SlideShare a Scribd company logo
1 of 66
Download to read offline
Pain in dairy cattle
Causes , Diagnosis
&Treatment
Esophagus
Rumen
Omasum
Reticulum
Abomasum
Pancreas
Liver
Gall
bladder
Cecum
Small intestine
Large
intestine
Rectum
Dr/ Hamed Attia
Prof. Of Vet. Med.
Zagazig University
Egypt
Pain
• Def:
• It is a sensation arising from
stimulation of specific end
organs and perceived in the
thalamus and cerebral cortex
Types of pain
Cutanious
Musculo-
Skeletal
Visceral
11--Cutaneous PainCutaneous Pain
• Causes:
• Burning
• Cutting
• Crushing
Examples
• Masititis
• Laminitis
• Surgical wounds
• Conjunctivitis
22--Visceral PainVisceral Pain
• 1-Inflammation of
serous surfaces
• Ex:
• Pleursy- Peritonitis-
pericarditis
• 2-Distention of
viscera
• Ex:
• Stomach-intestine-bladder
• 3- Inflammation
of organs
Ex :Enteritis- Nephritis-meningitis- Neuritis
33--Somatic(MusculoSomatic(Musculo--skeletal)Painskeletal)Pain
• Examles:
• Myositits
• Osteomyelitis
• Fructure
• Arthritis
• Sprain in
ligament &
tendons
Pathogenesis of painPathogenesis of pain
• Pain receptors are distributed at
end organs in all body systems &
organs.
• They are connected to the CNS
by sensory nerves in spinal &
cranial nerves.
• Intra-cord neurons connect the
peripheral neurons to the
thalamus where pain is perceived.
Pain
receptors
CNS
Organs
Clinical Signs of PainClinical Signs of Pain
• Such as:
• Tachycardia
• Polypnea
• Hyperthermia
• Sweating
11--Physiological responsePhysiological response
22--Behavioral responseBehavioral response
• Abnormal
posture.
• Rolling, pawing
(Visceral pain).
• Pain during
urination,
defecation, &
coughing)
• Palpation
• Pressure by compression
• Movement of the animal.
• Pain reflexes
• Grunting in cattle
Method of detection of painMethod of detection of pain
Function of digestive systemFunction of digestive system
• Prehension
• Digestion
• Absorption of food
and water
Digestive function depend onDigestive function depend on
• Motor function
• Secretory function
Motor function depend onMotor function depend on
• Peristaltic movement
which moves the
ingesta from the
esophagus to the
rectum
• Stimulation of
sympathetic &
parasympathetic N.S.
Abnormal Motor function result inAbnormal Motor function result in
1-Hypermotility
2-Hypomotility
11-- HyperHyper--motilitymotility
• It results in:
• Diarrhea
• Vagal indigestion
• Colic
2-Hypomotility result
Bloat Abomasal
Dis. &Tortion
Cecal
dilatation
11--HyperHyper--motilitymotility
1-Enteritis in young
calves
Calf Pathology/SignsCalf Pathology/Signs
Intestinal Mucosa Damage:
Irritation, necrosis, toxins
Diarrhea
 Dehydration
Malabsorption
Hyper-secretion
Colon fermentation, fluid retention
Line of treatment of InfectiousLine of treatment of Infectious
DiarrheaDiarrhea
• 1-systemic anti-acid.
• 2-Fluid therapy.
• 3-Antibiotic
• 4-Analgesic & Muscle relaxant
22-- Causes of diarrhea in adultCauses of diarrhea in adult
• Paramhostomum (40%)
• Chronic Fascioliasis (5%)
• Chronic Salmonellas (20)
• Johne,s D. (10)
• TB (Intestinal TB) (10)
• Leukosis ???????? (15%)
ParamhostomumParamhostomum
•
Chronic fasciliasisChronic fasciliasis
•
JHONESJHONES
diseasedisease
•
JHONES disease
ChronicChronic
SalmonllosisSalmonllosis
•
• After parturation
• Normal temperature
22--HypoHypo--motilitymotility
• Causes of hypomotility
• 1-Abomasal displacement & torsion.
• 2-Rumen tympany (bloat).
• 4-Traumatic Reticulo-peritonitis
• 5-Cecal dilatation.
• 6-Urogenital disorders.
Displaced AbomasumsDisplaced Abomasums
• Left displaced abomasum (LDA)
is most common in early lactation
• Right displaced abomasum (RDA)
occurs throughout lactation
• Right torsion of the abomasum
(RTA)
DisplacingDisplacing
AbomasumAbomasum
In ActionIn Action
Clinical Signs of DA’sClinical Signs of DA’s
• Normal TPR (most cases)
• Partial anorexia (“off feed”)
• Hypogalactia (“down in milk” ~ 5-10
lb/day)
• Depression
• Secondary ketosis
– mild to moderate
• Scant stool
– firm/loose
– undigested particles
Clinical Signs (continued)Clinical Signs (continued)
• Paralumbar fossa:
– “Slab-sided” abdomen
– Rectal palpation (can’t)
• Mild colic
• Mild hypocalcemia
– Hypotonic rumen
– Cold ears, widely dilated pupils
Area of ping sound in a cow with an LDA
Clinical PathologyClinical Pathology
• Metabolic alkalosis(slight)
• Hypo
– Ca
– K
– Cl
• Ketosis (mild)
• Dehydration
• Hypoglycemia (maybe)
Differential DiagnosisDifferential Diagnosis
• LDA
–Ketosis (non-pinging LDA)
–Rumen ping
Line of treatmentLine of treatment
• Return abomasum to proper position
• Create a permanent attachment
• Correct electrolyte, acid-base,
• Correct hydration .
• Treat other concurrent diseases
11--Rolling TechniqueRolling Technique
• Advantages
–Quick & easy technique
–No invasive surgery
• Disadvantages
–>50% relapcce
–If RDA or RTA are present, can cause
problems
RollingRolling
• The cow is cast and laid on her back, then
rolled vigorously to the right and the roll
stopped abruptly in the hope that the
abomasum will free itself.
• Bring the cow to sternal position & allow to
stand
• Auscultate the left thorax to ensure LDA is
relieved
• Starvation and water restriction for 2 days
before rolling may be advisable.
22--SurgicalSurgical correctioncorrection
Left abomasal displacementLeft abomasal displacement
Left flank approach.
Left abomasal displacementLeft abomasal displacement
Percutaneous fixationPercutaneous fixation
(toggle or bar suture)(toggle or bar suture)
Normal body contoure
Tympany Vagal indigestion
Ascitits pneumoperitonium
22--RumenRumen tympanytympany (bloat)(bloat)
• Gas production is a
normal occurrence
during rumen
fermentation
• Bloat occurs if
eructation is
prevented for any
reason
Clinical findingsClinical findings
• Distended left
paralumbar fossa
• Discomfort (grunting,
colic)
• Open-mouth breathing
• Anorexia
• Salivation
• Anxious
• Depressed terminally
• Sudden death
DiagnosisDiagnosis
• History
• Clinical findings
Fixation ofFixation of trocartrocar cannulacannula
33--TraumaticTraumatic ReticuloReticulo--peritonitisperitonitis
• Sudden decrease in appetite & milk
production
• Anterior abdominal pain
• Low grade fever (39°)
DiagnosisDiagnosis
–History
–Clinical findings
–Paracentesis
–Reticular radiography
–Ultrasound
TreatmentTreatment
• Medical treatment
–Antibiotics
–Magnet
• Surgical treatment
–Rumenotomy to approach reticulum
44--Cecal dilatationCecal dilatation
• Pathogenesis similar
to development of ab.
displacement
• Increased VFAs
• high concentrate diet
• Hypo-calcemia
Causes
• most common in
adults cows soon
after parturition
• May be able to
palpate cecum
rectally in cases
of volvulus
Occurrence
5-Urogenital disorders
Urolethiasis Vaginitis
Uterine
torsion
Vulvitis
22-- Diseases of urethraDiseases of urethra
•Urolethiasis
Clinical features of urinary tractClinical features of urinary tract
diseasesdiseases
• 1-Pain and difficult urination
• 2-Abnormal constituents of
urine
• 3- Variation of daily urine flow
• 1) Deficiency of vitamin A .
• (2) water deprivation.
• (3) Heavy fluid loss.
• (4) Excessive mineral intake (high
phosphate)
• (5) Early castration before
maturity.
Diagnosis ofDiagnosis of urolithiasisurolithiasis
• (1) Clinical examination and history.
• (2) Urine analysis
• (3) Elevation of SUN and creatinine .
• 4- Reduction of serum sodium and
potassium.
• (4) Abdominocentesis
to detect
uroperitonium after
rupture of the bladder.
• (5) Ultrasonography
• (6) Necropsy findings
• dilatation of the ureter
• hydronephrosis.
11--Medical TreatmentMedical Treatment
• 1- Analgesic
• 2) Smooth muscle
relaxants .
22--Surgical TreatmentSurgical Treatment
1- Amputation of the urethral process .
2-Urethrotomy
1) Amputation of the urethral
process in ram.
22)) UrethrotomyUrethrotomy
To remove the
calculi.
• At the perineum
8-10 cm. distal
to ischial arch
SequelaeSequelae ofof urolithiasisurolithiasis::
• (1) Urethral
rupture
CC-- Rupture of the urinary bladderRupture of the urinary bladder
Signs:
1- Enlarged abdomen
2- Abdominal thrilling
3- Urineferous odour.
4-subnormal temp.
Questions
are
welcome?
Causes, types and treatment of pain in dairy cattle  prof.dr hamed attia

More Related Content

What's hot

Post parturient-hemoglobinuria
Post parturient-hemoglobinuriaPost parturient-hemoglobinuria
Post parturient-hemoglobinuria
Jalal Syooti
 
Pregnancy toxemia pptx
Pregnancy toxemia pptxPregnancy toxemia pptx
Pregnancy toxemia pptx
L.A. Mir
 

What's hot (20)

Classical swine fever
Classical swine feverClassical swine fever
Classical swine fever
 
Bovine ketosis
Bovine ketosisBovine ketosis
Bovine ketosis
 
Antibiotics contraindicated in dogs & cats
Antibiotics contraindicated in dogs & catsAntibiotics contraindicated in dogs & cats
Antibiotics contraindicated in dogs & cats
 
Lameness, Hoof, and Leg Issues in Dairy Cattle- Part 2
Lameness, Hoof, and Leg Issues in Dairy Cattle- Part 2Lameness, Hoof, and Leg Issues in Dairy Cattle- Part 2
Lameness, Hoof, and Leg Issues in Dairy Cattle- Part 2
 
canine pregnancy diagnosis
canine pregnancy diagnosiscanine pregnancy diagnosis
canine pregnancy diagnosis
 
UTERINE TORSION
UTERINE TORSIONUTERINE TORSION
UTERINE TORSION
 
Bovine diseases
Bovine diseasesBovine diseases
Bovine diseases
 
Mastitis in cattle, buffalo
Mastitis in cattle, buffalo Mastitis in cattle, buffalo
Mastitis in cattle, buffalo
 
Anaplasmosis
AnaplasmosisAnaplasmosis
Anaplasmosis
 
Ascites in domestic animals
Ascites in domestic animalsAscites in domestic animals
Ascites in domestic animals
 
Etiopathogenesis, therapy, prevention and control of milk fever in dairy cattle
Etiopathogenesis, therapy, prevention and control of milk fever in dairy cattleEtiopathogenesis, therapy, prevention and control of milk fever in dairy cattle
Etiopathogenesis, therapy, prevention and control of milk fever in dairy cattle
 
Presetation on rumen impaction lactic acidosis final osr
Presetation on rumen impaction lactic acidosis final osrPresetation on rumen impaction lactic acidosis final osr
Presetation on rumen impaction lactic acidosis final osr
 
Kennel cough
Kennel cough Kennel cough
Kennel cough
 
Post parturient-hemoglobinuria
Post parturient-hemoglobinuriaPost parturient-hemoglobinuria
Post parturient-hemoglobinuria
 
ketosis In Cows
ketosis In Cowsketosis In Cows
ketosis In Cows
 
Pregnancy toxemia pptx
Pregnancy toxemia pptxPregnancy toxemia pptx
Pregnancy toxemia pptx
 
Clinical examination of Cattle
Clinical examination of CattleClinical examination of Cattle
Clinical examination of Cattle
 
Urolithiasis in cattle, seep and goat ppt
Urolithiasis in cattle, seep and goat pptUrolithiasis in cattle, seep and goat ppt
Urolithiasis in cattle, seep and goat ppt
 
Wound management
Wound managementWound management
Wound management
 
Uterine torsion
Uterine torsionUterine torsion
Uterine torsion
 

Similar to Causes, types and treatment of pain in dairy cattle prof.dr hamed attia

Amenorrhea made easy slideshare 2015
Amenorrhea made easy   slideshare  2015Amenorrhea made easy   slideshare  2015
Amenorrhea made easy slideshare 2015
Mohammad Emam
 
Management of systemic Childhood disorder.pptx
Management of systemic Childhood disorder.pptxManagement of systemic Childhood disorder.pptx
Management of systemic Childhood disorder.pptx
idris85sham
 
SURGICAL CONDITIONS OF THE PANCREAS.pptx
SURGICAL CONDITIONS OF THE PANCREAS.pptxSURGICAL CONDITIONS OF THE PANCREAS.pptx
SURGICAL CONDITIONS OF THE PANCREAS.pptx
Biniam24
 

Similar to Causes, types and treatment of pain in dairy cattle prof.dr hamed attia (20)

Amenorrhea made easy slideshare 2015
Amenorrhea made easy   slideshare  2015Amenorrhea made easy   slideshare  2015
Amenorrhea made easy slideshare 2015
 
acute abdomen.pptx
acute abdomen.pptxacute abdomen.pptx
acute abdomen.pptx
 
Endometriosis panel discussion.pptx
Endometriosis panel discussion.pptxEndometriosis panel discussion.pptx
Endometriosis panel discussion.pptx
 
Scrotal and Testicular Swelling.pptx
Scrotal and Testicular Swelling.pptxScrotal and Testicular Swelling.pptx
Scrotal and Testicular Swelling.pptx
 
Git perforation
Git perforationGit perforation
Git perforation
 
GENITOURINARY EMERGENCIES
GENITOURINARY EMERGENCIESGENITOURINARY EMERGENCIES
GENITOURINARY EMERGENCIES
 
Perforated peptic ulcer by Dr.K.AmrithaAnilkumar
Perforated peptic ulcer by Dr.K.AmrithaAnilkumarPerforated peptic ulcer by Dr.K.AmrithaAnilkumar
Perforated peptic ulcer by Dr.K.AmrithaAnilkumar
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
ACUTE ABDOMEN pptx
ACUTE ABDOMEN pptxACUTE ABDOMEN pptx
ACUTE ABDOMEN pptx
 
Emergency in Urology [Dr. Edmond Wong]
Emergency in Urology [Dr. Edmond Wong]Emergency in Urology [Dr. Edmond Wong]
Emergency in Urology [Dr. Edmond Wong]
 
Common Urological Emergencies
Common Urological EmergenciesCommon Urological Emergencies
Common Urological Emergencies
 
Management of systemic Childhood disorder.pptx
Management of systemic Childhood disorder.pptxManagement of systemic Childhood disorder.pptx
Management of systemic Childhood disorder.pptx
 
Rectal bleeding
Rectal bleedingRectal bleeding
Rectal bleeding
 
SURGICAL CONDITIONS OF THE PANCREAS.pptx
SURGICAL CONDITIONS OF THE PANCREAS.pptxSURGICAL CONDITIONS OF THE PANCREAS.pptx
SURGICAL CONDITIONS OF THE PANCREAS.pptx
 
Acute Abdomen .pptx
Acute Abdomen .pptxAcute Abdomen .pptx
Acute Abdomen .pptx
 
CME updated.pptx
CME updated.pptxCME updated.pptx
CME updated.pptx
 
tyroid.pptx
tyroid.pptxtyroid.pptx
tyroid.pptx
 
CME LGIB.pptx
CME LGIB.pptxCME LGIB.pptx
CME LGIB.pptx
 
Abdominal injury
Abdominal injuryAbdominal injury
Abdominal injury
 
Esophageal cancer
Esophageal cancerEsophageal cancer
Esophageal cancer
 

More from hamed attia

مرض الكيتوزيس فى الابقار ا.د حامد عطيه
مرض الكيتوزيس فى الابقار ا.د حامد عطيهمرض الكيتوزيس فى الابقار ا.د حامد عطيه
مرض الكيتوزيس فى الابقار ا.د حامد عطيه
hamed attia
 

More from hamed attia (20)

Lumpy skin disease
Lumpy skin diseaseLumpy skin disease
Lumpy skin disease
 
Injection techniques in equines and canines
Injection techniques in equines and canines Injection techniques in equines and canines
Injection techniques in equines and canines
 
Trace element deficiencies in sheep
Trace element deficiencies in sheepTrace element deficiencies in sheep
Trace element deficiencies in sheep
 
المحاذير البيطرية فى العلاجات البيطرية للدكتور حامد عطيه
المحاذير البيطرية فى العلاجات البيطرية للدكتور حامد عطيهالمحاذير البيطرية فى العلاجات البيطرية للدكتور حامد عطيه
المحاذير البيطرية فى العلاجات البيطرية للدكتور حامد عطيه
 
Internal and external parasites prof.dr Hamed Attia
Internal and external parasites prof.dr Hamed AttiaInternal and external parasites prof.dr Hamed Attia
Internal and external parasites prof.dr Hamed Attia
 
أساسيات علم البيطرة فى القرآن الكريم
أساسيات علم البيطرة فى القرآن الكريمأساسيات علم البيطرة فى القرآن الكريم
أساسيات علم البيطرة فى القرآن الكريم
 
Anti inflammatory drugs in farm animals
Anti inflammatory drugs in farm animalsAnti inflammatory drugs in farm animals
Anti inflammatory drugs in farm animals
 
اصنع خطتك الشخصية 1439هـ
اصنع خطتك الشخصية 1439هـاصنع خطتك الشخصية 1439هـ
اصنع خطتك الشخصية 1439هـ
 
برنامج التطعيمات فى الكلاب والقطط
برنامج التطعيمات فى الكلاب والقططبرنامج التطعيمات فى الكلاب والقطط
برنامج التطعيمات فى الكلاب والقطط
 
مجالات عمل للطبيب البيطري فى مجال الادوية د حامد عطيه
مجالات عمل للطبيب البيطري فى مجال الادوية د حامد عطيهمجالات عمل للطبيب البيطري فى مجال الادوية د حامد عطيه
مجالات عمل للطبيب البيطري فى مجال الادوية د حامد عطيه
 
دليل الطبيب البيطرى فى استعمال الادوية البيطرية فى علاج امراض الحيوان المعدية
دليل الطبيب البيطرى فى استعمال الادوية البيطرية فى علاج امراض الحيوان المعديةدليل الطبيب البيطرى فى استعمال الادوية البيطرية فى علاج امراض الحيوان المعدية
دليل الطبيب البيطرى فى استعمال الادوية البيطرية فى علاج امراض الحيوان المعدية
 
مشاكل تناسلية تحدث بعد الولادة وكيفية التعامل معها
مشاكل تناسلية تحدث بعد الولادة وكيفية التعامل معهامشاكل تناسلية تحدث بعد الولادة وكيفية التعامل معها
مشاكل تناسلية تحدث بعد الولادة وكيفية التعامل معها
 
مرض الكيتوزيس فى الابقار ا.د حامد عطيه
مرض الكيتوزيس فى الابقار ا.د حامد عطيهمرض الكيتوزيس فى الابقار ا.د حامد عطيه
مرض الكيتوزيس فى الابقار ا.د حامد عطيه
 
Displaced abomasum
Displaced abomasumDisplaced abomasum
Displaced abomasum
 
خبرات عملية في مزارع الدواجن
خبرات عملية في مزارع الدواجنخبرات عملية في مزارع الدواجن
خبرات عملية في مزارع الدواجن
 
كتاب مفكرة الطبيب البيطرى
كتاب مفكرة الطبيب البيطرىكتاب مفكرة الطبيب البيطرى
كتاب مفكرة الطبيب البيطرى
 
الاعجاز العلمى فى فوائد حليب الابل العلاجية
الاعجاز العلمى فى فوائد حليب الابل العلاجيةالاعجاز العلمى فى فوائد حليب الابل العلاجية
الاعجاز العلمى فى فوائد حليب الابل العلاجية
 
Viral diseases in ruminant
Viral diseases in ruminantViral diseases in ruminant
Viral diseases in ruminant
 
Cesarian section in cow
Cesarian section in cowCesarian section in cow
Cesarian section in cow
 
30 days after calving
30 days after calving30 days after calving
30 days after calving
 

Recently uploaded

Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Dipal Arora
 

Recently uploaded (20)

Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 8250077686 Top Class Call Girl Service Ava...
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
 

Causes, types and treatment of pain in dairy cattle prof.dr hamed attia