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Table 1 Diagnostic criteria for 5 disease categories.

From: Field Study of Dairy Cows with Reduced Appetite in Early Lactation: Clinical Examinations, Blood and Rumen Fluid Analyses

Group

Diagnosis

Criteria

K

Ketosis

Ketotest = 2 or 3

I

Indigestion

Ketotest = 0 or 1

At least one deviating rumen fluid parameter:

-Methylene blue reduction time > 3 min

-Few large or small protozoa

-Reduced protozoan activity

K+I

Ketosis and indigestion

As above for both "Ketosis" and "Indigestion"

L

Liver disease in addition to ketosis, and/or indigestion

In addition to "Ketosis", "Indigestion", or both – Two or more increased liver parameters:

-AST > 125 U/l

-GD > 63 U/l

-GGT > 46 U/l

-Total bilirubin > 6 μmol/l

N

No specific diagnosis

Ketotest = 0 or 1. No deviating rumen fluid or liver disease parameters