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 10<br />
Uterine horn<br />
Intercornual<br />
ligament<br />
Ovary<br />
Mesosalpinx<br />
Body <strong>of</strong> uterus<br />
Broad ligament<br />
Oviduct<br />
Fimbria <strong>of</strong><br />
oviduct<br />
Cervical canal<br />
External os <strong>of</strong> cervix<br />
Anterior vagina<br />
Figure 10.4 Anatomical details <strong>of</strong> the<br />
bovine genital tract.<br />
end <strong>of</strong> pregnancy fremitus is palpable in both middle<br />
uterine arteries.<br />
Findings on rectal examination<br />
The clinician’s hand enclosed within its protective<br />
plastic sleeve and the rectum can be moved quite<br />
widely within the cow’s pelvis. The bony limits <strong>of</strong><br />
the pelvis can be readily identified as firm immobile<br />
structures. The ro<strong>of</strong> <strong>of</strong> the pelvis is formed by the<br />
sacrum and coccygeal vertebrae, the walls by the<br />
wing <strong>of</strong> the ilium on either side and the floor by<br />
the fused pubic bones. The caudal border <strong>of</strong> the lobed<br />
left kidney can be palpated just anterior to the pelvic<br />
inlet: it lies just to the right <strong>of</strong> the midline beneath the<br />
lumbar vertebrae. The size <strong>of</strong> the genital tract is very<br />
variable depending on the age <strong>of</strong> the animal and its<br />
reproductive state. The cervix is usually readily<br />
found and the other parts <strong>of</strong> the tract can be identified<br />
from that point.<br />
Cervix This is found close to the midline <strong>of</strong> the<br />
pelvic floor. It is located by initially exerting gentle<br />
manual pressure on the pelvic floor and resting the<br />
fingers on the pubic bones. The fingers are then<br />
moved laterally from one side to the other but maintaining<br />
downward pressure until contact is made<br />
with the firm, smooth cylindrical cervix. In heifers<br />
the cervix is about 2 cm in width and 4 cm in length. In<br />
these animals, where the entire genital tract is within<br />
the pelvis, the cervix is found on the pelvic floor approximately<br />
half way between the caudal border <strong>of</strong><br />
the pubis and the pelvic brim cranially. The cervix is<br />
much firmer than adjacent s<strong>of</strong>t tissues and can be<br />
moved laterally to a limited extent.<br />
In older multiparous cows the cervix is 4 to 5 cm<br />
in width and 8 cm in length. Just before and after<br />
calving the cervix feels s<strong>of</strong>ter to the touch and may be<br />
10 cm or more in width. It may lie just behind, on or<br />
over the pelvic brim. In pregnant animals lateral<br />
movement <strong>of</strong> the cervix is very limited as it is pulled<br />
tightly forwards by the weight <strong>of</strong> the pregnant uterus.<br />
Uterus This is located by moving the hand forwards<br />
from the cervix. In heifers the body and horns<br />
<strong>of</strong> the uterus, which normally lies entirely in the<br />
pelvis, can be readily enclosed in the clinician’s hand.<br />
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