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16 Month Old Heifer, failed to get pregnant after 3 AI attempts - Coggle…

- - - - Signs of systemic disease (low BCS, fever, lethargy etc.)
        
        CBC/CHEM
        
        Viral PCR Panel
        
        Hormonal Disease
        
        Hormone panel
        
        3 more items...
        
        Systemic Disease
        
        BVDV
        
        IBRV
        
        metabolic disease
        
        can also lead to
      - Rectal palpation w/ Ultrasound
        
        Abnormal
        
        Broad band connecting body of uterus to cranial portion of enlarged uterine horn
        
        Free Uterine Fluid
        
        Flocculent Fluid
        
        Vaginal Discharge
        
        Endometritis
        
        Anechoic Fluid, Isolated
        
        Segmental Aplasia
        
        Normal
        
        Pregnant
        
        Not pregnant
        
        Ovaries
        
        Abnormal
        
        Corpus Luteum
        
        1 more item...
        
        Small Ovaries
        
        1 more item...
        
        1 Large Ovary +1 small Ovary
        
        1 more item...
        
        "static" ovaries on repeat examination + ovaries NOT >10 mm
        
        1 more item...
        
        Slightly enlarged "follicles" + NO CL
        
        1 more item...
        
        Normal
        
        No evidence Ovulation on repeat exams or Progesterone Assays
        
        1 more item...
      - Vaginoscopy (Cervix & Vagina Evaluation)
        
        Normal; Continue with PE and rule out/in other pathologies
        
        Abnormal
        
        Double Cervix
      - Poor Uterine Environment
  - - - Fescue toxicity
      - nutritional/diet insufficiency
      - Herd Infectious Disease
      - Heat Stress
    - - Improper
      - Proper