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A 5-year-old Holstein cow, which calved 1 month ago and was previously yielding 42 L/day, presents with a poor appetite and milk yield which has fallen steadily over the past 2 days to 22 L/day. The cow has been licking at objects such as walls and her own flanks for long periods of time. The rectal temperature is normal. The cow has a gaunt appearance with sunken sublumbar fossae consistent with a reduced appetite. The cow is constipated while other cows in the high-yielding group have soft faeces.


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