The Faculty of Veterinary Medicine of Milan

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The Faculty of Veterinary Medicine of Milan
Established in 1791 Since 1927 is part of the
State University of Milano 6 Degree courses in
the field of Veterinary Sciences 155 teachers,
2.500 students
The Faculty of Veterinary Medicine of Milano in
1927
Our mission - to develop an academic community
that fosters scholarly activity and encourages
interaction of academic world ant the society in
order that veterinary sciences (Veterinary
Medicine, Animal Husbandry, Animal Derived
Foodstuff, Veterinary Biotechnology) may be
imparted to students, expanded by research, and
extended to the public for the benefit of animal
and human health and for the preservation of the
environment.
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The Veterinary Teaching Hospital in Lodi Since
2005 Made with the support of State University of
Milano, Lombardia region, Province and
Municipality of Lodi
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• The Faculty of Veterinary Medicine of Milano-Lodi
  and a project of Veterinary TeleMedicine
• What is Veterinary TeleMedicine?
• The ability to send veterinary medical data using
  any form of communication interface, from the
  patient to any other site
• Pictures or video of clinical cases
• Imaging x-ray, ultrasonography, CT, MRI or
  other
• Pictures of gross lesions
• Pictures from histological or cytological
  samples
• Any biomedical information

A little unit of Veterinary TeleRadiology is
already present in Veterinary Faculty
SkypeTM
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Veterinary TeleMedicine as in human being

• Is a point-to-point telemedicine system
• Symmetric
• - no distinction between nodal and referral
  centers
• - any clinic can communicate to other clinics
• - second level referral is allowed
• Multi nodal, multi referral environment
• Operates over a spectrum of low to high
  bandwidth communication channels

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Veterinary TeleMedicine as in human being

• Store and forward technical informations
• Online video conferencing and data transfer
• Electronics Medical Record (EMR) Supported
• - Text, Image, Graphics, Audio, Video
• Integration with different medical instrument
• EEG, ECG, USG, MRI, CT SCAN, Microscope with
  digital camera, others
• Support of medical standards

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Ultrasound pregnancy in camelNormal aspect of
the foetus
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Friesian heifer, 5 months old, 150 kg ( 330
pounds)
CASE HISTORY swinging hindleg lameness
RADIOLOGICAL DIAGNOSIS luxation of the
coxofemoral joint in the blue circle is observed
the acetabulum while in the red circle the
femoral head
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Friesian cow, 1½ years old, 450 Kg ( 990 pounds)
CASE HISTORY non-weight-bearing lameness
RADIOLOGICAL DIAGNOSIS traumatic infectious
arthritis the probe (red arrows) is into the skin
wound. There is osteomyelitis of the medial
metacarpal-phalangeal joint and septic
periostitis (yellow arrows). Multiple gas-capped
fluid level indicates the presence of abscesses
in the swollen soft tissues (white arrows)
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M
M
M
Friesian cow, 3 years old, 700 kg (1540 pounds)
CASE HISTORY stop eating and chewing her cud.
The grunt test was positive
RADIOLOGICAL DIAGNOSIS sand in the reticular
cups allows good identification of the mucosal
profile of the reticulum (white arrows). A
standard lozenge-shape bolus magnet (M) is lying
superimposed on the floor of the reticulum.
Several metallic foreign bodies are adhered to
the magnet, with one of them has probably
penetrated the reticular wall
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Clinical history Persistent high fever ,
photophobia, anasarca, diarrhoea, and generalized
lymphoadenopathy. Followed by a progressive
thickening of the skin, exudation, fissuring, and
the development of a marked alopecia. Macroscopic
findings the skin is thick, alopecic,
lichenified, scaly, and focally ulcerated.
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Cytologic description presence of numerous free
protozoal organism, crescent-shaped, (5-7µm),
with bluish cytoplasm and small eccentric
nuclei. Name of the disease, ethiology skin
besnoitiosis (Besnoitia besnoiti) Comment B.
besnoiti is an obligate intracellular coccidian
protozoa. Cattle serve as intermediate hosts of
B. besnoiti . Clinical besnoitiosis in cattle is
characterized by two sequential stages an acute
febrile stage and a chronic seborrheic stage.
Fine needle aspiration of cutaneous lesions,
May-Grünwald Giemsa stain. Numeous bradyzoites of
B. besnoiti. Few lymphoid and monocytoid cells
are also present.
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Clinical history fever and respiratory signs in
a group of adult cattle. 30 of animals affected,
15 of mortality. Necropsy findings
sero-fibrinous exudate in the pleural space. Area
of consolidation in the basal lobe of the lung
with red/gray lobules and enlargement of the
interstitial tissue Picture sent lung from a
cattle, basal lobe, cut surface.
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Morphological diagnosis Locally extensive,
severe, subacute fibrinous pleuropneumonia Name
of the disease, ethiology Contagious bovine
pleuropneumonia (CBPP), Mycoplasma mycoides subs.
mycoides Suggested confirmatory laboratory tests
bacteriological culture from lung (need
refrigeration), serology. Immunohistochemistry on
formalin fixed samples (can be sent to our labs
without refrigeration)
Positive immunohistochemical staining for
Mycoplasma mycoides subs. mycoides antigen (in
brown)
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KEY MESSAGE

• New technology must be relevant for successful,
  but it has not to be substitute for well -
  trained staff in the right place at the right
  time

Algeria School of Veterinary Medicine in a
refugee camp Teacher shows instruments for
surgery
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KEY MESSAGE

• Delegation of key skills to an emerging and
  evolving veterinary profession and animal
  husbandry appears essential to the objectives of
  veterinary telemedicine

Teacher shows to the students a vaginal prolapse
in a goat