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Cervid Medicine
THIRD EDITION
Editors
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the Publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies, and our arrangements with organizations such as the Copyright Clearance
Center and the Copyright Licensing Agency can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notice
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds, or experiments described herein. Because of rapid advances
in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be
made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors, or con-
tributors for any injury and/or damage to persons or property as a matter of products liability, negligence
or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in
the material herein.
ISBN: 978-0-323-62463-3
Printed in China
For my wife, partner, and best friend, Ms. Jayne Moore Pugh, who taught our
three children the same ideas for life.
For our three wonderful children, Rebekah, Natalie, and Dylan, their spouses,
Brent, Aaron, and Chasity, and our four grandchildren, Ella, Eli, Layne, and Leah,
all of whom we are so very proud.
For the Lord, who has given me a multitude of blessings.
Keep the faith.
David G. Pugh
To the memory of my parents Aubrey and Arline, who taught me to always give
my best and that with opportunity comes responsibility. I hope they would be proud.
To Debra, my love and my life, who graciously agreed to sacrifice time while I tackled
another book.
To our children, Taylor (Purdue DVM 2021), Tanner (Casper College 2017, Fightin’
Texas Aggie 2019), and Kaycee (TBD 2024), who have given us many great memories
and the hope of many more to come.
Thank you to my great friend of over 30 years, David Pugh, for inviting me to
participate in this project and his never-ending work to make this book the best
it could be.
And thanks to God, through which all this is possible.
A. N. Baird
To my parents, Barbara Fechner and the late Hans Passler, for their love and emotional,
moral, and financial support. They instilled in me the work ethic, perseverance, and
desire to succeed in all tasks large or small.
To my wife Nicole and son William. It is their love and smiles that I look forward
to when I come home every day. I would be lost without you and appreciate your
support of the extracurricular activities in my career!
And to my host family, Roger, Peggy, Nathan, Nick, and Nora Borgmeyer
and their respective spouses and children, who have always treated me like their
own and have fostered my desire to become a veterinarian. They successfully turned
a city slicker into a country boy!
Thomas Passler
The editors would like to acknowledge and offer grateful thanks for the input of all previous edition contributors, without whom this
new edition would not have been possible.
Chris Cebra, VMD, MA, MS, DACVIM Eric J. Fish, DVM, PhD, DACVP
Department Chair, Clinical Sciences Clinical Pathologist
Carlson College of Veterinary Medicine, Oregon State IDEXX Laboratories
University, Corvallis Westbrook
Oregon Maine
United States United States
Margaret Cebra, VMD, DACVIM Nar Kaji Gurung, PhD, PAS, DACAN
Corvallis Associate Professor
Oregon Agricultural and Environmental Sciences
United States Tuskegee University, Tuskegee
Alabama
Manuel F. Chamorro, DVM, MS, PhD, DACVIM United States
Assistant Professor Affiliate Professor
Department of Clinical Sciences Department of Animal Sciences
Auburn University, College of Veterinary Medicine, Auburn Auburn University, Auburn
Alabama Alabama
United States United States
Lionel J. Dawson, BVSc, MS, DACT Meredyth Jones, DVM, MS, DACVIM
Professor Associate Professor, Food Animal Medicine and Surgery
Department of Veterinary Clinical Sciences Large Animal Clinical Sciences
Oklahoma State University, Stillwater Oklahoma State University, Stillwater
Oklahoma Oklahoma
United States United States
vii
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viii Contributors
Paul J. Plummer, DVM, PhD, DACVIM, DECSRHM Jenna Workman Stockler, BS, DVM
Executive Director Graduate Teaching Assistant
National Institute for Antimicrobial Resistance Research and Clinical Sciences
Education, Ames Auburn University, Auburn
Iowa Alabama
United States United States
Jenny Pope, DVM, DACVP Ricardo M. Stockler, DVM, MS, DABVP Dairy Practice
Veterinary Pathologist Assistant Clinical Professor of Farm Animal Ambulatory
Thompson-Bishop-Sparks State Diagnostic Laboratory Clinical Sciences
Alabama Department of Agriculture and Industries, Auburn Auburn University College of Veterinary Medicine, Auburn
Alabama Alabama
United States United States
†
Deceased
Contributors ix
Sandra D. Taylor, DVM, PhD, DACVIM Paul H. Walz, DVM, MS, PhD, DACVIM
Associate Professor Professor
Department of Veterinary Clinical Sciences Department of Pathobiology
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Purdue University, West Lafayette Auburn University, College of Veterinary Medicine, Auburn
Indiana Alabama
United States United States
Heather Walz, DVM, PhD, DACVP Ann B. Weil, MS, DVM, DACVAA
Veterinary Pathologist Clinical Professor of Veterinary Anesthesiology
Thompson-Bishop-Sparks State Diagnostic Laboratory Department of Veterinary Clinical Sciences
Alabama Department of Agriculture and Industries, Auburn Purdue University, West Lafayette
Alabama Indiana
United States United States
Preface
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The first edition of Sheep and Goat Medicine was published in Chapters 7, 9, 13, 14, and 17 (Diseases of the Respiratory System,
2002, with me as the only editor and primary author. The second Diseases of the Endocrine System, Diseases of the Neurologic
edition, published in 2012, was improved over the first edition by System, Diseases of the Eye, and Diseases of the Cardiovascular
asking Dr. Baird to also be an editor. His work helped the content System, respectively); and I oversaw Chapters 1, 2, 6, 19, 20,
tremendously. In this, the third edition of the book Sheep and Appendix 1 and Appendix 2 (Physical Examination, Handling,
Goat Medicine, we have added Cervid and changed the name to and Restraint of Sheet, Goats, and Cervids, Goats, and Cervids,
Sheep, Goat, and Cervid Medicine. This new rendition, with the Feeding and Nutrition, Internal Parasites of Sheep, Goats, and
addition of cervids (deer, elk, etc.), came about by way of a phone Cervids, Herd and Flock Health, Field Necropsy and Diagnostic
conversation in 2015 with Dr. Baird, when I asked him, “If Tests, Commonly Used Drugs and Vetrinary Feed Directive in
Elsevier asks us to re-edit/write ‘The Book’ again, how would you Sheep, Goats, and Cervids, and Reference Intervals and Conver-
change it?” He said, “Add deer and other cervids, as farm raising sions). The authors were charged with re-writing where needed,
those critters is becoming a big industry here in the Midwest updating all information, and adding cervids to each chapter and
(USA).” Great recommendation! I had an interest in cervids, as the appendices. In addition to the editors, we asked Dr. Cliff
part of my MS degree dealt with mercury toxicity in WTD Shipley (2017 ACT (American College of Theriogenologists) The-
(White Tailed Deer), but I remained very limited in my cervid riogenologist of the Year, Professor of the University of Illinois, and
knowledge base. I also had a difficult time finding readily acces- noted small ruminant veterinarian) to help us add some of the deer
sible information that could help me with cervid medicine for our and other cervid information to Chapters 1, 4, 8, 10, 11, and 19,
university practice. In late 2016, Ms. Jennifer Flynn-Briggs, of and he did a great job. Dr. Kelley Steury, a diagnostic specialist at
Elsevier, contacted me about editing/writing a new edition of the the Al State Diagnostic Laboratory, found many of the figures used
book. We discussed the addition of cervids and settled on the term in multiple chapters, mainly of white-tailed deer. We have added
“Cervid Medicine,” as the book Nutrient Requirements of Small new authors and/or co-authors to all chapters except Chapters 3
Ruminants: Sheep, Goats, Cervids, and New World Camelids (2007), and 13. Chapter 20 (Necropsy) was added to the second edition,
NAS/NRC had set the precedence to use that term to encompass written by Dr. John Roberts (Auburn University), and was an ex-
many of the “cervidae” family that may be encountered by prac- cellent tool for use on necropsy in sheep and goats. In this third
ticing veterinarians. Once they agreed to that change, I told the edition, Drs. Heather Walz and Jenny Pope covered necropsy on
folks at Elsevier I would only take on the task if Dr. Baird would sheep and goats very well and aimed much of the new material and
reprise his role from the second edition, and if we could add two many of the figures toward cervid and field necropsy. In a very far-
other exceptional large-animal veterinarians as editors, Drs. Misty sighted and novel move, Drs. Walz and Pope wrote their chapter
Edmondson (Professor of Large Animal Medicine, Auburn Uni- with the potential use of all the editions. We added many very
versity) and Thomas Passler (Associate Professor and Food Animal knowledgeable and experienced clinicians. I have always had a
Medicine Section Chief ). Like Dr. Baird, both Drs. Edmondson (bad?) habit of wanting to learn from new folks, and the authors.
and Passler had superbly written chapters in the second edition of I am very blessed to have been able to work with three awesome
this book. Both these clinicians, like Dr. Baird, had a wealth of and very talented editors. The book would not have happened if it
small ruminant knowledge and experience. Dr. Passler’s PhD was were not for Drs. Baird, Edmondson, and Passler. They all are such
in virology of white-tailed deer, and Dr. Edmondson had been a a credit to the veterinary profession, and it was a joy to be able to
food animal clinician at Auburn University’s CVM (College of watch, read, and learn from them. I was able to read the entire book
Veterinary Medicine) from 2004 to 2018 and she had assumed after all authors, then editors, had finished each chapter. I learned
the role as the predominant small ruminant veterinarian much of so much, and hope all the readers/users of this book do, as well.
that time. Thankfully, the folks from Elsevier agreed. We formatted Finally, I would be remiss if I didn’t mention several clinicians
the editing process, where each editor would plan, pick new authors who, either directly or indirectly, contributed to this undertaking.
where needed, oversee the writing, and edit the final version of Dr. Christine Navarre (chapter author in the first two editions);
certain chapters. Dr. Baird oversaw Chapters 3, 4, 10, 11, and 18 the late Drs. Bob Carson, Alan Heath, and Tom Powe; and
(Fluid Therapy and Parenteral Nutrition, Oral-Esophageal Diseases, Drs. Dwight Wolfe, Darrel Rankins, Jim Wenzel, Gatz Riddel,
Diseases of the Integumentary System, Diseases of the Musculosk- Debra Taylor, Julie Gard, and Hui-Chu Lin all had a great and
eletal System, and Anesthetic and Pain Management, respec- positive influence on the all three editions of this book.
tively) and contributed to the surgery sections for each chapter;
Dr. Edmondson oversaw Chapters 5, 8, 12, 15, and 16 (Diseases Keep the Faith
of the Gastrointestinal System, Theriogenology of Sheep, Goats, and David G. Pugh, BSA, DVM, MS, MAG,
Cervids, Diseases of the Urinary System, Diseases of the Mammary DACT, DACVN, DACVM
Gland, Diseases of the Hematologic, Immunologic, and Lymphatic Southern Traxx Veterinary Services
Systems [Multisystem Diseases], respectively); Dr. Passler oversaw Waverly, AL 36879
x
Contents
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xi
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1
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Physical Examination,
Handling, and Restraint of
Sheep, Goats, and Cervids
RICARDO M. STOCKLER, JENNA WORKMAN STOCKLER,
CLIFFORD F. SHIPLEY, AND DAVID G. PUGH
1
2 CHAPTER 1 Physical Examination, Handling, and Restraint of Sheep, Goats, and Cervids
TABLE
1.1 Body Condition Scoring of Sheep, Goats, and Cervids.
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• Fig. 1.1
Distance observation as an assessment of overall health of the flock/herd. Body condition scoring
and disposition of the individuals are evaluated during this time.
animal as well as for the herd. An attentive observer may identify Head and Neck Examination
additional sick animals that may have initially been overlooked by
the owner/producer (Figure 1.1). Objectives:
Farmed cervids may also have rough hair coats from “barber- 1. Symmetry
ing.” This is a condition that may occur when one or more 2. Skin condition
animals eat/chew/pick at others’ hair. It may manifest itself as one 3. Oral and ocular examination
or all animals in a group. Careful observation of the pattern and Evaluation of symmetry of the head, neck, ears, eyes, and
frequency of the hair loss will lead to a proper diagnosis. Hair is muzzle is important as potential abnormalities due to congenital
broken or pulled out and there is no itch involved. The cervids defects, trauma, or neurological disease may be diagnosed. Swell-
also cannot pull hair where they can’t reach (head if self-inflicted) ing under the chin is frequently consistent with submandibular
or where they resist such activity from others. edema, often associated with hypoproteinemia associated with
Once the thorough history is gathered and a focused observa- protein-losing enteropathy due to heavy parasitism. Masses that
tion performed, the clinician than proceeds to the medical lead to abscessation and are adjacent to a peripheral lymph node,
systematic “hands-on” physical examination. submandibular or pre-scapular may be linked to Corynebacterium
pseudotuberculosis infection. Swelling at the level of the larynx may
Systematic Physical Examination be an indication of goiter caused by an enlarged thyroid gland
(see Chapter 9). Horns and wattles should also be evaluated as
Several approaches may be taken to accomplish this step. Consis- they are normal structures in many breeds. A central whorl of hair
tency in execution of the examination makes it extremely doubt- is usually found in polled goat breeds, whereas horned breeds may
ful the practitioner will overlook any system. Having knowledge have palpable horn buds with overlying whorls of hair. Wattles
of the normal physiological parameters is imperative. Table 1.2 can be present in both males and females.
shows a comprehensive summary of values the practitioners is Overall skin and hair or wool condition must be evaluated. Alo-
expected to remember. pecia, the presence of ectoparasites (lice, mites, and ticks), dermatitis
For biosecurity purposes, the veterinarian and assistant(s) must (see Chapter 10), and location of the lesions assist the veterinarian
always wear gloves and protective clothing when handling ani- in making a diagnosis and guiding further diagnostic testing. Pres-
mals. Human protection against zoonotic pathogens and the ence of crusting or vesicular lesions at the mucocutaneous junctions
transmission of communicable diseases between cohorts of of the face are often a sign of contagious ecthyma, a zoonotic disease.
animals and between farms must be conveyed to assistants and Oral examination is conducted with the help of a flashlight and
instituted by the attending veterinarian. speculum; in some cases sedation may be warranted. Evaluating for
CHAPTER 1 Physical Examination, Handling, and Restraint of Sheep, Goats, and Cervids 3
TABLE
1.2 Normal Physiological Parameters of Sheep and Goats.
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structural abnormalities (e.g., presence of cleft palate), teeth condi- TABLE Estimating Age of Sheep, Goats, and Cervids
tion, presence of prognathism and brachygnathism, and mucosal 1.3 by Teeth Eruption.
lesions such as vesicles or ulcerations is easily achieved during the
Estimating Age of Estimating Age of Cervids
examination. The presence of a foul oral odor could be an indica-
Sheep and Goats Using Using the Premolar and
tion of disease associated with the oral cavity, gastrointestinal
the Incisors (I) Molar Eruptionsa
system (specifically the rumen), or respiratory tract. Teeth eruption
and wear patterns can be easily used to estimate the age of sheep Deciduous Eruption Age Fawn–6 months old
and goats (Table 1.3, Figure 1.2). Conversely, cervidae are mostly
I1 Birth–1 week Five or fewer teeth present and the
aged via eruption and wear of the premolars and molars. Typically, third premolar (tooth 3) has three
eruption of premolars starts at 1.5 years wear and full eruption and cusps
wear of molars occurs by 3.5 years. Wear is then evaluated until all
premolars and molars reach the gum line at approximately 10 years I2 1–2 weeks 1½ years of age
of age and various wear patterns of the cusp and dentine help to I3 2–3 weeks Tooth 3 (third premolar) has three
determine the age of the animal (Table 1.3). cusps. Tooth 6 has erupted and
Detailed aging information is available from most wildlife and is slightly visible just above the
hunting agencies. The most accurate way to determine age is to gum line
submit to a laboratory for examination of annular rings. I4 3–4 weeks 2½ years of age
The use of this method to age the animal becomes less accurate
once all of the permanent incisors have erupted and are in wear. Permanent Lingual crest on all molars are sharp
Abnormal wear patterns or poor dentition (loose teeth, absence of and pointed. Tooth 3 now has two
teeth, and tooth root abscess) may be contributors to a chronic cusps. Back cusp of tooth 6 is
sharp and pointed
weight loss complaint, especially in situations of competition for
food (see Chapter 4). I1 1–1.5 years 4½ years of age
The assessment of hydration status and FAMACHA scoring is I2 1.5–2 years Lingual crest on tooth 4 rounded off,
accomplished during the ocular examination. Eyeball recession and in tooth 5 blunt. The dentine
and eyelid skin tenting are the two reliable methods to subjectively in tooth 4 is twice as wide as the
determine the hydration status of the animal. FAMACHA scoring enamel. The dentine in tooth 5 is
(see Chapter 6, Box 6.2 & Figure 6.2 and Chapter 19) is recom- wider than the enamel.
mended to be part of the routine care of any herd or flock as an
I3 2.5–3 years 6½ years of age
important aspect of parasite management and control. The con-
junctival membrane color is used to estimate systemic perfusion. I4 3.5–4 years Tooth 4 is worn completely smooth;
(Figure 1.3). Oral mucous membranes should not be used for this no enamel ridge should be visible
assessment as many breeds have a pigmented oral cavity and the in the center of tooth 4. Small
rough nature of the mouth may portray an erroneous estimation. enamel ridge will be present in
As a general rule, pale membranes may indicate anemia, most center of tooth 5 and tooth 6.
Lingual crest on tooth 5 is almost
likely due to intestinal parasitism (Haemonchus contortus infection) worn away and rounded in tooth 6
or coccidiosis. Jaundice or icteric mucous membranes may indicate
a hemolytic crisis or liver disease, such as copper toxicity, and a
Cain and Wallace: A Guide to Age Determination of White-Tailed Deer Austin, TX: Texas Parks
congested (red in color) membranes may be indicative of and Wildlife, 2003.
fever, septicemia, or toxemia.
4 CHAPTER 1 Physical Examination, Handling, and Restraint of Sheep, Goats, and Cervids
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• Fig. 1.2 The practitioner may insert the index finger inside of the sheep/goat mouth, laterally, and with
the other hand lower the bottom lip allowing exposure of the incisors. The approximate age may be
determined according to Table 1.3.
• Fig. 1.3 To FAMACHA score sheep and goats, the practitioner gently pushes the upper eyelid medially
and rolls the lower eyelid ventrally to access conjunctival membrane color.
Cardiovascular Examination intercostal space, above the elbow) should be auscultated on the
right side.
Objectives: As a general rule, normal heart rate should vary between 70
1. Auscultate both left and right side skin conditions and 90 beats per minute in adults and between 80 and 130 beats
2. Presence of jugular vein distention per minute in neonates. There is physiological variation according
3. Peripheral perfusion to environmental conditions (i.e., ambient temperature) and situ-
4. Peripheral edema ations that cause hyperexcitability (i.e., aggressive handling or
Auscultation of both the left and right side of the thorax is movement). Anemia, murmurs, pain, heart failure, and infectious
imperative. Assessment of rate, rhythm, character, and intensity and inflammatory processes are certain conditions known to
of the heart sounds should be performed. Auscultation of the effect the heart rate.
heart is accomplished by moving the stethoscope over the loca- Observing for jugular pulses and palpation of distal append-
tion of the valves and determining the point of maximal inten- ages, such as tip of the ears and limbs are indicators of appropriate
sity. The pulmonic valve (low third intercostal space, below peripheral perfusion when warm. Distention of the jugular veins
the elbow), the aortic valve (high fourth intercostal space, above and the presence of pulsations may indicate heart failure.
the elbow), and the left (mitral) atrioventricular (AV) valve (at the Peripheral edema is known to be consistent with either hypopro-
low fifth intercostal space, at the level of the elbow) are found on teinemia or congestive heart failure and warrants further investi-
the left chest. The right AV valve or tricuspid valve (high fourth gation (see Chapter 17).
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CHAPTER 1 Physical Examination, Handling, and Restraint of Sheep, Goats, and Cervids 5
1. Observe and record rate at a distance first risk/benefit ratio and economics must be taken into consideration
2. Auscultate both left and right side (see Chapter 7).
The clinician must be aware that the respiratory system should
be examined in conjunction with the cardiovascular system and Gastrointestinal Examination
drawing major conclusions without examining both may impair
the ability to accurately determine a diagnosis. Objectives:
On average, the normal respiratory rate should vary between 1. Examination extends from mouth to rectum
10 and 30 breaths per minute in adults and between 20 and 2. Auscultation, palpation, and observation
40 breaths per minute in neonates. The rate can be obtained by The gastrointestinal system is one of the largest and most im-
observing the movement of the coastal arch and nostrils from a portant in the body. Evaluation should be performed in a system-
distance. In cervids, similar rates to sheep and goats can be ex- atic and stepwise fashion from the mouth to rectum. The mouth
pected, however, cervids are highly sensitive to excitement and should be examined for the presence of vesicles, ulcerations, swell-
may be hard to evaluate except at a distance. Neonates may “hold” ings, and ptyalism. Inspection of the teeth for wear and soundness
their breath (mule deer fawns especially) when hiding as a reflex is important, and the upper dental pad should also be evaluated
to avoid predators. for evidence of abnormal wear. Although not easy to examine, and
As noted for the cardiovascular system, environmental condi- sedation or anesthesia may be necessary for a complete examina-
tions and systemic illness are known to influence respiratory rate tion, the molars should be sound and present as their role in
and must be taken into consideration when appropriate. Animals mastication of forages before swallowing and in proper cud chew-
in apparent respiratory distress, either dyspneic or tachypneic, ing is critical. The use of a mouth gag and a bright light source is
with open mouth breathing, flaring the nostrils, abducted elbow helpful. It is important to take into consideration that wear pat-
stance, and with excessive abdominal effort must be evaluated terns may present in different ways and are dependent on the
critically and efficiently. Air flow should be symmetric from both environmental conditions and primary diet of the herd or flock.
nostrils. Mild, clear, serous nasal discharge is a common finding, The practitioner can then make a judgment of whether the wear
especially in sheep; however, excessive clear to mucoid to purulent pattern is abnormal or normal for the living conditions of the
exudate must be explored. animal. Often, culling of lambs or kids is needed due to poor
Bilateral auscultation of the lung fields should be performed in dentition.
a systematic approach. The margins of the lung fields are as fol- The neck area is examined via thorough palpation. Masses,
lows: the cranial border is deep to the triceps, the dorsal border enlarged lymph nodes, or swelling may be causing esophageal
extends from the point of the shoulder to the last rib, and the compression and subsequent obstruction/choke. Rumen tym-
caudoventral border arches from the point of the elbow to the last pany, ptyalism, bruxism, and pain are common clinical signs that
rib. Bronchial sounds usually are loudest over the craniodorsal may be associated with esophageal disease.
lung fields at the level of the tracheal bifurcation. Generally, tra- It is wise if the clinician examines one side of the animal first,
cheal sounds should be absent. When tracheal disease is present, as this will help to avoid missing any aspect of the examination.
wheezes can be auscultated, indicating tracheal collapse; obstruc- On the left side of the animal, the rumen constitutes the major
tive lesions and crackling sounds are characteristic of tracheitis. forestomach. Due to its size, the rumen may give an asymmetrical
Elicitation of a cough can be achieved with minimal compression appearance to the abdominal contour favoring a larger “bulge” to
of the trachea and pharyngeal region. The normal animal will the left side, which is considered normal and is expected. Healthy
cough one to two times, while the diseased patient coughs repeat- rumen striation consists of a gas cap dorsally, fiber mat in the
edly and often with forced effort. middle, and fluid (digested ingesta) ventrally. Using the stetho-
Crackles are auscultated when air moves through inflamma- scope, the practitioner should auscultate and perform succussion
tory fluid in the alveoli, whereas wheezes are reverberations of air (i.e., shaking) of the abdomen. Within the left paralumbar fossa,
moving through inflamed, narrowed airways. One must remem- rumen contractions can be auscultated in the healthy animal
ber that significant lung pathology may be present and not neces- (sheep, goats, and cervids) at a rate of one to two primary contrac-
sarily appreciated on auscultation. Coughing, nasal discharge, tions (active rolling of the ingesta) and one secondary rumination
dyspnea with a fever, and severe open mouth breathing may be (eructation) per minute. A solid understanding of the individual
the only indication of lung pathology. or herd/flock dietary management and medical history, along
Upper airway diseases, such as rhinitis, tracheitis, foreign body, with a physical examination, helps the practitioner determine the
and compressive lesions, are usually characterized by a loud, primary cause of rumen fill. Ballottement of the paralumbar fossa
harsh, dry, nonproductive cough of acute onset. Lower airway while listening with the stethoscope is imperative to support ab-
diseases, such as pneumonia, pulmonary edema, lung abscessa- normal findings related to the striation of the rumen, displaced
tion, and lungworm infection, are characterized by a chronic, soft, abomasum, and ascites. Auscultation of the right paralumbar
productive cough. Animals with lower airway disease typically fossa will allow the practitioner to evaluate the cecum, spiral co-
cough infrequently and will swallow after coughing, which is dif- lon, and small intestines. Illness associated with of any of these
ferent from animals with upper airway diseases who typically do structures will lead to fluid and gas accumulation and distension
not swallow after coughing. of the viscus in the upper right quadrant. Dilation lower on the
Cervids can be difficult to assess due to restraint in drop chutes right side of the animal may be related to abomasal impaction,
(poor access) or because they are highly excited. Many that have late gestation, or a severe rumen impaction.
respiratory disease may have advanced disease that has consoli- If bilateral abdominal distention is seen, one may suspect vagal
dated portions of the lung, leading to “dead” spots that show no indigestion syndrome (chronic indigestion, failure of the omasal
6 CHAPTER 1 Physical Examination, Handling, and Restraint of Sheep, Goats, and Cervids
transport, or pyloric stenosis), ileus, or free fluid accumulation. goats should be examined closely for the presence of a urolith or
This fluid accumulation could be caused by diffuse peritonitis, sandy grit, which may be indicative of urolithiasis or urethral
ascites due to protein losing enteropathy, liver failure, or severe blockage. Cervids do not have a urethral process.
VetBooks.ir
congestive heart failure. Frequently, the presentation of a sheep or goat with suspected
Body temperature should be taken rectally observing common urogenital disease involves standing in a stretched out position,
biosecurity practices. Normal temperature typically varies from intermittent straining, vocalization, and wagging of the tail when
100.5° F to 103.5° F. In general, sheep tend to have a higher body attempting to urinate. This stance is often confused by owners
temperature than goats, and cervids typically fall in the same and their perception is that the animal is constipated when in all
range (101.5° F–102.5° F) with variations due to age, activity actuality the animal has a urinary obstruction. History of inability
level, and environmental temperature. The practitioner must dis- to urinate followed by relaxation and acute abdominal distention
tinguish between true hyperthermia and a febrile response. A may indicate rupture of the urinary bladder, whereas caudal ven-
febrile response is more likely to be associated with an inflamma- tral edema (often reported by the owner as “broken penis”) may
tory or infectious process, whereas hyperthermia is going to be indicate distal urethral rupture.
associated with the location of the patient (e.g., barn, paddock, It is important to take into consideration, contrary to what is
pasture, etc.), behavior (e.g., hyperexcitability does increase body commonly done in small animal practice, catheterization of the
temperature), and environmental conditions (e.g., high tempera- urethra is difficult in does and ewes owing to the presence of the
ture and humidity). urethral diverticulum at the floor of the pelvis and close to impos-
The authors would like to stress that obtaining body tempera- sible in bucks and rams. Multiple anatomic locations in male
ture should be the first procedure to be performed when examin- anatomy (urethral process, sigmoid flexure, urethral diverticulum)
ing sheep and goats and the results interpreted in conjunction are difficult to traverse with a catheter. Attempts to pass a urinary
with other clinical signs. catheter can actually cause more harm due to severe trauma
Fecal consistency and staining of the perineum, tail, and back caused by the procedure.
of legs is a good way to assess the history of diarrhea. A thorough The testicles are gently palpated to ensure they are not adhered
history of dietary management and fecal examination (fecal float to the scrotum, and there are no signs of epididymitis, orchitis, and
or fecal egg count) is the only way the practitioner will reliably poor testicular tone, which are often associated with suboptimal
make a diagnosis and then recommend a targeted treatment. sperm production. In breeding males, the phrase “big is beautiful,
In young stock, the authors recommend full examination of mobility meaningful, resilience respectable, softness suspicious” is
the umbilical structures both externally and internally. The use of helpful to remember when evaluating males for breeding sound-
ultrasound imaging if pain or swelling is found is highly valuable. ness. In addition, the scrotum should be free of traumatic lesions
Any signs or history of diarrhea in lambs, kids, or fawns must be with intact skin. Signs of dermatitis due to ectoparasites, frostbite,
addressed quickly as it can be life threatening. Lastly, atresia ani or asymmetry are undesirable findings (see Chapter 8).
and atresia coli have been reported in kids and lambs, so the prac- In females, the labia of the vulva is examined for their color,
titioner needs to be sure there is a patent anus and fecal passage size, and presence of discharge. Pale mucous membranes may be
present (see Chapter 5). an indication of anemia, whereas hyperemia and swelling may
indicate the onset of estrus or an impending parturition. If calculi
Urogenital Examination or sandy grit is found attached to the hairs below the urethral
orifice, urolithiasis is suspected and the practitioner must evaluate
Objectives: further. Reproductive history is important when it comes to
1. Examination from a distance evaluating a potential vaginal or uterine discharge. Color, consis-
2. History tency, and volume are a good start as they may characterize a late
3. Ultrasound imaging estrus discharge, a postpartum normal lochia, or an infection.
The examination commences at the external genitalia of both Lochia is considered a normal finding between days 0 and 21 post
males and females. In males, the prepuce should be free of adhe- parturition. The finding of large protruding vulvar labia or clito-
sions, swelling, or any signs of trauma. The preputial opening ris, or a short anogenital distance is suggestive of an intersex
should be evaluated for the presence of crystals, blood, excessive condition (see Chapter 8).
dryness, scabs, or ulcerations since any of these may be indicative In both males and females with suspected obstructive uroli-
of urethral calculi, obstructive urolithiasis, or ulcerative posthitis. thiasis, an enlarged bladder may be palpable extending from the
Urine samples in both sheep and goats can often be obtained pelvis to the abdomen; in this case, the authors recommend fur-
by briefly occluding the nostrils. Young cervids can be encouraged ther examination using ultrasound imaging. Caution should be
to urinate with gentle stimulation. Older cervids that are bottle used when applying manual pressure to the abdomen because
raised may be able approached for a “free catch” urine sample. there is a risk of rupturing the bladder and causing more pain to
The penis is difficult to examine without the use of sedation or the patient (see Chapter 12).
anesthesia (cervids). The authors strongly recommend the use of
acepromazine or a benzodiazepine (see Chapters 8, 12, and 18) Musculoskeletal Examination
for sedation and relaxation. Rams and bucks can be placed in
lateral recumbency or sitting up on their rump (preferred method) Objectives:
by an assistant, then the practitioner pushes the prepuce caudally 1. Examination from a distance
while pushing the sigmoid flexure cranially. Once exteriorized, the 2. History
practitioner can hold the penis using gauze. The surface of the 3. Knowledge of foot conditions
penis should be examined for color, scabs, and any traumatic le- 4. Imaging examination
sions. Palpation of the penis may reveal the presence of uroliths, First, posture and locomotion are evaluated at a distance for
swelling, or a focal area of pain. The urethral process in sheep and both sheep and goats, as well as cervids. The animals are then
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15 novembre 1909.
TABLE
LA BICHE ÉCRASÉE 1
LE MIRACLE DE TOLLENAËRE 17
LA FORCE DU MAL 29
L’ACCIDENT 61
LE BON PÈRE 73
LA BONBONNIÈRE 85
REPOS HEBDOMADAIRE 101
LE RAT 113
LE MERLE 127
LES CHIENS 151
LE SECRET 167
LA PEUR 179
POUSSIÈRES 195
DEVANT LA MACHINE 211
LE BINOCLE 237
CASTOR ET ZULMA 251
LE NUMÉRO 13 267
LA COLLISION DE BRÉBIÈRES-SUD 279
LA RÉVÉRENDE 299
LA VICTOIRE EN CHANTANT 319
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