Synonyms

 

 

 

No known synonym

 

 

 

Name of the disease in English

 

 

 

Abnormal and prolonged udder edema

 

 

 

The disease in brief

 

Breast edema is abnormal if its intensity is very strong or its incidence makes it a collective problem and / or if its duration exceeds 10 days after calving. Very intense, it can be associated with individual heart failure and does not only affect the udder. If it exceeds in duration or becomes collective, it can be associated with particular causes which can combine their effects: an excessive quantity of sodium or potassium chloride in the ration, a state of overweight going towards fat (note> 4), lack of exercise before part, very long dry periods. The persistent edema of a udder which remains very large suggests a rupture of the suspensory ligament and its treatment is illusory.

This disease should be seen as a general problem of edema and not limited to the breast aspect.

 

Clinic & diagnosis

 

Breast edema is abnormal if it is associated with cardiac or renal insufficiency or occurs outside the period of calving or extends far beyond it; the clinical appearance is the same as the physiological edema: 

 

-A swollen udder and finger pressure leaves an imprint (= edema) without clear pain on palpation. The swollen area sometimes overflows in front of the udder and / or goes up towards the tail (badge). 

 

-Swollen teats without distinct pain on palpation.

 

 

Typical sign of the disease

 

No description

 

 

Pictures

 

 See below

 

 

Diagnostic formulas

 

No description

 

Differential diagnosis

 

-Physiological breast edema MA41.2

 - Pulmonary heart-heart failure N14

 -Myocarditis N34

 -N35 tubular necrosis

 -Glomerulonephritis N61

 -Rupture of the suspensory ligament of the udder N327

 -Phlegmon of the udder N335

 

 

Confirm a suspicion?

 

 A blood test (green cap tube) on one or more patients makes it possible to make an ionogram. 

 

 

Prognosis and treatment

 

If the disease has a cardiac or renal origin, it is necessary to rely on this origin to institute or not an adapted treatment. Edema by itself is treated as usual:

 -A diuretic, such as injectable furosemide.

 - Combinations of diuretics (trichlormethiazide) and dexamethazone by mouth or by injection, in the postpartum.

 

 

 

Prevention

 

Control the risk factors:

 

-The age at 1st calving,

 

- Some more sensitive lines,

 

-Control the state of overweight (score <4),

 

-Allow the exercise before the part,

 

-Do not allow too long dry periods.

 

- Control the intake of sodium or potassium chloride in the ration:

 

 

 

References

 

 

 

Large animal internal Medecine-5^th editing. SMITH B.BP. Mosby ed p1039