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Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION

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<strong>Clinical</strong> <strong>Examination</strong> <strong>of</strong> the Female Genital System<br />

(7) Is the herd self contained? What was the health<br />

pr<strong>of</strong>ile <strong>of</strong> any recently purchased animals?<br />

(8) Is artificial insemination (AI) used? Is DIY AI<br />

used? Are the staff skilled in using AI? Do any<br />

staff members have poor cow AI conception<br />

rates? Is on-farm semen storage satisfactory?<br />

If natural service is used, is the bull known to be<br />

fertile?<br />

History <strong>of</strong> the cow or heifer<br />

Further questions should be asked or records inspected<br />

to ascertain the following details <strong>of</strong> the<br />

patient’s history:<br />

(1) The age and parity <strong>of</strong> the cow.<br />

(2) Has the cow had any previous breeding<br />

problems? What were these? Was treatment<br />

successful?<br />

(3) Details <strong>of</strong> last calving – date, parturient problems<br />

including dystocia, retention <strong>of</strong> fetal<br />

membranes.<br />

(4) Dates <strong>of</strong> observed oestrus since calving – has the<br />

cow cycled regularly? Is she cycling now? Have<br />

her cycles been excessively short or prolonged?<br />

(5) Service details – dates and method <strong>of</strong> service,<br />

operator, bull or semen used.<br />

(6) Production records <strong>of</strong> this cow.<br />

(7) Health record <strong>of</strong> this cow – details <strong>of</strong> lameness,<br />

metabolic disease, mastitis, abortion.<br />

Observation <strong>of</strong> the patient<br />

Cows presented for fertility investigation may be<br />

confined to a stall or in the parlour. Wherever possible<br />

the cow should be viewed from all sides without<br />

restriction, so that her general health and condition<br />

can be assessed. Certain specific changes may be seen<br />

which relate to the patient’s reproductive state.<br />

Many <strong>of</strong> these are normal physiological changes, but<br />

the clinician should look carefully for obvious signs<br />

<strong>of</strong> abnormality which can be investigated further at a<br />

later stage.<br />

The condition score <strong>of</strong> the cow should be estimated<br />

and confirmed by palpation <strong>of</strong> the lumbar and sacral<br />

regions when the cow is handled. The score (range 1<br />

= very thin to 5 = obese) has an important influence<br />

on fertility. Cows should have a condition score <strong>of</strong><br />

3 at calving, 2.5 when served and 2.5 to 3 when<br />

dried <strong>of</strong>f.<br />

The cow in oestrus may appear slightly excitable. A<br />

vaginal discharge <strong>of</strong> clear tacky mucus (the ‘bulling<br />

string’) may be present. Scuff marks may be seen on<br />

her hindquarters and in front <strong>of</strong> her tuber coxae<br />

caused by the feet <strong>of</strong> other animals mounting her.<br />

Dried saliva from other cows may be seen in similar<br />

places. Approximately 48 hours after oestrus the cow<br />

may pass a dark red watery vaginal discharge.<br />

<strong>Animals</strong> suffering from long term cystic ovarian disease<br />

may show abnormalities <strong>of</strong> body shape. Virilism,<br />

in which bull-like changes are seen, may occur in<br />

animals chronically affected by luteal cysts secreting<br />

progesterone. Increased development <strong>of</strong> the neck<br />

muscles may occur and the animal may become aggressive.<br />

Chronic exposure to oestrogens produced<br />

by follicular cysts may produce signs <strong>of</strong> nymphomania.<br />

In addition to displaying frequent signs <strong>of</strong><br />

oestrus, affected animals may show slackening <strong>of</strong> the<br />

pelvic ligaments with apparent prominence <strong>of</strong> the<br />

tail head.<br />

Adegree <strong>of</strong> abdominal distension is anticipated during<br />

pregnancy, especially in the last trimester. <strong>Animals</strong><br />

carrying twins may show greater than normal<br />

abdominal distension. Pathological abdominal enlargement<br />

may be seen in cases <strong>of</strong> hydrops allantois or hydrops<br />

amnion in which the uterus contains excessive<br />

amounts <strong>of</strong> fluid. The clinical signs <strong>of</strong> these two conditions<br />

are discussed below. Other causes <strong>of</strong> abdominal<br />

enlargement such as ascites must always be<br />

borne in mind and should be detected during the<br />

general examination.<br />

In the last few days <strong>of</strong> pregnancy the sacrosciatic<br />

ligaments become relaxed. The vulva lengthens and<br />

appears slightly oedematous. Tail tone appears to be<br />

reduced. The udder continues to enlarge and may<br />

become oedematous. In some animals the teats<br />

leak colostrum. Mucus from the cervical plug may<br />

appear at the vulva. Body temperature may fall.<br />

Immediately after calving the vulva is still enlarged<br />

and a scant bloodstained vaginal discharge is normal<br />

for 7 to 10 days. The pelvic ligaments begin to tighten<br />

up again and the perineum returns to its preparturient<br />

state. A foul brown or red vaginal discharge may in-<br />

127

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