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 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