Alimentary System Flashcards
What is the predominant disease of dogs and cats?
Neoplasia
What is the predominant disease of horses?
Colic
Normal oral or gastrointestinal mucosa should be?
Smooth and shiny
T/F feces can be a window into the health of the alimentary tract?
True
List four portals of Entry.
Ingestion, coughed up and swallowed, hematogenous, migration through the body.
What is the most common portal of entry?
Ingestion
What pathogen is commonly coughed up and swallowed?
Rhodococcus equi
What is a common parasite that migrates through the body?
Spirocerca lupi
What defense mechanisms does the alimentary tract have?
Saliva, flora, gastric pH, Igs, vomiting, enzymes, phagocytes, high epithelial turnover, increased peristalsis (diarrhea)
What species commonly gets cleft palate?
Bovine (calves)
What are the causes of cleft palate?
Genetics, toxins, teratogenic plants (lupines, poison hemlock), materinal exposure to drugs (mares and queens: griseofulvin, primates: steroids)
What is cleft palate?
Defect in the midline fusion of the palatine shelves.
What is the most common complication of cleft palate?
Aspiration pneumonia
What is a common complication with malocclusions?
Difficulties with prehension and mastication
What is this called?
Cheiloschisis or harelip
What is cheiloschisis?
Harelip
What is brachygnathia?
Shorter lower jaw (overbite).
What is prognathia?
Protrustion of the lower jaw (underbite).
Name the layers of the crown of the tooth.
Enamel, dentin, pulp.
Name the layers of the root of the tooth.
Cementum, dentin, pulp.
What is dental atrition?
Loss of tooth structure due to mastication/chewing.
“Step mouth is most common in…?
Herbivores
What is dental plague?
Bacterial film
What is dental calculus?
Mineralized dental plaque.
T/F: Valvular endocarditis can be caused by periodontal disease?
True, bacteria follow hematogenous spread and can end up in the heart.
Primary diseases of the tongue are rare except for…?
Actinobacillosis (Actinobacillus lignieresii)
What causes “wooden tongue”?
Actinobacillus lignieresii
What do you often see clinically in “wooden tongue”?
Pyogranulomatous glossitis and sometimes involvement of the cheeks and other soft tissues of the mouth.
Gross signs of “wooden tongue” includes..?
Tongue sticking out, nodules (represent the pygranulomatous inflammation).
What is the etiologic agent of thrush?
Candida spp. (especially C. albicans)
What is a common cause of thrush?
Treatment with antibiotics for long periods of time.
What is a characteristic appearance of thrush?
A yellowish membrane and yeast and hyphae under the microscope.
What causes lingual lesions?
Systemic diseases (eg. renal disease, BVD, FMD)
What is shown here?
Ulcerative and necrotizing glossitis (due to uremia).
List 5 causes of stomatitis.
Infectious agents, trauma, chemical injury, auto-immune, idiopathic.
What type of stomatitis are cats most likely to develop?
Lymphoplasmacytic gingivitis.
What do cats that have lymphoplasmacytic gingivitis often also have?
FeLV or FIV
What does feline chronic gingico-stomatitis (FCGS) look like?
Oral pain, dysphagia, ptyalism (excessive salivation) and weight loss.
What causes feline cronic gingivo-stomatitis?
Etiology is unclear, dental plaque, FCV and immune-mediated appear to be involved. It’s also commo in FIV cats.
Who most commonly gets chronic ulcerative (lympho-plasmacytic) paradental stomatitis?
Older dogs.
What is chronic ulcerative paradental stomatitis?
Gingival inflammatino (related to plaque) and ulceration of oral mucosa.
What is a vesicle?
Raised lesion up to 1cm, filled with serous fluid.
What is a bulla?
A raised lesion larger than 1 cm, filled with serous fluid.
What can be ruled out by seeing vesicles in the oral cavity of dogs and cats?
Immune-mediated diseases. In cats, often result of calicivirus.
What can be ruled out with vesicles in the oral cavity of large animals?
Major viral diseases that cause economic loss.
What is the pathogenesis of vesicular stomatitides?
Viral induced epithelial damage > intracellular edema (balooning degeneration) > vesicles > bullae > rupture > erosion and ulceration.
What is this?
Vasicular glossitis.
What does FMD (Picronavirus) affect?
Cloven-hoofed animals (ruminants and pigs). NO HORSES
What does vesicular stomatitis (VS, Rhabdovirus) affect?
Ruminants, pigs and horses.
Note: Not as bad as FMD, but still have to notify authorities.
What does vesicular exanthema of swin (VES, Calicivirus) affect?
Only pigs.
What does swine vesicular disease (SVD, Enterovirus) affect?
Only pigs.
Is FMD an exotic disease?
Yes.
T/F: FMD is highly contagious with high morbidity and high mortality.
False, FMD is highly contagious with high morbidity and LOW mortality.
How is FMD acquired?
Ingesting/inhalation.
Where do FMD lesions develop?
In areas subjected to mchanical injury.
What are the clinical signs of FMD?
Excessive drooling (ptyalism) and lameness.
What are these pictures of?
FMD
What is a common finding (and NAVLE question) in young animals with FMD?
“Tiger heart”/myocardial necrosis
What are the two erosive-ulcerative stomatitides?
BVD in cattle and malignant catarrhal fever.
What are papular stomatities?
Proliferative lesions with coin-shaped papules and ulcers.
What causes papular stomatitis?
Parapoxvirus (closely related to pseudocowpox).
What does contagious ecthyma (orf) cause?
Loss of conditino becasue animals neither suckle nor graze (sore mouth). High morbidity, low mortality.
What is contagious ecthyma most common in?
Lambs and goats 3-6 months of age.
Where do you see contagious ecthyma lesions?
Lesions develop in sites of trauma.
T/F: Contagious ecthyma is not zoonotic?
False.
What causes oral necrobacillosis?
Fusobacterium necrophorum.
What clinical signs do you see with necrotizing stomatitis?
Characteristic grey-ish caseous necrosis. Nothing else causes this much necrosis.
What is this?
Necrotizing stomatitis.
What is another name for oral necrobacillosis in the calf?
Calf diptheria.
What is a common sequelae of oral necrobacillosis?
Animals can aspirate necrotic tissue.
What is a feline eosinophilic granuloma?
An ulcerative and granulomatous lesion anywhere in the oral cavity.
What does feline eosinophilic granuloma complex include?
Eosinophilic granulomas, labial and rodent ulcers.
What is this?
Eosinophilic granuloma.
What causes eosinophilic ulcers?
Most likely immune mediated exposure.
What is this?
Eosinophilic ulcer.
What is an eosinophilic granuloma?
A proliferative lesion, with granulomatous inflammation with a high number of eosinophils.
T/F: Eosinophilic granulomas respond to glucocorticoid therapy.
True.
Who is most likely to get gingival hyperplasia?
Mostly dogs, especially brachycephailc breeds. Major in boxers.
What is an epulis?
Tumors of periodontal ligament-type stroma.
NOTE: Still controversial if true neoplasm or not.
What are fibromatous and ossifying epulis?
Benign tumors. The two look similar, but ossifying may have osseous metaplasia.
What is an acanthomatous ameloblastoma?
Locally agressive apulis, can often recur.
Describe canine oral papillomatosis?
A transmissible papovavirus-induced papilliform or caulliflower-type lesions. They regress spontaneously and immunity is long lasting.
Who is most often affected by canine oral papillomatosis?
Animals younger than 1 year-old.
Describe an oral papilloma.
Thick keratinized stratified squamous epithelium with a pedunculate connective tissue core.
In what species is an oral melanoma most common?
Dogs
Approximately what percentage of oral melanomas in dogs are malignant?
90%
What are predisposing factors to oral melanoma?
Smaller breeds and oral pigmentation.
What is the most common location for an oral squamous cell carcinoma?
The tongue, can also arise from tonsils.
What route would a squamouscell carcinoma metastasize?
Lymph.
Remember: Sarcomas tend to go hematogenous first, carcinomas go lymph.
What causese congenital megaesophagus?
Persistent right aortic arch
What breed is predisposed to persistent right arotic arch?
German shepherds
What age group will you see persistent right aortic arch in?
Young dogs (remember, PRAA causes CONGENITAL megaesophagus).
What clinical signs will you see with congenital megaesophagus?
Weight loss, regurgitation and retching.
What is a common cause of death for animals with congenital megaesophagus?
Aspiration pneumonia.
What is this?
Congenital megaesophaguse due to persisten right aortic arch.
What can acquired megaesophagus be a manifestation of?
Myasthenia gravis.
What is a common cause of death with acquired megaesophagus?
Aspiration pneumonia.
What is choke?
Foreign material completely obstructs the lumen of the esophagus, compression necrosis can be seen.
What are two common locations for choke to occur?
Dorsal to the larynx and in the thoracic inlet.
What will you see with an animal that has choke?
Can’t eat, drink or eructate (bloat!!), see retching, hypersalivation (ptyalism), and regurgitation (if the blockage is in the thoracic inlet and ingesta can get that far)
What do you see on necropsy in cases with acid reflux?
Linear ulceration of the esophageal mucous membrane.
What is a common cause of ulcerative erosions in the esophagus?
BVD
What do you see on necropsy with ulcerative erosion of the esophagus?
Small, oval-shaped ulcers.
What is parasitic esophagitis?
Chronic, granulomatous esophagitis caused by Spirocerca lupi.
What else can you see with parasitic esophagitis?
Tumour development (osteous and fibrous).
What clinical signs will you see with parasitic esophagitis?
Dysphagia, painful swallowing, etc.
What is rumenal tympany?
Bloat
What is the cause of primary rumenal tympany?
New diets (usually high in CHO) that promote formation of stable foam.
What causes secondary rumenal tympany?
Physical or functinoal obstruction of the esophagus resulting in failure to eructate.