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 Conduct Physical Exam

Conduct a Physical Exam

vet with stethoscope on cow

 

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Is her head up? Are her limbs underneath her body? Is she eating and drinking?

This section will continue to evolve. The core is provided by David Anderson and Jennifer Ivany from Ohio State’s College of Veterinary Medicine. The table below is a copy of the categories found on the their new website Bovine Medicine from Ohio State/ Downer Cows. www.vet.state.edu

This checklist breaks down the causes of recumbency. The structure is direct and easy to follow. Each category has a one paragraph discussion of clinical signs, diagnosis, and general treatment philosophy.

Most conditions emphasize the importance of veterinary expertise. Owners and vets may use this list as a decision tree to guide hands-on diagnosis.

Alert Downers Depressed/Sick Downers
Calving paralysis Abomasal volvulus
Fractures Bloody bowel syndrome
Hypocalcemia Exhaustion
Hypochloremia Heart failure
Hypokalemia Indigestion
Hypomagnesemia Inner ear infection
Hypophosphatemia Intestinal problems
Indigestion Listeriosis
Inner ear infection Polioencephalomalacia
Ligament tears Salmonellosis
Luxations Severe hypocalcemia
Muscle tears Severe hypochloremia
Spinal trauma Severe hypokalemia
Tendon ruptures Severe hypomagnesemia
Toxicities Severe hypophosphatemia
Uterine torsion TEME
Winter dysentery Tetanus
Toxic mastitis
Toxic metritis
Toxicities
Uterine torsion

This table derives from two additional checklists provided by David Anderson. Note that the structure in this section of the website [downcow.com/physical exam] modifies Dr. Anderson’s Decision Tree by regrouping the conditions under his three categories -

(A) Alert , (B) Alert / Depressed, (C) Depressed.

  1. Examination of the Down Cow
  2. Downer Cow Decision Tree

There are, of course, other ways to break down the conditions. Dr. Victor Cox’ pioneering research on down cows draws dividing lines between (1) systemic and non-systemic problems and (2) primary and secondary injuries. Here is his table showing these divisions.

Table 1

Systemic Systemic
Non-Systemic (local)
Primary

hypocalcemia

hypophospahatemia

hypomagnesemia

toxic mastitis or metritis

vertebral abscess

stress of parturition

calving paralysis

fractures due to falls

hypokalemia

lymphosarcoma

aortic thrombosis

vertebral abscess

vertebral fracture

Secondary

renal failure

DIC

muscle ischemia and tearing

sciatic nerve damage

hip luxation

fracture of a femoral head

We decided to feature David Anderson’s approach because it seems more practical & more appropriate for the farm vs. the clinic.

 

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