Veterinary Clinical Medicine-I (General and Systemic)

DIAGNOSIS 

• Diagnosis is based on clinical signs and physical findings. Ultrasonography is used nowadays to diagnose displacement of abomasum. The condition should be differentiated from the following:
• Impaction of the abomasum associated with vagus indigestion. Pings are not present in abomasal impaction.

Abomasal ulceration

• A laparotomy may be required to distinguish between them Subacute abomasal ulceration with moderate dilatation of the abomasum.
• The presence of melena suggests abomasal ulcers but these may be present as secondary complications in dilatation and right-side displacement

Cecal torsion

• Distension of the right flank, tympanitic sounds on auscultation and percussion,
• Cecum can  be palpated on rectal examination, as a long (60-80 cm), usually easily movable, cylindrical, tense tube (10-20 cm in diameter), with a blind sac

Fetal hydrops

• Bilateral distension of the lower abdomen and an enlarged gravid uterus palpable on rectal examination

Chronic or subacute traumatic reticuloperitonitis.

• The feces are usually firm and dry, the abdomen is gaunt and a mild fever may be present. A laparotomy is necessary to make the diagnosis.
• Abdominocentesis may be useful.