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Bone differs from other tissues not only in physio-chemical structure, but also in its extraordinary capacity for growth, continuous internal remodelling and regeneration throughout post fetal life. Bone formation is a complex process regulated by diet, vitamins, hormones and growth factors. Growth factors are polypeptides that increase cell replication and have important effects on differentiated cell function. Growth factors are initially considered as systemic agents, but current evidence indicates that they act primarily as local regulators of cell growth. The transforming growth factor-β family of proteins, which comprises polypeptide growth factors that have diverse effects on the growth, differentiation, and function of cells, is receiving considerable attention for potential clinical applications and is likely of physiological and orthopedically significance.

Transforming growth factors

It is one of the most important growth-promoting osteo-inductive substances, which have been identified at the site of fractures and other places. Transforming growth factors (TGFs) have been categorized into TGF-β (alpha) and TGF-β (beta). TGF-α has not been isolated from bone tissue and cannot be considered a local regulator of bone remodelling, although it is mitogenic for bone cells and stimulates bone resorption. TGF-α shared amino acid sequence, receptor-binding and functional activity with epidermal growth factors but had only weak transforming growth factors activity. Furthermore, TGF-β by itself is completely ineffective, but together with TGF-α, it potently induced growth of colonies of cell-line.

It is commonly spread by coitus and also by licking and rubbing of the affected area. It is more common in active breeding dogs.

Key Points

• Traumatic injuries occur when an animal injures another or falls or strikes surrounding infrastructure (e.g., flooring, fence, gate).

• Common types of injuries include fractures, dislocations, bruises, and wounds, which might be penetrating or not.

Introduction

Physical injuries may occur throughout the export procedure. Slipping and being trampled or mounted during transportation or yarding are likely the most common causes of severe injuries. Poorly built or maintained facilities, such as yards, laneways, fences, gates, and flooring, can increase the risk of injury to animals while they are kept or handled. Poor stockmanship, such as rough handling and putting too much pressure on others, can also increase the chance of harm. Individual animals can be injured by improper restraint or handling, such as dragging an animal by its front or hind legs.

Surgical removal is the routine treatment method for mammary tumors, however, there is no consensus on the optimal procedure. There are supporting factors for every surgical procedure conducted for mammary tumors including lumpectomy (removal of tumor only), mastectomy (affected gland removal only), radical mastectomy (complete mammary gland and associated lymphatic tissue removal) and modified radical mastectomy (removal of complete mammary gland, lymph nodes and associated chest muscles).The more extensive procedures do not increase survival in dogs when compared to the other procedures, and the benefits of the simpler procedures are clear. Further, the radical mastectomy increases the disease-free interval but not the survival duration in cats.

Aim

To know the immobilization technique for fractured metatarsus.

The fractured metatarsus comes under lower level fracture whose immobilisation is cast as well as conjoined U-Plate application. (Fig. 1).

Requirements

Thick padded cloth (Fig. 2(a)

Padded netted bamboo splint (Fig. 2(b)

Conjoined U plate (Fig. 2(c)

Mammary tumors are either of benign or malignant types. Benign tumors are defined as mass or lump of cells unable to invade the neighboring tissue/ organ and less likely to re-grow after removal. However, malignant tumors are the tumors which have the ability to invade other tissues/ organs and tend to re-grow even after surgical removal. Malignant tumors grow at faster rate as compared to benign tumors. Nearly, 40-50% of canine mammary tumors (CMTs) are malignant.

The udder is responsible for milk production. It is composed of four mammary glands each with its own teat (Fig. 167). Swelling of udder or teats is an indication of udder disease warranting clinical exploration and palpation. Visual examination the udder (before and after milking) and palpation is of great significance in detecting abnormalities. The udder is visually inspected from back and sides for symmetry and also palpated thoroughly. Palpation is a simple, quick and easy routine diagnostic tool for mastitis detection. Teats and supra mammary lymph nodes should also be palpated. These examinations aid in detecting fibrosis, inflammation or atrophy. Diffuse fibrosis gives the quarter a firm feeling. Areas of local fibrosis may vary in size and shape. Hot, painful and diffuse swelling with marked abnormality of mammary secretion is seen in acute mammary inflammation (acute mastitis). Atrophy of the gland is the terminal stage of chronic mastitis. With the development of gangrene, the area becomes cold and bluish. Five point palpation scores (Petrovski et al., 2011; Hogan et al., 1995; Scaletti and Harmon, 2012)

Ulcerative dermatitis is one of the primary features of the skin disease in which discontinuity of the skin along with marked inflammation and necrosis are seen.

Corpus luteum, one of the biological clock of the estrous cycle and pregnancy, is known foremost for its production of progesterone that blocks the pituitary release of gonadotrophins and prepare the uterus for pregnancy. The ovarian follicle wall consists of granulosa cell and theca cells vascularised and luteinize after ovulation to from a corpus luteum. Corpus luteum is temporary steroid- producing gland undergoes marked structural and functional changes far a short time span during its development functional life and regression. During estrous cycle, the corpus luteum undergoes an initial period of growth (metestrus), followed by a period of maximal function (diestus) and finally by a period of regression (proestrus) preceding the next ovulation (Robert, 1986). The most prominent cell in the CL is the large luteal steroidogenic cell.

Ultrasound imaging has been used to detect and measure the corpus luteum throughout the estrous cycle and corpus luteum has been characterized during pregnancy and non pregnancy. Changes in corpus luteum diameter as detected by ultrasonography are highly correlated with progesterone production. A high correlation has been found in the ultrasonographic detection of bovine corpora lutea (Lean et al., 1992) and between luteal tissue area measured ultrasonographically and plasma progesterone concentration (Bergfelt et al., 1989).

Ultrasonography of the GI tract presents problems and challenges for the sonographer. Sonography of the GI viscera was once throught to be impossible because of artifacts created by gas within the lumen but with the technical advancement in the ultrasonography now the problem has been solved. If the animal is kept of feed and adlib water is given to the dog with I/v fluid than ultrasonography becomes helpful in the diagnosis of gastrointestinal tract disorders. Other conditions such as esophageal carcinomas can also been diagnosed by ultrasonographic endoscopy. in human beings.

The normal ultrasonography of the liver, kidney, stomach & spleen in dogs has been standardized and its use in evaluation of pathological lesions has been reported but ultrasonographic evaluation of oesophagus & intestine, both in normal animals and diseased conditions is yet to be established. Therefore normal ultrasonography of the oesophagus & small intestine in dogs and the importance of diagnostic capability of ultrasonography in diagnosis of pathology of these organs have been compiled.

Ultrasound is mainly used for reproductive purposes in bovine, now days it is also used for other applications. Ultrasound is an excellent tool for diagnostic imaging in large animals because it is portable, easy to use in the field, produces results at the time of the examination. It is totally non-invasive. Palpation of a gland can only detect certain levels of abnormality. Ultrasound can give an actual perception of mammary health, a picture of the inside anatomy and pathology. Tumors, scarring, stones, trauma, hematoma formation and level of damage due to mastitis can all be evaluated by this technique. Other diagnostic tools are still primary diagnostic tools, ultrasonogram gives yet another dimension to the hard to diagnose case. It will also allow a better estimate of treatment prognosis to aid in deciding whether to cull or treat a dairy animal.

Congenital anomalies at initial stages of the mammary gland development during gestation may result into presence of supernumerary teats or less number of external teats, in place of usual presence of four teats in buffaloes. Hence, cases with two / three / five or six teats are often encountered in the f ield.

Introduction Ultrasonography is well-established technique in human sciences, particularly for diagnosis of pre-natal defects of fetus. In veterinary sciences, this technique is emerging an important tool. This tool is being employed in the small animal practices, particularly bitches for diagnosis of various reproductive disorders and estimation of gestational status. In the past, veterinarians had limited assistance for assessing reproductive status of this animal. Pregnancy diagnosis in a bitch was possible either with the use of X-rays or transabdominal palpation, but that too at an advanced stage of gestation. These methods could provide information either about presence of pups in vitro, or their number, but assessment of fetal viability was not accurately predicted with these traditional methods. With the use of X-rays, there was always risk of harmful effects on the health of mother and fetus. As far as reproductive disorders are concerned, most of them remained either undiagnosed due to the lack of proper access to the internal organs or were diagnosed with a guess. Diagnostic ultrasound is a valuable alternative imaging system that can provide more accurate information about the canine pregnancy and reproductive disorders in comparison to traditional methods.

This paper primarily considers the general principles of ultrasound and instrumentation and its application in camel reproduction.

Ultrasound waves are mechanical pressure waves similar to audible sound waves and must have a medium in which to audible sound waves and must have a medium in which to propagate. The “frequency” (f) is the number of high- or low- pressure regions crossing each area of tissue each second. The frequencies of the sound waves used in medical ultrasound are much higher than the human audible range (20 to 16000 Hz); hence the waves are called ultrasound. Ultrasound instrumentation

The gray scale imaging equipment uses only time delay and echo amplitude information in creating the image. Most equipment contains the same basic building- block circuits; transmitter, receiver, display and scan converter.

Transmitter

The first circuit building block, the transmitter circuit produces either a high- amplitude, short- duration voltage shock pulse or a driving voltage waveform. Then an output control attenuates the amplitude of the shock pulse or the driving voltage wave form before it is applied to the transducer.

Mammary glands are important part of body which synthesize and store the milk in between milkings or suckling by the calf. Therefore it attains prime importance in any dairy animal. However, it has received little attention in buffaloes till now. Buffalo presents several unique characteristics in terms of milk production, length and shape of teats and arrangement of duct system in the mammary glands. Development of udder may be related to milk production and the knowledge of changes in its structure in relation to different physiological stages may also have practical implication.

Transducer Selection and Preparation of Scanning

Preparation of the site to be imaged will enhance the quality of the image. Therefore, any loose hair and dirt must be clean off. Ultrasound gel is applied to the area of interest. The gel acts as a coupling agent to prevent air from trapping between the transducer and skin. A 7.5 MHz transducer is ideal for imaging the teats. A 5.0 MHz transducer provides an adequate image. The mammary gland should be scanned with a 5.0-7.5 MHz transducer to give adequate penetration. All structures should be scanned in cross section and longitudinal planes.

Ultrasonography in sheep is becoming popular in the field of reproduction and replacing the other old-age techniques, viz. abdominal ballotment, recto- abdominal probes, X-rays and radioimmuno-assays. The reasons are numerous such as unsatisfactory results, hazardous effects to animal, operator or environment, high cost, long delay in diagnostic results and requirement of sophisticated labs. The ultrasound system has low operating cost and does not need special labs as it can be done at farm itself. Ultrasonography is considered safe to sheep and the operator and provides quick and reliable results. The popular opinion about ultrasonography is that it is noninvasive imaging system and is rapid, safe and practical means of diagnosis of pregnancy in sheep. The B-mode real time ultrasonographic system particularly portable system is popular among sheep breeders. In sheep, B-mode real time ultrasonography was used in 1971, using 5 MHz frequency transducer. A transducer of switchable frequency between 7.5 to 5.0 is more popular in sheep practice.

Transrectal Procedure in Sheep

The procedure is similar to goat, but sheep remain quite during transrectal ultrasonography than goat. Following are some of the steps to obtain good quality image:

Ultrasonographic images of stomach are required to diagnose ingestion of any abanormal materials by dog. When content of stomach are dry or there is gas in stomach then, it is difficult to get proper image of stomach. Offering water to animal or oral administration of water with the help of syring is also helpful in getting the images of content of stomach. Some time, while doing ultrasonography, movement of contents of stomach can be visualized. Stomach can be images between liver and spleen. The size depends upon contents or intake of food by dog. For proper image of gastrointestinal tract including stomach, there should not be gas in GIT. One should remember that ultrasound beam does not travel in gas. The best medium of ultrasound beam is liquid.

Scanning Technique

If possible, fasting for 12 hours is good to diminish the amount of gastrointestinal gas. However, non-fasted dogs, when offered water may show adequate image quality. The water may be administered in quantity of 15 ml per kg of bodyweight. Removing the stomach gas using an orogastric tube has been recommended tto enhance the visualization of lesions of the stomach, however, this is not in practice in India.

Ultrasonography in bull is helpful in diagnosis of problems of testis and accessory glands. This can also be used in assessment of development of these organs. Such developmental assessment, when combined with endocrine data, is useful to know age of puberty, sexual development and dimension of these organs. The ultrasonographic images and data are available for testis, bulbourethral gland, prostate and seminal vesicles in the bull. Ultrasonography of testis of bull can be useful to assess developmental changes, testicular dimensions and pathological conditions of the testis viz. tumors, lesions, abscess etc. Epididymis can also be examined for change in lumen, inflammation, granuloma etc. The accessory sex glands can be better viewed in ultrasonographic scanning to assess their dimensions, normal developmental changes and alterations in their morphology. Before, ultrasonography is undertaken, one should thoroughly revise the knowledge of sectional anatomy and location of these organs.

Testis

Location: The testis, in the bull, is located in the scrotum. In abnormal conditions, the testis might be retained in the inguinal canal or abdomen. Before, ultrasonography, location of the testis should be assured. For this, the testis should be palpated to assess their pliability and rule out adhesions with the scrotal wall. In normal condition, the testis should be freely movable in the scrotum, soft of palpation and both the testis should touch the bottom end of scrotum.

The Liver

The liver is a large and an irregular organ of the body, which extends from the sixth to the eleventh intercostal space. It extends much more caudally on the right side as compared to the left side. Its most caudal part is the caudate lobe whose small portion is visualized encircling the right kidney dorsally at the eleventh intercostal space. The liver of a dog is divided into various lobes namely the left lateral, left medial, quadrate, right medial, right lateral and the caudate lobes which are not identifiable ultrasonographically, except when f luid is present in the abdomen. Otherwise, the position of the different liver lobes can only be approximated. The gallbladder is located to the right of the midline between the quadrate and the right medial lobes of the liver.

Proper preparation of the animal is important to obtain images of abdominal orgnas including that of liver. It is better to keep animal off fed for at east six hours prior to ultrasound scanning. This will avoid interference of gases and solid contents of the gastrointestinal tract. If stomach is taken as landmark of scanning then enough fluid should be given prior to scanning to get good images of stomach. The liver can be easily visualized on one side of stomach. One should be liberal in applying good amount of gel over transducer and body for better image of liver.

Veterinary ultrasonographer has to write report of ultrasonography in different animals. The proper ultrasound report writing is the moral duty of the vet ultrasonographer. The accuracy of diagnosis must be ensured. The poor resolution/quality of machine may lead to erroneous diagnosis. Therefore, veterinarian must ensure good quality of machine and proper diagnosis. The report might be different in different animals e.g. report writing about uterus will be different in bitch, cows, buffaloes, camel, horse, goat and sheep. However following might be guidelines in writing ultrasound report of uterus. fetus, endometrium

Uterus: Position of uterus, contents in the uterus, shape and size in initial pregnancy and infections, appearance of myometrium, thickening of uterine layers, presence or absence of fluied/pus/masses, left and right horns and their contents. Observations on the images of uterine fluid and its echoicity, membrane appearance in pregnant animals. Special attentions should be paid to endometrium.

Endometrium: Appearance and thickness; any growth on the surface of endometrium. Images of retained portion of placenta can be ascribed in the cases of retained placenta.

Ovary: Ovaries are scanned to assess cyclic structures, size, shape, its Position/ location and internal echo pattern of follicles. This echo pattern will indicate whether follicle is normal, cystic or with any other abnormalities of follclular f luid. Ultrasound reports also include shape and size of corpus luteum. In cows and buffaloes, presence of cavity, looseness/compactness of luteal cells are also mentioned.