Cases Presentation by mahpara safdar 2085

different types of cases present at clinical medicine
disease diagnosis and treatment approach

1. PG CLINIC-I PRESENTATION Mahpara Safdar 2024-MPHIL-2085

2. CASE 1 An adult female goat was presented with the complain of anorexia and swelling under jaw

3. History Animal was off feed from last few days History swelling under jaw Any previous treatment : No

4. General Examination Behaviour : Dull Body condition: Thin Skin coat: Normal Gait: Normal Any discharge: no

5. Physical examination Temperature: 102.2 F Heart rate: 80 bpm Conjunctiva: Pale Mucus membrance: Pale Eyes: Sunken Ears : normal Nose and mouth : normal Hairs: normal Tongue: normal L.N: Normal

6. Physical examination Brisket edema: absent Dyspnea: absent Nasal discharge: absent Cough: absent Breath: normal

7. Tentative Diagnosis Liverfluke infestation( Fascioliasis)

8. Lab Test Blood smear and Fecal Smear Test Result: Negative for both blood and fecal parasites

9. Differentials Haemonchus Hepatic abcess Neoplasm

10. Day 1: Treatment Inj. penbiotic, 1g,, 1ml/5kg, IM for 5 days Inj.Nytroxynl 34% , 1ml/25kg ,0.5 ml, SC Inj ketoject 10%, 1ml/33kg, IM Inj.hepaguard 5ml RECOMMENDED Vorcid 5ml. PO

11. Prescription

12. Case 2 A 16 dayold, goat kid was presented with complain of Diarrhea, Fever and anorexia.

13. History Goat was suffering from diarrhea from 3 days Soiled Leg and back Started developing fever No previous treatment

14. General Examination Behaviour : Dull Body condition: Lethargic Skin coat: Rough Green pasty Diarrhea for 3 days

15. Physical examination Temperature: 103 F Heart rate: Normal Respiration rate: Conjunctiva : Normal Eyes : Presence of palpebral reflex in one eye Manace Response: Presence Ears : normal Nose: normal Soiled back and legs 7% Dehydration Tongue: normal L.N: normal

16. Physical Examination Brisket edema: absent Dyspnea: absent Cough: absent Breath: normal Breathing sound: normal Greenish Diarrhea Urine: Normal

17. Tentative Diagnosis Rotavirus

18. Definitive diagnosis It is not possible to definitively determine the infectious organism by looking at the color, consistency, or odor of the feces. A definitive identification requires a sample for microbiological analysis.

19. Differentials Salmonella Cryptosporidium E.coli Coccidiosis Corona virus

20. Source Age of onset Signs Rotavirus Mostly 1-6 Days Possible: 0-28 days Watery brown to light green Feces, Blood and Mucus E.Coli Mostly: 1-7 Days Effortless passing of yellow to white Feces Coronavirus Mostly:7-10 Days Watery, Yellow Feces Perfringes Type C Mostly: 7-28 Days Sudden death, Blood tinged Diarrhea Cryptosporidia Mostly: 7-21 Days Watery Brown to light green Coccidia Mostly:7 days Blood tinged Diarrhea Salmonella Mostly : 1-7 Days Yellow to white feces

21. DDX Salmonella Rotavirus E.coli Cryptosporidium Foul smelling feces and contain blood, fibrin Lambs and kids are infected with a group of B rotaviruses It is also called "watery mouth," because affected lambs salivate Cryptosporidia can cause diarrhea in lambs and kids 5 to 10 days of age Septicemia, with high fever and depression progressing to prostration and coma, i Diarrhea commonly persists for 3 to several days Cold mouth. Affected animals are often active, alert, and nursing. Also copious amounts of mucus. Young animals become very depressed and dehydrated. The diarrhea is usually very liquid and yellow.

22. Treatment Inj Cefaxone 250mg, 3ml , 3ml/45kg, IM, q24 hrs. Inj Neurobion 3ml, IM, q 24 hrs Inj. Decadran, 2.5-4mg/kg, IM, q 24 hrs. Scour -X syrup ( 5ml daily) , PO, BID

23. Case 3 A male goat was presented with bloody diarrhea, swelling under the jaw and anemic.

24. History Animal is off feed from 3 days Bloody Diarrhea Previous medication:

25. General Examination Behaviour : Dull and depressed Body condition: Thin Skin coat: Rough Gait: normal

26. Physical examination Temperature: 104 F Heart rate: Normal Respiration rate: Normal Conjunctiva : Pale Eyes : Sunken Eye ball : Normal Ears: normal Nose: No discharge Mouth: Mouth Tongue: Normal L.N: Swollen Bottle jaw: Present

27. Physical examination Brisket edema: absent Dyspnea: Absent Cough: absent Breath: normal Feces: Diarrhea Urine : normal (history)

28. Tentative Diagnosis Liverfluke Hemonchus

29. Definitive Diagnosis Blood smear: Positive for Babesia Fecal Test : Positive for Hemonchus contortus

30. Treatment Inj Nitroxynil ,1ml/25kg, 0.5ml, SC Inj Amivicom 3ml, IM, q 24 hrs Inf R/L 500ml + Jetepar 10 ml , IV. Inj. oxtra LA,1ml/ 10kg 3ml , IM Inj.Butalex 2ml, IM Inj.Disulf 100ml ( 25ml daily, OID, PO)

31. Thank You