CRS 5 Flashcards

1
Q

Describe the cellular signalling mechanism of nitric oxide

A
  • NO potent vasodilator
  • Inhibits platelet aggregation and elevates cGMP
  • Role in blood thinning
  • Gas produced by endothelium from amino acids by nitric acid synthases
  • NO passes from endothelium to VSMC via gap junctions
  • ACh, bradykinin and serotonin act as 1st messengers in endothelial cells due to increased NO
  • cGMP is 2nd messenger
  • Ca2+ 3rd in VSMCs
  • ACh released by nerve terminals in blood vessel wall activate NO synthase in endothelial cells lining blood vessels
  • Endothelial cells produce NO
  • NO diffuses out of endothelial cells and into underlying smoth muscle cells
  • Binds to and activates guanylyl cyclase to produce cGMP
  • cGMP tiggers response that causes smooth muscle cells to relax
  • Enhances blood flow through vessels
  • Occurs because cGP activates Ca2+ pump on membrane of intracellular stores
  • Then pump Ca2+ out of intracellular environment
  • Decreases concentration
  • Reduction in Ca2+ causes contractile filaments in VSMC to slide apart and muscle cells relax
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2
Q

Give examples of water vs lipid soluble signalling

A
  • Steroids are lipid soluble while peptides are water soluble
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3
Q

Describe the regulation of nitric oxide

A
  • Different isoforms of NO synthase
  • eNOS, nNOs, iNOS
  • eNOS: found in cardiac cells, osteoclast and osteoblasts, platelets and endothelial cells
  • iNOS: found in inflammatory cells, fibroblasts, endothelial cells and vascular smooth muscle
  • Each of these have different metabolites
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4
Q

Describe what happens during gram negative sepsis in relation to NO

A
  • Massive activation of iNOS
  • Excessive vasodilation
  • Hypotension and vascular leakage
  • Organ failure occurs
  • Can be treated with the use of an NO blocker
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5
Q

Explain why vasoconstriction is necessary

A
  • Used to boost systemic pressure
  • Not about reducing flow
  • Blood vessels made narrower by VSMC contraction
  • Increases vascular resistance
  • Vasoconstriction is titrable (mild/moderate/severe) and can be increased by disease, drugs and short or long term physiological responses
  • Smooth muscle cells are linked by gap junctions to underlying VSMCs forming functional syncytium
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6
Q

Describe the receptors of blood pressure

A
  • Detected by baroreceptors
  • Sit on carotid sinus and aortic arch
  • Sensory neurons with free sensory endings in walls of particular arteries
  • Sensitive to stretch
  • Detect changes in pressure within the artery
  • Information collected by baroreceptors integrated in medulla oblongata
  • ANS makes appropriate changes to cardiac function and degree of vasoconstriction
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7
Q

Describe th autonomic pathways that regulat blood pressure

A
  • SNS: vasoconstriction, increase heart rate and contractility, occurs when BP low
  • PSNS: reduces heart rate and contracility, vasodilation, decrease high BP
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8
Q

Differentiate between dehydration and hypovolaemia

A
  • Dehydration is loss of fluid from ECF and ICF
  • Hypovolaemia is loss of lfuid from vaculature
  • In acute hypovolaemia, dehydration is unlikely to occur so skin tenting and altererd PCV will not be seen
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9
Q

Describe the effect of hypovolaemia on cardiac function

A
  • Preload decreases
  • Stroke volume decreases
  • MAP decreases
  • Viscosity of blood unchanged
  • Tissue oxygen decreased
  • RAAS activated
  • Heart rate increases to increase cardiac output and blood pressure
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10
Q

Describe the paracrine, endocrine and autonomic responses to hypovolaemis

A
  • Symapthetic tone increases, noradrenaline reelased
  • Acts on beta1 receptors in heart
  • Positive chronotropic and iontropic effect
  • Sympathetic system stimulates adrenal galnd
  • Release adrenaline
  • Also acts on beta1 as agonist - increase HR and contractility further
  • Increased sympathetic tone also stimulates vasoconstriction
  • Indirect endocrine effects include: ADH released from pituitary in response to reduced blood volume, cause vasoconstrictioin and retention fo circulation volume through kidneys
  • Angiotensin II in change of blood vessel tone
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11
Q

Describe the difference between systolic and diastolic pressure

A
  • Systolic pressure is highest pressure reached during ejection phase
  • Diastolic pressure is lowest pressure reached during ventricular filling stage
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12
Q

Explain what is meant by mean arterial pressure and its importance

A
  • MAP is the average pressure over the whole cardiac cycle
  • Drives tissue perfusion with blood result of discharge of volume of blood from heart
  • Is not half way between systolic and diastolic pressure, 2/3 of cardiac cycle is diastole
  • MAP = ((2xdiastolic)+systolic)/3
  • MAP of 60mmHg is needed to perfuse the brain, normal range is 70-110mmHg
  • Dependent on cardiac output, total peripheral resistance and blood volume
  • Pressure = cardiac output x TPR
  • Systolic ejection of blood creastes pressure waveform as blood passes from LV to aorta
  • Arterial pulse walve in aorta is asymmetrical, transmitted to rest of arterial tree
  • Pressure - time wave form also asymmetrical
  • Peak of waveform is systolic pressuer (120mmHg) and base is diastolic pressure
  • MAO is average effetive pressure forcing blood through circulatory system
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13
Q

Describe the vascular responses to hypoxia other than the pulmonary vessels

A
  • Vasodilate in response to hypoxemia
  • Improve oxygen supply to the tissues
  • Mediated by release of adenosine from hypoxic muscles or tissues
  • Local acidosis leading to increased lactage
  • Hyperpolarises cell membrane due to increased K+ reducing Ca2+ channel opening potential
  • Release of NO from endothelium
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14
Q

Describe the pulmonary vascular responses to hypoxia

A
  • Vasoconstriction
  • Mediated by fall in SaO2
  • Response very fast but also patchy
  • Dependent on individual
  • Pulmonary vasoconstriction occur to maintain ventilation:perfusion relationships
  • Mediated by vessel’s endothelium
  • Adenosine or angiotensin
  • Increases the resistance within pulmonary vasculature
  • Tunica media of arterioles hypertrophies
  • Hypertrophy of right ventricular myocardium in response to increased pressure within
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15
Q

List the clinical manifestations of high altitude disease

A
  • Fluid in the lungs
  • Increased PCV
  • Cerebral dysfunction
  • Pulmonary hypertension
  • Pulmonary oedema, RV hypertrophy, right sided heart failure, cerebral oedema,erythrocytosis, prevention of maturation of the foetal to adult circualtion, neurological signs, soft wet cough, shallow fast breathing
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16
Q

Explain why fluid in the lungs occurs with high altitude disease

A
  • Increased pressure within pulmonary arterioles and vasoconstriction of pulmonary veins
  • Leakage of fluid from vessels into alveoli due to pulmonary capillary over distension
  • Hydrostatic pressure within capillaries greater than that in alveoli
  • Fluid floods alveoli (wet cough)
  • Fluid contains protein and red cells
  • Harder for alveolar macrophages and lymphatics to clear
  • Shallow fast breathing
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17
Q

Explain why increased OCV occurs with high altitude disease

A
  • Erythrocytosis
  • Erythropoeitin produced by interstitial capillary bed of kidneys
  • In response to hypoxemia
  • Released into circulation, triggers development of red cell precursors in the bone marrow
  • Release of mature and immature RBCs
  • Increased PCV and erythrocytosis
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18
Q

Explain why cerebral dysfunction occurs with high altitude disease

A
  • Low PaO2
  • Vasodilation in the brain leading to cerebral oedema
  • INcreased pressure = leakage of fluid from vessels ino cerebral tissues
  • Can appear similar to BSE/ Pb toxicity/hypomagnaemic cows in mid to late stages
  • Irritability, headaches, disorientation, ataxia, dysphoria, aggression, coma and death
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19
Q

Describe the agricultural importance of high altitude disease in animals

A
  • High altitude for animals as will be poor for crops
  • Mainly cows
  • European breeds badly affected (pigs, turkeys, horses, human)
  • Sheep, goats, rabbits, guinea pigs, dogs, cats and South American camelids resistance
  • Much greater losses when farming at high altitude
  • Young do not adapt and are worse affected
  • Susceptibility is also hereditary
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20
Q

Define hypoxia

A

A deficiency in the amount of oxygen reaching the tissues

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21
Q

Define hypoxemia

A

An abnormally low concentration of oxygen in the blood

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22
Q

Give an explanation of what high altitude disease is

A
  • Cor pulmonale/Mountain sickness/Brisket disease
  • Primarily vascular disease seen at high altitudes
  • Hypoxia
  • Made worse by cold and exposure
  • Can also be seen with lung disease
  • Defined as right sided heart failure due to increased cardiac work secondary to pulmonary hypretension
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23
Q

Describe the main ultrastructural features of a vascular smooth msucle cell

A
  • State of constant tone
  • Form a functional syncitium
  • Internal elastic lamina between VSMC layer and endothelial cell layer of blood vessel
  • Main elements of VSMC are actin filaments, gap junctions, elastic elements and a sarcoplasmic reticulum
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24
Q

State the roles of NO ion cahnnels in governing VSMC tone

A
  • NO is a vasodilator
  • Released from vascular endothelium of small muscular arteries and larger arterioles
  • Released in response to shear stress but also ACh, polypeptides and kinins
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25
Q

State the role of endothelin ion cahnnels governing VSMC tone

A
  • Family of peptides
  • Different actions depending on organ/tissue
  • e.g. in brain elicits initial vasodilation followed by potent, sustained vasoconstriction
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26
Q

Describe how metabolic factors operate loally to regulate arteries and veins

A
  • Rate of blood flow infleunces local metabolic acitivity
  • Shear stess
  • O2 primary controlled - decreased O2 supply => vasodilation, continued demand stimulates angiogenesis
  • Adenosine, phosphate ions, pCO2, lactate, K+ and osmolarity also regulate arteries and veins
  • Functional hyperemia (functional demands i.e. if only legs working then more blood to legs) and reactive hyperemia (reaction to clear accumulated metabolites after ischemia) also affect arteria and veins
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27
Q

Describe how neural factors operate to regulate arteires and veins

A
  • Arteries, arterioles, veins, muscular venules and arteriovenous anastomoses innervated by sympathetic fibres
  • Resting sympathetic tone dominant through constant stimulation of alpha-adrenoceptors
  • Leads to vasoconstrction (norepinephrine)
  • Beta2-adrenoceptors cause vasodilation
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28
Q

Describe how alpha blockers work

A
  • Block norepinephrine generation
  • Less circulating IP3
  • Less contraction of vessels and vasodilation occure
  • Arterioles and venules sympathetically innervateed
  • Some dilation will occur in both with an alpha blockade
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29
Q

Describe how hormonal factors regulate arteries and veins

A
  • Vasoconstrictors: epinephrine, norepinephrine, prostaglandins, angiotensin II, vasopressin (at low concentrations called ADH)
  • Vasodilators: bradykinin, histamine, prostaglandins
  • Prostaglandins can be constrictors or dilators depending on species, concentration and local sensitivity but mainly constrictors
  • Dilators can be beta and alpha blockers, sodium channel blockers, chlorine channel agonists
  • Constrictors can be: sodium channel agonists, chlorine channel blockers, alpha and beta agonists
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30
Q

Describe how mechanical facotrs regulate arteries and veins

A
  • Sudden rise in arterial pressure leads to an increase in blood flow
  • Quickly restored to a normal value
  • Myogenic autoregulation from direct response of VSMC to stretching and relaxation
  • Endothelium forms bioactive interface
  • Constant exposure of ECs to shear stess maintains vascular tone
  • Mediated in part through regulation of eNOS
  • Shear stress can be either atheroprotective or atheroprone
  • Steady pulsatile flow in straight parts of arterial tree is atheroprotective (increases eNOS derived NO availability and exerts anti-inflammatory and antioxidative effects)
  • In bends and bifurcations, distured flow patterns induce expression of molecules involved in atherogenesis
  • Elevate level of reactive oxygen species in ECs
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31
Q

Describe how arteriolar flow is regulated

A
  • Controlled centrally and locally
  • Centrally is controlled by brain’s cardiovascular centre
  • Acts indirectly through baro- and chemoreceptor reflex arches
  • Peripherally controlled by vascular beds and local fine tuning
  • Acted directly upon through metabolic, mechanical and pharmacological stimuli
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32
Q

List the mecahnisms that maintain vasomotor tone

A
  • Metabolic
  • Neural
  • Hormonal
  • Mechanical
  • Endothelial factors
  • RAAS
  • Intracellular calcium
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33
Q

Briefly outline the RAAS

A
  • Renin angiotensin aldosterone system
  • High concentration leads to vasoconstriction
  • High blood pressure supresses RAAS, low stimulates it
  • Angiotensin II ver vasoactive
  • Increases blood pressure
  • Short half life and is very potent
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34
Q

Explain how calcium ion concentration is kept low for signalling

A
  • Calcium complexes insoluble
  • Ca kept low by Ca transporters
  • Means there is a steep concentratin gradient
  • Offers potential to rapidly increase intracellular Ca and control VSMC contractility
  • Calcium complexes of phosphorylated and carboxylated compounds often insoluble
  • Intracellular levels of Ca2+ kept low
  • Prevent precipitation of these compounds
  • In eukaryotic cells 2 transport system
  • Ca2+ ATPase pump and Na+/Ca2+ antiporter
  • Steep concentration gradient, able to rapidly increase cystolic Ca2+ by opening Ca2+ channels in plasma membrane of in intracellular membrane
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35
Q

Explain the term EC50

A

The concentration of a drug that will give the half-maximal response

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36
Q

Explain the term Emax

A

The efficacy of a drug and refers to the maximum response achievable from a drug

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37
Q

Describe techniques used to investage receptor expression in arterial and vascular systems

A
  • Administration of different drugs and combinations of drugs
  • Measuring effect on blood pressure, heart rate, contractility etc
  • If know what action drug has on a receptor, the know if response occurs and if the drug is antagonistic or agonistic
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38
Q

Explain the different causes of heart failure

A
  • Usually chronic
  • Acute can be vascular and AMI
  • Chronic usually degenerative
  • Fall in cardiac pressure detected as fall in blood pressure by baroreceptors
  • In all cases, cardiac output falls
  • Sympathetic activation, RAAS stimulation and cardiac enlargement
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39
Q

Compare concentric and eccentric cardiac hypertrophy and their causes and effects

A
  • Concentric caused by pressure loading (hypertension, aortic pulmonary stress)
  • Leads to stiff non-compliant heart due to thickening of the heart wall
  • Eccentric caused by volume loading (valvular disease allowing regurgitation of blood back in to tha atria or ventricles)
  • Leads to thin heart wall, overall increase in internal and external diameters of the heart
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40
Q

List the pathophysiological responses which occur in cases of cardiac failure

A
  • Increased heart rate and contractility
  • Vasoconstrction
  • Salt and water retention
  • Cardiac enlargement
  • Backwards failure (congestion) more likely to occur than forwards failure (poor perfusion) as whole system is designed to maintain perfusion pressure
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41
Q

Describe clinical presentations of heart failure

A
  • Heart rate and contractility increases (oxygen needs to increases so heart works harder to facilitate this)
  • Vasoconstriction (increases afterload, cardiac output falls, valves more leaky)
  • Salt and water retention (maintains blood pressure, volume returned to heart increases, oedema)
  • cardiac enlargement (AV valves leak, oxygen needs to increase, cells die replaced by scar tissue, contractility falls)
  • All compensatory mechanisms
  • Generate more problems in the long term
42
Q

Compare congenital and acquired heart diseases and give examples of each

A
  • Congenital: less common, present at birth, patent ductus arteriosus
  • Acquired: most common, few effective treatments, does not always lead to heart failure, degenerative valvular disease, valve/endocardial infection, pericardial disease, rate/rhythm abnormalities
43
Q

Describe what occurs in degenerative valvular disease

A
  • Later in life
  • Cause unknown
  • May not lead to heart failure
  • Regurgitation of blood into atria duing systole
  • Pressure in atrium lower than that in aorta, so if mitral is leaky then easier for blood to flow into artium
  • Decreases cardiac output
  • Total stroke volume increases
  • Forward stroke volume decreases
44
Q

Describe the consequences of AV valve degeneration

A
  • Atrium has to deal with increased volume (normal + regurgitant)
  • Increased diastolic volume in ventricle
  • Atrial and ventricular pressure increases
  • Heart volume increases
  • Heart hypertrophies, valve leaflets pulled apart more, damage to chorda tendinae
  • Continuous cycle
45
Q

Describe the consequences of aortic valve degeneration

A
  • Ventricle has increased blood volume (normal + regurgitant)
  • diastolic pressure increases
  • Atrial pressure increases
  • Blood volume in ventricles increases, total heart volume increased
  • Heart gets bigger
  • AV valves leakier
  • Cardiac output falls
46
Q

Describe the pathology of valvular disease

A
  • Weight of heart increases
  • Increased volume loading
  • Eccentric hypertrophy and dilated wall of heart is thin
47
Q

Describe what occurs in heart muscle disease and its pathology

A
  • Cardiomypothay
  • Cause unknown
  • Leads to heart failure
  • Muscle function will be poor
  • Heart does not pump effectively
  • Cardiac output falls as stroke volume falls
  • Systolic function of the valves compromised
  • Weight of heart increases
  • Increased volume loading
  • Eccentric hypertrophy
48
Q

Describe the consequences of dilated cardiomyopathy (aortic valve degeneration)

A
  • Increased diastolic ventricular volume
  • Normal return to ventricle + afterload
  • Ventricle dilates and walls thinner
  • Heart hypertrophies
  • AV valves leak
  • Cardiac output falls
  • In cats rarely filated and usually restrictive (stiff heart due to hypertrophy thickening the walls)
  • Cardiac muscle fails, stroke volume falls, cardiac output falls
49
Q

Describe the consequences of hypertrophic/restrictive cardiomyopathy

A
  • Usually in cats
  • Ventricle doesn’t fill
  • Diastolic ventricular pressure rises
  • Ventricle contains less blood at end of diastole
  • Ventricle ejects less blood
  • Fall in cardiac output
  • Atria get bigger
  • Weight of heart increases
50
Q

Describe what occurs in myocardial hypertrophy

A
  • Eccentric and concentric hypertrophy
  • Eccentric caused by volume loading and usually accompanies valvular disease
  • Concentric caused by pressure loading, usually follows hypertension
  • In hypertrophic cariomyopathy concentric hypertrophy is a consequence
51
Q

Describe the physiological mechanisms by which heart failure can be managed

A
  • Weight control
  • Controlled exercise
  • Drugs
  • Regular reassessment
  • Treatment of dysrhythmias
  • Removal of fluid
52
Q

Descriibe groups of drugs that can be used to manage heart failure

A
  • Positive inotropes: increase contractility e.g. digoxin, pinobendan, dobutamine
  • POsitive lusotropes: relax heart, restrictive cariomyopathy e.g, calcium channel blockers (diltiazem, verpamil) and beta blockers (propanolol, atenolol)
  • Venodilators: increase venous capacity, reduce preload, reduce fluid build up
  • Artierla dilators: reduce aferload, increase output, reduce valve leakage
  • ACE inhibitors: reduce levels of angiotensin II and act as venodilators and arterial dilators, reduce levels of aldoserone and so reduce fluid accumulation, decongestion e.g. enalapril, benazepril, ramipril, imidapril
53
Q

Understand the need for drug monitoring and combined treatment regimens for animals in heart failure

A
  • Rarely true standard dose
  • Regular reassessment importnat
  • Rarely cure - simply treat primary clinical signs
  • Tachyphylaxis possible
  • May need to replace drug
  • Important to control weight and exercise to allow drugs to work to full effect
54
Q

Why might drugs fail to be effective?

A
  • Dose too low
  • Administration failure
  • If given orally then full amount may not be absorbed
  • Tachyphylaxis (drug stops working for the patient)
55
Q

Describe the classifications of heart failure severity

A

Class I: no clinical signs, occult heart disease preset but with or without signs of compensation
Class II: mild-moderate, heart disease present, limited exercise tolerance (mild), progressively worsens, signs evident with mild exercise (moderate)
Class III: advanced, obvious clinical signs with minimal exercise, progressively worsens, obvious clinical signs at rest, usually results in death

56
Q

Define symbiosis

A

2 organisms living together where neither benefits nor does it harm either one

57
Q

Define mutualism

A

Organisms of different species both benefitting from an interaction e.g. a honey bee and a flowering plant

58
Q

Define parasitism

A

One organism benefits from the interaction to the detriment of the other

59
Q

Define commensalism

A

When only one organism benefits form the interaction but not to the detriment of the other

60
Q

Define a facultative parasite

A

One that may survive in the absence of a host i.e. it is opportunistic

61
Q

Define an obligate parasite

A

One that at some stages of the life cycle cannot survive in the absence of a host

62
Q

Define an endoparasite

A

One that lives internally in the host

63
Q

Define an ectoparasite

A

One that lives on teh outer surface of the host e.g. fleas

64
Q

Define a direct life cycle

A

One where the parsitic stages occur in or on one host

65
Q

Define an indirect life cycle

A

One where an intermediate host is needed for the development of some stages of the parasite

66
Q

Describe the morphological features of major groups of parasites

A
  • Many polymorphic (different body forms in life cycle)
  • May be associated with free living and parasitic stages
  • Highly modified to meet demands of teh environment
  • No need for sense organs, organs of locomotion or digestive tract
  • Prominent organs of fixation
  • Well developed reproductive systems which produce millions of effs to ensure transfer
  • Arthropods are inset like
  • Nematheminths are thread like worms
  • Platyhelminths are flat worms
  • Acanthocephalan have thorns on their heads
67
Q

List and define the different types of host in relation to parasitism

A
  • Definitive: host in which parasite’s sexual reproduction takes place
  • Intermediate: host in which parasite’s asexual reproduction takes place
  • Permissive: host that is not usually utilised but facilitates life cycle completion
  • Non-permissive: host in which parasite cannot complete life cycle (can still cause disease)
  • Reservoir: temporary host used in absence of natural host
  • Paratenic: host used for transport
68
Q

Define a biological vector

A

A vectore needed by a parasite to complete part of its life cycle (e.g. mosquito)

69
Q

Define a mechanical vector

A

A vector that can mechanically spread a parasite and is not utilised in the parasite life cycle e.g. tabanic flies in horse/deer fly

70
Q

Give examples of parasitic phyla

A
  • Arthropoda: flies, live, fleas, mites, ticks
  • Platyhelminthes: flat worms, cestoda (tapeworms) and trematodes (liver fluke) infect GI
  • Nemathelminth: worms - trichostrongyle, infect GI and CR
  • Acanthophala (thorn head)
71
Q

Describe different portals of entry for parasites into the animal body

A
  • Ingestion
  • Skin penetration
  • Skin inoculation by insect bite
  • Direct contact (mite)
  • Transplacental (Strongyloides)
  • Sexual intercourse (Trichomonas)
  • Inhalation
72
Q

Describe the basis of parasite control

A

Need to make environment unsuitable for parasite. Can be done as a vaccination or post infeciton

73
Q

Define the prepatent period of parasites

A

The time take from infection for a parasite to become an adult and effective

74
Q

Describe the epidemiology of cattle lungworm

A
  • Dictyocaulus viviparus
  • Usually seen in later half of first grazing season
  • Exposed and survive gives immunity but most be maintained by exposure each year
  • Hypobiosis of late larval stage
  • L3 larvae overwinter on pastures in enough numbers to cause disease the following spring
75
Q

Describe the symptoms of mild, moderate and severe infections of D. viviparus

A
  • Mild: intermittent cough, normal resp rate, normal lung auscultation, sometimes occasional squeaks
  • Moderate: frequent cough at rest, tachypnoea (40-60/min), pronounced sqeuaks and crackles in diaphragmatic lobes
  • Severe: deep harsh cough, severe tachypnoea (>80/min), pronouned squeaks and crackles in lobes, respiratory distress, gasping for air with head and neck outstretched, salivation, loss of appetite, fever
76
Q

Describe the life cycle of Dictyocaulus arnfieldi

A
  • Similar to D. viviparus
  • L1 not produced in lungs
  • Eggs passed out of body but hatch very quickly
  • L1 often detected in faeces
  • In donkeys prepatent period of approx 13 weeks
  • Adult parasites in donkeys found in small bronchi
77
Q

Describe the diagnosis of D. arnfieldi in horses

A
  • Usually not patent in horses
  • Very few/no eggs or L1s
  • Clinical signs include persistent cough, not responding to certain drugs e.g. antibiotics
  • History that includes co-grazing with donkeys
  • Bronchoalveolar lavage or traacheal wash may reveal worms and large numbers of eosinophils
78
Q

Describe the diagnosis of D. arnfieldi in donkeys

A
  • Shows as patent infection with eggs/L1 in faeces

- Some clinical signs may be present e.g. lung sounds on auscultation

79
Q

List the drugs that can be used to treat D. arnfieldi

A
  • Ivermectin
  • Fenbendazole
  • moxidectin
80
Q

List the drugs that can be used to treat D. viviparus

A
  • Albendazole
  • Doramectin
  • Ivermectin
  • Moxidectin
  • Levamisole
81
Q

List the 4 main spcies of lungworm in small ruminants

A
  • Dictyocaulus filaria (direct)
  • Muellerius capillaris (indirect)
  • Prostrongylus (indirect)
  • Cystocaulus (indirect)
  • Sheep or goat ingest snail/slug with larvae
82
Q

List the lungworms found in dogs

A
  • Angiostrongylus
  • Oslerus osleri
  • Filaroides
  • Crenasoma
83
Q

Give the name of the lungworm found in cats

A

Aelurostrongylus

84
Q

Describe the epidemiology of Angiostrongylus vasorum

A
  • Adults live in pulmonary arteries
  • Sometimes called heartworm (incorrect)
  • Indirect life cycle
  • Slug/snail intermediate host
  • Clinical signs vary
  • Endemic in some parts of UK
85
Q

Outline the clinical signs of Angiostrongylus vasorum

A
  • Coughing
  • Dyspnoea
  • Haemorrhage
  • Pulmonary hypertension
  • Lethargy
  • Exercise intolerance
  • Collapse
  • Neurological signs
  • Lumbar pain
  • Ocular signs
  • Can be asymptomatic
86
Q

Outline the diagnosis of an infection with Angiostrongylus vasorum

A
  • L1 in faecces or in bronchoalveolar lavage fluid

- Radiography may also show signs of alveolar infiltrates

87
Q

List the drugs that may be used to treat an infection with Angiostrongylus vasorum

A
  • Fenbendazole
  • Levamisole
  • Ivermectin
88
Q

Outline the key points about Oslerus osleri

A
  • Metastrongyle nematode with direct life cycle
  • Infetion occurs by ingestion of L1 infected faeces or direct transfer of L1 in sputum
  • Adults live in trachea and bronchus
  • Cause nodules
89
Q

Describe the clinical signs and diagnosis of Oslerus osleri

A
  • Chronic cough
  • Immune response to adults in trachea and bronchus causes worm to encapsulate forming nodules
  • Particularly at tracheal bifurcation
  • L1 in faeces or BAL fluid also seen
  • Resolution of tracheal or bronchiolar nodes can take several weeks post-treatment
90
Q

Outline the key points about Aelurostrongylus abstrussus

A
  • Cat lung worm
  • Indirect life cycle
  • Definitive host = cat
  • Intermediate host = snails/slugs
  • Paratenic host = host rodents, birds, amphibians
91
Q

Describe how to diagnose Aelurostrongylus abstrussus

A
  • Larvae in faeces
  • May be intermittent so absence of larvae does not rule out aelurostrongylosis
  • Larvae in BAL fluid
  • Bronchointerstitial lung pattern visible on radiography
92
Q

List the drugs that can be used to treat Aelurostrongylus abstrussus

A
  • Fenbendazole
  • Levamisole
  • Ivermectin
93
Q

Define visceral larva migrans

A

Larval migration through host organs e.g. ascarids

94
Q

Define visceral larval migrans

A

Larval migration through the skin e.g. hookworms

95
Q

Define ocular larva migrans

A

Larval migration through the eye e.g. Toxocara in humans

96
Q

Name nematodes that have a lung phase but are not lungworms

A
  • Ascaridae (Ascaris suum, Parascaris equorum)
  • Toxocaridae (Toxocara cati, Toxocara canis)
  • Strongyloididae (Ancylostoma caninum, Strongyloides sterocoralis)
97
Q

Describe the life cycle of Oestrus ovis and discuss its importance in UK agriculture

A
  • Myatic parasit
  • L1 larvae deposited directly into living issue by adult bot flies
  • Is a nasal bot fly of sheep and goats
  • Once L1 deposited, migrate up nasal passages into the sinuses
  • Here L1 develop into L3
  • Can take weeks or months
  • Once reach L3 are sneezed out onto pasture
  • Pupate and develop into adults
  • Once adults have very rudimental mouth parts so must get as much nutrition while in the sheep
  • Clinical signs vary
  • Include: sneezing, rhinitis, mucopurulent nasal discharge, obstruction of air flow, decrease in time spent grazng, avoidance behaviour and cause secondary bacterial infection leading to ascessation of lungs or interstitial pneumonia
  • Decreases production
  • Pupae survive over winter and flies so treatment needed in late summer
98
Q

Describe the life cycle of Syngamus trachea and discuss its importance in UK agriculture

A
  • Tracheal worm of birds
  • Gapeworm
  • Ingested directly as egg, as L3 or ingestion of paratenic host with encapsulated L3
  • L1-L3 occur in the egg
  • Once hatched, L4 migrate from duodenum through blood stream to lungs and then trachea
  • Adults in trachea produce effs
  • Coughed up and swallowed
  • Eggs defecated
  • Infection can be subclinical and depends on size and age ofbird
  • Gaping very indicative
  • Weight loss may also occur
  • Difficult to control
99
Q

Give examples of different ways in which nasal and tracheal parasites may be diagnosed

A
  • Post mortem
  • Nasal swabs
  • Endoscopy
  • Flushing of nasal cavities
  • Eggs or larvae in faeces
100
Q

Descrieb the life cycle and clinical features of canine heart worm

A
  • Dirofilaria immitis
  • Not present in UK
  • Infection is seasonal
  • Females longer
  • Complex indirect life cycle
  • Mosquitos as vector
  • Female worms release microfilaria (MFF) into blood
  • Taken up by mosquito during feeding
  • MFF develop into L3 in mosquito
  • Migrate to salivary glands
  • L1s move down mouth parts onto skin and enter bite wound , into dog and to right heart and pulmonary vessels
  • MFF cannot develop in dog
  • Must pass through mosquito
  • Prepatent period ~ 6-7 months
  • Transplancental transfer of MFF can occur but no adults will develop
  • Clinical signs can be asymptomatic through to heart failure
  • 3 phases depending on severity
  • Diagnostic tests: complete blood count, serum biochemical profile and urinanalysis, heartworm antigen tests, MFF identification tests, thoracic radiological exam, ECG, echocardiogram, angiography