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Practicals in veterinary medicine are crucial as they transform the theoretical knowledge,gained in lecture theatres, into real-world competence; build essential hand-on skill; develop clinical reasoning, competence and dexterity for procedures vital for handling clinical problems of different species safely and effectively; infuse confidence in handling animals safely in critical time eventually producing proficient qualified veterinarians prepared for diverse careers and enhancing welfare and quality of life of the animals. Practicals bridge the gap from classroom to clinic, giving opportunities for repeated practice with feedback using simulators and live animals before facing real complex cases in clinics. In fact, practicals make the knowledge, acquired in the classroom, functional for providing quality care to animals.
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1 Clinical Examination for Skin Disease
The skin is the largest organ in the body. It not only defends the body but also assists in the maintenance of homeostasis including water conservation and in body temperature conservation through insulation and in heat loss through perspiration. Pain and temperature extremes are recognized through sensory nerves of the skin. The skin also provides protection against physical injuries to some level, supports hair growth and offers some defence against microbial invasion. Skin diseases are multifactorial in etiology. But the response of skin to varying etiological stimulus is limited leading to same clinical manifestations in different skin diseases. Therefore, a comprehensive clinical examination is necessary for accurate diagnosis of the disease. Clinical Examination The clinical examination of skin diseases involves a systemic approach including history, physical examination and diagnostic testing. History
The skin is the largest organ in the body. It not only defends the body but also assists in the maintenance of homeostasis including water conservation and in body temperature conservation through insulation and in heat loss through perspiration. Pain and temperature extremes are recognized through sensory nerves of the skin. The skin also provides protection against physical injuries to some level, supports hair growth and offers some defence against microbial invasion. Skin diseases are multifactorial in etiology. But the response of skin to varying etiological stimulus is limited leading to same clinical manifestations in different skin diseases. Therefore, a comprehensive clinical examination is necessary for accurate diagnosis of the disease. Clinical Examination The clinical examination of skin diseases involves a systemic approach including history, physical examination and diagnostic testing. History
2 Blood Transfusion
Blood transfusion is one of the crucial life-saving procedures in veterinary medicine undertaken to increase red cell mass, volume replacement, replenishing coagulation factors, and protein replacement. The concept of blood transfusion was first introduced by Francis Potter in 1639. However, it was only in 1666 that Richard Lower reported the first successful direct transfusion from one dog to another. Blood is a biological drug and is not a definitive treatment, but it provides support until the disease is diagnosed or treatment is initiated. Indications Blood transfusion is indicated for the management of the following conditions: • Anemia due to various diseases/disorders, like infection or acute/ chronic hemorrhage • Bleeding disorders such as thrombocytopenia or coagulopathies • Rodenticide toxicities
Blood transfusion is one of the crucial life-saving procedures in veterinary medicine undertaken to increase red cell mass, volume replacement, replenishing coagulation factors, and protein replacement. The concept of blood transfusion was first introduced by Francis Potter in 1639. However, it was only in 1666 that Richard Lower reported the first successful direct transfusion from one dog to another. Blood is a biological drug and is not a definitive treatment, but it provides support until the disease is diagnosed or treatment is initiated. Indications Blood transfusion is indicated for the management of the following conditions: • Anemia due to various diseases/disorders, like infection or acute/ chronic hemorrhage • Bleeding disorders such as thrombocytopenia or coagulopathies • Rodenticide toxicities
3 Fluid Therapy
Fluid therapy is a critical intervention in Veterinary Medicine, requiring careful assessment and monitoring to ensure effectiveness and to minimize risks. Tailor made individualized approach is essential for optimal outcome. Fluid Therapy in Small Animals Indications • Most common indication for fluid therapy is correction of dehydration and resuscitation from shock, hypokalemia, and metabolic acidosis. • Less common indication for fluid therapy is in cases of acid-base disturbances (metabolic alkalosis or mixed acid-base disturbance), specific correction of other electrolyte disturbances such as sodium, potassium, calcium, magnesium. • Other indication for fluid therapy is for the treatment of anemia and coagulopathies. Body fluid compartmentalization • Total body water (TBW) in adults is approximately 60% of body weight. While young animals (neonates 80% and pediatrics 75%) contain more water. Water is located in separate yet
Fluid therapy is a critical intervention in Veterinary Medicine, requiring careful assessment and monitoring to ensure effectiveness and to minimize risks. Tailor made individualized approach is essential for optimal outcome. Fluid Therapy in Small Animals Indications • Most common indication for fluid therapy is correction of dehydration and resuscitation from shock, hypokalemia, and metabolic acidosis. • Less common indication for fluid therapy is in cases of acid-base disturbances (metabolic alkalosis or mixed acid-base disturbance), specific correction of other electrolyte disturbances such as sodium, potassium, calcium, magnesium. • Other indication for fluid therapy is for the treatment of anemia and coagulopathies. Body fluid compartmentalization • Total body water (TBW) in adults is approximately 60% of body weight. While young animals (neonates 80% and pediatrics 75%) contain more water. Water is located in separate yet
4 Ultrasonography for the Diagnosis of Various Diseases of Ruminants, Horses and Dogs
Ultrasonography, popularly known as sonography, is a non-invasive, radiation free and safe medical procedure being increasingly used for the imaging different body organs/ structures for the diagnosis of various diseases not only in humans but also in farm, companion and exotic pets. The technique involves ultrasound unit, patient and doctor/veterinarian (trained in sonography). Ultrasound Unit Ultrasound unit has processor (central processing unit commonly known as CPU), transducers, key board, data storage and printer (Fig. 187). • The CPU (central processing unit) is basically a computer having microprocessor, memory, amplifiers and power supplies for the microprocessor and transducer. The CPU transmits electrical currents to the transducer to emit sound waves, and receives the returning echoes. Returning echoes are processed to form the image on the monitor. The processed data and/or image are
Ultrasonography, popularly known as sonography, is a non-invasive, radiation free and safe medical procedure being increasingly used for the imaging different body organs/ structures for the diagnosis of various diseases not only in humans but also in farm, companion and exotic pets. The technique involves ultrasound unit, patient and doctor/veterinarian (trained in sonography). Ultrasound Unit Ultrasound unit has processor (central processing unit commonly known as CPU), transducers, key board, data storage and printer (Fig. 187). • The CPU (central processing unit) is basically a computer having microprocessor, memory, amplifiers and power supplies for the microprocessor and transducer. The CPU transmits electrical currents to the transducer to emit sound waves, and receives the returning echoes. Returning echoes are processed to form the image on the monitor. The processed data and/or image are
5 Principles and Uses of Endoscopy in Animals
Endoscopy is a minimally invasive procedure that allows the clinician to look within a hollow organ or body cavity and obtain diagnostic information, which includes grossly evaluating an area of interest and obtaining tissue for histopathologic evaluation. Endoscopy is also used for therapeutic purpose and termed as interventional endoscopy. Endoscope An endoscope is basically consists of an insertion tube, hand piece and umbilical cord, Insertion tube -Encases the mechanism for image transmission. It consists of fiberoptic glass bundles (fiber-scope) or charge coupled device (CCD) chip (video endoscope), biopsy/suction channel, irrigation/insufflation channel and deflection control cables. Handpiece – It includes deflection control knobs,accessory channel entrance, irrigation/insufflation and suction valves.
Endoscopy is a minimally invasive procedure that allows the clinician to look within a hollow organ or body cavity and obtain diagnostic information, which includes grossly evaluating an area of interest and obtaining tissue for histopathologic evaluation. Endoscopy is also used for therapeutic purpose and termed as interventional endoscopy. Endoscope An endoscope is basically consists of an insertion tube, hand piece and umbilical cord, Insertion tube -Encases the mechanism for image transmission. It consists of fiberoptic glass bundles (fiber-scope) or charge coupled device (CCD) chip (video endoscope), biopsy/suction channel, irrigation/insufflation channel and deflection control cables. Handpiece – It includes deflection control knobs,accessory channel entrance, irrigation/insufflation and suction valves.
6 Herd Medicine
Herd A large number of animals that live and feed together in a group (Fig.197) is called as herd. In herd, all animals are considered as a unit rather than individual. Herd medicine, also known as herd health or production medicine, is the discipline of veterinary medicine that deals with the diagnosis, treatment and prevention of the diseases in the herd as a whole. Concept and Significance of Herd Health Herd health is a combination of regularly scheduled veterinary activity and management practices undertaken to maintain optimum health to achieve optimum production in the farm. Traditionally, the aim of the herd health is to control or eliminate diseases and rectify management inefficiencies impacting the welfare and productivity in the frame work of risk monitoring and assessment in conjunction with best farming practices. The main emphasis
Herd A large number of animals that live and feed together in a group (Fig.197) is called as herd. In herd, all animals are considered as a unit rather than individual. Herd medicine, also known as herd health or production medicine, is the discipline of veterinary medicine that deals with the diagnosis, treatment and prevention of the diseases in the herd as a whole. Concept and Significance of Herd Health Herd health is a combination of regularly scheduled veterinary activity and management practices undertaken to maintain optimum health to achieve optimum production in the farm. Traditionally, the aim of the herd health is to control or eliminate diseases and rectify management inefficiencies impacting the welfare and productivity in the frame work of risk monitoring and assessment in conjunction with best farming practices. The main emphasis
7 Peri-parturient Calf and Heifer Health Care
Peri-parturient Health Care Periparturient period is defined as a period immediately around calving. It is the most critical time when high yielding cows are prone to nutritional deficits due to great metabolic alterations from dry to milking. Reduced feed intake and depressed immune system at this time make cows vulnerable to periparturient diseases affecting milk yield adversely and increasing mortality risk. Health care during this critical period aims at minimising deficits particularly in relation to dry matter intakes (DMI’s) and energy and mineral balance. • Milk fever is the most common and important periparturient disease affecting high yielders. Due to the sudden onset of lactation, there is a huge demand for calcium resulting in dramatic decrease in blood calcium level during calving causing milk fever.
Peri-parturient Health Care Periparturient period is defined as a period immediately around calving. It is the most critical time when high yielding cows are prone to nutritional deficits due to great metabolic alterations from dry to milking. Reduced feed intake and depressed immune system at this time make cows vulnerable to periparturient diseases affecting milk yield adversely and increasing mortality risk. Health care during this critical period aims at minimising deficits particularly in relation to dry matter intakes (DMI’s) and energy and mineral balance. • Milk fever is the most common and important periparturient disease affecting high yielders. Due to the sudden onset of lactation, there is a huge demand for calcium resulting in dramatic decrease in blood calcium level during calving causing milk fever.
8 Udder Health, Foot Health and Heat Stress Management
Udder Health Mastitis is a significant and costly disease of udder affecting dairy cows and buffaloes, leading to reduced milk production, increased veterinary costs, and compromised animal welfare. Effective udder hygiene practices are crucial in preventing and controlling mastitis, maximizing milk production, ensuring animal welfare, minimizing costs, and maintaining consumer trust. By focusing on udder health management through preventative measures and the best practices, dairy farmers can enhance the overall sustainability and profitability of dairy operations. There are six major steps that can lead to a better udder health. • Farm hygiene and udder hygiene • Hygienic milking procedure • Dry cow management and therapy • Appropriate therapy for mastitis cases during lactation • Culling chronically infected cows. • Good nutrition to increase the udder resistance to mastitis Farm hygiene and udder hygiene
Udder Health Mastitis is a significant and costly disease of udder affecting dairy cows and buffaloes, leading to reduced milk production, increased veterinary costs, and compromised animal welfare. Effective udder hygiene practices are crucial in preventing and controlling mastitis, maximizing milk production, ensuring animal welfare, minimizing costs, and maintaining consumer trust. By focusing on udder health management through preventative measures and the best practices, dairy farmers can enhance the overall sustainability and profitability of dairy operations. There are six major steps that can lead to a better udder health. • Farm hygiene and udder hygiene • Hygienic milking procedure • Dry cow management and therapy • Appropriate therapy for mastitis cases during lactation • Culling chronically infected cows. • Good nutrition to increase the udder resistance to mastitis Farm hygiene and udder hygiene
9 Metabolic Disease Management in Dairy Herds
Management of metabolic diseases depends on an early diagnosis. For an early diagnosis, metabolic profile test (MPT) is a diagnostic tool being commonly used in veterinary practice, particularly for dairy herds, to assess the metabolic health of the animals. It helps in an early detection by measuring various blood parameters that indicate the nutritional and health status of the cows for their effective timely management. MPT is based on the principle that the imbalance between input (feed) and output (production) is reflected in the abnormalities of key metabolites in the blood. Key components of the metabolic profile test 1. Energy balance indicators • Glucose- Reflects energy status and carbohydrate metabolism. Low levels can indicate negative
Management of metabolic diseases depends on an early diagnosis. For an early diagnosis, metabolic profile test (MPT) is a diagnostic tool being commonly used in veterinary practice, particularly for dairy herds, to assess the metabolic health of the animals. It helps in an early detection by measuring various blood parameters that indicate the nutritional and health status of the cows for their effective timely management. MPT is based on the principle that the imbalance between input (feed) and output (production) is reflected in the abnormalities of key metabolites in the blood. Key components of the metabolic profile test 1. Energy balance indicators • Glucose- Reflects energy status and carbohydrate metabolism. Low levels can indicate negative
10 Prevention and Control of Infectious Diseases
Infectious diseases are illnesses caused by pathogens such as viruses, bacteria, fungi and parasites. Infectious diseases usually spread in animals through contact, contaminated food or water and through bug bites. Some infectious diseases are minor while others are very serious. Infectious diseases in the production animals are of great economic concern owing to losses though morbidity, mortality, reduced production, increased food insecurity, public health concern, increased cost of veterinary care etc. Therefore, prevention and control of infectious diseases of animals is very important for food security and safety, public health, animal welfare, access to market and alleviation of rural poverty. Key Factors for Effective Pevention and Control of Infectious Diseases The key factors for effectiveness of prevention and control strategies of infectious animal diseases are, (i) effective surveillance (active i.e. planned; or passive i.e. event based), (ii) an early detection of infection (making an early diagnosis with laboratory support), (iii) transparency and rapid response mechanism; and(iv) good governance.
Infectious diseases are illnesses caused by pathogens such as viruses, bacteria, fungi and parasites. Infectious diseases usually spread in animals through contact, contaminated food or water and through bug bites. Some infectious diseases are minor while others are very serious. Infectious diseases in the production animals are of great economic concern owing to losses though morbidity, mortality, reduced production, increased food insecurity, public health concern, increased cost of veterinary care etc. Therefore, prevention and control of infectious diseases of animals is very important for food security and safety, public health, animal welfare, access to market and alleviation of rural poverty. Key Factors for Effective Pevention and Control of Infectious Diseases The key factors for effectiveness of prevention and control strategies of infectious animal diseases are, (i) effective surveillance (active i.e. planned; or passive i.e. event based), (ii) an early detection of infection (making an early diagnosis with laboratory support), (iii) transparency and rapid response mechanism; and(iv) good governance.
11 Approaches to Disease Outbreak Investigations and its Control
Sometimes veterinarians have to deal with disease outbreaks and unexplained changes in herd production. In this situation, broad objectives of the clinician are:- i) To halt the progress of disease ii) To determine the reasons of outbreak iii) To recommend the procedures to reduce the risk of future outbreaks Terminology used in Disease Outbreaks The following terms are commonly used Outbreak - It defines as a sudden increase in the occurrences of a disease when cases are in excess of normal expectancy in the population for the location, season or species. It may affect a small and localized group or may affect a large number of animals. Epidemic- It has been described as an unexpected increase in the number of cases of a particular disease in a specific geographical area. In another words an epidemic is an rapid spread
Sometimes veterinarians have to deal with disease outbreaks and unexplained changes in herd production. In this situation, broad objectives of the clinician are:- i) To halt the progress of disease ii) To determine the reasons of outbreak iii) To recommend the procedures to reduce the risk of future outbreaks Terminology used in Disease Outbreaks The following terms are commonly used Outbreak - It defines as a sudden increase in the occurrences of a disease when cases are in excess of normal expectancy in the population for the location, season or species. It may affect a small and localized group or may affect a large number of animals. Epidemic- It has been described as an unexpected increase in the number of cases of a particular disease in a specific geographical area. In another words an epidemic is an rapid spread
12 Vaccines and Vaccination in Animals
Diseases of livestock cause massive economic losses in terms of reduced productivity and production and some of them have zoonotic potential posing a serious risk to public health. Vaccination is the most efficient and cost-effective method of controlling infectious diseases both in humans and animals. The eradication of smallpox and rinderpest from the globe; the elimination of hog cholera and brucellosis from many countries; and the control of diseases such as foot-and-mouth disease, canine distemper, rabies, influenza, and pseudorabies would not have been possible without the use of effective vaccines. Vaccination not only protects the vaccinated animals but also reduces disease among non-vaccinated animals through herd immunity. They also reduce antimicrobial usage and minimize the risk of antimicrobial resistance. Vaccines Vaccines are prepared antigens to be used to prevent diseases caused by bacteria, viruses, fungi, mycoplasma, protozoa, and parasites.
Diseases of livestock cause massive economic losses in terms of reduced productivity and production and some of them have zoonotic potential posing a serious risk to public health. Vaccination is the most efficient and cost-effective method of controlling infectious diseases both in humans and animals. The eradication of smallpox and rinderpest from the globe; the elimination of hog cholera and brucellosis from many countries; and the control of diseases such as foot-and-mouth disease, canine distemper, rabies, influenza, and pseudorabies would not have been possible without the use of effective vaccines. Vaccination not only protects the vaccinated animals but also reduces disease among non-vaccinated animals through herd immunity. They also reduce antimicrobial usage and minimize the risk of antimicrobial resistance. Vaccines Vaccines are prepared antigens to be used to prevent diseases caused by bacteria, viruses, fungi, mycoplasma, protozoa, and parasites.
