DAIRY CATTLE MEMBERSHIP STUDY GUIDE November 2009 Introduction (adapted from the Epidemiology study guide December 2005, developed originally by Andrew Kelly, revised by Katherine Clift and John Morton) Preparing for examination in groups has a number of advantages over individual preparation. In a group, some parts of the workload can be shared. Group membership encourages a steady, consistent pace of learning. Group members can learn from the experiences of others in the group as issues tend to be viewed from different perspectives by different people. Group discussions can help members understand concepts. Groups are a great way to get to know other vets with similar interests. In general, it is recommended that candidates and groups prepare for membership exams over 16 - 18 months, with roughly 1 meeting a month. The topics listed below are divided roughly into body systems and should be viewed as a general recommendation for working through the material – not all 'potentially examinable' areas are covered. 1. Diseases of the skin and head 2. Mammary gland disorders 3. Mastitis investigation 4. Metabolic conditions 5. Forestomach conditions 6. Neonatal conditions 7. Disorders of the reproductive system 8. Reproductive investigation 9. Diseases of the nervous, urinary and hepatobiliary systems 10. Intestinal conditions 11. Disorders of the respiratory system, cardiovascular system, blood and blood forming organs 12. Heifer growth, nutrition and disease 13. Sudden death and toxins 14. Diseases of muscles, bones, joints, connective tissues and feet 15. Oral examination practice Before commencing the study meetings it may be useful to have an initial meeting to develop a plan for the sessions such as: When and where the meetings should occur What duration and structure the meetings might have – it is difficult to cover topics adequately with meetings of less than 4 hours What people would like to get out of the group eg. undertake exams or improve knowledge without being examined Appointment of a coordinator(s). This involves arranging meeting rooms, circulating meeting plans, allocating tasks to group members, ensuring additional reading is available to all members and ensuring that absent members receive notes from missed meetings. This role could be rotated or shared Identification of possible mentors who can sit in on particular meetings and may be sources of additional references 308866598 Setting of ground rules eg respect for all participants, punctuality etc Membership requirements It is expected for candidates to have a good knowledge of the pathophysiology, epidemiology, treatment and control of common diseases of dairy cattle. They need to develop a systematic approach to problem solving in individual animals. It is expected that candidates will have developed systematic approaches for investigating and managing common herd production and health problems. For example: Poor reproductive performance High or rising BMCC or clinical mastitis outbreaks Abortion Sudden death Transition cow problems Lameness Candidates should also: Have an understanding of how different drugs work (mechanism of action, adverse reactions, drug interaction) Have a good understanding of common diagnostic tests and their limitations Have an up to date knowledge of the dairy industry and different management systems Be aware of current and future welfare issues as well as other legal obligations Presentations at group meetings Learning is generally more focussed for those having a specific task at the next meeting. Topics are generally subdivided into a number of presentations. Nominated participants should be asked to present a short summary of the key points of one presentation that can be circulated at the meeting. Presentations should include where appropriate: Epidemiology of diseases: host, agent, environment and husbandry risk factors Clinical signs Pathophysiology Diagnosis (haematology, biochemistry and PM findings where applicable) Differentials, including other body systems and exotic diseases Treatment Control and prevention If members of the group have seen interesting or relevant diseases or situations at work, they could prepare a short summary of their experience (with pictures wherever possible) to discuss with the group. Example exam questions could either be attempted on own or as a group. Reference material should include major textbooks and journals (see College website for list). Additional references have been provided – these have been useful to the previous study groups. Feel free to up date them as you go along! 308866598 Diseases of the skin and head Presentations 1. Diseases of skin 2. Mucosal lesions 3. Eye conditions 4. Lumps & bumps of the head Example exam questions 1. Outline the epidemiology, possible health effects and methods of control of Moraxella bovis infection in calves (2002 written paper 2). 2. Discuss the differential diagnoses of malignant catarrhal fever (2002 written paper 1). 3. Describe the likely clinical manifestations and effects on herd production of facial eczema in a pasture fed dairy herd calving in early spring. Describe the differential diagnosis and methods you would employ to confirm diagnosis. Outline the control methods available for each disease in a production system in either Australia or New Zealand (2003 written paper 1). 4. There are many causes of swelling in extremities of the body. Discuss causes of swelling of the head of cattle in reference to underlying patho-physiologic processes (2001 written paper 1). 5. Write short notes on enzootic nasal granuloma of cattle (2005 written paper 1). 6. List the differential diagnosis for drooling saliva in an adult dairy cow (2009 written paper 1) 7. List the differential diagnosis for blepharospasm and epiphora in a four year old cow (2009 written paper 1) 308866598 Mammary gland disorders Additional references Countdown Downunder Technotes Presentations 1. Anatomy of the bovine udder, physiology of lactation and milk synthesis and secretion 2. Epidemiology of mastitis pathogens 3. Therapeutics of bovine mastitis – lactating and dry cow therapy 4. Diseases of teats and teat/udder skin. Example exam questions 1. An owner of a herd of 150 milkers calving year round reports that he has recently had three cases of severe mastitis in cows at calving. The cows calved in early January and the first two cases died in 24 hours. The owner requests you examine the third case and culture the secretion of the affected quarter yields a pure growth of Klebsiella pneumoniae. a) How would you treat any further cases and what preventative measures could you recommend. b) List three major mastitis causing bacterial pathogens occurring in your practice area. For two of these pathogens briefly describe important epidemiological aspects of the infection as well as any important pathological changes induced in the udder by the infection which could affect treatment and control of the mastitis problem caused by the particular pathogen (2003 written paper 1). 2. Describe the clinical manifestations of peracute coliform mastitis in a recently calved dairy cow, and relate the pathophysiological changes occurring in this cow to the manifestations observed. Also, outline the correct approach to the treatment of this condition in a valuable cow (2002 written paper 1). 3. It has been suggested that antibiotic use in acute mastitis is not effective. Discuss the reasoning behind the statement and reasons why it may not be correct (2001 written paper 1). 4. Write short notes on pseudocowpox (2005 written paper 1). 5. You are called to a dairy client’s farm to investigate 3 sudden deaths in cows. The farm milks 400 cows in a rotary shed and the three dead cows were treated with dry cow therapy and dried off 3 days ago. The farmer reports that the cows appeared to be grazing normally the night before in the dry cow paddock but were found dead first thing in the morning. During your examination of the animals you suspect Pseudomonas aeruginosa mastitis, which is subsequently confirmed on milk cultures from all three animals. The herd has a split calving system and there are another 70 animals to dry off next week as part of the normal reproductive routine. Outline your approach to further investigation into this problem and your options for control. Your answer should include a discussion on the typical pathogenesis and prognosis of Pseudomonas mastitis (2007 written paper 2). 6. 7. Write short notes on the prevention Streptococcus uberis mastitis (2009 written paper 1) 308866598 Mastitis investigation Presentations 1. Key steps in a mastitis investigation 2. Important aspects of milking machine function and milking management 3. Assessing ICCCs: economics of treatment of subclinical mastitis, use of computer programs. 4. Dry cow management (include DCT, teat sealants, dry-off management) Example exam questions 1. A dairy farmer with a problem of bactoscan failures and a marked increase in bulk milk somatic cell count (from approximately 200000 cells per ml to 600000 cells per ml over the past two months has consulted you to investigate the problem and advise on its resolution as he is on the verge of being given severe penalties for poor milk quality. It is a seasonal supply herd of 200 cows calving in early spring. Most cows are at least 3 months into their lactation. Outline your approach to the investigation of this problem. Choose one mastitis pathogen that is likely to be involved in the problem and outline your methods for control of the problem including methods of treating infected quarters if possible (2003 written paper 2). 2. In late November, the owner of a 400 cow, seasonal calving herd (calving in August and September) seeks your advice because the bulk tank somatic cell counts are consistently around 400,000 cells per ml. An analysis of the most recent (mid October herd testing data shows that 30% of the cows in the herd have individual cow somatic cell counts above 250000 cells per ml. Culture of milk samples taken from 20 of the highest ICCC cows resulted in 5 no growths, 12 Staphylococcus aureus, one streptococcus uberis and two Strep. Dysgalactiae. Detail the correct approach to the management of this problem in the long term and the short term (2002 written paper 2). 3. You are presented with a year-round calving herd or split calving herd that has a rapidly increasing milk somatic cell count. Of the last 5 clinical mastitis cases, 4 produced a heavy growth of Streptococcus agalactiae and one had a moderate growth of Corynebacterium bovis. Discuss your approach to the management of increased somatic cell counts in this herd (2001 written paper 2). 4. A client asks you to investigate a milk quality issue on farm. The farmer’s presenting problem is: a BMCC of 380,000 average over the last 3 months and 7 clinical cases per 100 cows per months for the same period. The herd is now 5 months past calving start date and is a seasonal calving herd. Only 5% of the herd remain in the pregnant/dry group. Outline your approach to this investigation detailing the rationale behind the steps taken (2005 written paper 2). 5. A client asks you for a “stronger” intramammary antibiotic in the face of an outbreak of mastitis in which the response to treatment has been poor with many of the affected cows failing to respond to ampiclox (cloxacillin, ampicillin), cepravin (cefuroxime), or mastalone (oxytetracycline, oleandomycin, neomycin) intramammary formulations. The farm is an expanding herd that currently milks 1000 cows. Several groups of purchased cows have been introduced into the herd over the last 6 months. Cows have access to pasture and are also fed a mixed ration on a feed pad. Over the last month the incidence of clinical mastitis has trebled, there are currently 70 cows undergoing treatment for mastitis. Forty percent of the cows with recurrent mastitis have mastitis in multiple quarters. Milk production in affected cows is dramatically reduced. Outline your approach to this investigation detailing the rationale behind the steps taken (2007 written paper 2). 308866598 Forestomach conditions Additional references Bramley E et. al (2003) Ruminal acidosis in dairy cattle. Australian and New Zealand Combined Dairy Veterinarians Conference 16-20 June Taupo, NZ, Vol 2 p 465-495 Oetzel GR (2003) Introduction to ruminal acidosis in dairy cattle. AABP Annual Conference, Columbus OH. Available: www.vetmed.wisc.edu/dms/fapm/fapmtools/2nutr/sara1aabp.pdf [18.01.07] Owens FN et. al. (1998) Acidosis in cattle: a review. J Anim Sci 76: 275-286. PennState (1996). From feed to milk: understanding rumen function. Available: www.das.psu.edu/dcn/catnut/PDF/rumen422.pdf [01/06/07] Reference Advisory Group on Fermentative Acidosis of Ruminants (RAGFAR) (2007) Ruminal Acidosis – aetiopathogenesis, prevention and treatment. Presentations 1. Anatomy, physiology and clinical assessment of the forestomachs 2. Ruminal acidosis – acute and subacute 3. Traumatic reticuloperitonitis (and other causes of peritonitis) 4. Abomasal disorders Example exam questions 1. List three relatively common disorders in lactating dairy cows in which one of the major clinical signs is an almost complete absence of reticulorumen motility. Describe for each case the pathophysiological reasons why reticulorumen motility is absent. Select one of these disorders and describe how reticulo-rumen activity can be restored (2002 written paper 2). 2. Discuss the various tests than can be used to monitor rumen function in a clinical environment (2001 written paper 1). 3. Grain overload or grain engorgement is a common diagnosis on Australian dairy farms. Outline the pathogenesis of this condition in an individual animal that has been exposed to 10kgs of crushed wheat as a slog feed (when 3kgs per day was her normal regime), the common clinical appearance of the condition and treatment options available (2005 written paper 1). 4. Write short notes on the indications for performing abdominal surgery on a sick cow (2009 written paper 1). 5. You are asked to investigate a group of 5 scouring milking cows of mixed ages. The farm is a seasonal calving herd and the visit takes place 6 weeks into the calving period. Your initial diagnosis of all 5 animals is ruminal acidosis. Whilst taking history on the case, you determine that the herd diet is pasture supplemented with silage from the previous harvest, and crushed grain in the dairy bale during milking Outline your approach to confirming the initial clinical diagnosis and developing a management and prevention plan for this problem. Include a description of further observations you would make about the farming system currently in place on this property (2009 written paper 2). 308866598 Metabolic conditions Additional references Block E and Sanchez WK. Special nutritional needs of the transition cow. Available: www.txanc.org/proceedings/2000/trancow.pdf [10/05/06] DeGaris P, Moss N, Lean I and Rabiee A (2005) The transition period – preventing milk fever and more. ACV Gold Coast Proceedings p. 66. Goff JP (2004) Major advances in our understanding of nutritional influences on bovine health. J Dairy Sci 89: 1292-1301. Goff JP (2004) Macromineral disorders of the transition cow. Vet Clin Food Anim 20:471-494. Goff JP and Horst RL (1997) Physiological changes at parturition and their relationship to metabolic disorders. J Dairy Sci 80: 1260-1268. Lean I, McKay B, Westwood C (2003) Assessing suboptimal nutrition in the dairy herd. Dairy Cattle Australian and NZ Combined Dairy Veterinarians’ Conference, Taupo NZ, Vol. 1 p. 13-54 Oetzel GR (2004) Monitoring and testing dairy herds for metabolic disease. Vet Clin Food Anim 20: 651-674. Overton TR and Waldron MR (2004) Nutritional management of transition dairy cows: strategies to optimise metabolic health. J Dairy Sci 87(E Suppl.): E105-E119. Presentations 1. Hypocalcemia 2. Hypomagnesemia 3. Pregnancy toxaemia/acetonemia 4. Transition cow nutrition Example exam questions 1. Describe the likely clinical manifestations and effects on herd production of the following diseases in a pasture fed dairy herd calving in early spring. Subclinical hypocalcaemia, subclinical hypomagnesaemia. In each case describe the differential diagnosis and methods you would employ to confirm diagnosis. Outline the control methods available for each disease in a production system in either Australia or New Zealand (2003 written paper 1). 2. A dairy farmer in a seasonal calving area has had 30% of his Jersey cows developing hypocalcaemia just before, at or shortly after calving, and asks for your advice on the problem. He is about halfway through the calving period, with 80 cows still to calve. First, outline your understanding of the pathophysiology of hypocalcaemia, followed by your advice on: a) how to minimise the problem in the current calving season and b) How to lower the incidence of hypocalcaemia in the next calving season (2002 written paper 2). 3. Outline the aspects of management of the late dry period that are critical to effective control of periparturient disease such as hypocalcaemia, ketosis, acidosis, abomasal disorders, retained foetal membranes and early lactation mastitis (2001 written paper 2). 4. Write short notes on the effects of heat stress in lactating dairy cattle (2009 written paper 1). 5. List the differential diagnosis for recumbency in a freshly calved dairy cow (2009 written paper 1). 308866598 Neonatal conditions Additional references Constable PD (2005) Intravenous fluid therapy. ACV – MLA calf scours day, Barossa Valley p. 19 Gregory NG (2003) Effect of enhancing curd formation during the first colostrum feed on absorption of γ glutamyl transferase by newborn calves. AVJ 81: 549-552 Humphris T (1998): Passive transfer of immunoglobulins to the neonatal dairy calf: literature review. Masters Dissertation McGuirk SM and Collins M (2004) Managing the production, storage, and delivery of colostrum. Vet Clin Food Anim 20: 593-603. National Research Council (2001) Nutrient Requirement of Dairy Cattle 7th revised edition, Chapter 10: Nutrient requirements of the young calf. Naylor JM (1999) Oral electrolyte therapy. Vet Clin Food Anim 15: 487-503. PD Constable. 2005. Intravenous Fluid Therapy. ACV Barossa Valley, MLA Calf Scours Day. Penn State – Feeding the Newborn Dairy Calf. Available: www.das.psu/edu/dairynutrition/calves/ [9/07/06] Penn State Calf Rumen Images. Available: www.das.psu.edu/dairynutrition/calves/rumen/ [9/07/06] Quigley, J (2001) Calf Notes. Available: www.calfnotes.com [9/07/06] Rager K, House JK, DePeters E (2002) Calf nutrition. Compendium 24(10): S82-S91. Presentations 1. Colostrum production, antibody transfer, colostral management programs 2. Neonatal diarrhoea – epidemiology of pathogens, treatment of acidosis and dehydration 3. Calf nutrition: milk, milk replacers, calf starters 4. Calf housing 5. Common congenital conditions Example exam questions 1. Outline your approach to the initial assessment, therapy and control of an outbreak of diarrhoea in a calf shed containing 60 calves aged 1 –5 weeks. Also include in your answer further strategies to investigate the problem in the longer term. Outline some long-term strategies that may be employed to control the problem regardless of the pathogen(s) involved (2003 written paper 2). 2. Outline the epidemiology, possible health effects and methods of control of cryptosporidiosis (2002 written paper 2). 3. You are presented with a valuable Holstein calf with severe diarrhoea and collapse. Discuss your approach to treatment of this animal (2001 written paper 2). 4. Write short notes on Eimeria species infections in young bovines (2005 written paper 1). 5. Describe the common enteric pathogens of dairy calves less than 4 weeks old, their pathogenesis, and treatment options. As part of your answer include the general treatment options available for dehydrated and scouring calves (2005 written paper 1). 6. During a visit to a dairy farm the producer requests you to treat a 10-day-old moribund heifer calf. Significant findings on physical examination include a heart rate of 150 bpm, rectal 308866598 temperature of 37oC, respiratory rate of 20brpm, recession of the eyes, fibrin in the anterior chamber of the eyes, prolonged tenting of the skin, and wet fecal staining around the tail. The calf is the product of an embryo transfer program and the owner would like you to proceed with treatment. Outline an appropriate problem list, for each problem a differential diagnoses list, a diagnostic plan and a preliminary therapeutic plan. Over the last calving season this farm has experienced a 20% pre-weaning calf mortality and the producer would like advice regarding strategies to prevent more calves from becoming affected. Outline the strategies for preventing calf scours in dairy calves (2007 written paper 2). 7. Write short notes on the prevention of salmonellosis in dairy calves (2009 written paper 1). 308866598 Disorders of the reproductive system Additional references Sheldon IM (2004) The post partum uterus. Vet Clin Food Anim 20:569-591. Palmer C (2003) Postpartum metritis in cattle: a review of the condition and the treatment. Large Animal Veterinary Rounds, vol 3 issue 8. Available: www.canadianveterinarians.net/larounds [01/06/07] http://beef.unl.edu/learning/estrous.shtml ACV Bull Fertility Handbook Presentations 1. Anatomy and physiology of the reproductive tract including pre and post partum 2. Synchrony and anoestrus programs 3. Miscellaneous conditions: metritis, RFMs, endometritis, ovarian disorders, induction 4. Abortion investigation 5. Bull examination Example exam questions 1. Outline the possible health effects of the introduction of a cow carrying bovine virus diarrhoea virus into a 200 cow dairy herd that has been closed and free of BVDV. How can the effects of this virus be prevented? (2003 written paper 1). 2. Outline the epidemiology, possible health effects and methods of control of neosporosis in adult cows (2002 written paper 2). 3. Describe the treatment(s) and medical management of threes of the following conditions: a) Cystic ovarian disease in a high producing, 5 year old cow which calves 10 weeks ago. b) Repeat breeder (a valuable Jersey stud cow, calved four months ago, cycling normally but failing to conceive despite repeat artificial insemination) c) True anoestrus a the mating start date in 20% of cows belonging to a high-producing, pasture based, spring calving herd (400 cows) d) Pyometra in a 6-year-old dairy cow belonging to a split calving herd. (2002 written paper 2) 4. A year round calving diary, milking 150 cows, calls you to check 3 cows that were due to calve a week previously. You check the 3 cows and find that they are not pregnant. The cows had been palpated in calf at 50 days gestation. The farmer informs you that he sold 2 cows a month ago for the same reason. The reproductive program on the farm includes AI (3 services) and a bull. The farmer is concerned regarding the cluster of abortions. Describe the steps involved in defining and investigating this problem (2005 written paper 2). 5. Write short notes on the prevention of bovine viral diarrhoea (2009 written paper 1). 6. A large sheep farm is being converted to a dairy enterprise with 1000 milking cows. All young stock (200 calves and 200 yearlings) will be reared on land adjacent to the milking area of the farm and cattle being sourced for the enterprise are coming from eight different herds. The farm owner asks for your opinion on vaccinating against bovine pestivirus (BVDV). Provide a detailed review of the advantages and disadvantages of vaccinating against bovine pestivirus (BVDV) and the possible control options for this disease if the business elects not to vaccinate. Indicate your preferred option(s) and the detailed rationale behind your recommendation(s) (2009 written part 2). 308866598 Reproductive investigation Additional references InCalf Technotes Presentations 1. Measures of reproductive performance for seasonal, split and year round calving herds. 2. How your clinic manages pregnancy testing and reproductive advice Example exam questions 1. Describe the key indices you would use to assess the reproductive performance of a large (600 cow) dairy herd, which is pasture based and seasonal calving. What records would you require to calculate these indices? What other on-farm procedures could you undertake to provide other useful information which would assist in the investigation of the reproductive performance of this herd (2003 written paper 1). 2. You are approached by a client who runs an 800 cow, pasture based, seasonal calving herd being milked in a 60 stand rotary dairy. He is experiencing a problem with heat detection during his artificial insemination mating period. He has not used any synchronisation program in the past and heat detection has been with tail paint and observation at milking time by paid milking staff. Outline the information you would gather at the initial consultation to assist in solving the problem. Given that you have assessed that the main problem is poor detection of oestrus rather than poor ovarian activity, discuss the options that could be used to address this problem to improve reproductive performance and the efficiency of labour use on this farm (2003 written paper 2). 3. You are a veterinarian servicing a 700-cow dairy farm where the herd is in 2 calving groups roughly of equal size. One group starts calving on Feb 10 and the other on July 1. The farmer has asked you for your advice on how to investigate and solve a problem the farm has with excess empty cows. The current rate of cows failing to conceive in their planned joining period is 22% for the planned Feb calving joining period and 24% for the planned July calving period. For both groups the AI joining period is 6 weeks followed by natural sire(s) for 6 weeks. Outline your approach to this investigation clearly defining the information you would collect on farm to aid the investigation, the indices you would use to measure on farm reproductive performance and 4 potential strategies the farm could employ to reduce the number of not in calf cattle for each joining period over the next 2 years (2005 written paper 2). 4. A seasonal calving herd of 310 cows has asked you for advice on reproduction. It is March and they have just completed their pregnancy testing. The planned start of calving of the herd is June 1 (August 25 mating start date). Last year the herd used AI for 8 weeks followed by natural bull mating using 3 bulls until December 25. The yearling heifers were joined for 9 weeks to 2 homegrown bulls but their mating start date is September 15. Last year there were 52 animals in this group. Pregnancy testing revealed: a not-in-calf rate of 18% and a 6-week-in-calf rate of 32%. The farmer would like to tighten his calving pattern and have more cows in calf. His farm adviser has also requested that he takes steps to improve his milk flow during June, July and August. What reproductive options does the farmer have available to him? Your answer should include the advantages and disadvantages of all your reproductive management options (2007 written paper 2). 308866598 Diseases of the urinary, hepatobiliary and nervous systems Additional references Constable PD (2004) Clinical examination of the ruminant nervous system. Vet Clin Food Anim 20: 185-214. Presentations 1. Neurological examination: include assessment of LMN and UMN disorders 2. Common neurological conditions in adult ruminants 3. Common neurological conditions in young stock 4. Clinical assessment and diseases of the liver 5. Clinical assessment and diseases of the urinary system Example exam questions 1. Discuss the differential diagnoses of lead poisoning in adult cattle (2002 written paper 1). 2. Discuss the differential diagnoses of bovine spongiform encephalopathy (2002 written paper 1). 3. Provide brief notes on differential diagnoses of: Rabies Bovine Spongiform Encephalopathy Arsenic poisoning (2001 written paper 2) 4. Write short notes on Listeria monocytogenes and the infections caused by this organism (2005 written paper 1). 5. Write short notes on enzootic hematuria of cattle (2005 written paper 1). 6. Describe the epidemiology, clinical manifestations and pathogenesis of Leptospira infections of cattle of all ages (2007 written paper 1). 7. Write short notes on the pathogenesis of botulism (2007 written paper 1). 8. List 5 causes of red urine in dairy cattle For 3 of these conditions briefly describe the clinical signs, pathogenesis, prognosis, treatment, control and prevention of the disorder (2009 written paper 1). 9. During the late summer period in Victoria, you are asked to examine a mature dairy cow showing neurological signs that include: - recumbency without being able to sit upright - neck arched (opisthotonos) - leg tremors - involuntary movement during examination (hyperaesthesia). The animal cannot stand or walk. The cow was in the milking herd last night and appeared normal. The farmer suspects polioencephalomalacia (PEM), because the farm had a diagnosis of this condition in a milking cow during the same season last year. Outline the differential diagnosis list for this presentation, your diagnostic pathway and the farm risk factor assessment you would instigate to prevent further cases of PEM (2009 written paper 2). 308866598 Intestinal conditions Additional references McGuirk SM and Peek S (2003) Salmonellosis in cattle: a review. AABP Annual Conference, Columbus OH. Available: www.vetmed.wisc.edu/dms/fapm/fapmtools/7health/Salmorev.pdf [27/11/06] BJDaware. November 2006. Pathways to progress with Bovine Johne’s Disease. Technotes for veterinarians and dairy herd advisers. Presentations 1. Anatomy and physiology of intestinal digestion 2. Diarrhoea in adult cattle 3. Miscellaneous (intussusception, torsions etc.) of young stock and adult cattle Example exam questions 1. List four diseases of adult lactating dairy cattle in which the primary presenting clinical sign is diarrhoea. Outline the pathophysiology and epidemiology of two of these diseases. Include in your answer details of the way these factors would affect the history and clinical signs of the disease and your ability to make a provisional diagnosis prior to laboratory investigation (2003 written paper 1). 2. Outline the epidemiology, possible health effects and methods of control of Salmonellosis (due to S. dublin infection) in adult cows (2002 written paper 2). 3. Outline the epidemiology, possible health effects and methods of control of Johne’s disease (2002 written paper 2). 4. Outline the pathogenesis and pathophysiology of two diseases that present with a primary clinical sign of diarrhoea in the dairy cow. Include in your answer reference to critical aspects that would affect decisions regarding treatment of each condition (2001 written paper 1). 5. Outline the principles of a Johnes disease control program on a dairy farm that has had one confirmed clinical case. This case occurred last year and was in a three-year-old cow reared on the farm. The farm has not purchased any stock for four years except bulls. The farmer is not a stud breeder but may want to sell his herd in five years time. Discuss in your answer the economic use of laboratory tests to achieve the best result for your client (2001 written paper 2). 6. Write short notes on the sensitivity and specificity of the Johne’s absorbed ELISA test as employed in Australia (2005 written paper 1). 7. Write short notes on the indications for performing abdominal surgery on a sick cow. (2009 written paper 1). 8. List the differential diagnosis of yersiniosis in growing heifers (2009 written paper 1). 9. List the differential diagnosis of intussusception in a milking cow (2009 written paper 1). 308866598 Disorders of the respiratory system, cardiovascular system, blood and blood forming organs Additional references Constable PD (2003) Fluid and electrolyte therapy in ruminants. Vet Clin Food Anim 19: 557597. Hunt E and Wood B (1999) Use of blood and blood products. Vet Clin Food Anim 15: 641-661. Smith GW (2005) Supportive therapy of the toxic cow. Vet Clin Food Anim 21: 595-614. Presentations 1. Clinical assessment of cardiovascular and respiratory system 2. Diseases of the heart 3. Respiratory disease in both adult cattle and young stock 4. Toxaemia, septicaemia and hypovolemia – including fluid therapy 5. Anaemia Example exam questions 1. An outbreak of pneumonia has occurred in a mob of 30 dairy calves (aged from 3 –6 weeks) being housed in a shed and being fed whole milk from buckets. Two have died and laboratory examination of portions of lung demonstrated the presence of purulent bronchopneumonia and the isolation of pure culture of Pasteurella multocida. Discuss the epidemiology of respiratory disease in housed calves including factors contributing to outbreaks. Describe your methods of treating calves and of controlling the outbreak (2003 written paper 2). 2. Write short notes on lungworm infestation in (2005 written paper 1). 3. Discuss the differential diagnoses of traumatic reticulopericarditis (2002 written paper 1). 4. Write short notes on the pathogenesis of Mannheimia haemolytica (2007 written paper 1). 5. Grain overload (acidosis) and toxic mastitis due to Staphylococcus aureus are both conditions that can lead to severe dehydration in adult dairy cows. Outline your approach and treatment options to fluid therapy in both these conditions in adult cows (2007 written paper 1). 6. Write short notes on caudal vena cava syndrome (2009 written paper 1). 7. Describe in brief the epidemiology, pathogenesis, diagnosis, therapeutic management, and prevention of enzootic calf pneumonia (2009 written paper 1). 8. Write short notes on the prevention of anaplasmosis (2009 written paper 1). 308866598 Heifer growth, nutrition and diseases Presentations 1. Heifer growth targets and nutrition 2. Internal parasites 3. Vaccination protocols and epidemiology of diseases 4. Weaning management 5. Nutritional deficiencies (copper, cobalt, selenium etc.) Example exam questions 1. Discuss the differential diagnoses of ostertagiasis in 15-month-old dairy heifers (2002 written paper 1). 2. Outline your responses to clients requesting advice on preventing health problems associated with each of the following: dystocia in dairy heifers, internal parasites in replacement dairy heifers aged between 3 and 12 months (2003 written paper 2). 3. Describe the likely clinical manifestations and effects on herd production of the following diseases in a pasture fed dairy herd calving in early spring: selenium deficiency, copper deficiency. In each case describe the differential diagnosis and methods you would employ to confirm diagnosis. Outline the control methods available for each disease in a production system in either Australia or New Zealand (2003 written paper 1). 4. The antioxidant vitamins and minerals seldom act in isolation. Discuss the role of vitamins and mineral enzymes in controlling free radical damage in the body and specifically identify some of the metalloenzymes involved in this process (2001 written paper 1). 5. Describe your complete recommended vaccination program for bovine preventable diseases on a dairy farm. Your answer should address all classes of stock on the farm and should also include aetiological agents, a brief discussion of the evidence supporting the application of the vaccine, general symptoms of the diseases you are vaccinating against as well as a description of a typical yearly program for a nominated region (2007 written paper 1). 6. List the differential diagnosis of yersiniosis in growing heifers (2009 written paper 1). 7. Discuss the concept of ‘refugia’ in parasite control and list some management strategies that can be used to promote refugia (2009 written paper 1). 8. Reproductive examinations over a one-month period in a seasonal calving dairy herd reveal a problem with anoestrus in first-lactation dairy heifers. You become concerned that the main problem is heifer size before first calving. Describe some possible causes for poor heifer size and body condition, and the potential management changes you would advise in the herd. Describe how you would monitor the results of any management changes the herd manager may implement to overcome the problem (2009 written paper 2). 308866598 Sudden death and toxins Additional references Necropsy manual. Available:www.cvmbs.colostate.edu/ilm/proinfo/necropsy/notes/INDEX.HTML [11/01/07] Presentations 1. Sudden death differential diagnoses 2. Crop associated diseases (brassicas, sorghums, legumes) 3. Other plant toxicities 4. Chemical toxins Example exam questions 1. Discuss the medical problems, which are commonly encountered when cattle are grazing Brassica crops (2002 written paper 1). 2. Outline your responses to clients requesting advise on preventing health problems associated with adult dairy cows being fed Brassica root crops (2003 written paper 2). 3. Discuss the aetiology, prevention and treatment of legume bloat (2001 written paper 2). 4. Write short notes on cyanogenic glycoside toxicity (2005 written paper 1). 5. Alkaloid toxicity is an emerging condition in Australian beef and dairy cattle grazing summer perennial ryegrass pasture containing wild endophyte. Describe the epidemiology, pathogenesis, diagnosis, therapeutic management, and prevention of this condition (2007 written paper 1). 6. Write short notes on the pathogenesis of anthrax (2007 written paper 1). 7. You are called to a nearby 300-cow farm where 4 milking cows have died in the last 40 minutes. It is summer and the farmer has, for the first day, allowed his milkers to strip graze a new crop of sorghum for the first part of the morning grazing rotation. When you arrive on farm there are 2 dead cows in the sorghum, and two dead in the adjacent pasture paddock where the alarmed farmer has now shifted the cows. As you drive into the paddock you can see fifteen cows sitting down and four lying on their side. Outline you diagnostic options for this scenario and a brief description of the pathogenesis of those options. Your answer should also include treatment options for each of your diagnostic choices and a plan for cow management in the following week to prevent a recurrence of this scenario (2007 written paper 2). 8. Write short notes on monensin toxicity (2009 written paper 1). 308866598 Diseases of muscles, bones, joints, connective tissues and feet Additional references Chesterton RN et. al. (1989) Environmental and behavioural factors affecting the prevalence of foot lameness in New Zealand dairy herds – a case-control study. NZVJ 37:135-142. Caulkett N (2003) Anaesthesia of ruminants. Large animal veterinary rounds, vol 3 issue 2. Available: www.canadianveterinarians.net/larounds [01/06/07] Presentations 1. Sedation and restraint 2. Anatomy of the foot, clinical signs and treatment of common foot conditions 3. Upper limb conditions (hips, stifles, joint infections) 4. Infectious causes of lameness 5. Track construction 6. Approach to herd lameness problem Example exam questions 1. A farmer reports that 20% of his 300 cow, seasonal calving herd have been lame within two months of calving. a) What are the major causes of lameness on this scale in your area? b) Describe in detail the treatment of the most common lameness-causing lesion. c) Outline the likely economic losses associated with this lameness problem (2002 written paper 2). 2. You are approached by a 1200 cow dairy for assistance with a lameness problem. Cows were brought into the new concrete feed pad facility 6 months ago where they spend on average five hours a day. The time on the feed pad is in addition to time spent on concrete in the milking shed yard. Approximately 20% of lactating cows show evidence of lameness. The peak incidence of lameness is approximately 6-8 weeks into lactation. The dairy feeds a total mixed ration with the herd divided into far off dry, close up dry, fresh, and high producing animals. Outline your approach to investigating lameness. Include discussion of records analysis, nutrition, management procedures, cow observations, and facility design (2005 written paper 2). 3. Write short notes on the principles of treating claw lesions in lame dairy cattle (2009 written paper 1). 4. Write short notes on the prevention of white line disease (2009 written paper 1). 5. List the differential diagnosis of ephemeral fever in a dairy heifer (2009 written paper 1). 308866598 Oral examination practice This section still under construction Tips 308866598