Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION
Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION
Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION
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CHAPTER 8<br />
ception. Smears prepared from rectal mucosal<br />
scrapes, and ileum and ileocaecal lymph node biopsies<br />
using a right-sided laparotomy, may be useful<br />
in confirming Mycobacterium avium subsp. panatuberculosis<br />
infection.<br />
<strong>Examination</strong> <strong>of</strong> the faeces<br />
The presence <strong>of</strong> faeces in the rectum or voided onto<br />
the floor indicates active gut motility. An absence <strong>of</strong><br />
faeces is abnormal. The volume, consistency, colour,<br />
fibre length (comminution), mucous covering and<br />
odour should be noted. The comminution <strong>of</strong> the<br />
undigested fibre in the faeces is an indication <strong>of</strong> the<br />
degree <strong>of</strong> mastication and rumen function. Poor<br />
comminution indicates poor rumination or accelerated<br />
passage through the forestomachs. The consistency<br />
<strong>of</strong> the faeces is diet dependent. <strong>Animals</strong> on<br />
fresh spring grass at turn out may have very watery<br />
faeces, while dry cows on a straw-based diet may<br />
have very stiff faeces that will support a stick if<br />
placed vertically into a pat. Cattle faeces are usually<br />
the consistency <strong>of</strong> a thick milk shake, although it is<br />
always more meaningful to compare the faeces <strong>of</strong> a<br />
sick animal with the other healthy cows in the group.<br />
Slow passage through the gut or dehydration results<br />
in the faeces becoming dry, dark brown and ball<br />
shaped with a shiny surface due to the covering <strong>of</strong><br />
mucus. In haemolytic anaemia there is an increase in<br />
the bile salts which produces faeces <strong>of</strong> a dark green<br />
colour. Reduction in the bile content <strong>of</strong> the faeces<br />
produces a paler olive green. A foetid smell may<br />
be present in salmonellosis. Normal cattle fed on unprocessed<br />
grain have undigested grains in their faeces.<br />
Faeces may be absent, indicating gut stasis.<br />
Dysenteric faeces occur in salmonellosis, mucosal<br />
disease and winter dysentery, and are composed <strong>of</strong><br />
a mixture <strong>of</strong> undigested blood, mucus and watery<br />
faeces, usually with an <strong>of</strong>fensive smell. Fibrin may<br />
appear as casts or as pieces <strong>of</strong> yellow-grey material,<br />
sometimes with sheets <strong>of</strong> sloughed mucosa. Melanic<br />
faeces are black on gross appearance. This type <strong>of</strong><br />
faeces is caused by the presence <strong>of</strong> digested blood.<br />
Digestion <strong>of</strong> the blood occurs in the abomasum and<br />
proximal intestinal tract. The source <strong>of</strong> the blood may<br />
be direct from the gut (e.g. haemorrhagic abomasal<br />
ulceration) or swallowed blood from the lungs (e.g.<br />
posterior vena caval syndrome) or from the pharynx<br />
(e.g. bracken and/or papilloma induced tumours).<br />
Firm dry faeces covered in excessive mucus indicate<br />
a slower than normal passage through the gastrointestinal<br />
tract. Bleeding from the large intestine produces<br />
fresh blood or clots <strong>of</strong> blood in the faeces;<br />
coccidiosis and bleeding following rectal examination<br />
are examples. Plentiful pasty faeces may be<br />
observed in Johne’s disease. Scant and pasty faeces<br />
usually indicate prolonged passage through the<br />
forestomachs. Diarrhoea may indicate an enteritis or<br />
an osmotic pathophysiology such as ruminal acidosis<br />
following carbohydrate engorgement. Faecal<br />
samples can be colleced for laboratory analysis<br />
which may include bacteriology, virology and examination<br />
for parasitic gastroenteritis, fascioliasis,<br />
coccidiosis and Cryptosporidium.<br />
CLINICIAN’S CHECKLIST – THE RECTAL<br />
EXAMINATION<br />
The quantity and composition <strong>of</strong> faeces should be noted<br />
Palpate the dorsal sac <strong>of</strong> the rumen for size, content and<br />
presence<br />
Palpate the right side to check for<br />
Dilated and distended loops <strong>of</strong> bowel (caecum, large and<br />
small intestine)<br />
A solid intussusception<br />
A dilated abomasum<br />
Abdominal masses<br />
Gut tie<br />
An enlarged liver<br />
Fibrous adhesions or peritoneal roughness<br />
Conditions occurring in the calf<br />
Rumen – chronic recurrent ruminal bloat, putrefaction<br />
<strong>of</strong> milk in rumen, chronic ruminal acidosis,<br />
ruminal impaction with fibre (pot bellied calves),<br />
ruminal hairballs (trichobezoars)<br />
Abomasum – abomasal hairballs (trichobezoars),<br />
abomasal ulceration, abomasal displacement,<br />
abomasal bloat and/or dilatation<br />
Small intestine – intussusception, torsion <strong>of</strong> the root <strong>of</strong><br />
the mesentery, atresia <strong>of</strong> small intestine<br />
Large intestine – caecal torsion, atresia coli<br />
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