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. 2024 Sep 13;11(9):433. doi: 10.3390/vetsci11090433

Table 4.

Data organization for analysis in veterinary clinical encounters using the example encounter of Margery’s udder problem. Please note that only individual patient problems are presented here; population-level problems are skipped. Yet, the purchase of 10 cows is significant, as these may be a source of infection for the domestic population.

Step 1 Step 2 Step 3
List of Context/Clinical Data Collected Data Categorization Clinically Relevant Data Clustering
Category Information Indicative of
Experienced dairy farmer Extraneous Margery, 5-year-old, Holstein cow Signalment
Margery, 5-year-old, Holstein cow Signalment Margery is valuable
Used as an embryo donor
Recurrent mastitis Specific
Changes in milk composition but otherwise healthy Specific Recurrent mastitis Involvement of the mammary gland
A previous bout of mastitis 3 weeks ago Specific Changes in milk composition but otherwise healthy
Both rear quarters affected. No other recorded health problems Specific A previous bout of mastitis 3 weeks ago
Purchased 10 cows from another producer (old shed and increasing somatic cell count) Extraneous
The current herd consists of 600 milking cows Non-specific
Other cows with clinical mastitis and 3 replacement neonatal calves with fever and head tilt, euthanized Specific
NAD Environment Extraneous
NAD husbandry (Milking machine thoroughly washed after each cycle) Extraneous Margery is bright and alert No generalized malaise; No fever
Margery is bright and alert Non-specific TPR + mentation NAD
No increased heat, pain, or swelling in the affected quarters Non-specific No signs of pain
Milk composition from both rear quarters: watery with small flecks Specific Immunized against common BRD pathogens
Mrs Do concerned with Margery’s welfare Extraneous The current herd consists of 600 milking cows Likely to be contagious
Margery is valuable
Used as an embryo donor
Signalment Other cows with clinical mastitis and 3 replacement neonatal calves with fever and head tilt, euthanized
Purchased 10 cows from another producer (old shed and increasing somatic cell count)