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98.

Milk fever ( Parturient paresis )

Differential diagnosis
- Septic metritis
- Acute mastitis
- Grass tetany
- Acute digestion
- Traumatic gastritis


Etiology
- Acute hypocalcemia at or soon after parturition
- Failure to mobilize calcium reserve and by a
  depletion of these reserves
- Dysfunction of parathyroid glands
- Too little calcium was fed on the calving day


1. History taking
- Occurs in mature cows usually 5-9 years old,
  within 72 hours after parturition
- Occurs in highest milk producing period
- Higher incidence in the Jersey breed


2. Clinical examination
- Early excitement and tetany
- Hypothermia
- Flaccidity pupil dilation
- Impalpable pulse
- No rumen movement
- Soft heart sounds
- Fast heartbeats are fast (80-100 per minutes)
- Decreased reflex
- Depression coma
- Bloated
- Death


3. Blood analysis
Specimen : serum
Method : atomic absorption spectrophotometry
- Level : - hypocalcemia < 5mg/ml
- high serum magnesium > 3 mg/dl
- low inorganic phosphate < 3 mg/dl


4. Feed analysis
Specimen : feed
Method : atomic absorption spectrophotometry
- Level : low level of calcium in feed


5. Diagnosis treatment
- IV 10 % solution calcium borogluconate slowly
  and cautiously


Control and treatment
- IV 10 % solution calcium borogluconate slowly
  and cautiously
- Avoid excessive calcium intake during dry period
- Feeding of normal to high phosphorus, low calcium
  diet during late pregnancy
- Provision by mouth of supplementary calcium in
  the form of a calcium gel 150g of calcium on 1
  day before and 1 day after calving
- Massive dose of vitamin D (20-30 million unit daily)
  in feed in 5-7 days before parturition


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