
Others as required
Bluetongue
Orf, leptospirosis, salmonellosis
Rota & Coronavirus, E.coli
Abortion agents
booster q. 6months
What are the clinical signs ass. w/ endoparasites in camelids?
Soft faeces (rather than D+)
Ill thrift
Anaemia (check eye w/ FAMACHA chart)
Malaise & death
How many eggs in faeces for the different endoparasites indicate clinical infection?
Trichostrongyle-type = 300-400 eggs/g
Fluke, Nematodirus = 1 egg/g
Haemonchus, Lungworm = any are noteworthy
present on farm —> watch forecasting period (correct weather conditions)
How can you aid reducing pasture contam?
Dung piles + poo-picking (like horses) —> frequently enough depending on hatching of larvae of parasites present
What are the wormer dose rates for camelids?
Benzimidazoles
10 mg/kg (= 2x sheep dose)
(albendazole never give more than this → toxicity; never give in pregnant)
Levamisol (only if able to weigh, tox common if get dose even slightly wrong)
6 mg/kg injection, 8 mg/kg by mouth
MLs
Generally 1 – 1.5x cattle / sheep dose
Moxidectin for haemonchus —> 0.4 mg/kg oral (horse dose)
Monepantel
3x sheep dose
leave some animals untreated based on good BCS (don’t unnecessarily rely on drug tx)
When would you dose for fluke & what would you use?
High forecast —> dose 6 weeks later
Typical (sheep) —> Oct & Jan
Closantel, triclabendazole, Albendazole (not in pregnant)
less suitable —> nitroxynil & clorsulon (not poss w/ combi product)
What are the coccidia that affect camelids?
Eimeria lamae
Eimeria punoensis
Eimeria alpacae
Eimeria mascusaniensis
immunity decr. w/ age & stress
What is the most pathogenic cocci species that affect camelids?
E. macusaniensis —> 1 month PPP
When should you treat camelids for cocci?
Early-born crias @ weaning (6mo i.e. late summer)
Late-born crias @ 2-3 mo
early-born crias deposited oocysts onto pasture & contam
Adults after stress
Incoming animals
(moving troughs can help)
What are the common types of mange that you see?
Chorioptic —> inside thighs, back
surface dwellers

Sarcoptic —> around head
burrowing

(skin scrape to distinguish —> interdigital space)
Starts with fleece loss, reddening → crusted lesions
Severe → v. crusted, thick, leathery lesions
How do you treat the different types of mange?
Ivermectins
Injectable for Sarcoptic mange (invading mite)
Pour-on for Chorioptic mange (surface spreading mite)
Typically 3-4 tx 7-10d apart
Treat the whole group
What additional treatment may you need to give to the severe mange cases?
Shampoo (keratolytic)
Topical acaricide (Deosect, Frontline)
Topical emolient
Skin conditioner
ABs (systemic)
Steroid? if v. severe & not pregnant
treat WHOLE group housed together for mites (even those not showing signs) & keep separate from rest of herd for 1wk
pour-on highly toxic to aquatic life
Which flies affect camelids?
Nuisance & blow flies
What are the signs of blow-fly strike?
Fleece stuck together
Skin wounds


What is this showing?

Munge —> hyperkeratosis
Typically weaning age(6-8mo) & adolescent
Idiopathic
Symptomatic tx (like additional mange tx)
What would you need to rule out when you see this?

Caseous Lymphadenitis caused by corynebacterium pseudotuberculosis
Take sample & look before draining any assumed abscess
How is gastric ulcer diagnosed?
U/S will show thinning of compartment wall
Poss peritonitis & free fluid

If you suspect gastric ulcers how would you treat this?
Systemic antacids (pantoprazole) —> not oral
You can give these prophylactically if an animal is inapp
When should you suspect bovine TB in camelids?
resp dx, wt. loss, ext. swellings (near LNs), abscesses in lung/trachea/liver/spleen
be aware of zoonosis (camelids spit at each other)

How is bovine TB diagnosed?
Serological testing —> Idexx + StatPak or Enferplex
poor sens
What is the main ddx for anaemia?
Cardio-vascular compromise
clinical indicator = pale MMs
Pulse deficit
Heart murmur
Cold extremities
Incr. CRT
What are the features of camelid RBCs?
When is a blood transfusion needed?
Eliptical RBCs —> needs to have correctly calibrated machine to pick up
Always do PCV manually
can cope with PCV of ~8-10% until need blood transfusion; cf to sheep & goats (10-15%)
1L whole blood incr. PCV by ~5%

What are the different things that can cause anaemia?
Chronic dx
Haemonchosis, fluke
Gastric ulceration
Haemolysis —> nitrate / brassica
Ivermectin tox
Mycoplasma haemollamae
What is the difference between ataxia and weakness?

weakness test —> lift leg → will see worse m. tremours on contralat leg
(swing phase of gait)
When can we castrate camelids & what is the preparation + pre-op procedures?
Over 18mo
In preparation, must be covered for tetanus (or use tetanus antitoxin pre-op) & concentrates withheld for 24hrs.
Immediately pre-op —> ABs & NSAIDs
Check that has 2 testicles!!
cryptorchids typically LHS & intra-abdo

what are the anaesthesia options for a castration?
Local infiltration
max 6mg/kg
along median raph ± intra-testicular
stand to side so don’t kick you
Triple stun (heavy sedation = ketamine + butorphanol+ xylazine) (± local)
Caudal epidural —> 1ml/45kg BW
How should the alpaca be prepared for castration? (restraint wise)
Tie out like horse
Nose below larynx —> regurg will run out of mouth
Blindfold —> keeps deep & still
Duct tape fleece out of way of scrotum in llamas


^^^ chuckering --> tie each back foot out of way but possibility of myositis if animal not deeply sedated enough & struggle against restraint

^^^ opened tunica vaginalis = prolapses out, so closed technique —> if accidently go too deep —> clamp tunica for 2mins, trim excess, to avoid prolapse → skin can heal properly
open castration complications = haemorrhage, infection etc.
What are the haemostasis options for the blood supply of the testicles?
Ligature (above pampiniform plexus)
Clamp (above pampiniform plexus)
Twist & pull

What are the top 3 differentials for weight loss?

What is the birth weight and weight for month after birth of camelids?
Double birth weight (7-8kg) in first month of life then 5kg incr. per month
What are the ddx of a 4mo cria that has a BCS 1/5, BW 14kg, systolic heart murmur, small faecal pellets, urination not observed, -ve fluke & salmonella, 100 strongyloides epg, <50 coccidia epg?
Congen problem? —> underweight
Maladjustment syndrome
Malnutrition —> milk, C1 development
Parasites (esp. coccidiosis)
Immunodef syndrome
Iodine def
additional acute problem?
When is it indicated to trim the incisors?
Low BCS, quidding
Use embryotomy wire or power tool (+ water to stop overheating of tool)
Care not to expose pulp cavity (sensitive) —> shine torch through teeth to see, and stay above when trimming

What are the difference between retained deciduous vs permanent incisors
Deciduous = whiter, taper towards gingiva
Permanent = dirtier, parallel sides

what is this a presentation of?

How can this be investigated?
Dental dx
DV, lateral, 45 degree oblique views on rads
Routine check by owners —> roughness in bone?

How can cria be sedated?
0.1mg/kg butorphanol + 0.2mg/kg diazepam
no xylazine because can’t negate cardiotrophic effects
What cuffed ET tube size can be used in adults vs weanlings?
What flow rate is needed on the anaesthetic machine?
Adult = 9-12
Weanling = 5.5-7
2-3L flowrate on closed circuit
What can be used to induce?
Xylazine or detomidine ± butorphanol + ketamine
Or propofol
Alfax to premed
maintain on gas /double drip
What is important to consider when extubating after GA?
Extubate as late as poss to avoid oedema → will struggle to breathe
What analgesia can be used for camelids?
Fentanyl patch q. 72hrs; 12hrs to peak
Butorphanol IV or IM, 60mins to effect
Buprenorphine IV or IM, 6-7hrs to effect
Meloxicam q. 48-72hrs, 22hrs to peak
What are the causes of abortion in camelids?
Non-infectious & infectious causes same as in sheep & cattle
What are common malpresentations of dystocia?
What can help you deal with dystocia?
Foot/lower limb caught on pelvic brim
Carpal flexion
Head deviation, neck flexion
Breech —> posterior presentation w/ hip / hock flexion
Twins
C section is an option to deal w/

What is the protocol for a caesarean section?
Local anaesthetic used over GA
fluids needed for good GA
sedation (detomidine, butorphanol = don’t affect dilation)
don’t take any longer than 15min trying to get cria out manually —> plan B = C section
spleen more cd. than in cattle & sheep = will be incorporated into incision
keep fleece out of way w/ ductape
gentle tissue handling —> lavage, don’t swab

When are foetal membranes usually passed? and when is it considered retained?
Usually passed after 1-3hrs and should weigh from 800-1000 grams
Retained means longer than 6hrs —> give gentle pull, oxytocin, systemic check (temp)
No ABs unless develop temp (necrosis needed for placenta to come out)

What are some other peri-parturient complications?
Uterine torsion
Vaginal prolapse
Uterine prolapse
Mastitis (rare) —> systemic so needs aggressive tx
Endometritis —> too freq breeding?
What does a cria need if it has D+?
Oral Na+ (don’t lose as much as calves)
IV