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Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION

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CHAPTER 8<br />

colourise in 3 minutes or less; rumen fluid from cattle<br />

on a hay only diet will decolourise in 3 to 6 minutes. A<br />

time <strong>of</strong> 15 minutes to decolourise would indicate<br />

poor microbial activity.<br />

Protozoal activity<br />

Rumen fluid from normal healthy cattle contains<br />

high numbers <strong>of</strong> large and small protozoa with<br />

ciliate and flagellate forms. They are highly active.<br />

The sample should be agitated to resuspend the organisms.<br />

A drop <strong>of</strong> the sample should be placed on a<br />

warm glass slide and covered with a coverslip. The<br />

protozoan activity can be observed using the low<br />

power ¥10 objective lens. Large protozoa are more<br />

sensitive to disturbances. All protozoa are killed<br />

when the pH drops below 5. There are reduced numbers<br />

in samples with low fermentation activity.<br />

Gram staining<br />

Gram stained smears from rumen fluid samples<br />

can be prepared. There are mainly Gram negative<br />

bacteria in normal rumen fluid, but in ruminal<br />

acidosis Gram positive streptococci and lactobacilli<br />

predominate.<br />

Rumen fluid chloride concentration<br />

This can be measured by most laboratories on request.<br />

In healthy cattle, rumen fluid has a chloride<br />

concentration <strong>of</strong> less than 30 mmol/l. Concentrations<br />

above this level are considered abnormal and<br />

may be caused by reflux <strong>of</strong> abomasal ingesta into the<br />

rumen. High levels also occur in ruminal acidosis<br />

and severe anorexia.<br />

Exploratory laparotomy and<br />

rumenotomy<br />

Exploratory laparotomies can be extremely useful<br />

in confirming and correcting some conditions <strong>of</strong><br />

the abdomen. Laparotomies are carried out on either<br />

the right side, the left side or the midline, depending<br />

upon which conditions are suspected. A left-sided<br />

laparotomy may include a rumenotomy. Left-sided<br />

laparotomies enable the following structures to be<br />

palpated: the rumen, the reticulum, the spleen, the<br />

left border <strong>of</strong> the liver, part <strong>of</strong> the diaphragm, the apical<br />

beat <strong>of</strong> heart, the left kidney through peritoneal<br />

fat, the path <strong>of</strong> ureters, the bladder, the uterus, the<br />

right and left ovaries, and the descending colon.<br />

Adhesions <strong>of</strong> the reticulum to the parietal peritoneum<br />

may be palpable in traumatic reticulitis. A<br />

left displaced abomasum can also be confirmed. A<br />

rumenotomy can be performed during a left-sided<br />

laparotomy and can confirm the presence <strong>of</strong> an obstructive<br />

foreign body, such as ingested plastic bags<br />

or hay nets. The reticulum, rumen, oesophageal<br />

groove, reticularomasal orifice and cardia can be<br />

examined. The reticulum should be very carefully<br />

examined for penetrating foreign objects, abscesses<br />

and Actinobacillus infections <strong>of</strong> the oesophageal<br />

groove. A right-sided laparotomy gives access to the<br />

omasum, the abomasum, the spiral colon, the duodenum,<br />

the jejunum, the ileum, the caecum, the liver<br />

and gall bladder. Surgery will enable confirmation <strong>of</strong><br />

a dilated caecum or torsion <strong>of</strong> the caecum, a right displaced<br />

abomasum, an intussusception and torsion <strong>of</strong><br />

the root <strong>of</strong> the mesentery.<br />

Abdominocentesis and peritoneal<br />

fluid analysis<br />

Analysis <strong>of</strong> peritoneal fluid can be diagnostically<br />

useful to rule in or rule out abnormalities within<br />

the abdomen. It is useful in diagnosing peritonitis in<br />

conditions such as traumatic reticulitis, abomasal<br />

ulceration and intussusception; uroperitoneum in<br />

conditions such as a bladder rupture or a ureteral<br />

rupture; gut contents in the peritoneum caused by an<br />

intestinal rupture; haemorrhage into the peritoneum<br />

caused by abdominal tumours, hepatic and spleenic<br />

ruptures, and ascites caused by right-sided heart<br />

failure.<br />

Abdominocentesis<br />

Abdominocentesis is easy and inexpensive to perform,<br />

and requires little equipment. In normal<br />

healthy cattle there is usually only 15 to 20 ml <strong>of</strong> peritoneal<br />

fluid in the peritoneal cavity. As a consequence<br />

a sample is not always obtained and the lack<br />

<strong>of</strong> a sample should not be interpreted as abnormal.<br />

The only exception to this is during late pregnancy<br />

when the volume increases markedly. Abnormal<br />

peritoneal fluid, particularly in cases <strong>of</strong> local peritonitis,<br />

may be confined to a small area <strong>of</strong> the peri-<br />

106

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