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Your patient is a second lactation Holstein cow that calved 14 days ago. She required some manual intervention by the cowman at parturition but cleansed normally. Since then she has not come to her milk and is not coming up to eat readily with the rest of her group. Non pyrexic with rather sloppy dung, she is not seen to be cudding. Clinical examination including auscultation of her abdomen levels a "pinging" noise over an area in her mid left flank when the area is percussed and she has poor rumen activity. A diagnosis of left sided abomasal displacement is made and further examination does not reveal any other concurrent abnormality.
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