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Includes fields for animal identity, age, sex, and clinical history indicators covering normal checks, morbidity and mortality, respiratory, urinary, nervous, metabolic, reproductive, skin and systemic signs. Provides options for diagnostic panels, sample containers, and requested laboratory tests across haematology, biochemistry, toxicology, microbiology, PCR, serology/virology, urinalysis, pathology and 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information is required to complete the Production Animal Submission Form?","Question",{"text":112,"@type":113},"The form collects veterinarian/practice details, owner and address, clinic reference, species and breed, and sample collection date, along with animal name/ID, age, and sex.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does the form guide selection of clinical history and diagnostic testing?",{"text":117,"@type":113},"It provides checkable clinical history categories and multiple diagnostic panel options, then lists laboratory test options for haematology, biochemistry, toxicology, microbiology, PCR, serology/virology, and related specialties.",{"name":119,"@type":110,"acceptedAnswer":120},"What sample handling and container information does the form include?",{"text":121,"@type":113},"It includes sections for diagnostic panels with instructions for panel breakdown and specifies containers received (e.g., heparin, grey top, red top serum, EDTA, slide, blue top citrate, swab, urine, faeces, fresh or fixed tissue).",{"name":123,"@type":110,"acceptedAnswer":124},"Which advanced test types are available on the form?",{"text":125,"@type":113},"The form lists PCR-related panels and tests, serology/virology panels with time-range groupings, and pathology options such as histology single or multiple tissues and necropsy-related 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Species: Bovine Ovine Caprine Porcine Cervine Other: |\n| Breed: |\n\n| FORM ID: LAB USE ONLY DO NOT COVER |\n| --- |\n| Date Sample Collected:\u003Cbr>/ / |\n| Animal Name / ID: |\n| Age: year(s) month(s) |\n| Sex: |\n\n\n| Clinical History | | | | | | | | | |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| | Normal Animal Check | | Anorexia | | Abortion/Stillbirth | | Alimentary System Signs | | Skin Lesions/Photosensitivity |\n| | Found Dead/Unexpected Death | | Diarrhoea/Dysentery | | Congenital Abnormalities | | Metabolic/Recumbent | | Pruritus |\n| | Mass Mortality | | Ill Thrift/Weight Loss | | Genital Lesions | | Jaundice | | Nasal Discharge |\n| | Nervous Signs | | Production Drop | | Infertility | | Lameness | | Vesicles/Ulcers of Mouth/Drooling |\n| | Respiratory | | Weakness/Depression | | Perinatal Losses | | Febrile | | Musculoskeletal Signs |\n| | Urinary | | Circulatory/Anaemia/Oedema | | Mastitis | | Lymphoreticular/Lymphadenopathy | | Trauma |\n| No. at Risk\u003Cbr>\u003Cbr>No. Affected\u003Cbr>\u003Cbr>No. Dead\u003Cbr>| | | | | | | | | |\n\n\n| Diagnostic Panels\u003Cbr>Panel breakdown on reverse | | |\n| --- | --- | --- |\n| | Comprehensive Sick & CBC | |\n| | Comprehensive Sick (Biochem only) | |\n| | Metabolic Panel | |\n| | Ruminant Liver Panel | |\n| | Full Recumbent Cow Panel | |\n| | Recumbent Cow Monitor Panel | |\n| | Ruminant FE Monitor Panel | |\n| | Transition Cow Energy Panel | |\n| Mineral/Trace Element Proļ¬les Panel breakdown on reverse | | |\n| | Drying off Cow Panel 1 (with Liver Biopsies) | |\n| | Drying off Cow Panel 2 (serum) | |\n| | Milking Cow Panel (serum) | |\n| | Young Ruminant Panel (serum) | |\n| | + Add Serum B12 (5 samples) | |\n| | + Add Liver B12 (5 samples) | |\n| Haematology Panel breakdown on reverse | | |\n| | CBC & Fib smear + | |\n| | Fibrinogen | |\n| | HCT, HB, RCC, WCC | |\n| | Theileria Panel | |\n| | Theileria Smear Exam only | |\n| Production Biochemistry | | |\n| | B12 (Cobalt) - (circle) Liver / Serum | |\n| | BOH Butyrate | |\n| | Calcium | |\n| | Copper- (circle)\u003Cbr>Liver / Serum / Plasma | |\n| | Ferroxidase- (circle) Serum / Plasma | |\n| | GPx | |\n| | Iodine | |\n| | Magnesium (Serum/Urine) | |\n| | NEFA | |\n| | Pepsinogen | |\n| | Phosphate | |\n| | Selenium- (circle)\u003Cbr>Liver /Serum / Whole Blood | |\n| | Total T4 | |\n| | Zinc-Liver / Serum (circle) | |\n| Toxicology | | |\n| | FE Spore Count (Grass/Faeces) | |\n| | Nitrate (Plant) | |\n| | Lead (EDTA) | |\n| | Cyanide | |\n\n| Previous Case No: | | | | | |\n| --- | --- | --- | --- | --- | --- |\n| Clinical Particulars (the more information provided helps the diagnosis): | | | | | |\n| | | | | | |\n| | | | | | |\n| | | | | | |\n| Biochemistry | | | Microbiology | | PCR More PCR Tests/Panels on reverse Abortion PCR Tests/Panels Overleaf A2 ear notch Border Disease (Hairy Shaker) BVDAg ear notch Freemartin IBR swab Leptospira M. bovis see over MCF Staph. aureus milk Theileria Toxoplasma see over Tritrichomonas foetus see over Cytology Smear Cytology Site(s): Fluid Analysis Site(s):\u003Cbr>Containers Received (circle) Small Medium Large Sent Recd Samples Submitted Heparin (Green Top) Fl. ox (Grey Top) Serum (Red Top) EDTA (Purple Top) Slide Citrate (Blue Top) Fluid (Red Top) Fluid (Purple Top) Swab Urine Faeces Fresh Tissue Fixed Tissue Hair Milk Other: |\n| | Albumin | | | Aerobic Culture | |\n| | AST | | | Aerobic Culture & Sensitivity | |\n| | Bicarbonate | | | Anaerobic Culture | |\n| | CK | | | Milk Culture | |\n| | Creatinine | | | Milk Culture & Sensitivity | |\n| | GLDH | | | Campylobacter | |\n| | GGT | | | Salmonella | |\n| | IgG \u003C 3 wks\u003Cbr>(Colostral Transfer)\u003Cbr>| | | Yersinia | |\n| | | | | Fungal Culture | |\n| | | | ","cbCainzKDwTe6yWd","https://ap.wps.com/l/cbCainzKDwTe6yWd","pdf",221037,"English","# Submission details\n## Clinical history\n## Diagnostic panels and laboratory tests\n## Microbiology, PCR, and serology/virology\n## Pathology, urinalysis, and necropsy","[{\"question\":\"What information is required to complete the Production Animal Submission Form?\",\"answer\":\"The form collects veterinarian/practice details, owner and address, clinic reference, species and breed, and sample collection date, along with animal name/ID, age, and sex.\"},{\"question\":\"How does the form guide selection of clinical history and diagnostic testing?\",\"answer\":\"It provides checkable clinical history categories and multiple diagnostic panel options, then lists laboratory test options for haematology, biochemistry, toxicology, microbiology, PCR, serology/virology, and related specialties.\"},{\"question\":\"What sample handling and container information does the form include?\",\"answer\":\"It includes sections for diagnostic panels with instructions for panel breakdown and specifies containers received (e.g., heparin, grey top, red top serum, EDTA, slide, blue top citrate, swab, urine, faeces, fresh or fixed tissue).\"},{\"question\":\"Which advanced test types are available on the form?\",\"answer\":\"The form lists PCR-related panels and tests, serology/virology panels with time-range groupings, and pathology options such as histology single or multiple tissues and necropsy-related examinations.\"}]","Production Animal Submission Form - Version 2024-04 - April 2024 | PDF",1791007816]