Equine 3 Flashcards
What are the 3 ways a muscle can respond to an injury
Necrosis
Atrophy
Hypertrophy
AST is released from muscle and ______
Liver
Which half life is longer? AST or CK
AST
CK goes up first
Is myglobin harmful to kidneys
Yes
If CK above 10k needs fluids
Is CK doubles or goes above 10K after exercise then
Muscle dz
Where do we take muscle biopsy
Gluteal
What is not a clinical sign of muscle disease A. Hind limb cramping B. Lose gait C. Reluctant to move D. Anxious E. Sweating E. Tachycardia F. Painful muscle palpation and firm muscles G. Myoglobinuria
B- stiff gait
Why would increased potassium occur with muscle dz
Muscle breakdown
AST LDH also go up with CK
A dark brown urine with no red blood cells indicates
Myoglobin
Exertional ehabdomylysis myopathies occur (acutely, chronically)
Acutely
Emergency therapy required
A shortened stride may be a sign of
Muscle pain
How is ER treated
Rest NSAID Fluid Pain control - flunixin phenylbutazone Muscle relaxants- methocarbamol dantrolene sodium Acepromazine Vitamin E
Why types of horses do we normally see exhausted horse syndrome
Prolonged submaximal exercise
Endurance horses
Race horses
What is not a sign of exhausted horse syndrome A. Muscle cramp B. High blood pressure C. Depresses D. Profuse sweating E. Colic
B- poor perfusion
How much fluid can be lost from sweating
1 gallon/hr
Severe na k cl depletion
Moderate loss of Ca and mg
What is the acid base status of exhausted horse? A. Metabolic alkalosis B. Metabolic acidosis C. Respiratory alkalosis D. Respiratory acidosis
A- decreased Cl decreased binding of Ca
What is the cardiovascular response to exhausted horse
Higher HR
Colic in endurance horse
Decreased blood volume
What is the respiratory response of a exhausted horse
Panting
What do fluid and electrolyte abnormalities lead to in horses with exhaustion
Obtundatiin
Muscle cramps and spasms
Synchronous diaphragmatic flutter- Ca abnormality causes this
T/F metabolic acidosis is often a feature of exercise induced myopathies
False. IS NOT
What are risk factors for post anesthetic myopathy
Duration of procedure Hypotension Hypoxia Acidosis Poor perfusion Insufficient padding Weight
How is post anaesthesia myopathy treated
Fluids. Especially if low Ca Dilute myoglobin in kidney Acepromazine Methocarbamol Rest Sling High fat low carb diet
What are causes of recurrent rhabdomyolysis
Polysaccharide storage myopathy (type 1 quarter horses) and type 2 (quarter horse warm blood draft Arabians) Recurrent exertional rhabdomyolysis (RER) ( thoroughbred and standard bred) Mitochondrial myopathy (Arabians)
What are some blood abnormalities of horses with recurrent rhabdomyolysis
CK AST creatinine with myoglobinuria
No inflammation
How is recurrent rhabdomyolysis dx
Exercise test
Muscle biopsy
What are presenting signs for PSSM (type 1 and 2)
Decreased performance
Mild or none rhabdomyolysis
Muscle wasting
Type 1 PSSM is caused by a mutation in_____
Glycogen synthase 1 (GYS1)
PAS positive inclusion on biopsy
In type one PSSM muscles cannot generate adequate energy Which does not occur
A. Enhanced insulin sensitivity and uptake of glucose
B. Enzyme imbalances
C. Decreased synthesis of less branches glycogen
C- increased
How is PSSM definitively diagnosed
A. Genetic test from hair or whole blood (75% sensitivity)
B. Muscle biopsy (type 2 only 100% sensitive)
A
B
How is PSSM treated and managed
No cure Acute episodes Consistent exercise Decreased soluble carbs Grass hay Add fat
When is recurrent exertional rhabdomyolysis seen
Thoroughbreds Standardbred Lameness In cold weather Stressful events
What mineral is changed by recurrent exertional rhabdomyolysis
Defect in intracellular Ca regulation in sarcoplasnjx reticulum - no test
Look at CK and AST
RER is managed by
No stress Regular exercise Low carb diet Balances electrolytes Dantrolene (alters Ca release in muscle) before exercise
Which is false about shivers A. Gradually progressive B. Chronic neuromuscular disease C. Gait abnormalities when backing up D. Occurs in front limbs primarily
D- pelvic region limbs and rail (jerky and trembling tenseness
What is pathogenomic for shivers
Raised tail head
Stringhalt is A. Hocks flex violently toward abdomen B. Medial patellar ligament momentarily caught C. Scar tissue formation due to injury D. Symmetrical muscle wasting
A
Treatment of shivers includes
No good treatment Vitamin e Selenium Massage Consistent exercise Acupuncture
Mitochondrial myopathy makes it very hard to
Exercise longer than 6 minutes
Mitochondrial myopathy occurs when there are spontaneous mutations in _____. This is inherited from the (mother/ father). Defective oxidative phosphorylation results in a rise in _______
MtDNA
Mother
Lactate- greater emphasis on anaerobic glycolysis for energy production
How is mitochondrial myopathy
Muscle biopsy
Normal CK
marked plasma lactate values
EMG- dive bomber sounds
Poor prognosis (unlikely to be athletic)
_______ is an important energy source for fetus and neonate
Glycogen
Glycogen branching enzyme deficiency (GBED) causes there to be no measurable _________ activity
GBE- enzyme
Unable to form normally branches glycogen -no glucose homeostasis
Always fatal before 8 weeks old (quarter horses pain Appaloosa)
Hyperkalemia periodic paralysis affects mainly what breed
Quarter horses
Mutation in voltage gated Na channels=hyperexcitable muscles
What are the 2 differentials of prolapse of the 3rd eyelid in horses
HYPP
Tetanus
What are some clinical signs of HYPP
Weakness muscle fasciulations Anxious Stridor Dyspnea. Tachypnea Recumbancy
How is HYPP diagnosed
Plasma K
DNA of blood or hair
How is HYPP treated
Karo syrup Grain (NOT MOLASSES) Bicarbonate- severe Dextrose- severe Calcium gluconate Insulin- try not to use
What cannot be fed to horses with HYPP
Low K
No alfalfa bran or molasses
Avoid rapid feed changes
Acetazolamide reduces K
Immune mediated myositis (non exertional rhabdomyolitis) affects what gene of what breeds
E321G myosin heavy chain 1 MYH1 gene in quarter horses
What are clinical signs of immune mediated myositis
Symmetrical muscle atrophy Stiff gait Fever Concurrent infection or vxn Increased muscle enzymes, WBC and fibrinogen
What are treatments for immune mediated myositis
Corticosteroids. Dexamethasone then prednisolone
Nutritional mouse generation is also known commonly as
White muscle disease
Nutrional muscular dystrophy
What is the nutrional deficiency of horses with white muscle disease
Selenium and or vitamin e
The cardiac form of WMD affects (very young foals/ weanlings).
Very young foals. Weaning is skeletal form (weakness. Stiff gait. Poor suckle. Painful muscles. Limited jaw motion and weight loss). Cardiac (edema. Recumbancy. Heart murmur. Fatal)
How is WMD diagnosed
Increased CK and AST Myo globinuria Selenium concentration in blood Glutathione peroxidase activity Muscle biopsy
Which is false about WMD’s treatment and prevention
A. Give oral shipments as IM injections can have severe reactions in adults
B. Restrict exercise
C. NSAIDS
D. Give selenium injections at birth
E. None of the above
E. It’s all of them
Seasonal pasture associated myopathy occurs in the mid-west in the spring and summer. It’s caused by ingestion of
Seed pods from box elder trees
Hypoglycin A causes multiple accounts CoA dehydrogenase deficiency (MADD)
T/F. Seasonal pasture myopathy tends to have a good prognosis when given supportive care
False. Up to 90% mortality. Severe rhabdomyolysis of skeletal cardiac and respiratory muscles. Sudden death
Clostridial myonecrosis is caused by what pathogen and usually occurs with what
Clostridial perfringes ( Gram + rod)
Follows IM injection or puncture wound
May also invade GIT
Necrotizing and hemolysin toxins cause Cl Signs
What are clinical signs of clostridial myonecrosis
Death Obtunded Pyrexia Tachypnea Swelling pain Discharge. Odorous Rapidly progressive
How is clostridial myonecrosis treated
K penicillin Debridement Metro Fenestration Remove necrotic tissue to disrupt anaerobic environment O2 AB min 7 days after wound is resolved Corticosteroids are controversial
CN1
Olfactory
CN2
Optic Menace Dazzle Obstacle course PLR Fundic
CN3
Oculomotor
PLR
Eye position
CN 4 and CN6
Trochlear and abducens
Eye position
Strabismus if abnormal
CN5
Trigeminal
Muscles of mastication
Sensory- skin and MM
CN7
Facial Motor of muscles of facial expression Menace blink Prehension Lacrimal gland
CN8
Vestibulocochlear
Balance
Hearing
CN 9 10 11
Glossopharyngeal Vagus Accessory Pharynx and larynx atrophy. Slap test. Endoscopy Swallowing, aspiration pneumonia
CN12
Hypoglosus
Tongue motor
Sacral segments of damaged nerves may show what
Atrophy and sweating y