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Exam 4
Pregnancy Toxemia
47
Veterinary Medicine
Professional
12/05/2016

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Cards

Term
Describe the epidemiology of fat cow syndrome.
Definition
-early postpartum period
-negative energy balance
-concomitant diseases
Term
What is the typical history of fat cow syndrome?
Definition
-not doing well since calving
-poor response to therapy for common diseases
-weight loss
Term
What are the clinical signs of fat cow syndrome?
Definition
-depression
-anorexia
-weakness
-hgih body condition
Term
What is the basic pathophysiology of fat cow syndrome?
Definition
-negative energy balance elads to inc fat mobilizaiton
Term
What is the best way to diagnose fat cow syndrome?
Definition
-liver biopsy
Term
What do we see on labs with fat cow syndrome?
Definition
-inc NEFAs
-dec Triglycerides & glucose
-inc liver enzymes
-ketonemia
Term
How do we treat fat cow syndrome?
Definition
-treat primary disease
-fix neg E balance: IV glucose, insulin, transfaunation/food
Term
What is the prognosis for fat cow syndrome?
Definition
-guarded
-mortality approx 25%
Term
What do we see on necropsy of fat cow syndrome?
Definition
-enlarged pale yellow liver with rounded edges
-friable & greasy
Term
What are some prevention methods to avoid fat cow syndrome?
Definition
-high protein in dry period
-BCS of 3.5 at dry-off
-good breeding program
-match E level to milk pdn
Term
What is the etiology protein-energy malnutrition?
Definition
-negative energy balance
Term
In which cows is protein-energy malnutrition most common?
Definition
-growing late regnant beef heifer
Term
What is the seasonality of protein-energy malnutrition?
Definition
-winter
Term
What are the clinical signs of protein-energy malnutrition?
Definition
-thin, long hair coat
-weight loss: with pot belly
-also: weakness, hypothermic
-most die 7-14d after becoming recumbent
Term
What are the main differentials for energy-protein malnutrition?
Definition
-poor dentition
-parasites
-rumen or abomasal impaction
-musculoskeletal diseases
Term
How do we make an antemortem diagnosis of energy-protein malnutrition?
Definition
-RULE OUT OTHER CAUSES!!!
-clinical signs + environmental conditions
Term
How do we make a postmortem diagnosis of energy-protein malnutrition?
Definition
-small liver = chronic
-fatty yellow liver = acute
-serous atrophy of fat
Term
How do we treat energy-protein malnutrition?
Definition
-propylene glycol
-good quality feed
-treat concurrent diseases
Term
What are some methods of preventing energy-protein malnutrition?
Definition
-BCS of 5-7 entering 3rd trimester
-diet: good quality forage + corn
-early weaning
-adequate bunk space
-protection from inclement weather
-cull on bad teeth
Term
Which animals most commonly get pregnancy toxemia?
Definition
-prepartum ewes & does
Term
What are the other names for pregnancy toxemia?
Definition
-twin lamb disease
-pregnancy ketosis
-lambing or kidding sickness/paralysis/ketosis
Term
What is the etiology of pregnancy toxemia?
Definition
-negative energy balance in pregnant animal
Term
When during pregnancy do the clinical signs of pregnancy toxemia show up?
Definition
-last 6w of pregnancy
Term
What are some predisposing factors to pregnancy toxemia?
Definition
-improper feedstufs or not eating
-stressors
-concurrent dz: parasites or pneumonia
-confinement
Term
What are the inherent animal related risks of pregnancy toxemia?
Definition
-late-gestation ahs inc nutritional demands
-inc fecundity
-poor BCS
-inc parity
Term
What are the initial clinical signs of pregnancy toxemia?
Definition
-lag behind
-stiff walk
-don't eat
-others: isolated, fail to flee, depression
Term
What are the intermediate clinical signs of pregnancy toxemia?
Definition
-staggering gait => recumbency
-also: blindness, bruxism, ketone breath, tachypnea, constiplation, dec rumen contractions
Term
What are the late term clinical signs of preganncy toxemia?
Definition
-severe depression or comatose
-unable to rise
-rumen atony
-dehydration
-star-gazing
-muscle fasciculations
-death wihtin 3-4 days
Term
What clinical observations do we see with pregnancy toxemia?
Definition
-dystocias
-poor mammary development
-may die secondary to renal failure
-kid/lamb survival dec
Term
What are the major differentials for pregnancy toxemia?
Definition
-hypocalcemia
-hypomagensemia
-polioencephalomalacia
Term
What diagnostic tests do we use for pregnancy toxemia cases?
Definition
-urine dipstick to confirm ketonuria
-confirm pregnancy
-also: blood glucose, CBC, serum chem
Term
HOw do we treat pregnancy toxemia?
Definition
-treat ketosis: IV fluids w/ dextrose5% OR regular insulin IV
-feed: buffet, transfaunation, drench, B-vitamins
-Abortion or C-section
-treat concurrent diseases
Term
How do we treat pregnancy toxemia if the baby is valuable?
Definition
-induce parturition <5-7 days from due date
-Doe: PGF2a, Dex
-Ewe: Dex
Term
How soon after administration of PGF2a or Dex will a doe kid?
Definition
-30-36h later
Term
How soon after admin of Dex will a ewe lamb?
Definition
--48-72h later
Term
What are some prevention methods to avoid pregnancy toxemia?
Definition
-good nutrition in late gestation
-U/S preg check
-monitor late pregnant w/ ketostix
-parasite control!!!
Term
What are the other names for Downer Cow Syndrome?
Definition
-compartmental or crush syndrome
Term
In which cows is downer cow syndrome most common>
Definition
-peripartum dairy cows
Term
What is caused by downer cow syndrome?
Definition
-ischemic myonecrosis
Term
What is the etiology of downer cow syndrome? (5 M's)
Definition
1. metabolic dz
2. metritis
3. mastitis
4. musculoskeletal/neuro injury
5. massive peritonitis
Term
What are the clinical signs of downer cow syndrome?
Definition
-alert downer cow maintains appetite
-struggling to rise or pain repsonse
-urine scalding
-decubital ulcers
+/- mastitis
Term
What do we see on clinpath of downer cow syndrome?
Definition
-inc muscle enzymes
Term
Is AST or CPK a more sensitive indicator of myonecrosis?
Definition
-CPK
Term
Will AST or CPK show changes more quickly?
Definition
-CPK, shorter half life
-AST not until a week later
Term
What is the pathophysiology of downer cow syndrome?
Definition
-ischemic myonecrosis, triceps, tibilais, biceps femoris
-ischemic neuropraxia: radial, peroneal, sciatic
Term
What can aggravate downer cow?
Definition
-heavy cow
-duration of recumbency > 4-5 days
Term
How do we treat downer cow?
Definition
-treat underlying disorder
-supportive care: fluids, NSAIDs, Vit E/C, good bedding, hobbles, frequent rolling, float tank
-euthanasia
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