Exotics: Reptile Medicine- General Conditions Flashcards

1
Q

What nutritional problems are commonly seen in reptile medicine?

A
  • Calcium disorders- metabolic bone disease, hypocalcemia
  • Hypovitaminosis A
  • Obesity
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2
Q
  1. What are the different causes of metabolic bone disease?
  2. What patients are at risk of MBD?
A
  1. Inadequate UV-B exposure, diets lacking calcium ± vit D3, incorrect calcium: phosphorus ratio, others
  2. Young growing individuals, herbivores, chameleons, geckos, remales in repro conditions, individuals with CKD
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3
Q

What are the clinical signs of MBD?

A
  • Fibrous osteodystrophy lesions
  • Abnormal shell shape- pyramiding
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4
Q

How can MBD be diagnosed?

A
  • Confirmation/assess severity: rads, biochem (Calcium, phosphorus, renal function)
  • Rads- bone density, deformities, osteodystrophy lesions
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5
Q

What is the treatment for MBD?

A
  • Vitamin D3- IM
  • Calcium gluconate- IM until controlled then oral
  • Review husbandry and diet
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6
Q
  1. What happens with hypovitaminosis A?
  2. What patients are at risk?
  3. What are the common clinical signs?
A
  1. Squamous metaplasia of different epitheliums
  2. Terrapins and aquatic turtles- unbalanced diets
  3. Blepharitis and keratoconjunctivitis, overgrown nails and beaks (chelonians), stomatitis, rhinitis, aural abscesses, retained shed
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7
Q

How is hypo vit A medically approached?

A
  • History and typical lesions
  • Vitamin A IM
  • AB eye drops if lesions present
  • Review husbandry and diet
  • Care for iatrogenic hypervit A- severe skin sloughing and erythema
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8
Q
  1. What species are prone to obesity
  2. What causes it?
  3. Why can it be difficult to assess BCS?
A
  1. Carnivores- tegus, monitor lizards
  2. Inadequate diet and lack of excercise
  3. Most lizards have intra-coelomic fat deposits
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9
Q
  1. What is dysecdysis?
  2. What are the following species ecdysis patterns: Lizards, snakes, geckos, terrapins
  3. What are the main causes of dysecdysis?
A
  1. Retained shed
  2. Lizards- patches, snake- eyes turn cloudy, shed in one piece, Geckos- one piece, eat skin, terrapins- shed plastron, shell skin layers
  3. Low humidity, low temperature, poor water quality, poor nutrition, dermatitis, iatrogenic trauma
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10
Q

How is retained shed treated?

A
  • Correct husbandry
  • Look for other cuases
  • Apply vasoline on affected areas
  • Some require surgical- retained spectacles in snakes, extremities amputation
  • High chance of recurrence
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11
Q

What do the different reproductive strategies mean? Name examples
1. Oviparous
2. Ovoviparous
3. Viviparous

A
  1. Oviparous- laying typical eggs- chelonians, bearded dragons
  2. Ovovivparous- females retain eggs inside oviduct until foetus fully developed- boas
  3. Viviparous- placentation occurs with different levels of complexity- some skinks
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12
Q

What is pre/post-ovulatory dystocia?
What are the 2 main types and what causes them?

A

Pre-ovulatory: failure to ovulate and/or resorb follicles
Post-ovulatory- failure to lay eggs or give birth to fetus

Obstructive-
* reduced pelvic canal sizea
* abnormal size/shape of fetus
* non-repro masses
* complications during laying- adhesions

Non-obstructive
* Inadequate husbandry- temp, humidity
* Oviduct infections
* Poor physical condition of female
* Other health problems

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13
Q

What is the process to dystocia in reptiles?

A
  • Complete clinical history
  • Full clinical exam- coelomic palpation, cloacal probing
  • Radiography- confirms post-ovulatory dystocia, egg count and shape, possible obstructions
  • Ultrasonography- confirms pre-ovulatory dystocia, allos to assess rest of coelomic cavity
  • Bloods- haematology and biochem
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14
Q
  1. How do pre-ovulatory dystocia cases usually present?
  2. How is it managed
A
    • Non-specific complaints
    • Clinical exam- distended coelomic cavity, cloacal probing easy

2 Medical- improve husbandry, correct other problems, ± ABs and NSAIDs
Surgical- GA and Spay

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15
Q
  1. What are the normal complaints for post-ovulatory dystocia?
  2. What is found in clinical exam?
  3. How is it diagnosed and managed?
A
  1. Complaints about: egg laying, more active, digging around substrate
  2. Distended coelom, eggs appear as lumps and are palpable, cloacal probe might not progress much
  3. Medical- induce egg laying, surgical- ovariectomy ± spay
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16
Q

What medical managment can be used for post-ovulatory dystocia?

A
  • Always radiograph before treatment
  • General supportive- POTZ, fluids, egg laying tray
  • Calcium gluconate
  • Propanolol
  • Oxytocin
  • If unresponsive- consider surgery
    Chelonians respond better to treatment
17
Q

What external parasties can affect reptiles?

A

Ticks- only in wild caught individuals
Mites-
* Ophionyssus natricus- dark snakes
* Ophionyssus lacertinus- red lizards

Main problems of mites
Hematophagous, mobile, high repro rate, transmit pathogens

18
Q

What are clinical signs of mites?

A

Changes in behaviour
* Prutitus
* Hyperactivity
* Spending more time in water

Skin changes
* Mites visible
* Retained shed
* Retained spectacles in snakes
* Dermatitis + secondary infeciton

19
Q

What treatment can be used for mites in the patient and environment?

A

Patient
* Ivermectin- 2% spray
* Fipronil- 0.29%
* Repeat in 2 weeks

Environment
* Strict quarantine/isolation
* Strict hygiene: deep cleaning, pyrethroid sprays, bleach solution

20
Q

What are the main internal parasites with clinical relevance?

A
  • Cryptosporidium
  • Coccidiosis
  • Oxyurids/pinworms common but not very pathogenic
21
Q

What is the general approach to internal parasites?

A

Routine faecal testing
* All newly acquired reptiles
* Every 6-12 months
* Before hibernation

Should include
* Wet mount- flagellates and motile protozoa
* Floatation- worms coccidia
* Fecal smear with ziehl-nielsen- crypto
* Ideall egg count

22
Q
  1. Where does crypto affect?
  2. Is it zoonotic
  3. What does clinical disease depend on?
A
  1. Affects GI mucosa
  2. Reptiles don’t get infected with C. parvum/muris
  3. Patient immune status, stress, other pathogens
23
Q
  1. What crypto affects snakes and lizards?
  2. What clinical signs affect each?
A
  1. Snakes- crypto serpentis, Lizard- crypto saurophilium
  2. Snakes- gastric hyperplasia (regurgitation, weight loss, swelling cranial 1/2 body). Lizards- enteritis (weight loss, emaciation, D+ uncommon)
24
Q

How can cryptosporidium be treated?

A

No effective treatment
Reduce clinical signs and shedding:
* Spiramycin
* Paromomycin
* TMP + Sulfa

Stimulate patients immune system
Euthansia

25
Q
  1. What species are mostly affected by coccidiosis?
  2. How is it diagnosed?
  3. How is it treated?
A
  1. Mostly lizards- bearded dragons
  2. In house faecal testing (floatation)
  3. Toltrazuril or TMP + sulfa drugs