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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 />

98

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