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|q1=How would you correct this malposture?  
 
|q1=How would you correct this malposture?  
 
|a1=
 
|a1=
Correction of this malposture is best achieved with the cow standing in cattle stocks. Forceful straining during correction is prevented by injection of 5mL of 2% lidocaine into the extradural space at the sacrococcygeal site. <br><br>
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Correction of this malposture is best achieved with the cow standing in cattle stocks. Forceful straining during correction is prevented by injection of 5mL of 2% lidocaine<sup>1</sup> into the extradural space at the sacrococcygeal site. <br><br>
 
After 5 minutes the calf’s head and left foreleg are well lubricated and slowly repelled until the calf’s poll is level with the pelvic inlet. By first grasping the calf’s right forearm then the mid-metacarpal region, the elbow and carpal joints are fully flexed which brings the calf’s right foot towards the pelvic inlet. <br><br>
 
After 5 minutes the calf’s head and left foreleg are well lubricated and slowly repelled until the calf’s poll is level with the pelvic inlet. By first grasping the calf’s right forearm then the mid-metacarpal region, the elbow and carpal joints are fully flexed which brings the calf’s right foot towards the pelvic inlet. <br><br>
 
With the fetlock joint fully flexed, and the foot cupped in one’s hand to protect the uterus, the foot is drawn forward into the pelvic canal extending the fetlock joint. <br><br>
 
With the fetlock joint fully flexed, and the foot cupped in one’s hand to protect the uterus, the foot is drawn forward into the pelvic canal extending the fetlock joint. <br><br>
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The heifer should now be haltered and let out into a calving box. Steady traction of two people (veterinary surgeon and the farmer) pulling on the calving  
 
The heifer should now be haltered and let out into a calving box. Steady traction of two people (veterinary surgeon and the farmer) pulling on the calving  
 
ropes applied to both legs will generally result in the heifer assuming lateral recumbency which aids delivery of the calf.  
 
ropes applied to both legs will generally result in the heifer assuming lateral recumbency which aids delivery of the calf.  
|l1=Dystocia
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|l1=Dystocia - Cattle
 
|q2=What treatment(s) should be administered to the heifer?  
 
|q2=What treatment(s) should be administered to the heifer?  
 
|a2=
 
|a2=
 
Treatment should include an NSAID which should be given before commencing delivery of the calf; however, the considerable vulval oedema present could also be treated with a single injection of dexamethasone.<br><br>
 
Treatment should include an NSAID which should be given before commencing delivery of the calf; however, the considerable vulval oedema present could also be treated with a single injection of dexamethasone.<br><br>
 
Antibiotics should be administered for 3 consecutive days because placental retention is likely after dystocia, and there is an increased risk of metritis.  
 
Antibiotics should be administered for 3 consecutive days because placental retention is likely after dystocia, and there is an increased risk of metritis.  
|l2=
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|l2=Dystocia - Cattle
 
|q3=How should the calf be managed?  
 
|q3=How should the calf be managed?  
 
|a3=
 
|a3=
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|l3=Failure of Passive Transfer
 
|l3=Failure of Passive Transfer
 
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| align="left" | <p>Comments by Nick Lyons MA VetMB CertCHP MRCVS</p>
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<p>1. The 2% lidocaine is not licensed in farm animals any more in the UK. In the UK, it should be 2% procaine solution.</p>
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