34. Ischemic and nephrotoxic tubulonephrosis. Chronic copper toxicosis in sheep. Flashcards

1
Q

Is kidney sensitive to ischaemia?

A

yes

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2
Q

causes of ischaemic tubulonephrosis

A
  • decrease in perfusion
  • damage to basal membrane
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3
Q

why is regeneration not good in case of basal membrane damage?

A

normally cells regenerate from basement membrane

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4
Q

causes of a decrease in perfusion

A
  • decrease circulating volume
  • decrease systolic volume (cardiac failure)
  • altered systemic or renal vessel wall resistance (anaphylaxis)
  • increase of blood viscosity
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5
Q

why can regeneration is usually possible in case of toxic tubulonephrosis

A

basal membrane is usually intact

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6
Q

regressive changes of toxic tubulonephrosis

A
  • loss of brush border
  • hazy swelling, vacualor deganeration
  • apoptosis or necrosis
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7
Q

toxic tubulonephrosis due to clostridium perfigens toxins

A

Pulpy kidney disease (PKD)

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8
Q

which part of kidney is most & least resistant?

A

glomerules are more resistant
tubules are more susceptible to damage

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9
Q

conditions for a regeneration in kidney?

A
  • basal membrane is intact
  • enough intact cells
  • pathogen is removed
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10
Q

how long does a complete regeneration of tubules take?

A

21-56 days

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11
Q

predisposing factor of cooper toxicosis

A

stress

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12
Q

what happens in copper toxicosis

A
  • released in circulation from hepatocytes
  • hemolysis
  • hemoglobin nephrosis
  • hypoxia
  • regressive changes of tubular epith
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13
Q

organs suffering in copper toxicosis

A
  • liver
  • spleen
  • kidney (dark gunmetal color)

all swollen

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14
Q

which is causative agent of pulpy kidney disease

A

Clostridium perfingens D

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15
Q

where can we find the highest conc of toxins in kidney

A

glomerulus

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