Equine Repro Flashcards

1
Q

What areas of the equine repro tract harbor bacteria?

A

Clitoral fossa

Clitoral sinuses

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2
Q

What is the most sensitive organ to hormonal stimulation in the horse?

A

Cervix

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3
Q

Describe the cervix under the influence of progesterone

A

Closed
Dry
Homogenous appearance on ultrasound

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4
Q

Describe the cervix under the influence of estrogen

A
Low
relaxed
moist
hypertrophic and edematous
"cartwheel" shaped n ultrasound
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5
Q

Describe the cervix during midestrus

A

Moist and on the floor of the vagina

Dorsal frenulum is present

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6
Q

What is different about the cervix of the equine compared to other species?

A

always dilatable due to the absence of fibrous rings

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7
Q

Describe the Uterus in the mare compared to the cow

A

Y- or T-shaped ovaries

more lateral than cow

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8
Q

Why are the endometrial folds critical in the equine repro tract?

A

reproductive management

defense

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9
Q

Where do you find unfertilized ova in the equine?

A

Oviduct

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10
Q

When do fertilized ova descend into the uterus?

A

day 5.5

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11
Q

What causes the Uterotubule junction to open?

A

PGE

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12
Q

What is the function of the oviduct in the equine?

A

Sperm storage
Fertilization site
embryo transport

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13
Q

What is the hormone for maternal recognition in equine?

A

Prostaglandin E2

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14
Q

When would you flush the equine for embryo transfer?

A

day 7-8

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15
Q

What is the size of a mature follicle?

A

40+ mm

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16
Q

Where do follicles ovulate in the ovary?

A

ovulation fossa

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17
Q

Why does the follicle change shape when it ovulates?

A

as the follicle migrates to the ovulation fossa it changes shape from spherical to oblong

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18
Q

How many glands are in each side of the mare’s udder?

A

2 glands

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19
Q

What is the only pathology of the mare’s udder?

A

Mastitis

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20
Q

What gland is responsible for the mare’s cyclic breeding?

A

Pineal gland

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21
Q

What type of breeders are equine?

A

Long day breeders

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22
Q

Describe how melatonine affects GnRH

A

High levels of Melatonin in dark days inhibit production of GnRH
Low levels of Melatonin produce GnRH

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23
Q

What happens to Mares during Winter anestrous?

A

About 30% show heat but only half ovulate

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24
Q

What happens during the Spring Transition in mares?

A

Begin to display heat but may not ovulate

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25
Describe the uterus in anestrous
no ovarian activity | uterus is flaccid with no tone
26
When should you start putting the mare under lights to stimulate estrous?
60 days before
27
How many hours of light do you need to expose the mare to to affect her seasonality?
16 hours of daylight
28
Describe the Transitional period in mares
Mares have multiple variable size follicles Uterus has estrual tone, evidence of uterine edema Displays signs of estrus for variable length of time Ends with the first ovulation of the year
29
How can you reduce the length of the Transitional period?
``` Progesterone Progestagens Dopamine antagonists Domperidone Sulpiride ```
30
What would cause a mare to mount another mare?
testosterone secreting pathology
31
What can you use to induce ovulation?
Human chorionic gonadotropin Deslorelin injectable Recombinant LH
32
What is the problem with hCG?
High antigenicity due to the large molecule size
33
What is the advantage of using Deslorelin (GnRH)?
Induces more effectively and over a shorter period of time
34
When does the CL reach maximum maturity level?
day 4-5
35
What are possible causes of failure to respond to ovulatory inducing agents?
"immature follicles" with not enough LH receptors Mares are not in estrus even though a large follicle is present Anovulatory follicles
36
HAF
Hemorrhagic Anovulatory Follicles
37
Hemorrhagic Anovulatory Follicles (HAF)
Fails to ovulate in response to ovulatory inducing agents
38
What are the options for luteolysis and estrus induction?
PGF 2 alpha | Cloprostenol
39
What is the estrus interval average after luteolysis?
3-5 days
40
What is the ovulation interval after luteolysis?
8-10 days
41
Where is PGF 2 alpha metabolized?
in the lungs
42
What are the side effects of PGF 2 alpha?
Diarrhea Abdominal cramps sweating
43
When is the CL responsive to prostaglandin?
5 days
44
What are the wrong used of Prostaglandin?
Ovulation induction Uterine evacuation post-ovulation Induction of parturition
45
What determines the interval between prostaglandin injection and ovulation?
Size of the follicle at the time of treatment
46
What are the factors that maximize your chances of a pregnant mare?
Good management Clean Mare Good Timing Good semen
47
How many days from the time of ovulation to the next time the mare shows heat?
15 days
48
How often can a stallion breed per day?
2-4 times
49
What is the limiting factor for number o times a stallion breeds per day?
Libido
50
Describe Endometrial Edema Grade 4
``` Thicker Hypo-echoic center Hyper-echoic wall More prominent at the uterine body but still maintains a nice uterine architecture "cart wheel" ```
51
Describe Endometrial Edema Grade 5 | Hyper-edema
Very thick endometrial folds loss of "normal" US architecture Increased surface area, often free fluid not observed Follicles variable
52
When should you breed pre-ovulation with natural breeding in the mare?
72-48 hours pre ovulation
53
When should you breed pre-ovulation with Fresh semen in the mare?
less than 48 hours pre ovulation
54
When should you breed pre-ovulation with fresh cooled semen in the mare?
24-36 hours pre ovulation
55
When should you breed pre-ovulation with frozen semen in the mare?
less than 12 hours pre ovulation
56
Why do we not want to inseminate post ovulation in the mare?
DNA damage is very quick once the egg is released
57
Definition of proper artificial insemination
Deposition of good quality semen into the uterus of a clean mare at the right time
58
What are the advantages of AI in the mare?
Maximize efficiency of stallion usage Increase genetic pool due to increased availability of stallions More regular evaluation of stallion semen Reduce risk of sexually transmittable diseases Increases safety of animals and handlers
59
What is the main factor contributing to sperm migration to the oviduct of the mare?
Uterine contractility
60
Where are sperm deposited in the mare?
Uterus
61
What is responsible for eliminating excess fluid from the uterus in the mare?
Myometrial contractions
62
What is the order of fertility in mares?
1. Young Maiden Mare 2. Early Foaling Mares 3. Barren Mares 4. Old Maiden Mares
63
What type of insemination is used in mares to reduce inflammation and increase pregnancy rates with difficult stallions?
Deep Horn Insemination
64
What is the order of best treatment options for mares that do not become pregnant when bred with good semen under excellent management conditions?
1. Embryo transfer 2. Oocyte transfer 3. Intracytoplasmic sperm injection
65
What are the indications for embryo transfer in mares?
Young mares in competition Mares with severe uterine problems More than one foal a year Biopsy for desired outcome (HERDA, HYPP, GEBD, EPSM, Gender)
66
Indications for Cytoplasmic Sperm injection
Old mares where it is not possible to retrieve an embryo Oviductal disease Mares that have died Use of stallions with very limited amount of semen available
67
Indications for Oocyte transfer
Old mares where it is not possible to retrieve an embryo Oviductal disease Mares with unexplained infertility
68
Describe proper vulvar conformation
vulva is 1/3 above and 2/3 below the pelvic bone
69
What is the most reliable way to examine the patency of the cervix?
digital examination during diestrus
70
What happens in maiden mares cervixes?
cervix will start to loose its functional integrity | The muscle layer undergoes a marked atrophy and the cervix becomes a collagenous tube that does not dilate
71
What are the different pathology of the cervix in the mare?
Fails to relax and open during estrus Fails to close during diestrus Adhesions
72
What is the most common bacteria causing endometritis in mares?
Streptococcus zooepidemicus | Escherichia coli
73
When would you perform a uterine biopsy?
``` Repeated embyronic death Repeated abortions Fail to respond to treatment Unable to diagnose uterine pathology with routine swab Prognosis of pregnancy ```
74
Grade III Uterine Biopsy
Severe fibrosis Nest of glands isolated throughout the uterus Severe damage to the uterus
75
What happens to edema as the mare reaches ovulation?
Edema starts to decrease toward ovulation
76
When do you see the most significant decrease in edema before ovulation in the mare?
18-36 hours pre ovulation
77
If you see high uterine edema what does that signal in the mare?
Low fertility
78
What are the causes of Failure to cycle in the mare?
``` Winter anestrous Transitional mare Pregnancy Endocrine Uterine Pathology ```
79
What causes Prolonged diestrus/pseudopregnancy in the mare?
CL lifespan prolonged beyond day 15 Diestral ovulations Early embryonic death after maternal recognition of pregnancy 15-35 days Failure of PGF 2 alpha release due to uterine abnormality: pyometra
80
What is the cause of Failure to cycle?
``` Aged mares stop cycling Limited number of oocytes Low body condition score negative energy balance Anterior Pituitary dysfunction Adrenal problem Tumors ```
81
What is the most common Gondal dysgenesis in the mare?
Turner's Syndrome: small ovaries and infantile tract
82
What is the most common hermaphrodite?
Male Hermaphrodite
83
What are the tumors of the mare repro tract?
``` Teratoma Dysgerminoma Cystadenoma Granulosa cell tumor Granulosa-thecal cell tumor ```
84
What is the most common tumor of the equine repro tract?
Granulosa-Thecal Cell tumor
85
Clinical signs of Granulosa-Thecal cell tumors
Aggressive Nymphomania stallion-like Anestrus
86
What is the treatment of Granulosa-Thecal cell tumors?
Remove ovary
87
How do you diagnose Granulosa-Thecal cell tumor in mares?
Measure Inhibin
88
What are the barriers to infection?
Vulva vestibulo-vaginal fold Cervix
89
Types of Endometritis in the mare
``` Breeding induced Persistent breeding induced Acute Bacterial Chronic Bacterial Chronic Degenerative ```
90
What causes Persistent Breeding Induced Endometritis in the mare?
Mares unable to evacuate residual fluid from the uterus due to poor uterine contractility or a poorly relaxed cervix are categorized as susceptible to uterine infections
91
What are the effects of uterine pathology on ovarian function?
Anestrus Short luteal phases Prolonged luteal phases
92
What type of bacteria causes short luteal phases?
Gram negative bacteria
93
What does Gram positive bacteria cause in the mare?
Inflammation affecting the uterine lining causing PGF 2 alpha to not be released
94
When should we culture the biopsy in the mare?
Mares that continue to accumulate fluid Mares that ovulate with hyper-edema Mares that show premature presence of uterine edema
95
Therapy for Persistent Mating induced Endometritis
Reduce the degree of inflammation | Reduce the time the fluid is accumulated
96
What are the predisposing factors of Chronic bacterial or fungal endometritis?
Poor perineal conformation Cervical incompetence Poor uterine contractility
97
What is the therapy for Biofilms in mares?
``` Acetylcisteine DMSO EDTA Gentocin Kerosene ```
98
Cause of Early embryonic death
``` Embryonic abnormalities Insufficient maternal P4 Failed MRP stress disease Inadequate endometrium Endometritis ```
99
Signs of Embryonic Death
Small size for gestational age Irregular vesicle prior to day 20 Absence of a heart beat at day 28-30 Free fluid or disseminated edema in a pregnant mare
100
Abortion
loss of a pregnancy once the fetal stage has started | 45+ days - birth
101
What is the most common cause of non-infectious abortion?
Twinning
102
What are the three routes of infection in the mare?
Transcervical Hematogenous Previous intrauterine infection
103
What is the most common cause of infectious infertility in the mare?
Herpes Virus
104
What is the most common cause of endometritis in the mare?
Streptococcus Zooepidemicus
105
What is the signalment for Equine Herpes Virus 1?
Mares 5,7,9 months of gestation
106
What are the lesions of EHV 1?
Hydrothorax pulmonary edema hepatic necrotic foci eosinophilic intranuclear inclusion bodies in the foci in of the liver
107
EHV III
``` Coital exanthema Transmitted by the stallion Self-limiting Secondary bacterial infection Remove from service until heal ```
108
Clinical signs of EVA
``` Fever depression Rhinitis conjunctivitis Ventral edema Abortion 3-10 months ```
109
What is the only true venereal sexually transmissible disease in mares?
Contagious Equine Metritis
110
How do you diagnose Taylorella equigenitalis?
Culture penis, urethra, preejaculatory fluid and semen
111
When is the earliest a pregnancy can be diagnosed in the mare?
10- 16 days post ovulation
112
What are you checking for on days 28-32 on ultrasound in the mare?
Normal embryonic development Presence of a heartbeat Checking for one embryo
113
Vesicular morphology
Embyronic disk is always on the ventral side of the vesicle
114
What is responsible for maternal recognition in the mare?
Estrogen production + contact of the embryo = blockage of Prostaglandin production
115
When does the embryo fixate in the mare?
day 16
116
Describe the embryo on day 28-32
the embryo is in the middle of the vesicle and half is yolk sac and half is amniotic fluid
117
Describe the embryo at day 35-37
the embryo reaches the top of the vesicle and then becomes too heavy and the embryo falls to the ventral part of the vesicle
118
At what day is the embryo fully formed?
After day 45
119
When can you identify the genital tubercle?
day 55-65
120
What maintains the pregnancy until day 160?
CL
121
What occurs on day 100-120?
Gonads develop and produce estrone sulfate
122
What maintains the pregnancy after day 160?
progestagins from the fetal placental unit
123
What can cause twinning?
Ovulatory inducing agents
124
What is the method for twin reduction?
``` Spontaneous reduction Manual reduction Transvaginal Aspiration Manual trauma with membrane rupture Craneo-cervical dislocation Intracardiac injection of KCl Surgery Diet ```
125
Mummification
death in the absence of bacterial infection
126
Maceration
dead fetus with bacterial contamination
127
What is the treatment for Mummification or Maceration?
Removal of fetus | Uterine lavage and antibiotics
128
How deep should the amniotic and allantoic fluids be?
7.9 +/- 3.5cm and 13.4 +/- 4.4cm
129
What are the most reliable parameters to indicate fetal well-being?
FHR/FHR reactivity
130
Signs of Placentitis
Purulent vulval discharge Udder development Premature lactation Cervical dilation
131
What is the therapy for Ascending Placentitis?
Antibiotic that crosses the placenta Anti-inflammatories Uterine relaxants +/- Uterine Blood flow
132
What is common in older multiparous mares?
Vaginal varicose veins
133
What is a normal incidental finding in pregnant mares?
Allantoic vesicles
134
What is the most common Hydropic condition in mares?
Hydro-allantois
135
How do you treat Colic due to pregnancy in mares?
Altrenogest supplementation Flunixin Meglumine Antibiotics
136
When does Uterine torsion occur?
Late gestation
137
What is the treatment for Uterine Torsion?
Rolling Flank approach Ventral midline if foal is dead
138
How do you treat ventral abdominal edema?
diuretics and exercise
139
Characteristics of Pre-pubic tendon rupture of the mare
Cranial displacement of the udder Obvious abdominal drop Sero-sanguinous to bloody mammary secretion
140
Prolonged gestation
greater than 360-380 days
141
What are the causes of prolonged gestation?
Relationship to photoperiod 10 days longer in early spring than mid summer Arrest of embryonic/fetal development may occur in early pregnancy lasting 3-5 weeks
142
What does Fescue cause?
Decreased milk production due to low prolactin Prolonged gestation or even abortion Weak or dead foals Dystocia
143
How do you treat Fescue toxicosis?
Remove source 30-45 days before parturition | Domperidone
144
When should a pregnant mare be vaccinated?
10 months of gestation with all annuals and antibodies for colostrum
145
How should you prepare the mare for foaling?
Vaccination Deworm Nutrition Exercise
146
What is the normal mare gestation length?
320-365 days
147
When would you open the Caslick before parturition?
1 weeks
148
In how many weeks is parturition due in the mare with udder enlargement?
2-4 weeks
149
In how many days is parturition due in the mare with clear watery secretions from the udder?
4-5 days
150
How many days is parturition due in the mare with Thick, sticky clear or yellowish exudate from the udder?
24-48 hours
151
How many days is parturition due in the mare with Thick, waxy exudate on the udder?
24-48 hours
152
Describe the first stage of labor in the mare
``` Cervix relaxes uterine contractions Fetal rotation Restless mare sweating ```
153
Describe the second stage of labor in the mare
``` Uterine contractions intensify Sweating fetus enters the birth canal Chorio-allantoic membrane ruptures Abdominal contractions Amnion appears at vulva ```
154
What are the requirements for induction in the mare?
greater than 330 days of gestation Cervix is open atleast 3 fingers Colostrum or milk in udder
155
Why would you induce at 315 days?
compromised mare
156
What is the effect of using Prostaglandin for parturition induction?
Explosive birth with torn cervix | Foals broken ribs and ruptured bladder
157
What is the method of choice for inducing parturition in the mare?
Oxytocin
158
What is the method of choice for inducing parturition in a compromised mare?
Steroids
159
Describe stage three of labor in the mare
Expulsion of the placenta or fetal membranes | Normal delivery within 3 hours
160
How many layers of the Placenta in the mare?
6 layers
161
What type of placenta do mares have?
Epitheliochorial Diffuse Micro-cotyledonary
162
Which horn is often the horn that becomes torn in the mare?
The non pregnant horn
163
Dystocia
The inability of the mare to culminate the second stage of labor
164
When do you suspect Dystocia?
if the mare is actively straining, chorioallantois breaks and no visible progress in 10-15 minutes
165
Red Bag
Premature Placental Separation
166
What are the problems associated with Red Bag deliveries?
Prolonged labor Meconium release Foal Anoxia/Asphixia Dummy foal
167
How do you relieve Dystocia in the mare?
``` Traction Fetotomy C-section Reposition Repulsion and reposition Flotation ```
168
What are the options for C-section in the mare?
Flank | Ventral
169
How do you minimize contractions while fixing the dystocia?
Injectable clenbuterol | Sedation with xylazine and butorphanol
170
What are the risk factors for Septic Metritis?
Cleanliness of foaling area Retained placenta Ascending placentitis Obstetric manipulations
171
Clinical signs of Septic Metritis
``` Fever depression tachycardia injected mucous membranes Positive digital pulses Distended uterus with large amounts of fluid ```
172
What is Septic Metritis associated with in the mare?
E. coli | Klebsiella pneumoniae
173
Therapy for Septic Metritis
Systemic antibiotics NSAIDs Prevention of endotoxemia-laminitis complex Uterine Lavage
174
Therapy for Hemorrahge Post-Partum clinical signs
``` Xylazine and Butorphanol Replenish fludis Aminocaproic acid Yunnan baiyao IV therapy with Formalin ```
175
Uterine tears/rupture clinical signs
Depression Anorexia colic fever
176
Therapy for Uterine tears/rupture
``` Surgical Oxytocin Antibiotics NSAIDs Fluid therapy abdominal lavage ```
177
What is contraindicated in Uterine tears/rupture therapy?
Uterine lavage
178
Risk factors of Uterine Prolapse
Dystocia Retained placenta Persistent straining
179
Therapy for Uterine Prolapse
Wash and assess uterus for tears Start replacing the uterus from the most distal place Uterine lavage Supportive therapy
180
Rectal prolapse
forceful straining during dystocia resulting in rectal prolapse could result in avascular rectal necrosis
181
Recto vaginal fistula
Foal's perforates the roof of the vagina and wall of rectum
182
Treatment for Recto Vaginal fistula
Heal by second intention | Repair surgically if feces are still found in the vagina or vestibule
183
Third degree perineal lacerations
tears of the ventral rectal wall and dorsal vaginal wall forming a cloaca
184
How do you treat bladder atony?
Buthanecol
185
Risk factors of Retained Fetal Membranes
``` Abortion Induction of parturition C-section Dystocia Twin pregnancy Placentitis Pain Hydropic conditions Hypocalcemia Low Vit. E and Se ```
186
Treatment for Retained Fetal Membranes
``` Oxytocin IV calcium Borogluconate Burns technique Manual removal Antibiotics: TMS in the uterus ```
187
Burns Technique
infusion of large volume of fluid in the unruptured chorio-allantoic space to stimulate endogenous oxytocin release
188
When is the foal heat?
day 6 after parturition | ovulate on day 10
189
When do you have uterine involution in the mare?
Day 14
190
What method of collection would you use in a stallion with neurologic problems or lameness?
Ground collection
191
What drugs are used for chemical ejaculation in the stallion?
Norepinephrine Imipramine Xylazine
192
Describe the stallion semen characteristics
``` 50mL 120x10^6 sperm concentration 5-15x10^9 total sperm Greater than 60% sperm motility Greater than 60% normal morphology ```
193
What is a common perm abnormality in the stallion?
Abaxial aberration of the tail
194
What is Spermatogenic epithelium in the semen of the stallion a sign of?
Testicular degeneration
195
What does low seminal plasma ALP mean?
there is a blockage in the epididymis
196
What does a high seminal plasma ALP mean?
no sperm present in the testes
197
How much sperm is present in fresh semen for AI?
500 milllion
198
How much sperm is present in cooled semen for AI?
1 billion
199
How much sperm is present in frozen semen for AI?
Load 800 million to 1 billion | Minimum of 240 million after thawing
200
Pyospermia
pus in the semen
201
Hemospermia
blood in the semen
202
Urospermia
Urine in the semen
203
If you find pyospermia in the presperm fraction where is it coming from?
bulbourethral glands, urethra
204
If you find pyospermia in the sperm rich fraction where is it coming from?
Epididymis | ampullae
205
If you find pyospermia in the sperm poor fraction where is it coming from?
Prostate | vesicular glands
206
If you find pyospermia in the gel fraction where is it coming from?
Vesicular glands
207
What is the treatment for hemospermia?
Sexual rest | depends on the source of the blood
208
What is a source of hematuria in geldings?
Tear in the mucosa of the urethra
209
What is the treatment for a tear in the mucosa of the urethra in geldings?
Cauterize | Sexual rest
210
Causes of Urospermia in the stallion
``` Cauda equina neuritis EHV-1 HPP Cystitis or urolithiasis Fractures osteomyelitis neoplasia idiopathic ```
211
Treatment for urospermia in stallions
Completely empty bladder before ejaculation Furosemide to dilute any urine Bladder lavage Dilute raw semen immediately Alpha-adrenergics: imipramine and Phenylpropanolamine
212
Retrograde ejaculation in the stallion
Semen in the bladder
213
When is normal testicular descent in the stallion?
last 30 days in utero or first 10 days after birth
214
In what breed might you find Cryptorchidism?
QH Percheron ASH ponies
215
How do you diagnose Crytorchidism?
``` Rectal exam US Resting testosterone concentration hCG/GnRH stimulation Basal estrone sulfate Anti-mullerian hormone ```
216
What is the cause of testicular trauma in stallions?
Kick by mare
217
What is the treatment for testicular trauma in the stallion?
``` NSAIDs Ice hydrotherapy sling hand walking ```
218
What is the treatment for testicular rupture?
remove the ruptured teste to save the normal teste from damage
219
What is the treatment for Infectious Orchitis?
Antimicrobial therapy supportive therapy | Unilateral orchiectomy
220
Why should you perform a unilateral orchiectomy on infectious orchitis in the stallion?
To save the normal teste from heat and swelling
221
What is the most common neoplasia in the stallion?
Teratoma
222
What neoplasia is malignant in older stallions?
Seminoma
223
What solution should you preserve testicular neoplasia in for histopathology in the stallion?
Bouin's solution
224
Oligozoospermia
small amount (low concentration) of sperm
225
Asthenozoospermia
sperm do not move (reduce sperm motility)
226
Teratospermia
abnormal sperm morphology
227
Azoospermia
no sperm int he ejaculate
228
What is the treatment for testicular degeneration?
no treatment
229
What does testicular degeneration cause?
Oligozoospermia Asthenozoospermia teratospermia azoospermia
230
How do you diagnose testicular degeneration?
biopsy
231
What cause of testicular degeneration can the testes recover from in the stallion?
prolonged elevated temperature
232
Hydrocele (vaginocele)
serous fluid between visceral and parietal layers of vaginal tunic
233
What is the cause of Hydrocele in the stallion?
Idiopathic | Extension from ascites
234
What is the treatment for Hydrocele in the stallion?
Spontaneous resolution move to cooler environment Exercise
235
Varicocele
Dilation of vessels of pampiniform plexus
236
What is the cause of Varicocele in stallions?
Incompetent testicular vein
237
What is the treatment for severe/acute testicular torsion in the stallion?
Surgical removal
238
What are the complications of detorsing a long term spermatic cord torsion
reprofusion injury and breach of blood teste barrier of the good teste
239
What is the treatment for penile hematoma?
Minimize hemorrhage Tight bandage prevent sexual arousal
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Paraphimosis
inability to retract penis
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Treatment of paraphimosis in stallions
Resolve cause support penis reduce swelling return prepuce
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Complications of paraphimosis in stallions
Phallectomy
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What causes Paraphimosis in stallions?
Trauma systemic disease neurological phenothiazine tranquilizers
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Priapism
Persistent erection without sexual arousal
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What cause priapism in stallions?
Phenothiazine tranquilizers | neurological
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Treatment of priapism in stallions?
Anticholinergic Beta 2 adrenergic drugs Phenylephrine Surgical irrigation
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What is the most common penile neoplasia in stallions?
Squamous cell carcinoma
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High flow priapism
Arterial supply affected
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Low flow priapism
Venous drainage affected