Ferret Medicine Flashcards
Average lifespan
5-7 years in US; can go up to 12 (Europe)
Common ferret diseases
- neoplasia (insulinoma)
- influenza
- ferret enteric coronavirus
- canine distemper virus
- rabies
- fleas
- ear mites
- heartworm
- foreign bodies
- helicobacter
- IBD
Neoplasms most commonly affect ______
endocrine system
Most common neoplasm in ferrets
pancreatic islet cell tumor (insulinomas)
Second most common neoplasms in ferrets
adrenocortical
Most common hematopoietic neoplasm in ferrets
lymphoma
____% of ferrets have multiple tumor types
12-20%
What tumors occur together most often in ferrets?
insulinoma & adrenocortical carcinoma
Difference between dogs/cats and ferrets regarding insulinoma
in ferrets, insulinoma not highly metastatic and responds well to long term medical management
Recurrence rate of insulinomas
up to 40% within 10 months
Neuro signs associated with insulinoma
ataxia, disassociation, seizures, coma
Survival times for different treatment methods of insulinoma
- partial pancreactomy: over 300 d
- nodulectomy: can be over 200 d
- only medical: 22-186 d
Medical treatment for insulinoma
- Diazoxide
- Prednisolone
- Free choice food: high fat, high protein, low carb feline diabetic diet, dry foods, no treats
- oral corn or karo syrup as emergency
Pathogenesis of adrenocortical neoplasms
absence of gonads->lack of negative feedback for hypothalamus=constantly elevated leutenizing hormone levels->pluripotent cells of zona reticularis differentiate into cells that produce estrogen and intermediate sex steroids including androstenedione and hydroxyprogesterone
Clinical signs of adrenocortical neoplasia
Cutaneous
- follicular atrophy (bc excessive strogen levels)
- irregular patchy hair loss
- rare to not have alopecia
Behavioral
- elevated estrogen or testosterone=sexual behaviors (urine marking, aggression, mounting)
Reproductive
- vulvar swelling in up to 90%
- enlargement of prostate-dysuria
Diagnosing adrenocortical neoplasia
- ultrasound with 14.5 MHz probe
- problems-adrenals so small, may not detect tumor even if it is there
- laboratory-circulating sex steroids (95% predictive of adrenal disease; UT)
- estrogen, androstenedione, 17-hydroxyprogesterone
- NOT CORTISOL
- histopathology/surgery
- equal occurrence L/R; 20% both
- Tx of choice
*cannot differentiate between adenoma and adenocarcinoma
Flutamide-mechanism of action
inhibit androgen uptake and binding
Finasteride-mechanism of action
androgen formation blocker
Medical treatment of adrenocortical neoplasms is only useful for _____________
managing symptoms
Depot lupron-mechanism of action
GnRH analog
What is Depot lupron good for/not good for?
hyperplasia; not so much for carcinoma
Deslorelin-mechanism of action
GnRH agonist
Treatment of choice for adrenocortical neoplasia
surgery-debulk/remove affected glands
Describe NORMAL adrenal glands in ferret
white-pink; 2-3 mm wide x 6-8 mm long
Right adrenalectomy concerns
- more difficult due to adherence of the gland to the wall of the vena cava & potential for vascular invasion of the neoplasm
- sometimes vena cava ligation successful but 25% have acute venous hypertension and renal failure
- use neonatal Satinsky clamps on vena cava
- long term survival is possible even if just debulking is performed