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Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION

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CHAPTER 8<br />

<strong>Clinical</strong> <strong>Examination</strong> <strong>of</strong> the<br />

Gastrointestinal System<br />

This chapter describes the clinical examination <strong>of</strong> the<br />

gastrointestinal system, the peritoneum, the umbilicus<br />

and the liver. <strong>Examination</strong> <strong>of</strong> the mouth, pharynx<br />

and oesophagus is decribed in Chapter 5. <strong>Examination</strong><br />

<strong>of</strong> the adult and calf are described separately.<br />

Applied anatomy<br />

The gastrointestinal system within the abdomen is<br />

composed <strong>of</strong> the forestomachs, the small intestine<br />

and the large intestine. The forestomachs are composed<br />

<strong>of</strong> the reticulum, rumen, omasum and abomasum.<br />

These structures are shown in Fig. 8.1. The<br />

development <strong>of</strong> the newborn calf from a functional<br />

monogastric animal to a ruminant is illustrated by<br />

the increase in volume <strong>of</strong> the rumen relative to the<br />

abomasum with age as shown in Table 8.1. The adult<br />

pattern <strong>of</strong> ruminal movement is established between<br />

6 and 8 weeks <strong>of</strong> age. The oesophageal groove<br />

crosses the reticulum and when closed forms a tube<br />

which enables ingesta to bypass the rumen. The<br />

forestomachs in adult cattle have a volume in the region<br />

<strong>of</strong> 150 litres with the relative proportions being<br />

rumen 70 to 80%, reticulum 5%, omasum 8% and the<br />

abomasum 7 to 15%. In the normal adult the rumen<br />

fluid has a pH <strong>of</strong> 5.5 to 7.0 depending upon the diet.<br />

Cattle fed high levels <strong>of</strong> concentrates will have a<br />

lower pH than animals fed on a roughage diet. The<br />

abomasum has a normal pH range <strong>of</strong> 2.0 to 4.0. The<br />

small intestine is composed <strong>of</strong> the duodenum, the<br />

jejunum and the ileum. It enters the large intestine<br />

at the ileocaecocolic junction. The large intestine is<br />

composed <strong>of</strong> the caecum, colon (ascending, spiral<br />

and descending) and rectum. Other structures in the<br />

abdomen are the lesser omentum, greater omentum,<br />

liver, spleen and urogenital system.<br />

The rumen and reticulum after feeding occupy the<br />

entire left part <strong>of</strong> the abdominal cavity, extending<br />

from the diaphragm at about the 7th rib to the pelvis.<br />

The reticulum lies medial to the 6th to 8th ribs on the<br />

left side with the anterior wall at about the level <strong>of</strong> the<br />

elbow. The spleen lies on the anteriolateral aspect <strong>of</strong><br />

the left side <strong>of</strong> the rumen beneath the last four ribs;<br />

this is shown in Fig. 8.2. The omasum lies in the lower<br />

part <strong>of</strong> the right anterior abdomen between the reticulum<br />

and anterior rumen to the left and the liver on<br />

the right, opposite ribs 7 to 11. The abomasum lies<br />

largely on the abdominal floor at about the midline or<br />

just to the right side, with the pylorus at about the<br />

level <strong>of</strong> the ventral end <strong>of</strong> the 11th or 12th rib. The<br />

liver is situated on the right side <strong>of</strong> the anterior abdomen<br />

against the diaphragm opposite the upper<br />

part <strong>of</strong> the last three ribs. The rest <strong>of</strong> the right side <strong>of</strong><br />

the abdomen is occupied by the small and large intestines<br />

within the omentum. These structures are<br />

shown in Fig. 8.3. The left kidney is displaced by the<br />

rumen to the right side <strong>of</strong> the sublumbar region<br />

beneath the 3rd to 5th lumbar vertebrae. The right<br />

kidney is anterior to the left and lies ventral to the last<br />

rib and first two lumbar transverse processes, with<br />

the anterior pole surrounded by the liver.<br />

Normal behaviour and physiology<br />

In calves, a balanced diet regarding the quantitiy and<br />

quality <strong>of</strong> fibre and concentrate is required to ensure<br />

normal anatomical and functional development <strong>of</strong><br />

the rumen. Proliferation <strong>of</strong> the mucosal tissue and<br />

ruminal pupillae is dependent upon the production<br />

<strong>of</strong> butyric acid and to a lesser extent propionic acid.<br />

Roughage stimulates the growth in volume <strong>of</strong> the<br />

reticulum and rumen and the development <strong>of</strong> the<br />

muscle layers. Incorrect diet can result in a dysfunctional<br />

rumen.<br />

Adult cattle ruminate for a total <strong>of</strong> 8 hours daily:<br />

there are between four and 24 ruminating periods,<br />

with each period lasting 10 to 60 minutes. There are<br />

360 to 790 regurgitated boluses produced a day with<br />

81

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