Severe Ketoacidosis at 40 Days in Milk

In Clinical Cases/Images/Metabolic Disorders, a new interesting case: a Holstein cow presents with severe ketoacidosis at approximately 40 days in milk. On clinical examination, the animal appears apathetic, with poor body condition (BCS 2.5), reduced rumen fill, and mild hypothermia…
Given the animal’s precarious general condition, having been in this pathological state for several days, a diagnostic workup of the metabolic status is necessary to adequately complete the clinical and prognostic evaluation of the case.
What will the final outcome be?
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