15.02.2014 Views

Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION

Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION

Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

CHAPTER 2<br />

rectal mucosa, especially if a lower than expected<br />

reading is obtained. The thermometer must be<br />

cleaned after removal from the patient. It must not be<br />

wiped clean on the patient’s coat. If the animal’s temperature<br />

is higher or lower than anticipated it should<br />

be checked again.<br />

Normal temperature in cattle<br />

• Adult 38.5°C (range 38.0 to 39.0°C)<br />

• Calf 39.0°C (range 38.5 to 39.5°C)<br />

Pulse<br />

The patient’s pulse is taken from the caudal artery<br />

palpable along the midline <strong>of</strong> the ventral surface <strong>of</strong><br />

the tail approximately 5 to 10 cm from the tail head.<br />

Alternative sites are the median artery or the digital<br />

arteries <strong>of</strong> the forelegs. The median artery is palpable<br />

as it runs subcutaneously on the medial aspect <strong>of</strong> the<br />

forelimb at the level <strong>of</strong> the elbow joint. The digital arteries<br />

are palpable on the lateral aspect <strong>of</strong> the forelimb<br />

just caudal to the metacarpus. In calves the<br />

femoral artery can be used. It is located on the medial<br />

aspect <strong>of</strong> the thigh between the gracilis and sartorius<br />

muscles. If a peripheral pulse is not palpable direct<br />

measurement <strong>of</strong> the heart rate can be used – by auscultating<br />

the heart and counting the beats per<br />

minute. There is a small chance <strong>of</strong> missing a pulse<br />

deficit by this latter method.<br />

The pulse rate can rise rapidly in nervous animals<br />

or those which have undergone strenuous exercise.<br />

In such cases the pulse should be checked again after<br />

a period <strong>of</strong> rest lasting 5 to 10 minutes.<br />

Normal pulse in cattle<br />

• Adult 60 to 80 beats/minute<br />

• Calf 80 to 120 beats/minute<br />

eyelids are everted as the eye (protected by the eyelids)<br />

is gently pushed into the orbit. The colour <strong>of</strong> the<br />

mucosa <strong>of</strong> the conjunctiva is revealed. Alternative accessible<br />

mucosae are the vulva in the female and the<br />

mouth in both sexes. In some cattle black pigmentation<br />

makes assessment <strong>of</strong> the oral mucosal colour in<br />

parts <strong>of</strong> the mouth difficult.<br />

The ocular and other visible mucosae should be<br />

salmon pink in colour. Pallor <strong>of</strong> the mucous membranes<br />

may indicate anaemia caused by direct blood loss or<br />

by haemolysis – in the latter case the pallor may be accompanied<br />

by jaundice. A blue tinge may indicate<br />

cyanosis caused by insufficient oxygen in the blood.<br />

Ayellow colour is a sign <strong>of</strong> jaundice. The mucosae may<br />

be bright red (sometimes described as being ‘injected<br />

mucous membranes’) in febrile animals with septicaemia<br />

or viraemia. Bright red colouration <strong>of</strong> the conjunctiva<br />

is <strong>of</strong>ten seen, for example, in cases <strong>of</strong> bovine<br />

respiratory syncitial virus infection. A cherry-red<br />

colouration may be a feature <strong>of</strong> carbon monoxide<br />

poisoning. A greyish tinge in the mucosae may be<br />

seen in some cases <strong>of</strong> toxaemia – such membranes<br />

are sometimes said to be ‘dirty’. High levels <strong>of</strong><br />

methaemoglobin, seen in cases <strong>of</strong> nitrate and/or<br />

nitrite poisoning, may cause the mucosae to be brown<br />

coloured.<br />

Capillary refill time (CRT)<br />

This is taken by compressing the mucosa <strong>of</strong> the<br />

mouth or vulva to expel capillary blood, leaving a<br />

pale area, and recording how long it takes for the normal<br />

pink colour to return. In healthy animals the CRT<br />

should be less than 2 seconds. A CRT <strong>of</strong> more than 5<br />

seconds is abnormal, and between 2 and 5 seconds<br />

it may indicate a developing problem. An increase<br />

in CRT may indicate a poor or failing circulation<br />

causing reduced peripheral perfusion <strong>of</strong> the tissues<br />

by the blood.<br />

<strong>Examination</strong> <strong>of</strong> the mucous<br />

membranes<br />

Those <strong>of</strong> the eye can be demonstrated using the single<br />

or two handed technique. In both methods the<br />

Further examination<br />

It is essential that every case is examined fully, and<br />

for this reason a routine system for examination <strong>of</strong><br />

the patient should be adopted. The patient’s temper-<br />

10

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!