Holstein cow 15 days post-calving in sternal recumbency, unable to rise, not eating, not drinking, and not ruminating. History reports that she was already treated the previous day with an IV calcium solution and oral calcium and phosphorus boluses.
Mastitis and traumatic musculoskeletal damage have been ruled out.
The presence of moderate ruminal bloat, absence of transit and feces, and the animal's withdrawn demeanor suggest metabolic paresis, with probable calcium and potassium deficiency.
