Exam 2 Flashcards
Describe any adverse outcomes of
performing this examination in the female.
Rectal tear with hemorrhage
Tight ring of rectum needs to relax
Most common ovarian tumor in a horse
Granulosa (Theca) Cell Tumor- GCT/GTCT
Behavioral changes
◦ Aggression
◦ Stallion like
◦ Markedly prolonged estrous
◦ Anestrus (less common)
Benign and slow growing on ovary
Diagnose with ultrasound and hormone assay :
—1 enlarged and 1 inactive
— Low progesterone, high testosterone, high inhibin
What are some cycling abnormalities associated with ovary
Ovarian hematoma - painful ovary
Persistent CL
Hemorrhagic anovulatory follicles -follicles dont ovulate= long interovulatory period
—caused by prostaglandin/ NSAID and uterine inflammation
Anestrus - seasonal, starvation, silent heat, endometrial cups- made at 35 days- takes 120d to go away, developmental, senescence
What happens when the urethra is dorsal to the cervix
Urine moves with gravity so the urine will move out of the urethra and back into cervix with this confirmation - urine pooling
Cause inflammation and scarring —> lower fertility
Treatment : surgery to alter urethra and lengthen it
Foaling trauma in horses : vagina, cervix, uterus
Rectovaginal fistula: Surgical repair in 6 weeks to allow for tissue granulation - but move the leg out of the rectum when foaling
Cervical tear: need at least 50%of cervix to maintain a pregnancy — tear can distrust dialation and clearance of cervical and uterus fluid
Uterine periforations - and enter the abdominal cavity —> probably for mare
What modalities dont confirm the viability of the pregnancy
Hormonal assay
Ballottement - deep palpation in sheep to feel fetal structure
Radiographs
Only one that DOES confirm viability is Ultrasound
What is pregnancy associated glycoprotein used for?
PAGs are from placenta in bovine
- 28 days to form and needs to wait 90days post-partum to detect
4 cardinal signs of pregnancy in bovine
Membrane slip of chorioallantois d35
Amniotic vesicle d35
Placentomes d75
Fetus d65
Need 2-4 of the signs^
Why should you check on day 14 of equine pregnancy
Because the embryo is no longer bouncing, it is implanting to the uterus wall on day 16—> then migrates bottom to top with the sacs made
This is to reduce the twins and viability can be checked at day 25
Hormones for pregnancy
PAG
Ecg
Estrone sulfate
Relaxin
PAG- bov At 28 days and 90 days postpartum
Ecg- eq endometrial cups at 35 days and last 120 days after they are made
Estrone sulfate- eq @90d and pig @30 days from fetal gonads
Relaxin- canine placenta @ 21 days ; feline
Transrectal vs transabdominal ultrasound for species
Transrectal
- cow
- equine [initally- day9-10]
-small ruminant
- camelid [day 12]
Transabdominal
-equine late gestation with uterus more ventral
-small ruminant
-porcine/sow- fully 23days gestation
-canine @ 22 days
-feline @21 days
Species born with amniotic sac
Equine and carnivore are born with the amniotic sac bc allantois seperates - the allantois is dorsal and ventral
Sow and ruminant are not born with any sac -allantois is ONLY VENTRAL
Both the allantoic and amniotic sac are made up of fetal urine
Vittelline intestinal duct
Aka Yolk stalk = vitelline duct = omphalomesenteric duct
It is connecting the yoke sac [which should regress] to the midgut
If this duct is maintained then there will be feces from umbilicus
How many umbilical arteries are there?
What type of blood so they carry
There are 2 umbilical arteries that carry deoxygenated blood back to placenta
—sounds the Urachus
2 umbilical arteries in fetus become the round ligament of the urinary bladder!!
What is the remnant of the umbilical vein
There is 1 vein within the fetus which is the left umbilical vein —> round ligament of the liver [ runs in the falciform ligament]
If the allantoic stalk does not close in fetal life
If the allantoic stalk does not close in fetal life : Patent urachus - urine dribbles out of umbilicus
Patent urachus = urachus fistula = dribble
Urachus cyst =part of urachus left leading to cyst in abdomen
Urachus sinus = the part of urachus distal to the bladder is not closed —> serous fluid build up and leak
What is the difference between umbilical hernia, gastroschisis, omphalocele
Umbilical hernia is covered with normal skin- can be normal in development then closed
During development:
Omphalocele : is a problem bc the GIT intestines dont return AND covered by speritoneum, Wharton’s jelly , amnion
Gastroschisis - the abdominal muscles dont meet at midline body wall defect AND no sacs- the visceral touch the amniotic fluid
Pyometra: horse
Closed
Scarring of cervix from breeding and the pus builds in the uterus bc the cervix wont dialate
• not systemically ill
Tx: drain and lavage
Surgery: open cervix and continued drainage
Prognosis is good ; wont get pregnant!
Diagnosis of twins in equine
When to terminate?
2 large follicles at estrus
2 embryos at pregnancy check at day 14 —> ideal time to reduce manually
Natural reduces into 1 embryo by day 40
Terminate pregnancy
—14-16 days = ideally manually to squish
—till 45 days = transvaginally squish
—>60 days = cervical dislocation
—by day 35 before endometrial cups
Inflammed penis and prepuce
Balanoposthitis
Uterus vs vagina/cervix: What is more susceptible to infection?
Uterus because elf the columnar epithelium cells
-less mucosal immunity in the uterus than the vagina and Cedric that has stratified squamous
Progesterone in bitches mares and cows
Connect ecoli, CEH, pyometra
Decreases myometrial activity and retains the potential pathogens
older bitches get cystic endometrial hyperplasia with P4 and ecoli causing thickening and cysts —> predispose to pyometra
Progesterone (with estrogen priming) → ↑ susceptibility to bacterial infections by inducing
fluid accumulation in endometrial glands and uterine lumen,
suppressing leukocyte activity and decreasing myometrial activity
Bacteria in females genital tracts : abortion or not
Non-pregnant bacterial infection = endometritis, metritis, pyometra
Decrease fertility : CEH
Pregnant bacterial infections of uterus =abortion
Late term abortions due to leptospirosis
Cattle pigs and horses
Stagnant water cases
Campylobacter transmission and spp.
Ingestion [C. Jejuni and C. Fetus ssp. Fetus]
—C. Fetus ssp. Fetus: abortion in sheep bc go to placenta
Venereal [C fetus ssp venerealis-cattle] — C fetus ssp venerealis = ascending infection that causes abortion and infertility in FEMALE cows
Causes of abortion bacteria
Brucellosis [all], campylobacter [cattle, sheep, all], leptospirosis [horse, pig, cattle], listeria [ruminant]
Bold = venereal transmission of bacteria
Listeria monocytogenes forms in ruminants
It is zoonotic. [like brucellosis]
Visceral- abortion and septicemia with dissemination
—neonatal septicemia
—liver milk spots
—late term abortion [also like lepto, campylobacter, brucella]
Neurologic
Sterile fluid vs pyometra in uterus : diagnostics
Cannot differentiate with an ultrasound the purulent dc and hydrometra or mucometra
Perivulvular dermatitis signalment and treatment
More in spayed females and dogs prepuberty
—recessed vulva and skin folds (obese)
—Underlying cause is vaginitis, UTI and urinary incontinance
Tx weight loss and episioplasty to remove vulva hood in severe case
Juvenile vaginitis vs adult-onset vaginitis
Juvenile vaginitis : before puberty and bc of low immune system
—inflammatory cytology - no degenerative neutrophils or bacteria
—wait till resolves after 1-2 heats before spay
Adult onset vaginitis (INTACT)
—virus/bacteria or anatomical (stricture)/neoplasia
—degenerate neutrophils in inflammatory cytology with bacteria (e.coli)
—hyperemic mucosa
Tx cytology/culture and susceptibility with antibiotics or anatomy correction
Adult onset vaginitis. (SPAYED)
—spay —>no estrogen influence —> vaginal atrophy —> chronic inflmmatory non-degenerate neutrophils with bacteria
—supplement incurin/estriol =estrogen for increased vagina defense
Most common in that first trimester (most concerned early to mid pregnancy) = more organ development so the most suspetility to teratogens [ varies with species]
Dogs – days 14-30
Cats – days 14-26
Horses – less than day 60