FVH Wiederkäuer Practice Questions - Fachtierarzt FVH Für Wiederkäuer (Switzerland) Exam

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A dairy cow presents with acute severe abdominal pain, tachycardia (115 bpm), cool extremities, dehydration (>8%), and a large resonant percussion area in the right cranial abdomen extending to the 8th rib. Blood analysis reveals severe hypochloremia (68 mmol/L) and an elevated plasma L-lactate concentration of 6.5 mmol/L. What is the primary diagnosis and prognostic interpretation?

Simple right abomasal dilation; excellent prognosis with conservative medical therapy and oral fluids Cecal volvulus; fair prognosis requiring right paralumbar typhlotomy Acute vagal indigestion type I; guarded prognosis requiring transfaunation Right Abomasal Volvulus (RAV) with ischemic wall necrosis; poor to guarded surgical prognosis due to severe hyperlactatemia

Correct Answer:

Right Abomasal Volvulus (RAV) with ischemic wall necrosis; poor to guarded surgical prognosis due to severe hyperlactatemia

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