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Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION

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CHAPTER 10<br />

Rosebud-like protrusion<br />

<strong>of</strong> the cervix into the<br />

anterior vagina<br />

External os <strong>of</strong><br />

the cervix<br />

Vaginal wall<br />

Figure 10.8 The bovine cervix as viewed through a<br />

vaginal speculum.<br />

Such laceration may only be visible when the vagina<br />

is distended with aspirated air. In the non-pregnant<br />

cow the cervix is closed but opens slightly when the<br />

animal is in oestrus.<br />

The vaginal lumen should normally be empty and<br />

any contents may be pathological. In cases <strong>of</strong> urovagina<br />

urine runs forward from the external urethral orifice<br />

pooling in the anterior vagina where it partially<br />

or completely covers the cervix preventing successful<br />

conception (Fig. 10.9). The clear thick mucus <strong>of</strong><br />

the bulling string may be seen through the speculum<br />

in animals examined during oestrus. It is much thicker<br />

than obstetrical lubricant from which it is easily<br />

distinguished. A red watery metoestral discharge<br />

may be seen 48 hours after oestrus. Awhite or creamy<br />

white discharge coming through the cervix and pooling<br />

on the vaginal floor is seen in cases <strong>of</strong> endometritis<br />

and pyometra.<br />

CLINICIAN’S CHECKLIST – VAGINAL<br />

EXAMINATION<br />

Vaginal walls<br />

Vaginal contents<br />

Cervix<br />

(4) Special diagnostic tests<br />

These are only necessary in a few cases <strong>of</strong> diseases<br />

involving the female genital system. They are described<br />

in summary form below, together with some<br />

<strong>of</strong> their uses.<br />

Milk (or plasma) progesterone assay<br />

This can be used to confirm the presence <strong>of</strong> an active<br />

corpus luteum in one <strong>of</strong> the ovaries. Elevated progesterone<br />

is also seen in luteal ovarian cysts, in cases <strong>of</strong> a<br />

mummified fetus (see below) and in pregnant animals<br />

19 to 23 days after service. Falling progesterone<br />

levels may be seen in failing pregnancies. Cows correctly<br />

diagnosed as being in oestrus have very low<br />

progesterone levels. Progesterone can be detected<br />

qualitatively or quantitatively in either milk or plasma<br />

using an ELISAtest. Aprogesterone level <strong>of</strong> more<br />

than 5 ng per millilitre is regarded as being positive.<br />

Oestrone sulphate test<br />

This can be used to confirm the presence <strong>of</strong> a pregnancy<br />

<strong>of</strong> more than 105 days in cattle. The test is<br />

useful in cows in which the pregnant uterus is not accessible<br />

to palpation per rectum because <strong>of</strong> adhesions,<br />

or if transabdominal ultrasonography is not<br />

available.<br />

138

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