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What is the grading system for vaginal prolapse in bovines?
Grade I: Intermittent prolapse, especially when recumbent; Grade II: Continuous prolapse; Grade III: Continuous prolapse of vagina, bladder, and cervix; Grade IV: Grade II or III with tissue damage.
What are the risk factors for uterine prolapse in cattle?
Multiparous cattle, first-calf beef heifers, dystocia, retained membranes, hypocalcemia, and atony.
What are the common signs of postpartum uterine prolapse?
Cervix and inflamed mucosa are often visible, and the condition can occur within hours of parturition.
How is vaginal prolapse treated in cattle?
Treatment includes epidural anesthesia, lubricant replacement, and retention with a Buhner suture.
What prognosis is associated with uterine prolapse in mature heifers?
The prognosis is good to excellent for mature heifers, but poor for first-calf heifers.
What are the main clinical signs of mastitis in cows?
Systemic illness (fever, anorexia, tachycardia, diarrhea, depression) and changes in milk (flaky, fibrinous, or blood-tinged).
Which bacteria are commonly associated with mastitis?
Staphylococcus aureus, coagulase-negative Staphylococcus spp., Streptococcus agalactiae, and various coliforms.
What diagnostic tests are used to detect mastitis?
Cytology, culture, California Mastitis Test (CMT), and somatic cell counts (SCCs).
What are the goals of treatment for retained fetal membranes?
Do not pull the membranes; if systemic illness is not proven, systemic antibiotics will not help, and cows will usually expel membranes on their own in 3-11 days.
What is the primary cause of endometritis in cattle?
Endometritis is often caused by nonspecific infections, most commonly by Trueperella pyogenes and anaerobic Gram-negative bacteria.
How can cystic ovarian disease be diagnosed?
Diagnosis is made via rectal examination and ultrasonography to differentiate between follicular cysts and luteal cysts.
What are the treatment options for follicular cysts in cattle?
Treatment includes GnRH to encourage ovulation; luteal cysts are treated with PGF2α to encourage luteal lysis.
What are some contributing factors to the development of retained fetal membranes?
Dystocia, abortion, twin pregnancies, hypocalcemia, increased environmental temperatures, and older age of cows.
What caution should be exercised in cases of uterine prolapse?
Avoid Caslick sutures and other vulvar closures, as the prolapse begins at the apex of the uterine horn.
What is the predisposition of cows for endometritis associated with calving?
Endometritis is the second biggest reproductive problem after failure to detect estrus and occurs from 3 days to 2 weeks postpartum.
Which cows are affected by vaginal prolapse?
Mature cows with enlarged abdomen (fat, fetus, GI) usually in last trimester
Vaginal prolapse grading system?
Grade I - intermittent prolapse, esp. when recumbent
Grade II - continuous prolapse
Grade III - continuous prolapse of vagina, bladder and cervix
Grade IV -
When does uterine prolapse occur?
Within hours of parturition
What are the risk factors for uterine prolapse?
Multiparous cattle
First calf beef heifers
Dystocia
Retained membranes
Hypocalcemia
Atony
Vaginal prolapse Dx?
May see cervix and inflamed mucosa
Uterine prolapse Dx?
See cotyledons ± retained placenta
Vaginal prolapse Tx?
Epidural
Lubricant
Replacement
Retain with Buhner suture (deeply buried circumferential suture placed around the vestibule to provide support at the point at the initial eversion of the vaginal wall)
Salvage procedure is an option
Uterine prolapse Tx?
Address shock
Epidural
Cleanse uterus
Glycerol
Lubricant
Replacement:
If recumbent put cow in sternal recumbency with hindquarters elevated and pelvic limbs extended backwards (like a frog)
Helps of you push uterus downhill
Repair by pushing uterine tip up and in, working between bouts of straining
Once uterus is in a normal position:
Infuse warm, sterile saline solution to ensure complete replacement of the tip of the uterine horn without trauma
Oxytocin plus IV Ca is indicated in most cases to increase uterine tone
Caslick sutures and other vulvar closures are NOT useful because uterine prolapse begins at apex of uterine horn, NOT at vulva.
Vaginal prolapse cause?
May be genetic component.
Uterine prolapse prognosis?
Good to excellent for mature heifers, poor for first calf heifers. Recurrence is rare if properly replaced
Causes of sublinical mastitis?
Staph. aureus, coagulase - staphylococcus, streptococcus agalactiae
Acute CS of mastitis?
Fever, anorexia, tachycardia, diarrhea, depression, toxemia, serous to serosanguinous milk. Strep. dysgalactiae and coliforms
CS of chronic mastitis?
Hot, firm udder, erythema, edema, pain, abnormal milk with flakers, fibrin, or blood
Causes of mastitis?
Staph aureus (contagious), CNS (opportunistic)
Strep. agalactiae (cont.)
Strep. uberis (environmental, ± contag.)
Strep. dysgalactiae (env. ± cont.)
Trueperella pyogenes (cont.)
Mycoplasma spp. or M. bovis (cont.)
Listeria monocytogenes
Coliforms (E. coli, Klebsiella, Enterobacter, Proteus, Serratia, Citrobacter) (env.)
Mastitis Dx?
PEx
Cytology
Culture (normal milk is sterile)
CMT
Regulatory authorities grade milk by SCC
What does CMT test for and how do we perform it?
Measures somatic cell count SCCs on individual or bulk milk
Uses detergent to lyse SCCs
Add equal volumes or milk and reagent and watch the amount of gel formed
CMT is used to detect or rule out subclinical mastitis
How is milk graded?
SCCs are normally 75% WBCs and 25% epithelial cells
WBCs increase with mastitis
Normal cow has less than 100-200k SCC/ml
Normal parameters for bulk milk:
a. <750k SCC/ml
b. <10 coliforms/ml
c. <100k bacteria/ml
Mastitis Tx?
ABx systemic or inflammatory infusions
Freq. milking
NSAIDs
Dry cow tx
± Oxytocin to increase udder drainage
Mastitis prevention?
Decrease stress and environmental contamination
Post milking teat dipping/spraying
Pre milking teat dripping/spraying
Dry cow Tx - infuse all quarters at drying off
Culling/segregation
Proper milking machine management and testing
Vax: adjuncts only (for S. aureus, some streptococcus spp.)
Predominant Ig in milk, most important defense of the mammary gland?
IgG1. Nw
What is summer mastitis associated with?
Trueperella pyogenes mastitis may be associated with sheep head fly
What causes milk drop syndrome?
Or flabby bag mastitis is caused by Leptospira, name because of the rapid drop in milk production which results in a flaccid udder
Cause of ulcerative mammilitis?
BHV II and IV
After how many hours are fetal membranes retained?
IF they havent been expelled after more than 12h. More often in dairy than beef cows
CS of retained fetal membranes?
Protruding membranes are hanging from vulva, malodorous discharge, delated return to estrus., ± toxemia
Risk factors for retained placenta?
Dystocia
Abortion
Twins
Hypocalcemia
Increased environmental temperatures
Older cows
Premature birth
Induction of parturition
Placentitis
Hx of retained fetal membranes
What do retained placentas increase the risk of?
Mastitis
Metritis
Ketosis
Displaced abomasum
Tetanus
Retained placentas Dx?
Membranes protruding from vulva, no Hx of expelling membranes.
Retained placentas Tx?
DO NOT PU::
Trim whats visible
They expel it in 3-11 days regardless of Tx
Systemic ABx if there is syst. illness
NOT proven to help: intrauterine ABx, PGF2alpha, oxytocin, estradiol, Ca
Vit E/selenium may help to prevent in deficient herds
Good dry cow management is essential to prevent retained fetal membranes
When does endometritis occur?
2-3 wks pp. Second biggest problem after failure to detect estrus.
Endometritis CS?
Decreased conception rates
Shortened estrous cycle
Purulent vaginal discharge
May be subclinical
Factors that contribute to endometritis?
Over-conditioning
Unclean calving environment
Assisted calving, dystocia
Retained placenta
Unnecessary post partum infusions
Inaccurate heat detection (resulting in too much AI)
Presence of trueperella pyogenes or ureaplasma
Endometritis etiologies?
Usually nonspec. infection
Most often T. pyogenes (sometimes in association with F. necrophorum)
Other G- anaerobes
Campylobacter fetus venerealis or C. fetus fetus
± B. abortus
± Trutrichomonas foetus
Leptospirosis
Endometritis Dx?
Rectal exam: large, fluid filled uterus
Endometrial cytology and culture
± US
Endometritis Tx?
PGF2 alpha to lyse persistent corpus luteum
If septic: systemic ABx, NSAIDs, IV fluids
DO NOT use uterine infusions or lavage
Good dry cow management is essential to prevent
Folicullar cysts CS?
Nymphomania
Short interestrus intervals
Extended calving interval
Increased heat behavior
Mucoid vaginal discharge
Luteal cysts CS?
Anestrous behavior
Follicular cysts Dx?
Rectal exam (cannot distinguish between follicular and luteal)
US
Thin walled, <3mm
More than 25mm in diameter
Often multiple cysts
Absence of c. luteum
Low serum progesterone conc.
Persists more than 10d
Luteal cysts Dx?
Rectal exam (cannot distinguish between follicular and luteal)
US
Thick walled, more than 3mm
More than 25mm in diameter
Trabeculae
Usually a single cyst
High serum prog. conc. (luteal cysts secrete progesterone)
Follicular cysts Tx?
GnRH; encourages ovulation
Luteinizing hormone - type Tx
Manual rupture per rectum may cause trauma and hemorrhage
Luteal cysts Tx?
PGF2 alpha, encourages luteal lysis
Tx will allow estrus in 3-5 days
DO NOT rupture
Why do follicular cysts cause nymphomania?
Because of increased estradiol and decreased progesterone