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| ===Pathology=== | | ===Pathology=== |
| [[Image:Bvd2.gif|right|thumb|150px|Coalescing lesions of BVDV (Courtesy of Alun Williams, RVC)]] | | [[Image:Bvd2.gif|right|thumb|150px|Coalescing lesions of BVDV (Courtesy of Alun Williams, RVC)]] |
| + | |
| + | Much useful information can be gained from a detailed post |
| + | mortem examination of suspected cases of mucosal disease. |
| + | The full extent of oral, lingual and buccal erosions should be |
| + | observed. A common finding in the buccal mucosa is that the |
| + | small erosions have coalesced into larger areas of necrosis and |
| + | sloughed epithelium. |
| + | Similar erosions may be seen in the oesophagus. Ruminal |
| + | lesions, if present, are areas of congestion and oedema along |
| + | the ruminal pillars. Ulceration is rare. The large ruminal |
| + | papillae can be reduced in size. |
| + | The abomasum and small intestine provide the most |
| + | reliable sites for inspection but immediate autopsy is important |
| + | as post mortem changes in the gut are rapid and gaseous |
| + | extension can often mask the enteric erosions. |
| + | The abomasum usually shows several (five to 50) small |
| + | discoid erosions, about 5 mm diameter, with surrounding |
| + | hyperaemia in the mucosa. Submucosal petechial haemor- |
| + | rhages are a common finding, particularly in the pylorus (Fig |
| + | 6). Occasionally, the erosions can be larger and ulcerated. |
| + | The small intestine, if opened throughout its length to |
| + | expose the antimesenteric surface, will reveal oval erosions |
| + | (2 cm to 5 cm long) that overlie the lymphatic tissue in Peyer's |
| + | patches. The erosions may vary from two to three to 30 to 40. |
| + | Towards the terminal ileum the erosions can become extensive |
| + | and may be up to 10 to 20 cm in length. The exposed |
| + | submucosal surface of the erosions can vary from the chronic |
| + | lesion, with food adhering (Fig 7), to the acutely congested |
| + | one often with interluminal haemorrhage. |
| + | In the large bowel, there may be congestion of the mucosa |
| + | which gives a thickening to the mucosal folds and a striped |
| + | appearance. There may also occasionally be petechial |
| + | haemorrhages and small erosions along the folds. The |
| + | contents are dark, watery and often foul smelling. |
| Gross lesions seldom are seen in cases of mild disease. | | Gross lesions seldom are seen in cases of mild disease. |
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