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Pre-hepatic, hepatocellular, or post-hepatic jaundice?

A Holstein cow approximately 30 days postpartum: significant drop in production, anorexia, fatigue and difficulty standing up, sunken eyes, dry muzzle and nostrils smeared with mucus, rumen poorly filled and inactive. In the previous weeks, she was treated for severe ketosis and postpartum metritis…
Clinical case

30 August 2018
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