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Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION

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CHAPTER 5<br />

Figure 5.13 Use <strong>of</strong> Young’s gag to open a bullock’s<br />

mouth. Note the central pair <strong>of</strong> permanent incisor teeth in<br />

this animal aged 1 year 9 months.<br />

be caused by excessive muscular activity such as is<br />

seen in trismus which may occur in tetanus and sometimes<br />

in hypomagnesaemia. Damage to the temperomandibular<br />

joint or degenerative changes affecting<br />

its articular surfaces may also result in an inability to<br />

open the mouth. Malocclusion <strong>of</strong> the upper and lower<br />

jaws is seen occasionally as a result <strong>of</strong> developmental<br />

abnormality.<br />

Neurological lesions affecting prehension, mastication<br />

and swallowing <strong>of</strong> food may occur and should<br />

be evaluated if difficulty in completing these functions<br />

is detected.<br />

Inability to co-ordinate lip movements may occur<br />

through damage to the 7th cranial (facial) nerve. This<br />

may be unilateral or less commonly bilateral. Accumulation<br />

<strong>of</strong> food boluses in the cheeks may also be seen.<br />

Facial nerve damage may occur through injury to the<br />

nerve and surrounding tissues. It is also seen in some<br />

cases <strong>of</strong> listeriosis (Fig. 5.6).<br />

Inability to move the tongue may arise through<br />

damage to the 12th cranial (hypoglossal) nerve. This<br />

may be the result <strong>of</strong> alkaloid toxicity, botulism or in<br />

listeriosis.<br />

Inability to swallow may arise through dysfunction<br />

<strong>of</strong> the 9th cranial (glossopharyngeal) nerve and also<br />

the 10th cranial (vagus) nerve. Such problems may<br />

arise through local damage to nerves by abscess or<br />

tumour formation adjacent to the nerves or in the<br />

medulla. Damage may also be seen in listeriosis.<br />

All visible areas <strong>of</strong> the mucosa including the dental<br />

pad should be inspected for signs <strong>of</strong> ulceration or<br />

damage. The buccal mucosa which lines the cheeks<br />

should be carefully checked – especially in calves –<br />

for the presence <strong>of</strong> diphtheritic membranes which are<br />

visible adjacent to the cheek teeth in some cases <strong>of</strong><br />

calf diphtheria (necrotic stomatitis) (Fig. 5.14). A<br />

good light is essential for this examination. The buccal<br />

mucosa can also be a site for vesicles <strong>of</strong> foot-andmouth<br />

disease.<br />

The dental pad replaces the incisor teeth in the<br />

upper jaw <strong>of</strong> cattle. It is covered with mucosa but is<br />

quite firm and fibrous. In adult cattle it may show<br />

small scars sustained when the animal was grazing.<br />

It can also be the site for lesions <strong>of</strong> a number <strong>of</strong> diseases<br />

including bovine papular stomatitis, bovine<br />

virus diarrhoea, and foot-and-mouth disease.<br />

40

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