Clinical Examination of Camels in Relation to Some Disease Conditions 1 Clinical Examination of Camels in Relation to Some Disease Conditions Why do we keep animals? We always benefit from the animals we keep We keep animals to provide us with: Meat Milk Eggs Wool and hair for clothing, ropes and tents Hides and skin for leather Bones, hooves and horn for a variety of uses. Some animals are used for transport, Plugging and work. What animals are kept in your community? If you want to be a good Primary Animal Health Care Worker (PAHCW) it is very important for you to know what animals are kept by the people in your community. You must know your community very well and discover who keeps animals and what type of animals they keep. You must work with all of the community's livestock. What are the animals used for? What does your community keep its animals for? Are the animals kept for meat or for work? Do they provide you with milk? What other things do you get from the livestock you keep? If you keep animals for meat do you kill the young or the old animal for meat? Does your community keep some animals only for work or for meat, to give milk, or for other reasons? Try to find out as much as you can about the use of animals in your community. Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 2 How good are your animals? Are your animals providing you with enough milk or meat? Are your livestock better than those of neighbouring communities or regions? How do your animals differ from those in neighbouring communities? Communities in neighbouring regions can keep different types of animals. For example cows in one region can produce more milk or give better meat than those in another region. You should consider your livestock and compare them to those of your neighbouring communities. Talk to people from other communities or to other Primary Animal Health Care Workers. You may already know of some health problems in your community's livestock. If you talk to others in the community you may find out about other animal health problems. There may be particular problems related to certain breeds or types and not others. Some of the health problems you may discover are: Animals die suddenly. Young animals are born sick or dead. Leg and foot problems. Skin troubles. Animals do not increase in weight. Livestock suffer from worms, ticks or lice. The udders of milk animals become swollen and blood is found in the milk. Animals and the environment The environment is whet you find around you. The plants, water, soil and climate are all part of your environment. There is a limit to the number of animals which we can keep in any area. If we ignore these facts we can have management and health problems in our livestock and damage to the local environment. Different breeds (types) of animal Throughout the world man keeps animals which are suited to the local environment. Feed, water and climate are the main factors which determine what animals are in any one region. As a result of this we find a large variety of animal breeds throughout the world. Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 3 The number of animals kept in the community We should not keep animals which are old or barren as they will eat the feed that could be better used for young animals. You should consider the number of animals kept in your community. Is enough feed and water available for them all year? Discuss with your community elders and leaders any problems you may discover in the numbers of animals and the available feed and water. Controlling and planning livestock numbers and the availability of good feed and water is basic to primary animal health care. Problems of overstocking (too many animals) If we do not keep the numbers of livestock in relation to available feed and water then: Animals lose weight, become sick and disease spreads. Animals do not breed well and death of young occurs. Overgrazing and loss of pasture, bushes and trees occur. Loss of vegetation will result in erosion of soil and loss of good land. Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 4 Veterinary Clinical Diagnosis Veterinary clinical diagnosis is defined as the science which dealing with clinical or practical methods of examination of the patient animal. Symptoms Symptoms could be defined as any evidence that indicates the presence of the disease. They may be classified into: 1. Subjective symptoms: are those perceptible to the patient only, and not available to the clinician. 2. Objective symptoms are those obvious to the senses of eye observation for anyone. 3. Clinical signs = (Clinical findings) are those objective symptoms that are appreciated only by the clinician. Diagnosis It is the art of determining internal changes of the body by the aid of externally visible or otherwise appreciable changes in the animal condition or some of its organs; it also includes the recognition and name of the disease. The first step in dealing with any disease is the establishment of a diagnosis, because the nature of the treatment, control measures and prophylaxis, all depend on diagnosis. Also an incomplete examination may lead to incorrect diagnosis and failure of treatment and prognosis. Prognosis It means expressing an opinion to the probable duration and outcome of the disease. Physical examination and making diagnosis Clinical examination of an animal has three main aspects, and inadequate examination of anyone may lead to incorrect diagnosis. These aspects are; I) The patient animal under examination, II) The environment in which the animal lives, and III) The history Professor Doctor/ Taha A. Fouda King Faisal University 5 Clinical Examination of Camels in Relation to Some Disease Conditions Some clinical aspects of physical examination I) Signalment of the patient or patient data: Species: species also helps the clinician to narrow or to limit the diagnostic possibilities. This is true because of species specificity for the disease. Breeds: Certain breeds have hereditary predisposition to certain diseases; therefore, just knowing the breed brings to mind of the clinician the possible causes for animal's problem. Age (Ageing by teeth): Age may predispose it to some age specific diseases with different frequencies. Accordingly, young animals are more likely to present with illness caused by infectious organisms, toxins and parasites mainly because of ill-developed immune system, whereas older animals present most often with diseases caused by degenerative processes or neoplasia, nutritional deficiencies diseases Ageing camels by the teeth The camel has 22 milk teeth and 32 permanent teeth. It is different to other ruminants in having two front teeth in the upper jaw. Camels also have a pair of canine (dog teeth) in both the upper and lower jaws which are used to crush woody plants for food. The first pair of permanent cheek teeth are separate from the other teeth and are dark in color. A) The milk teeth of the camel The camel has 22 milk teeth arranged as: Upper jaw one front tooth on each side 2 one canine (dog) tooth on each side 2 three cheek teeth on each side 6 Lower jaw three front teeth on each side 6 one canine (dog) tooth on each side 2 two cheek teeth on each side 4 Professor Doctor/ Taha A. Fouda King Faisal University 6 Clinical Examination of Camels in Relation to Some Disease Conditions Ageing camels from the milk teeth (1) New born: There are no ……………………………….. teeth. (2) One month: Upper jaw: 2 cheek teeth on each side Lower jaw: one cheek tooth on each side 2 front teeth (3) Three months: (4) Six months: Upper jaw: 1 canine, 3 cheek teeth on each side Lower jaw: 3 front teeth, 1 canine, 2 cheek teeth on each side Upper jaw: 1 front, 1 canine, 3 cheek teeth on each side Lower jaw: 3 front, 1 canine, 2 cheek teeth on each side B) The permanent teeth There are 34 permanent teeth. These are larger than the milk teeth and are arranged as follows: Upper jaw Lower jaw one front tooth on each side 2 one canine on each side 2 six cheek teeth on each side 12 three front teeth on each side 6 one canine on each side 2 five cheek teeth on each side 10 Ageing camels after 1 year of age 1 year 2.5 years 3 years Upper jaw: 4 cheek teeth on each side Lower jaw: 3 cheek teeth on each side Upper jaw: 4 to 5 cheek teeth on each side Lower jaw: 3 to 4 cheek teeth on each side Upper jaw: 5 cheek teeth on each side Lower jaw: 4 cheek teeth on each side Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 7 4.5 years First permanent front teeth are showing 5 years Milk cheek teeth replaced by permanent teeth, 2 replaced on each side of upper jaw, 1 on each side of lower jaw. 5.5 years 2 more permanent front teeth on lower jaw 6 years 7 years Upper jaw: 6 cheek teeth on each side Lower jaw: 5 cheek teeth on each side Upper jaw: 1 front tooth and permanent canine through on each side Lower jaw: permanent canine through Full set of permanent teeth First cheek teeth on both jaws are black The canines appear at 6 years of age and by the age of 7 are very large. These teeth in the upper jaw can be 4 centimeters long. The lower ones may be cut off by some camel owners. Camels can live to around 40 years of age but from 15 years of age they will have difficulty with hard feedstuffs as the front teeth wear and begin to spread. Sex: is of great clinical importance that helps the veterinarian to specify the problem more easily and quickly. This is true because of sex-related disease and the physical parameters that vary in males than in females. Also it is important to know the sex of the patient to avoid drugs that may affect on pregnancy or that causing abortion. II) General Inspection of the patient Physical condition It is usually easy to assess the bodily condition of an animal by simple inspection. It is unsatisfactory in longhaired animals. Assessment of bodily condition could be performed by: 1) Inspection. 2) Running the hands over the ribs, spine, pelvis and shoulder. 3) Palpation of the root of the tail. Accordingly, the physical condition of an animal may be one of the following; Normal, thin or lean, emaciated or cachexic, or obese. Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 8 4) Normal animal 5) Thin or lean animal 6) Emaciated or cachexic animal 7) Obesity Behavior or general demeanor The behavior of the animal is a reflection of its health condition. It means the general appearance of the patient from the sensory and motor aspects, manifested by normal or abnormal responses to the external stimuli. It requires good experience and accurate observation to determine or to judge if the animal responds in normal or abnormal way to any stimulus. Posture Abnormal posture is not necessarily indicative of a disease, but when associated with other signs it may indicate the site and severity of the disease. Here is a list of some clinical cases with abnormal posture: Gait Movements of the limbs can be assessed by observation and expressed in terms of rate, range, force and direction, hence, gait abnormalities may occur in one or more of these terms. It should be remembered, however, that the origin of a locomotor disturbances may lie outside the nervous or musculoskeletal systems such as in laminitis (which could missed due to intoxication by bacterial toxins following disturbances of alimentary tract, or related to local infections as metritis, retention of placenta, mammary gland edema and mastitis). Defecation The act of defecation should be assessed because of its importance in suspecting some related problems. Abnormal defecation will be discussed in details in the part dealing with examination of digestive system; however, it may involve the followings: Difficult defecation with signs of abdominal pain and straining as in constipation and rectal paralysis. Painful defecation indicates abdominal pain and laceration of muco-cutaneous junction. Involuntary diarrhea indicates paralysis of anal sphincter, enteritis. Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 9 Urination The act of urination must be observed by the clinician as possible as he can, or the owner be questioned about it. However, abnormal urination may be: Difficult micturation as in cases of partial obstruction of the urinary passages. Painful micturation associated with frequent micturation as in cystitis and urethritis, or Incontinence with constant dribbling of urine in equines indicates partial obstruction of urethra or paralysis of its sphincter. Skin appearance Skin abnormalities can usually be seen at a distance. Such abnormalities include changes of hair or wool, changes of the skin surface, or changes of the associated structures. The followings are examples of skin abnormalities which could be noted by inspection: Loss of lustering as in many debilitating diseases and skin disorders. Excessive greasy as in seborrheic dermatitis. Abnormalities of the coat. III) Examination of different body systems A) Examination and evaluation of the physical parameters including rectal temperatures, respiratory rates, pulse and heart rates, visible mucous membranes and superficially-situated lymph nodes. B) Examination of different body systems and organs. Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 10 The normal resting respiratory rates (breath/minute) for adult and young animals. The normal values of body temperatures for adult and young animals (Degrees Celsius) Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 11 The normal values of pulse rates (heart beats/minute)in adult and young animals. Camel 45 40-50 The animal body Organs and systems of the body The body is made up of many, many millions of cells which you can not see unless you use a microscope. Special cells come together to make an organ. An organ is a complex structure within the body. It has a special job or jobs to do. A body system consists of a number of organs which work together to carry out a special job. The animal body is made of 9 systems: 1. Musculo-skeletal system 2. 3. 4. 5. 6. 7. 8. 9. Digestive system Circulatory system Respiratory system Urinary system Nervous system Sensory system Reproductive system Lympho-reticular system Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions System of the Body Organs in the Body 12 Job or function Musculoskeletal muscle (meat) bones Support and move the body Digestive stomach, liver, intestine, pancreas Digest and absorb feed Circulatory heart, blood vessels The brood carries substances around the body Respiratory muzzle, windpipe, lungs Breathing Urinary kidneys, bladder Get rid of poisons and waste (urine) Nervous brain, nerves spinal cord Pass messages around the body, control the body Sensory eyes, ears, nose skin Sense and detect things outside the body Reproductive testes, penis ovaries, uterus, To produce and feed young vagina, vulva, udder Lymphoreticular lymph nodes, spleen Professor Doctor/ Taha A. Fouda Protect against infectious diseases, produce blood King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 13 Several disease conditions are encountered in the field of camel medicine including the followings: Non infectious conditions such as Red urine Wounds and burns Allergy Esophageal obstruction Pica Intestinal obstruction Edema Indigestion Downer syndrome Bloat Plant poisoning Constipation Snake bite goitre Viral diseases such as Rabies Camel pox Contagious ecthyma Corona virus infection Rota virus infection Rift valley fever Foot and mouth disease Influenza Bacterial diseases such as Anthrax Endotoxemia Brucellosis Pasteurellosis Paratuberculosis Tuberculosis Botulism Leptospirosis Listeriosis Anaerobic infections Parasitic diseases such as Gastrointestinal parasites Mange Trypansomiasis Ticks infestation Lung worms Liver fluke Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 14 Mycotic diseases such as Ringworm Aspegillosis Candidiasis Mucor mycosis Mycotic dermatitis Diseases of camel-calves Neonatal diarrhea Poor mothering Navel ill Colibacillosis Salmonellosis Esophageal obstruction Coccidiosis Cryptosporidosis Corona virus infection Rota virus infection General rules of diagnosis 1. Obtaining the history 2. Complete physical examination of the patient 3. Recording the clinical signs of the diseases 4. Carrying out the post mortem examination whenever possible 5. Obtaining samples for laboratory examination, such samples include: a. b. c. d. e. f. Blood samples Skin scrapings and other dermatologic examination Ruminal fluid Cerebrospinal fluid Synovial fluid Analysis of diet Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 15 Ruminal fluid (obtaining and analysis) Evaluation of rumen fluid characteristics is an essential and important procedure in establishing and clarifying the etiology, pathophysiology and clinical findings of reticuloruminal dysfunction. Indications for obtaining rumen fluid: Rumen fluid can be obtained for the following purposes: 1. Diagnosis or exclusion of microbial dysfunction. 2. Diagnosis of abomasal reflux into the rumen. 3. Chemical analysis for the ingested toxins if be expected in some disease conditions. 4. Evaluating the effect of new drugs or medicaments on rumen microbial activity 5. Evacuation of overloaded rumen. 6. Obtaining rumen fluid from healthy animal for therapeutic purposes in case of forestomach disorders and for speeding of the recovery from various systemic diseases. Factors affecting the collection of rumen fluid It is important to bear in mind the following factors when obtaining rumen fluid in order to obtain sample without or at least with minimum contamination especially with salivary secretion. 1. Construction of the probe In order to aspirate rumen fluid from the ventral ruminal sac, it is necessary to use probe (stomach tube) with 2.30 meter long and 0.8-2cm internal diameter. Probe could be attached with suction pump that facilitates obtaining of the fluid. 2. Composition of the diet When a ground poorly structured feed is provided for the animal, the normal separation between the ventrally located fluid and the overlying fibrous layer does not occur. Instead of that the rumen fluid is thorough blended with solid particles; so that the probe is easily bluged by feed particles and little amount of rumen fluid is available. 3. Time interval from last feeding and the degree of fullness of stomach Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 16 As the proportion of the fluid in the rumen contents is lowest immediately after feed consumption and be greatest at morning before the first feeding of the animal. The most appropriate time for sampling is early morning before first feeding, or could be 3-4 hours after feeding. 4. Reaction of the animal during sampling, and experience of the operator It has been established by many researchers that, the stronger the resistance shown by the animal to passing of the tube, and the less experience of the operator the longer the time that elapses between first introduction of the tube and the aspiration of the fluid. Also this results in greater contamination of rumen fluid with salivary secretion. Analysis of rumen fluid Laboratory evaluations of rumen fluid include 1) Biophysical characteristics of rumen fluid which involve color, smell, consistency, sedimentation and floatation test, cellulose digestion and pH. 2) Biochemical evaluation of rumen fluid which involves the following tests: Redox-potential or oxidation – reduction Glucose fermentation Determination of lactic acid Determination of volatile fatty acids Determination of chloride Determination of indole Determination of Ammonia Color, odor, and consistency of rumen fluid These parameters should be assessed immediately following the collection of sample. A) Color of the rumen fluid It varies greatly depending on the nature of animal’s feed, degree or severity of reticulorumen disturbances and the time elapsed since the collection of sample. Normal animals kept on hay ration have an olive to brownish green rumen fluid. Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 17 Animals kept on grasses have a deeper green rumen fluid. Animals on grain or silage have a yellowish brown rumen fluid. Mean while, Cattle with acidosis tend to have rumen fluid of milky- grey coloration. Cattle with rumen stasis and / or decomposition of reticulorumen contents have a darker greenish to black rumen fluid. Calves with abomasal reflux or esophageal groove defects have grey color fluid with clots of milk. B) Consistency of rumen fluid Normal rumen fluid has a slightly viscous consistency. When the rumen microbiota become inactive, the consistency of the fluid varies from the normal. Rumen lactic acidosis and simple inactivity of reticulorumen fauna result in more aqueous or watery consistency. Meanwhile, contamination of rumen fluid with saliva increases its consistency which becomes more viscous. C) Odor or smell of rumen fluid Normal smell of rumen fluid is aromatic. It becomes less prominent when the activity of rumen microflora depressed. Rumen alkalosis and urea poisoning smell of ammonia. Protein decomposition and spoiled milk with putrefaction putrid foul smell Rumen tympany offensive smell. 2-Hydrogen Ion concentration (pH) of Rumen fluid PH of the rumen fluid fluctuates within a broad range of normal values. The values of pH of any rumen sample depend on: a- Type of animal’s feed. b- Fermentation pattern within the reticulorumen. c- Duration of time since last feeding d- Health condition of the animal and its stomach. The physiologic rumen pH ranges from 6.4-7.2 in animals fed mostly on forages, and 5.5 to 6.5 in animals fed mostly on grains. Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 18 The pH value tends to elevate toward the high end of normal range immediately after feeding, then reduced to the lower values 2-4 hours post feeding, then it rises again if no food have been added to the animal. Animals that suffer from anorexia have rumen pH value above 7.0. Animals with rumen alkalosis and putrefaction of the content have an elevated rumen pH which could reach up to 8.5. Animals with severe lactic acidosis have a very lower rumen pH (Less 5-5.5). 3-Sedimentation and floatation activity: It provides a rapid evaluation of microflora activity. This test should be conducted immediately after collection of the rumen sample. When fresh rumen fluid is left undisturbed in a glass cylinder or test tube, the finer feed particles and large– sized infusaria tend to settle, while larger fibrous constituents float to the surface. When the sample is kept at body temperature, gas produced by active flora will buoy to the surface some particles that originally sank in the fluid. The normal time for completion of the activity is ranged between 4 and 8 minutes. Watery inactive sample (as in starvation, inappetence, feed of low nutritional value, rumen acidosis) rapid sedimentation with no or little floatation. When the animals consume a rich pelleted diet or when foamy bloat is present No sedimentation nor floatation, and the particles remain in suspension for long time. 4-Redox- potential = Methylene blue reduction time The redox potential is a useful indicator that reflects the fermentative activity of the rumen flora. The redox potential is maintained by microbial fermentation and to a lesser extent by enzyme systems of plant origin; as the rumen is normally an anaerobic environment. The test involves mixing 1.0 ml of 0.03% methylene blue solution with 20 ml of fresh rumen fluid (at body or room temperature) in a glass tube. Then the time required for discoloration of the fluid is measured which is inversely proportional to the microbial activity. Highly active samples from cows fed a mixed hay and grain diet 3 minutes reduction time. Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 19 Cows fed mostly hay with some grain 3-6 minutes are required for reduction. Indigestible diets, prolonged inanition, and rumen acidosis result in delay of reduction time. 5-Microscopic examination of rumen fluid Evaluation of the number and activity of the rumen protozoa provides a sensitive indicator of the condition of the sample. This examination is easily accomplished by microscopic examination of a drop of fresh, warm rumen fluid. The presence of many active ciliates of various sizes is an indication of an active rumen. Great reduction in the total number is usually observed with inanition or diets lacking energy and protein. All protozoa are killed when the rumen pH drops to 5.0, and thus their absence in milky rumen fluid is an indication of acute rumen acidosis. Normal rumen fluid should contain a variety of bacterial forms, with a predominance of Gram- negative organisms. While overgrowth of Grampositive organisms occurs with acute lactic acidosis. Table (1) Indications for obtaining rumen fluid from cattle 1. Diagnosis or exclusion of microbial dysfunction (indigestion). Diagnosis of abomasal reflux into the rumen. 2. Chemical analysis for ingested toxins. 3. Evaluating the effects of new drugs on rumen microbial activity. Emptying the rumen affected with overloading of fluid ingesta or with other dysfunction. 4. Obtaining rumen fluid from healthy cattle for therapy of forestomach disorders and metabolic diseases as well as for speeding the recovery from various systemic illnesses. Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 20 Parameters that must be determined immediately after obtaining rumen fluid Color, odor, and consistency. PH. Methylene blue reduction. Sedimentation (including protozoa) and flotation Total titratable acidity. Chloride concentration. Important rumen fluid parameters that can be measured in the laboratory Glucose fermentation (gas formation). Lactic acid Nitrite reduction. Buffer capacity. Concentration of volatile acids and lactic acid. Ammonia concentration Protozoa (microscopic, quantitative) Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 21 Diagnostic tests in dermatology include the followings Procedure Pathogen/pathology demonstrated 1-Wood's lamp illumination Some of Microsporum species 2- Skin scrapings Ectoparasites, dermatophytes and helminthes 3- Hair plucking Ectoparasites, dermatophytes and hair morphology 4- Coat brushings Ectoparasites and dermatophytes 5- Swab / crust samples Fungi, bacteria and virus 6- Smear / wet preparation Bacteria, fungi and protozoan cytology 7- Biopsy Bacteria, fungi and virus infections, histopathology and histochemistry 8- Blood samples Cytology, Biochemistry, hormonal status and serology Wood's lamp illumination The wood's lamp illumination depends on a source of ultraviolet radiation at wave length which excites characteristic apple-green fluorescence in about 50% of naturally occurring Microsporum canis infection, and other Microsporum species also fluoresce. It is seen only in infection of actively growing hair. The disadvantages of this method are, it may give + Ve result with other chemical agents as tetracycline, and failure to demonstrate such fluorescence does not rule out dermatophytosis. Skin Scrapings The skin scraping is one of the most valuable and commonly used tests in veterinary dermatology, confirming the diagnosis of the ectoparasites and dermatophytosis. The hair, superficial scales, epidermis and contents of the hair follicle mouths may be sampled by this technique. Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 22 Protocol of skin scrapings: 1. Select the area of scraping with great care to the predilection site for the disease either ectoparasites or dermatophytes. 2. The hair should be firstly trimmed short. 3. Skin should be gently wiped with swab moistened with sterile water. 4. Scraping is done with scalpel blade held firmly between the thumb and first two fingers of one hand at angle of about 50% to the skin and drawn firmly across the surface towards the operator. The surrounding skin is tensed with fingers of other hand. 5. Scraping is continued until the first signs of bleeding appear. Moistening the skin with water, mineral oil or glycerin for adherence of the scrapings to the blade. 6. Microscopical examination of the scrapings. Scrapings are suspended in drop of oil on microscope slide, and covered with cover slip, and examined under the x 10 objective. Microscope condenser should be lowered to increase the contrast. Scrapings are collected dry or moistened with water and suspended on slide in 20% potassium hydroxide. Suspension is warmed to accelerate clearing. Cover slip is applied and the preparation is examined under the x 40 objective. Scrapings are collected in test tube or small beaker and add 4-10% sodium or potassium hydroxide. Heat gently, but not boil, until the hair is dissolved for about 5 minutes. "If the sample is boiled the parasite will be transparent and difficult to diagnosis." Maceration overnight without heat may be sufficient. Allow the tube to stand for minutes and cooling. Centrifuge the sample and examine the sediment. Sample from the bottom by glass rode or dropper and transferred to slide then cover with cover glass and examined microscopically under the low power. Scrapings can be collected dry in sealed paper envelope And then cultured directly for isolation of dermatophytes on specific media. Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 23 Hairs from the chosen site are grasped firmly with forceps and plucked and it may be inoculated directly onto specific media for mycological isolation and identification. Or examined under the microscope with low power objective and the hairs are mounted between glass slides held together with tape. Or under x40 objective and hairs held with mineral oil gives better resolution. Coat brushings It is useful where the skin lesions are diffuse and infection of the hair or superficial stratum corneum is suspected. Coat brushings enable the loose hairs, scruff and crusts from large areas of the skin to be collected. The animal is placed on sheet of clean paper. The coat ruffled with coarse brush causing any loose material to be fall onto the paper. The collected materials are examined under the microscope under the 10 objective lens in between glass slides. Some debris is screened with wood’s lamp. Sample may be put on slide and examined microscopically in mineral oil or in 20% potassium hydroxide. If fungal or dermatophytes are suspected the brush cultures on specific media. Swab and Crust samples Cotton swabs are commonly used to sample pustular or exudative lesions for smear preparation and isolation of bacteria Candida from the skin. The hair is first clipped from around the lesions. Gentle cleaning with 70% Alcohol. Pustules arc opened with the tip of sterile needle. The adjacent skin is gently squeezed. The emerging pus collected on the tip of the swab and avoiding contact with the skin. The fruncular and scabby lesions are also sampled as pustules but scabs are a potent source of microorganism as pox virus and dermatophilosis. Portion of scabs may be emulsified in sterile distilled water, to provide material for culture or smear preparation. Smears and wet preparations Smears and wet preparations provide a rapid and relatively simple means for the demonstration of microorganism, and host cells in skin lesions. It is particularly useful in demonstration of yeast and neoplastic cells. Professor Doctor/ Taha A. Fouda King Faisal University Clinical Examination of Camels in Relation to Some Disease Conditions 24 Smears may be prepared in three ways: 1. Direct impression smears are made by pressing the slide onto the surface of moist skin lesions, the base of freshly removed scab or the cut surface of a biopsy specimen causing cells and exudates to adhere to it. 2. Smear also can be made from pus or exudates taken from the lesion and spread thinly onto the slide. 3. Samples are collected on swab by scraping the affected skin, or by aspiration using needle and syringe. 4. They are smeared onto the slide with swab or using bacteriological loop. Smears may also made from emulsified scabs Slides should be cleaned with alcohol prior to use to promote adherence and even distribution of the material. The smears are air-dried, fixed by flooding with alcohol for one minute and allowed to dry. Staining smear with an appropriate technique depending on the features, which are to be demonstrated. Most common stains are: Gram's, methylene blue, Giemsa. Wet preparations are unstained specimens prepared from exudates or scab emulsions; as described by many researchers. Drop of specimen is placed on the slide. Normal saline is added to dilute the material or as mounting medium. Cover slip is applied. Examination under the microscope by phase-contrast illumination or with the condenser lowered. Biopsy samples These samples are usually obtained for histopathology Local anesthesia. Hair is clipped with scissors. Cleaning with 70% alcohol. Incision of the skin or punch method is applied. Specimen put in 10% formalin for at least 24 hours. Blood samples Changes in the cellular or biochemical composition of the blood are useful in confirming or ruling out differential diagnosis in dermatology. Specialized tests as hormonal assays and serological tests may be used to identify specific conditions. Professor Doctor/ Taha A. Fouda King Faisal University