Fillable RVL Submission Form04102018 (Department of Agriculture, Food and the Marine)

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RVL Submission Form04102018 (Department of Agriculture, Food and the Marine)

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Country of origin: IRELAND
File type: PDF

Ireland forms for Department of Agriculture, Food and the Marine

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Clinical Submissions to the
Regional Veterinary Laboratories
Athlone (090) 6441900 Dublin (01) 6157115 Limerick (061) 582610
Cork (021) 4819970 Kilkenny (056) 7721688 Sligo (071) 9195800
For Office
Use Only
SDG:
NAME AND ADDRESS OF PRACTICE
DATE SAMPLES TAKEN:
NAME AND ADDRESS OF OWNER
HERD NUMBER:
GDPR data notice: Please be aware, and notify those whose personal data is being submitted to us, of the availability of
the DAFM laboratory service privacy statement at: https://tinyurl.com/yakw84yo
NUMBER OF ANIMALS SPECIES
Note that full owner details and animal identification are required. A separate form is required for each species.
Animal Identification
Identification-Tag No. Sample-Tube code Age Breed Sex Comments
By law samples submitted by post must be wrapped in absorbent material and placed in leak proof containers
Nature of Submission
Bloods
Serum:
EDTA:
LH:
Other:
Skin
Scraping:
Hair:
Wool:
Other:
Fluids
Milk:
Urine:
Eye Fluid:
Faeces:
Swabs
Nasal:
Other:
Carcass Parts
Clinical Signs:
Clinical Signs: Duration of Illness:
Treatment Given: Tentative Diagnosis:
1
Serology: (Serum required)
Leptospirosis
Neosporosis
Salmonellosis
BVD Ag (ELISA)
a
BVD Ab (ELISA)
Toxoplasmosis
EAE ELISA
Q fever ELISA
Johnes Disease(ELISA)
Schmallenberg ELISA
BHV-1 gB ELISA
b
BHV-1 gE ELISA
BHV-4 ELISA
BRSV ELISA
BPIV-3 ELISA
BCoV ELISA
Maedi Visna ELISA
Equine Viral Arteritis
Enzootic Bovine Leukosis
a
Note that BVD eradication scheme
samples need to be submitted to Sligo
RVL on the dedicated AHI form – see the
AHI website
b
If vaccinated use gE test
Bacteriology: (Swabs/Tissue required)
Foetal stomach contents culture
Mastitis culture & sensitivity
Routine culture & sensitivity
Anaerobic culture
Salmonella culture
C. abortus PCR (coat/cotyledon swab)
Toxoplasma PCR
C. perfringens ELISA (Int. content)
C. novyi
a
C. chauvoei
C. septicum
C. sordelli
Johne’s culture
TB culture
ZN stain
Brucella culture
Fungal culture
Mycoplasma bovis PCR
M. ovipneumoniae PCR
Histophilus somni PCR
Mannheimia haemolytica PCR
Pasteurella multocida PCR
Biberstenia.trehalosi PCR
a
Separate Acetone-fixed slide required
for each Clostridial FAT
Blood Biochemistry (Serum required)
A/G Ratio
Albumin
Globulin
Total protein
AST
ALT
GGT
GLDH
ALP
CPK
BHB
ZST (Animals <2wks old)
Calcium
Magnesium
Phosphorus
Copper
Urea
Bilirubin
Blood Lead
a
Selenium/GSPx
b
Glucose
c
a
L-H blood sample required
b
L-H blood sample required
c
Ox. Flouride or Na Fluoride requited
Parasitology
Faeces ( >10g required)
Strongyle Eggs
Nematodirus
Coccidia (>3ks old)
Rumen/Liver Fluke Eggs
Lungworm
Cryptosporidium sp
Giardia sp
Skin/Wool
Ectoparasites
Ringworm
Blood (EDTA blood sample)
Babesia divergens PCR
Anaplasma phagocytophilum
(Tick Borne Fever) PCR
Neonatal Enteritis Package
Whole package
Salmonella
K99 Ecoli (up to 1 wk of age)
Sensitivity
Cryptosporidium
Coronavirus
Rotavirus
Campylobacter (< 2wks of age)
Virology
Bovine respiratory virus PCR
Plain moistened swab required.
Pooling of 5-6 swabs from a group is
recommended (BHV1, BHV4,
BRSV, BPIV3, BVD, BCoV)
MCF PCR (EDTA sample)
Tissue Biochemistry (Fresh Tissue)
Kidney Lead
Liver Copper
Kidney Selenium
Further tests will be added to this
list as they become available. New
equipment is currently being
installed and tested.
Urinalysis
Routine Exam
a
a
>10 mls required
Haematology (EDTA sample)
With diff. WBC count
a
Without diff. WBC count
a
Samples should be less than 24hrs old
Histopathology
Biopsy Interpretation
a
a
Tissues should be fixed in formalin
for 3-4 days prior to postage. Full history
required.
AI/Export
For AI/Export
a
a
If test is for AI/export this should be
clearly marked in red.
This list of tests is not exhaustive. For further information on tests available contact your RVL or log on to www.agriculture.gov.
ie/virology
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2
Please note that the details of the first eight animals on page 1 are automatically recorded in this page. There is no need to forward this
page (3) to the RVL if your submission consists of less than eight animals.
Animal Identification
Identification-Tag No. Sample-Tube code Age Breed Sex Comments
Veterinary Laboratory Service, DAFM :
https://www.agriculture.gov.ie/animalhealthwelfare/laboratoryservices/
3
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RVL Submission Form04102018 (Department of Agriculture, Food and the Marine)

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Completed 21 July 2020

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