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Exam 4
Hypomagnesemia
27
Veterinary Medicine
Professional
11/22/2016

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Term
What are the common names for hypomagnesemia in the cow?
Definition
-grass tetany or Spring tetany
-winter tetany
-wheat pastrue tetany
-milk tetany
-lactation tetany
-transport tetany
Term
What is the purpose of intracellular Mg2+?
Definition
-cofactor for enzymatic rxns
Term
What is the purpose of extracellular Mg2+?
Definition
-normal nerve conductance
-muscle function
-bone mineral formation
Term
Where do cows get magnesium?
Definition
-diet ONLY
Term
What are the components of endocrine regulation that control Mg2+?
Definition
-PTH
-aldosterone
-thyroxine
Term
Describe the incidence of hypomagnesemia in cattle?
Definition
-1-3% of cattle in US die of hypomagnesemia
-highest incidence in lactating beef cattle
-usually within 60 days of calving
Term
What is the etiology of hypomagnesemia in cows?
Definition
-dec serum and CSF [Mg]
Term
What are some predisposing factors for cow hypomagnesemia?
Definition
-dec Mg in feedstuffs: inc K resuts in dec Mg and Ca uptake by plant
-dec Mg absorption by reticulorumen epithelium: inc K nand N2 in forages (rumen pH > 6.5)
-lush high-moisture pasture dec GI transit time (like wheat pasture)
-stressors = inc catecholamines
Term
What kind of animals get bovine hypomagnesemia?
Definition
-adults
-periparturient: lactating most susceptible
-thin or overconditioned
Term
What kind of environment and weather predispose cattle to hypomagnesemia?
Definition
-lush forages, heavily fertilized, or wheat pastrue
-no Mg supplementation
-cloudy, misty, cool weather
Term
What is the cause of grass tetany with bovine hypomagnasemia?
Definition
-beef cows grazing on spring/fall lush pastrue
Term
What is the cause of milk tetany with bovine hypomagnasemia?
Definition
-calves fed only milk > frist 2 months of life
Term
What are the clinical signs of moderate bovine hypomagnasemia?
Definition
-anorexia
-nervousness
0hyperesthesia
-erect ears
-dec milk pdn
Term
What are the clinical signs of severe bovine hypomagnasemia?
Definition
-muscle fasciculations
0irritability, aggressiveness
-0incoordination, spasticity
-tachycardia but LOUD, tachypnea
0hyperthermia
-recumbency
-convulsions, opisthotonus, paddling
-rapid/repeated blinking, nystagmus
-DEATH
Term
What do we see on clin path with bovine hypomagnasemia?
Definition
-low magnesium lelvels
0inc CPK and AST in downer cow
-/+ HypoCa, hypoP
Term
Where do we test [Mg] in postmortem bovine exam for hypomagasemia? HOw long after death is this test reliable?
Definition
-vitreous humor
-24-48 hours
Term
How does hypomagnesemia cause tetany?
Definition
-dec central and peripheral nerve membrane potential
-inc ACh release at neuro-mascular jcts
-dec intracellular ATPase activity
-low Mg: Ca ration in ECF => affect neuromuscular excitability
Term
Where in the digestive system does poor Mg absorption occur that leads to hypomagnesemia in cows?
Definition
-rumen > omasum >>> intestines
Term
How do we treat hypomagnesemia in cows?
Definition
-EMERGENCY!
-slow IV Ca gloconate soln
-SC Mg sulfate
-oral Magnagel paste but can aspirate
-enema of Mg chloride
-response to treatment/expectations: 20-30%
Term
How do we prevent bovine hypomagnesemia?
Definition
-Mg oxide added to ration
-Mg feeding blocks
-high Mg mineral (salt based): at least 10% Mg
-hay supplementation
-remove from offending pastre
Term
What are the clinical signs of milk tetany in calves?
Definition
-irritable
-tetany
-prolapse third eyelid
-convulsions
Term
How do we treat milk tetany in calves?
Definition
-MgSO4 10% soln SC
-oral Mg (gel)
-alfalfa hay
-starter ration
Term
What cows get lactation tetany?
Definition
-4-7 years old lactating dairy cows > beef cows
-within first 2 months of lactation: loss of Mg in milk
Term
What are the risk factors of lactation tetany in cows?
Definition
-grazing on lush spring grass pastrue without hay or mineral supplementation
Term
What are the clinical manifestations of lactation tetany?
Definition
-Acute: unusual alertness, hyperesthesia, staggers, convulsions
-Subacute: exaggerate limb mvts, spasmodic urination, tremor
-Chronic: dullness, unthriftines, paresis
Term
Which cows are more predisposed to transport tetany?
Definition
-late term pregnancy: cows and ewes
-also fleshy lambs
Term
What are the conditions seen with transport tetany?
Definition
-long transportaition: stressful, feed restrictions
-weather extremes
-off feed
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