tutorial: ruminant clinical examination

Question 1

discussed OSPRE tips:

Answer 1

• proper distance exam! [long, looking for a problem not just checking boxes]
  -know the difference between umbilicus and sheath (to properly sex the animal)
  -know common scottish sheep n cow breeds (holstein, simmental, jersey, angus, around 5 more)
  -review estimating age through dentition
  -review estimating age through udder size
  -will need to listen for 90-2 mins to listen to two rumen contractions. (enough to give a rate)

-lots of review material for OSPRE clinicale xam on these sldies. systematic orders for how he does the exams

Question 2

OPRE exam cont

Answer 2

-low BCS follow up questions : how long have they been like this?
how are the other aniamls in the group?

-prescapular lymphs node: make a pinch with left hand and grab the node out
-precural lymph node: use a flat right hand and swipe the lymph node out

Question 3

OSPRE exam cont

Answer 3

common health and safety fails
-kneeling down on two knees (one is fine. reccomends squatting only)

Question 4

OSPRE exam cont
-what to examine in the eye?

Answer 4

-palpebreal, menace, NO PLR, discharge, sunken (indicated dehydration), eyelid skin tent

Question 5

OSPRE exam cont
-what to examine in the ear?

Answer 5

-never rlly find anyhting in the cow
-maybe in sheep?

Question 6

differential for only pre-scapular lymph node increased?

Answer 6

pneumonia

Question 7

differential for pre-scapular AND pre-crural lymph node increased?

Answer 7

systemic disease

(pre-cural increased only is very rare)

Question 8

where to auscultate for lung sounds on a cow?

Answer 8

Question 9

what is the normal HR of a cow?
temperature?
high temperature for concern?
resp rate?

Answer 9

-60-80 bpm
-38-39 C [concern @ 39.6]

Question 10

what is the normal HR of a sheep?
temperature?
resp rate?

Answer 10

-70-90 bpm
-39-40C
-23-30 but pant

Question 11

what are the top two differentials for “stargazing”?

Answer 11

-CCN cerebellar cortical necrosis
-meningitis

Question 12

what parasite is common in marsh (damp) land

Answer 12

liver fluke

Question 13

what are 5 things you examine from the left side of a cow?

Answer 13

-ascultate: HR and RR
-ping
-rumen turnover
-lymph nodes
-BCS

Question 14

what is a differential for pounding HR?

Answer 14

-hypermagnesium

Question 15

differential for “toxic line”?
(peripheral vasodialation near teeth)

Answer 15

toxic line: septacaemia

-also petichae in the sclera can be a sign