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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 />

132

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