CID19GIswinerum-AT2016.ppt [Kompatibilis üzemmód] · FDXVHG E\ DERPDVLWLV DQG DERPDVDO XOFHU...
Transcript of CID19GIswinerum-AT2016.ppt [Kompatibilis üzemmód] · FDXVHG E\ DERPDVLWLV DQG DERPDVDO XOFHU...
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Internal clinical diagnosticsLectures for students, 6th semester
Examination of the digestive tract in swine and ruminants
Dr. Abonyi Tamás and Dr. Vörös Károly
Belgyógyászati Tanszék és Klinika
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Examination of the digestive tract in swine
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Peritonitis in swine
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Gastric ulcer in swine
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Zootrichobezoars from porcine stomach
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Ascariosis, swine
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Examination of the bovine digestive organsGeneral aspects
History
Process of eating and drinking, feeding and drinking probe
Bloat (tympany, meteorismus)
Defecation, amount of faeces
Macroscopic examination of faeces: quality, colour, smell,
undigested particles, foreign objects
+
Posture:
kyphosis, arched back, forelegs held wide apart, the elbows turned out
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Traumatic reticuloperitonitis
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Examination of the oral cavitiy, pharynx and oesophagus
Examination of the oral cavity:
Mucous membranes: lesions, vesicles, ulcers with round
edges, ulcers with irregular edges, teeth, tongue (size,
mobility), cheeks
Swallowing: swallowing disorders
(disorders on the mucous membranes)
Chewing, rumination, eructation
• Outer examination of the pharynx and the salivary glands• Examination of the pharyngeal cavity• Oesophagus: its course, probing the oesophagus
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Footh-and-mouth disease,cattle, tongue
(Soós, 1992)
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goat
sheep
Footh-and-mouth disease (Soós, 1992)
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Bovine virus diarrhoea
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BVD and IBR infection, calf
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Rupture of the tongue, cattle
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Actinomycosis
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Obturation of the oesophagus
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Anatomical features of the bovine stomach
rumen + reticulum + omasum + abomasum = 80 % of the whole abdominal cavity
Young calf: Reticulum small, rumen = 1/2 of the abomasum10-12 weeks age: rumen = abomasum 2x4 months: rumen + reticulum = 4x omasum + abomasum18 months: full capacity 135 - 180 liters
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Localisation of the forestomachs and
abomasum
Rumen: 80 %, on the left side of the abdomen
Reticulum: 50 % in the middle of the abdomen and to the left, within the 6-9. intercostal spaces, in the xyphoid region
Omasum: 7-8 % on the right side of the abdomen, within the 6 - 9. intercost. spaces
Abomasum: 8 % is in contact with the abdominal wall, situated on the ventral part of the abdomen
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Examination of the rumen
Inspection: size, presence and grade of bloat (distension)
Palpation: ruminal contractions ( left flank ),
a bendőtartalom konzisztenciája
Percussion:normal finding: upper 1/3: mild tympanic
ventral 2/3: dullIn frothy bloat: gases are finely dispersed, within the rumen content, the percussion sound is moderately tympanic
Auscultation: continuous mild crackling sounds,
rumen motility: gurgling fluid and booming gassy sounds
Additional examinations:rumen fluid, rumenography, rumenotomy, rectal examination
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Ruminal bloat in calves
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Free-gas bloat Frothy bloat
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Hoflund syndromeAnterior functional stenosis
(hypermotility form)
Rumen fluid: frothy, cream-likeA: Hoflund syndrome, B: physiol. finding
(++) rumen, distended left flank
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Acute lactacidaemia
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Examination of the reticulum
Reticular pain probes
Kalchschmidt probe (zone test) back grip pressure test (knee-elbow probe) pain percussion pole test
Differential diagnosis:
- rarely traumatic hepatitis- rarely traumatic splenitis- nephritis- pleuritisAdditional examinations:- Blood: blood count, biochemical examinations, glutaraldehyde test- Abdominocentesis, rumenotomy
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Traumatic reticuloperitonitis:frightened glance, positive reticular pain probes
Back grip
Pain percussion
Knee-elbow probe
Pole test
Video
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Results of abdominocentsis in peritonitis, cattle
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Examination of the omasum
Physical examination: inspection, palpation and percussion
of the region yields limited information
Direxct inspecion and palpation:
during surgical intervention
(rumenotomy, laparotomy)
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Topography of the bovine abdominal
organs(Gyarmati 1954)
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Examination of the abomasum
Inspection and palpation of the region are of diagnostic value only in severe abomasal disorders
Abomasal dislocation:
right-sided: in 10 % of the cases (right-sided abomasal displacement, RDA)
left-sided: in 90 % of the cases (left-sided abomasal displacement, LDA)
Auscultation: spontaneous tinkling sounds
Auscultation with ballotement: splashing sounds
Auscultation with percussion: metallic sounds (steel band effect)
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Grades of LDA
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Clinical sign of LDA:Spontaneous tinkling sounds
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Diagnosis of LDA
Auscultation with
ballotement
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Diagnosis of LDA
Auscultation with
percussion
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Abomasocentesis
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Examination of the intestines
Amount and quality of the faeces Diarrhoea Decreased amount or lack of faeces
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Paratuberculosis
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Melaena,caused by abomasitis and
abomasal ulcer in cattle
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Detection of fluid- and gas-filled organs on the right side of the bovine abdomen
Auscultation with ballotement,
auscultation with percussion
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Development of DRA and abomasal torsion
RDA Abomasal torsion
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RDAAuscultation with percussion
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Caecal dislocation and torsion
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Thank you for your attention.