Animal Medicine 2 Flashcards
Modified neurons in the hypothalamus produce two hormones:
oxytocin, ADH
Pituitary Gland (Hypophysis) “master gland” has two separate structures which are?
Anterior (adenohypophysis):
- Derived from glandular tissue
- 7 hormones produced when stimulated by the hypothalamus & direct feedback from target organs & tissues
Posterior (neurohypophysis):
- Derived from the nervous system
- Does not produce hormones
- Stores and releases two hormones (produced by the hypothalamus)
Adrenal cortex produces too much glucocorticoid hormone(cortisol), Excessive administration of glucocorticoid drugs
Hyperadrenocorticism (Cushing’s Syndrome)
Deficiency of adrenocortical hormones
Sudden withdrawal of corticosteroid drugs that have been given long-term
Hypoadrenocorticism (Addison’s Dz)
Inner portion derived from nervous tissue, Two very similar hormones are produced Epinephrine, Norepinephrine
adrenal medulla
The two methods that control hormone secretion are?
1) Negative Feedback Systems (ex thyroid gland)
2) Direct stimulation from the nervous system (ex adrenal medulla)
Most commonly diseased organs in ___
SA (thyroid, adrenal, pancreas, parathyroid and gonads)
The thyroid gland produces what?
T3 and T4 produced and stored in gland, Also produces calcitonin
Most common endocrine dz in cats is?
hyperthyroid (cause is unknown)
Beta cell tumor hypersecretion of insulin
insulinoma
Adrenal gland cortex produces what hormones?
glucocortiocoids (cushings), mineralcorticoids, androgenic (sex) hormones
What does the parathyroid hormone do?
1) Stimulates bone resorption
2) Renal calcium resorption
3) Mediates intestinal calcium absorption
What’s the most common endocrine disease in birds?
thyroid
Helps maintain normal blood calcium level by exerting an effect opposite to that of calcitonin -> helps prevent hypocalcemia
Parathyroid Hormone (PTH) or Parathormone
T/F Parathyroid disease is a primary disease usually from adenoma or carcinoma, which many animals will not show any signs
true
Pancreas:
1) ____ – “pushes” blood glucose into cells -> lowers blood glucose
2) ___– effects are opposite those of insulin -> stimulates liver to convert glycogen to glucose & stimulates gluconeogenesis -> raises blood glucose
3) _____ – inhibits secretion of insulin & glucagon and reduces activity of gi tract
1) insulin
2) glucagon
3) somatostatin
Regulation of blood levels of glucose by beta cells (islets of Langerhaans) and produces insulin
pancreas
Which gland acts as a bridge between the nervous system and the endocrine system?
Pituitary gland
List two clinical signs seen in pets suspected of having hyperthyroidism.
- Weight loss with increased appetite
- Polyphagia
- Vomiting
- Tachycardia w/ or w/o murmur
Pertaining to Addison’s disease, what gland is malfunctioning?
Adrenal gland (cortex)
With Addison’s disease, what group of chemicals is not being secreted adequately?
Mineralcorticoids
Which endocrine disease can be caused by either a pituitary gland or an adrenal gland tumor in dogs?
Hyperadrenocorticism (Cushing’s Dz)
Which domestic species is presented most commonly for hypothyroidism? hyperthyroidism? Insulinoma?
Dog, Cat, Ferret
What is the difference between diabetes mellitus (DM) and an insulinoma with regards to lab results?
-DM: hyperglycemia, +/- decreased insulin levels; -insulinoma: hypoglycemia, increased insulin
List the 2 endocrine diseases that are very commonly seen in pet ferrets in the United States.
AAE/Hyperadrenocorticism, insulinoma
Avian thyroid problems result primarily from what husbandry issue
all seed diet
Besides administration of insulin, treatment of DM involves regulation of the pet’s ____
diet
Diabetes insipidus results from a deficiency of or lack of response to which hormone?
ADH
Clinical signs of periodontal disease
- Halitosis
- Reluctance to chew
- Pawing at mouth
- Nasal discharge
- Facial swelling
- Tooth loss
Lip-Fold Dermatitis: signs, cause, prevention
- Common in breed with pendulous upper lips and prominent lower lip folds
- Constant moisture from saliva creates environment for bacterial growth
- halitosis, debris collection
- clean area/keep dry
Salivary Mucocele: signs, cause, prevention
- Accumulation of excessive amounts of saliva in the SC tissue and the subsequent tissue reaction (Young adult dog dz most commonly GSD and miniature poodles)
- Slowly enlarging, nonpainful, fluid swelling on neck or under tongue, reluctant to eat or swallow
- cause unknown
Oral Neoplasms: 2 categories, clinical signs, treatment
- Malignant melanoma and SCC
- Benign tumors
- Halitosis, Blood in saliva, Oral pain, tooth loss
- Surgical removal, jaw removal, chemo
Most common trauma of small animals?
oral trauma
Esophagitis/gastroesophageal reflux: causes, treatment
- Usually traumatically induced
- Contact with irritants or FB
- Obstruction
- Foreign body ingestion
- Dietary changes to achieve weight loss using high-protein and low-fat diet to normalize gastric emptying
A Chronic Enteropathies most common in small animals.
Lymphocytic-plasmacytic enteritis (Chronic antigenic stimulation of the intestinal mucosa)
Intestinal Lymphangiectasia: cause, treatment
- Chronic PLE due to impaired lymphatic drainage, Back up of lymph releases fluids into the intestinal lumen
- Treatment aim: reduce protein loss, food, surgery
What is Intussusception (Large Bowel Dz)
Etiology usually idiopathic but can be multifactorial, Invagination of smaller bowel into larger, usually near the ileocolic junction
Megacolon (Large Bowel Dz) is ___% idiopathic
62%
Largest organ of mammalian body except skin is known as
the liver
Factors affecting extent of intoxication and damage to the liver are
- Species
- Sex
- Dose
- Route
- Duration of exposure
Cholangiohepatitis what is it and what animal is it common in?
- Common in cats, especially Persians
- Bile duct inflammation involves hepatocytes progressing to cirrhosis
Most common hepatopathy seen in cats
Feline Hepatic Lipidosis
Portosystemic Shunts: cause/what is it.
- Shunts blood away from the liver into the general systemic circulation
- May be intra- or extrahepatic; single or multiple
- Usually caused by failure of ductus venosus to close at birth
Perianal Hernias (Rectoanal) are seen in?
Older, intact male dogs
Perianal Gland Adenoma (Rectoanal) is directly related to?
to plasma androgen levels
What are the two distinctive processes of digestion?
Mechanical, chemical
T/F Treating cases of esophagitis caused by ingestion of irritating substances involves inducing vomiting, administering sucralfate and neutralizing compounds and withholding food for several days.
False
On what side of the trachea is the esophagus found?
Left
Where does most of the digestion occur in animals that do not require fermentation?
Small intestine
List 2 viral causes of diarrhea.
Canine parvovirus, canine distemper virus, feline panleukopenia virus
List 3 functions of the liver.
- Metabolizes products of digestion
- Storage of vitamins & minerals
- Recycling of hormones
- Bile synthesis
- Synthesizes plasma proteins
Describe the stool from a patient with exocrine pancreatic insufficiency (EPI).
Gray, fatty, foul-smelling, watery
What is EPI?
Loss of pancreatic acinar cells resulting in decreased digestive enzymes
What is one of the most common gastrointestinal problems/presentations in ferrets?
FB ingestion
List 2 rectoanal conditions that occur in older, intact male dogs that are treated with castration.
Perianal hernia, perianal gland adenoma
List 2 causes of colic in horses.
- Impaction
- Gastric ulcers
- Displacement/entrapment
T/F The Pericardial cavity is located in mediastinum. Enclosed by fibroserous membranous sac known as the Parietal & visceral layers.
true
Heart contains 3 layers of muscle which are?
1) Epicardium
2) Myocardium
3) Endocardium
Only muscle that does not fatigue after continued contractions is known as
the heart
What are the names of the Atrioventricular valves? Semilunar?
1) Bicuspid or mitral, tricuspid
2) Aortic and Pulmonic
Systole is a ______ (1st sound) Lub - AV valves closing
contraction
Diastole is ______ (2nd sound) Dub - semilunar valves closing
relaxation
Called a ____ rhythm when hear 3 or 4 sounds and indicates dz in SA
gallop
____ depolarizes initiating contraction
Initial stimulus spontaneous
SA node
Irregular heartbeat due to normal cyclic changes in vagal tone associated with respiration (HR inc w/ inspiration & dec w/ expiration)
Sinus arrhythmia (AKA Respiratory arrhythmia)
What is blood pressure?
force the blood exerts upon the blood vessels
Angiotensinogen produced by the ___. Converted to angiotensin I by ____. Converted to angiotensin II by ACE (produced by cells within blood vessel in the lung & kidney), which constricts blood vessels resulting in increased BP
liver, renin
4 Effects of Angiotensin II
1) Secretion of aldosterone by adrenal cortex
2) Stimulates secretion of ADH
3) Stimulates thirst
4) Vasoconstrictor (causing increased BP)
What are some Circulatory (volume insufficiency) diseases?
1) Hypovolemia
2) Anemia
3) Valvular dysfunction
4) Congenital defects
T/F Canine Dilated Cardiomyopathy can be genetic in some breeds
true
Vasodilator that is an ACE-inhibitor and helps decrease vascular resistance and improve cardiac output
Enalapril (DCM treatment)
T/F Canine Dilated Cardiomyopathy patients may die suddenly of an arrhythmia
true
Arrhythmogenic Right Ventricular Cardiomypathy is known as
“Boxer Cardiomyopathy” (genetic dz of boxer)
Boxer adults present with ventricular arrhythmias and ____ and are at risk for sudden death
syncope (passing out)
T/F Boxer Cardiomyopathy may be subclinical (no signs)
true
Feline DCM is attributed to what?
Attributed to lack of taurine in feline diets
Feline DCM is typically in older cats, but what genetic predisposition breeds?
Abyssinian, Siamese, Burmese
Feline DCM Most dangerous time during treatment is the _____. Those that respond to taurine supplementation have a better prognosis than those that don’t.
1st two weeks
T/F Hypertrophic Cardiomyopathy is rare in dogs
true
Hypertrophic Cardiomyopathy in inherited in what breeds?
Pointers (inherited), Rott, G. Shep, Dalm, Boston Terr, Cocker, Shi Tzu
What is Hypertrophic Cardiomyopathy?
Thickening of left ventricular myocardium with reduction in chamber size
Most common form of cardiomyopathy in cats & most frequent cause of sudden death
Feline Hypertrophic Cardiomyopathy
Feline Hypertrophic Cardiomyopathy is common in what breeds?
Maine Coon Cats & Ragdolls; also Persian, Amer & British Shorthair, Devon Rex & Sphynx
T/F As with HCM in dogs, left ventricular hypertrophy is the predominant lesion in Feline HCM.
true
HCM Treatment:
- Furosemide
- ACE inhibitors (enalapril)
- Propanolol (Beta-blocker, Decreases oxygen demand or decreases sinus HR)
- Diltiazem (Calcium channel blocker, Inhibits cardiac and vascular smooth contractility, Reduces blood pressure and cardiac afterload)
Feline HCM can lead to what type of embolism in cats?
Thromboembolism -> blockage of vessel by a part of a blood clot that has broken off at the site of thrombus formation and traveled to lodge in more distal vessel
Serious sequela (pathological condition resulting from a disease) to heart disease in cats
Thromboembolism
90% of Thromboembolism lodge in distal aortic trifurcation, this is know as _____.
Saddle thrombus
______ results in hindlimb pain and paresis.
Thromboembolism
Clinical signs of Thromboembolism
- Acute onset of rear leg pain (vocalizing) & paresis
- Cold, blue foot pads; no palpable pulses
What is the most common cardiomyopathy in ferrets?
Dilatative Cardiomyopathy
What is the most common cardiomyopathy in dogs? Cats?
dogs-DCM
cats-HCM
DA fails to close resulting in shunting of blood from systemic circulation to pulmonary artery. Functional closure should occur within 72 hrs after birth. Lung is hyperperfused and machinery murmur created as left side of the heart becomes volume overloaded.
Patent Ductus Arteriosus (PDA)
Retained vascular arch forms ring around esophagus causing obstruction and regurgitation of solid food
Persistent Right Aortic Arch (PRAA)
Why do you feed a dog with Persistent Right Aortic Arch (PRAA) from a height?
It causes regurgitation of solid food leading to aspiration pneumonia
Most commonly encountered CV dz in the dog?
Chronic Mitral Valve Insufficiency
Heart arrhytmias are deviations from normal heart rate rhythm or rhythms originating from abnormal locations within the heart. They are either abnormal impulse ____ or ___ within cardiac muscle fibers
formation, conduction
T/F Avian heart is larger than mammalian heart in proportion to body mass and is designed for rapid depolarization due to their rapid HR
true
Canine Dilated Cardiomyopathy is common in what breeds?
Doberman pincer, Boxer, Irish Wolfhound, Great Dane
What are the 4 things that occur with Tetralogy of Fallot?
1) Pulmonic stenosis
2) Secondary RV hypertrophy
3) Subaortic VSD
4) Overriding aorta
List and describe the tunics of eye.
Outermost fibrous, supporting layer (sclera, cornea); middle vascular tunic (uvea – choroid, ciliary body, iris); inner nervous tunic (retina)
What are the functions of the aqueous humor?
Provide nutrition to the avascular lens and cornea; remove waste products of metabolism; occupy space to maintain shape
What is the main structural difference between the corneas of nocturnal versus diurnal animals?
Nocturnal animals have a relatively larger cornea to sclera ratio, allowing more light penetration
Which part of the nervous system dilates the pupil?
Sympathetic
Describe the process of accommodation.
Contraction of ciliary body muscle fibers (causes forward and inward movement of ciliary body which) decreases tension on the suspensory ligaments allowing the lens to become more convex.
What is the purpose of accommodation?
It shortens distance of the light rays focusing on retina facilitating close vision.
What is nuclear sclerosis?
Aging change caused by compression of lens fibers
What does nuclear sclerosis look like?
Blue-gray cloudy appearance of the eyes
List 3 signs of conjunctivitis.
Hyperemia, chemosis, ocular discharge
List 2 causes of conjunctivitis.
Immune-mediated follicular conjunctivitis, allergic conjunctivitis (atopy), anatomic conjunctivitis (entropion, ectropion), bacterial conjunctivitis secondary to disruption of tear production, trauma, FB; FHV-1, Calicivirus, Chlamydophila psittaci
What is another name for the nictitating membrane?
Third eyelid, nictitans
What is the term for the overflow of tears?
Epiphora
List 3 functions of the skin.
1) Protection
2) Sensory
3) Body temperature regulation (heat dissipation & retention)
The flea is the intermediate host for which parasite (scientific name only)?
Dipylidium caninum
What are the common sites for localized lesions in dogs with demodectic mange caused by Demodex canis?
Especially face, around eyes, mouth and ears; sometimes limbs; occasionally trunk
What are the common sites for localized the lesions in dogs with sarcoptic mange?
Ears, elbows, hocks, ventrum
What is the scientific name of the organism that causes feline scabies?
Notoedres cati
Name a skin disease of neglect.
Pediculosis (lice infestation), myiasis (maggots)
Name a superficial dermatophyte. What is the commonly used lay term for this infection?
Microsporum canis, M.-ringworm
Name an equine skin disorder.
SCC, onchocerciasis ‘rain scald’, exuberant granulation tissue (“proud flesh”)
What are the 3 forms of heart disease in a ferret and which is most common?
1) Dilatative – most commonly
2) Hypertrophic
3) Restrictive - uncommon
Increases pressure into the chambers causing ventricular hypertrophy +/- atrial enlargement, stenosis (abnormal narrowing) due to dysplastic or malformed valves
Pulmonic & Aortic Stenosis
T/F You can treat Ventricular Tachycardia with Lidocane.
true
Given for treatment of adult heart worms. Injections into very specific sites in lumbar epaxial muscles.
Melarsamine dihydrochloride (ImmiticideR)
T/F Felines are less susceptible to heart worm infection than dogs which are the definitive host for the parasite
true
T/F Felines harbor few heart worm adults which have a shorter life span than they do in dogs; microfilariae are rare
true
What are the common heart conditions for a hamster?
Cardiomyopathy and atrial thrombosis
Retina is black due to presence of _____
melanin
What are the 5 layers of the cornea
1) Anterior epithelium
2) Subepithelial basement membrane (Bowman’s membrane)
3) Substantia propria or stroma
4) Posterior limiting lamina (Descemet’s membrane)
5) Posterior endothelium (Descemet’s endothelium)
One of the most sensitive tissues in the body
cornea
Increased water uptake results in decreased transparency
Cornea-edema = cloudy appearance
Colored portion of the eye that controls the amount of light entering
iris
The iris contains two sets of muscles, the one controlled by the ____ that constricts and the one controlled by the _____ that dilates
parasympathetic, sympathetic
Positioned in posterior chamber between the iris and retina held in place by suspensory ligaments that are attached to the ciliary body
lens
T/F Accommodation is limited in domestic animals, the exception is the cat.
true
Aging change caused by compression of lens fibers resulting in blue-gray cloudy appearance of the eyes
nuclear sclerosis
Sandwiched between the sclera & retina
choroid
Tapetum lucidum is not found in humans or __
pigs
Aqueous humor:
1) behind the iris but in front of the lens
2) behind the cornea but in front of the iris
1) Posterior chamber
2) Anterior chamber
Not as fluid-like, more gelatinous aka vitreous body
Vitreous humor
Through pupil into anterior chamber, out through iridocorneal angle
primary flow of aqueous
Innermost tunic of eye
retina
Membranes lining the eyeball and palpebrae, the space between globe & conjunctiva is conjunctival sac
conjunctiva
What 3 things is the lacrimal apparatus responsible for?
1) Formation of tears
2) Transport to sac
3) Drainage to the nasal cavity
The third eyelid is the fold of the ______. Well developed in the dog, highly mobile. Large enough to cover the entire cornea and is reinforced by ______
conjunctiva, T-shaped cartilage
T/F Conjunctivitis is commonly a primary disease in dogs.
false-rare
What are some breeds prone to epiphora?
cocker spaniels, poodles, brachycephalic breeds
Inflammation of eyelids -> swelling of eyelids
Blepharitis
What are some causes of Blepharitis?
1) Demodex
2) Allergiec
3) Bacterial
4) Other eye diseases (dry eye)
Eyelids roll in
entropion
Eyelids roll out
Ectropion ‘diamond eye’
What breeds are most likely to have ecto and endotropions?
brachycephalic (congenital), with large orbits and deep set eyes
What do you not use when treating Ulcerative Keratitis (Corneal Ulcers)?
steriods
Superficial vascularization and infiltration of granulation tissue (pink or tan)
Chronic Superficial Keratitis (Pannus)
What breed is most prone to Chronic Superficial Keratitis (Pannus)?
german shepards
Inadequate tear production (AKA “Dry Eye”)
Keratoconjunctivitis Sicca (KCS)
Failure to treat Dry Eye will result in _____
blindness
Causes of Dry Eye?
Idiopathic atrophy of lacrimal glands-most commonly
What is the first eye test that is performed?
Schirmer Tear Test (STT)
Opacity of the lens sufficient to cause a reduction of function
cataracts
What are some causes of cataracts?
uveitis, lens luxation, trauma, hyopcalcemia, electric shock, nutritional deficiencies
What part of the eye is infected with anterior uveitis?
iris, ciliary body, and choroid (uveal tract)
What are some signs of anterior uveitis?
- Blepharospasm
- Photophobia
- Epiphora
- Corneal edema
- Change in iris color with chronic
Aqueous humor unable to leave eye causing increased pressure inside of a closed system
Glaucoma
What are the primary and secondary cause of glaucoma?
1) primary-inherited (Cocker, basset hound)
2) secondary-Obstruction of drainage from another disease process
3) acute-emergency!
Loss of vision in low light or at night often is the 1st sign
Progressive Retinal Atrophy (PRA)
T/F Progressive Retinal Atrophy (PRA) has no cure or treatment.
true
How can cats get Progressive Retinal Atrophy (PRA)?
acquired dz due to taurine deficient diet
Progressive Retinal Atrophy (PRA) can be hereditary in what breeds?
Lab Ret, Gold Ret,Toy/Mini Poodle, Irish Setter, Schn, Collie