Ferrets, Rabbits and Rodents - Anatomy, Physiology and Common Diseases Flashcards

1
Q

What class, order and family are ferrets in?

A

Class: Mammalia
Order carnivora
Family mustelidae (related to weasels, mink, badgers, skunks

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2
Q

What are some unique anatomy and physiology of ferrets

A

Quite similar to that of cats, just elongated
heart is very caudal in thorax; sinus arrhythmia is common
spleen often very large and palpable, if smooth, not clinically significant

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3
Q

Do ferrets need vaccinations?

A

yes, need to be vaxxed for rabies and canine distemper
Rabies annually
Distemper, 3 sets @ 8, 12 and 16 wks then manually
vx reactions somewhat common so monitor for 20 min post vx

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4
Q

Can you buy unspayed/neutered ferrets?~ Y

A

Yes, but most ferrets are sold already spayed/neutered and have had anal glands removed - most smell comes from scent gland but its actually their skin glands. Smell dec after spay/neuter
They are induced ovulators, so can stay in heat for extended periods of time - inc estrogen can lead to pancytopenia (all cells)> anemia/thrombocytopenia

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5
Q

What are a ferrets normal values?

A

Temp: 37.8-40
HR: 250-300bpm
RR: 33-36/min
Urin pH: 6.5-7.5
Average lifespan 6-10yrs

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6
Q

What are comon diseases/problems in ferrets?

A

Adrenal dz, insulinoma, foreign bodies, human influenza, lymphoma, ear mites, COVID 19

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7
Q

How does adrenal dz in ferrets present? Dx? Tx?

A

Hypertrophy/adenoma/adenocarinoma of adrenal glands
not cushings - not overproducing cortisol
overproduction of sex hormones
Clinical signs: bilateral alopecia (may be seasonal/cyclic) most common c/s
others include inc odor, sexual/dominant behaviour vulvar swelling, prostate enlargemet or pruritus
dx w/ blood test or hormone lvls, us to look for enlarged adrenals, often based on C/S
tx surgical - $$$, risky and not always effective
Mecical- monthly injections; implant put under the skin

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8
Q

How do insulinoma’s present in ferrets?

A

functional tumor of the beta cells of the pancreas
cause an overproduction of insulin which leads to hypoglycemia
clinical signs -epsidotic/acute weakness or periods of unresponsiveness/glased expression, alivation, chomping/pawing at mouth or seizures can occur
dz w blood glucose during a weakness episode to test insulin lvls, but not usually necessary
tx - feed a high protein diet, avoid sugary treats, surgical - removal of part or half of the pancreas may increase time b4 medical tx is req. Medical - acute (IV/oral glucose, diazepam for seizures, prednisone daily)

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9
Q

How should ferrets be kept husbandry wise?

A

Do NOT require elaborate enclosures, they’re ground dwellers and will go down/under things to sleep
med to lg dog kennels often fine
do not usually play in den so set up for sleeping - water bottle, full food cup, soft bedding, litter box at opposite end
when they are out to play leave door open to ensure constant access to F/W
substrates: NO wood shavings, corn cob, recycled paper - line floor w/ newspaper or use pile of soft towels/clothes
NO glass tanks - inadequate ventilation
do not allow temp to go below 20F or above 90F

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10
Q

How do we keep ferrets clean?

A

bath monthly with ferret or kitten shampoo (if often will in sebaceous gland secretions or odor) to dec, clean cage and change bedding
will use litter box IF it is in the right place at the right time - if busy playing will back into nearest corner, elevate hind end to eliminate, LB should be triangular to fit into corners
very curious and known trouble makes so choose toys carefully, monitor free time

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11
Q

How should we handle/restrain ferrets?

A

pick up with one hand behind shoulders
usually relax with all 4 feet away from surface
if doing more than removing/replacing in cage should support hind end and hold close to body - fall risk
VERY flexible and quick
Scruff - will relax, yawn reflex (not recommended if scared, injured, painful, hold over surface)
calm handling, less is more

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12
Q

What are some clinical techniques for ferrets

A

vx’s are SQ
meds are PO when possible (very reactive w/ IM)
Blood collection - lateral saph, cephalic or jug for lger amounts. Cranial vena cava (use GA to prevent movement and potential laceration)
all collections may need GA/sedation if patient non-compliant
Dorsal recumbency w/ 2 handlers and 1 collector - stretch head forward and pull front legs back, restrain hind end, 25g needle and 3ml syringe

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13
Q

What fluid therapy do ferrets typically use

A

maintenance: 75-100ml/kg/day
LRS or normosol recommended for IV fluids
SQ fluids - use extension set to allow for movement

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14
Q

What are some things to keep in mind when sedating/anestheizing ferrets?

A

gas/inhalant preferred, sim to cats/dogs
fast for no longer than 4 hours
initially mask down or use induction chamber, then intubate (et tube 2.0-3.5mm) (o2 flow rate: 0.8-1.0L/min)
lose body heat quickly, need to maintain/support temperature
use toepink/palpebral to measure depth

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15
Q

What do we need to know about taking rads/urine with ferrets

A

rads: sedation often necessary, symmetry is difficult - use positioning aides, otherwise similar to cats/dogs
Urine collection - cystocentesis, catheters are difficult - require anesthesia

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16
Q

What class order and family are rabbits from

A

Class: mammalia
order: lagomorpha
Family: leporidae
NOT RODENTS

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17
Q

What are unique about rabbits teeth and digestive

A

2 lower incisors, 4 upper incisors (2lg front teeth and 2 small “peg teeth” behind, incisors and molars grow continuously through life
large abdominal cavity, very acidic stomach (pH 1.2-1.5), very long intestines, large cecum (hind gut fermentors), physically unable to vomit, produce and ingest cecotrophs (night feces)

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18
Q

What are unique about rabbits respiratory and musculoskeletal system

A

primarily nasal breathers (poor mouth breathers)
small thoracic cavity (and lungs), sm heart
Fragile skeleton prone to fractures, very strong musculature of hind limbs/back - can break their own back if struggle hard during restraint

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19
Q

What are unique about rabbits reproductive and urinary systems?

A

open inguinal rings, testes descend ~12wks (difficult to sex when young)
no uterine body; 2 services and 2 uterine horns
sexual maturity ~4-7mo; induced ovulators
gestation 29-35 days
young nurse only 2-3times/day (hares only once)
rabbits born naked/helpless (hares precocial)
Urinary - alkaline urine, calcium carbonate crystals normal finding

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20
Q

What are the normal values for rabbits?

A

body temp - 38.5-40
HR - 130-325
RR - 30-60
urine pH ~8
Average lifespan - 5-10yrs

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21
Q

What are some common diseases and problems with rabbits?

A

Snuffles -resp dz by pasteurella
GI stasis, fur mites (cheyletiella, may zoonotic)
Dental malocclusion - teeth grow continuously, if no wear down can overgrown and ulcerate in mouth/anorexia, genetic, upper teeth grow laterally, lower grow medially
Jaw/tooth root abscesses:: extraction of tooth
Urolithiasis:: stones/slude common, dx rads/UA, tx: sx
Uterine adenocarcinoma (>90 if not spayed)
Pododermatitis - painful, ulcerated dermatitis on weight bearing surface of feet, very severe, difficult to treat

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22
Q

What should we keep in mind with antibiotic use

A

very sensitive to many oral antib’s - avoid oral penicillins, cephalosporins, erythromycin, clindamycin, lincomycin
Antib associated diarrhea (enterotoxemia) can be from oral antib
from clostridial overgrowth (clostridium dificile - prods a toxin), severe, watery, often hemorrhagic diarrhea, can be fatal, tx w metronidazole may help if started early

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23
Q

How should rabbits be kep

A

Need protection from heat/cold - especially heat, 40-80F
Space: min 3x length of rabbit, 3 hop rule
NO wire bottom or at least area w/o - clean BUT causes trouble with cecotroph ingestion, can cause pododermatitis (aka sore hocks, bumble foot, ulcerative bact infection of hocks)
At least 1 hidey hole
single bottle for water - 50/150ml/kg/day

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24
Q

What are some husbandry things to keep aware of about rabbits in regards to play habits, environment, territory

A

Easily enviro stressed - visual/olfactory stim
Like to stand up on hind legs
can be litter trained
very territorial - may mark if left out free, known to fight
like to chew - bunny proof, supervise
allow free time to roam - best to make an area for this
NEVER leave unsupervised w/ any predator species

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25
How should rabbits be handled/restrained?
easily injured bc of strong legs/inflexible spine ALWAYS support hind limbs and securely restrain. When removing from cage - one hand underneath hind legs, other holds F legs NEVER scruff or hold by ears hold close to body, head tucked under arm return to cage - place in backwards (face towards you) to dec danger of kick out/bolting Use bunny burrito cover eyes can reduce stress/causes do NOT tap nose a distraction - obligate nasal breathers, causes aggression/avoidance/distress
26
How should administer medications? collect urine in rabbits?
meds - PO, can mix w/ fruit juice or puree, avoid IM if possible, if have to use quadriceps Urine collection - cystocentesis - no sedation required, catheterization - sedation required (sitting posture for male, sternal for female
27
How are rads and fluids done on a rabbit?
sedated/HA rads to prevent injury fluid therapy via IV for cephalic, IO in greater tubercle of humerus for severely dehydrated patients Ecollar to prevent chewing of cath
28
What do we need to be aware about in GA/Sedation?
more challenging than other mammals, mask down to induce - very sensitive to odor of inhalant anesthetics likely to hold breath - slow/calculated induction will reduce this Difficult intubation - repeated attempts not recommended nasal intubation is an option
29
What must we keep in mind when doing blood collection on rabbits?
collect <1ml/10g BW, skin tears easily so pluck, don't shave. Veins thin walled and fragile Lat saphenous or cephalic for easy access/minimal stress Marginal ear vein or central ear artery - difficult to get, inc hematoma risk, avoid using in pet rabbits Jug - stressful bc restrain, sedation likelt 25-27g needle, heparinized needle, can use NO needle and drip into tube sedation often a good choice to dec stress and enable you to obtain enough sample
30
What class, order and family to guinea pigs belong to?
class mammalia; order rodentia; family caviidae
31
What is unique about guinea pig anatomy/physiology?
icisors and molars grow continuously throughout life require dietary source of vit C sebaceous glad in dorsal tail area (no tail) prod and ingest cecotrophs pubic symphis close @ 6-9mo so breed before 6 mo or may have dystocia gestation 59-72d
32
What are the normal weight, temp, hr and lifespan for a guinea pig?
weight: males 900-1200g, females 700-900g temp: 37.2-39.5 HR: 240-310 Lifespan: 5-6yrs
33
What are some common problems and dz's with guinea pigs?
scurvy - vit C deficiency, req 15-25mg/kg/day (up to 50-100mg/kg/day if tx'ing deficiency), leads to defective collagen - bleeding into joins and SQ, loose teeth. Supplement diet w/ human grade vit C Antibiotic associated enterotoxemia - same antibiotic sensitivities and resultant diarrheas in rabbits dental malocclusion - same as in bunnies GI bloat - bc diet change. Dx w/ rads, look for gas. Tx w/ pain meds, force feeding or fluids, px guarded Cystic ovaries: common (>75% females btw 1.5-5yrs), C/S: abdominal distension, possibly bilateral alopecia. DX: ultrasound. Tx: US guided drainage, surgical - OHE
34
What is good husbandry practices with guinea pigs?
Simple housing - no platforms or wire florrs Enclosure >36" long NEED 1 "hiding box" - Ex. cardboard box Use wire sides - good circulation, easy to clean, protection from other pets NO aquariums - ammonia + nitrogen accumlation will cause resp issues Substrate: newspaper or aspen shavings - no cedar Use food hopper and sipper bottle: urinate and defecate w/o preference, leads to bowl contamination Need lg amounts of water: dehydrate quickly so monitor intake. Drink w/ mouth full of food so change water frequently and check for blockages
35
How should we handle and restrain guinea pigs?
easy to handle and enjoy interactions/handling - do not commonly bite but can be vocal Fully support when lifting/holding, will struggle one hand under thorax and bum, hold close to body NEVER scruff - scary and painful very poor eyesight and depth perception - careful on surfaces use towels to wrap and to make surfaces have more grip
36
How should blood be collected with guinea pigs?
small, fragile blood vessels - easily collapsed Sm V: lat saphenous and cephalic Lg V: jug and C. vena cava - sedation req Use insulin or tuberculin syringe
37
How is fluid therapy done with guinea pigs?
IV cath very difficult - use IO into greater trochanter of femur SQ fluids are more painful than in other species due to fat pad btw scapulae and little SQ space - will vocalize 50-100ml/kg BW/day - monitor for overhydration, most commonly use isotonic fluids
38
How is GA done with guinea pigs?
difficult to intubate - small and long/narrow oral cavity, mask down Only lasts for 2-4hrs, once in proper GA plane, need to swab out oral cavity stress can cause death so dec induction time and handling Rads - use sedation and positioning aids
39
What class, order and family are chinchillas from?
mammalia, rodentia and family chinchillidae
40
What is unique about chinchilla anatomy and physiology?
incisors and molars grow continuously thru life very dense haircoat: may fur slip if frightened prod and ingest cecotrophs males have no true scrotim, just outpocketing of abdomen Females have 2 cervices and 2 uterine horns both sexes have 3 pairs of mammary glands and both sexes have large urinary papillae (can be confused for a penis) which can make sex determination difficult
41
What are the normal weights, temp, HR and lifespan for chinchillas
weight: males 400-500g, females 400-600g Temp: 37-38C HR: 100-150bpm Lifespan: ~10yrs
42
What are some common problems and dz's of chinchillas
malocclusion, jaw bascesses and GI problems Heat stroke - adapted to cool enviro and can't dissipate heat well Trauma common as very flightly/active and bones are long with thin/brittle cortext - fractured tibia most commo
43
What do we need to know husbandry wise with chinchillas
very curious, quick, agile, good jumpers Need large cage w/ solid flood, hide box, diff lvls w/ jumping platforms, NO connective ladders btw lvls bc entanglement and injury, NO exercise balls bc stress and overheating CANNOT SWIM supervise all free time -bathrooms work well but watch your toilet Keep cage cool/dry area w/ NO direct sunlight 65-65F put at least 1 side against wall for safety NEED dust baths - use shallow bowl or pan they can run in/out of, offer 2-3/wk, buy dust substrate: newspaper or aspen shaving use pottery dishes for food - easy to clean, can't chew use water bottle - clean and change daily
44
How do we handle/restrain a chinchilla
handle gently bc fur slip support body w/ one hand around thorax, other supporting rump with 1 finger around tail can be lifted by tail if needed (may be better for frightened or less socialized patients, no fur slip) NEVER lift by ears, scruff, make a sudden grab use towel on table for grip
45
How do we give medications to chinchillas
PO preferred over injections if inject - use quads (wet fur w/ warm water at site to prevent fur slip
46
How do we collect blood from chinchillas
veins difficult to accss use lat saph w/ 25G needle and tuberculin syringe collect max 0.5ml/100g BW can use jug, femoral vein or Cranial vena cava for larger volumes - all req sedation
47
How do we give chinchillas fluid?
Iv cath difficult to place SQ fluids 3-4ml IO: into femur, require sedation IP cavity: careful to avoid ascites
48
How do we put chinchillas under general anesthesia?
mask down, do not premed - causes muscle necrosis Only fast 2-4hrs (hypoglycemia risk otherwise) clean cheeks prior to GA difficult to intubate prone to hypothermia - provide heat source during GA and recovery wrap in towel during recovery to prevent them from bolting before fully recovered
49
How do we collect urine and run rads with chinchilla
cystocentesis, free catch or floor collection Rads: use sedation and positioning aides
50
What class, order and family is hamsters from
clas smammalia order rodentia family cricetidae
51
What is unique about hamster anatomy and physiology
several diff breeds nocturnal incisors and molars grow continuously thruout life hip/flank glands prominant in adult males (pigmented), can become infected, impacted or neoplastic females prod copious discharge after ovulation may hibernate at temps less than 5C (sometimes even 10-15C) distensible cheek pouches - can become impacted and develop tumors lifespan 1.5-2yrs
52
What are some common dz's and problems with hamsters?
antibiotic associated enterotoxemia - overgrowth of clostridium difficile, same sensitivities to antibiotics as rabbits and guinea pigs, usually seen in adult hamsters Wet tail - young hamsters, proliferative enteropathy caused by lawsonia intracellularis, treat aggressively w/ fluids, antibiotics and force feeding
53
What class, order and family are gerbils from?
class mammalia order rodentia family muridae
54
What is unique about anatomy/physiology of gerbils?
adapted for a desert environment; req very little water incisors grow continuously thruout life, molars do not may slough tail if handled by tail (tail slip) box sexes have an orange/tan area of alopecia on ventral abdomen and a ventral marking glad (can become infected, neoplastic in older gerils) lifespan 3-4yrs
55
What are some common dz's and probelms with gerbils?
tail slip - if picked up by tail tip, skin will slough, req amputation because bone is exposed Sore nose: moist dermatitis - like due to inc in porphyrin secretions (dt stress) which acts as irritant - then 2nd infections occur Tumors: common, males(squamous cell carcinoma of ventral marking gland), females (ovarian granulosa cell tumors) head tilt - aural cholesteatoma (looks like polyp)
56
How do you house hamsters?
nocturnal fastidious in maintaining/arranging habitat (makes special area for sleeping, food storage and waste. Can place a litter box after they have designated a waste area, when cleaning cat, put things back as they were) live alone - can be very aggressive in pairs or groups. >80F will estivate
57
58
How do you house gerbils?
not nocturnal more social, need/enjoy companions monogamous, do not separate once bonded very playful and active enjoy small toys, tubes, hide boxes, several entrances to hide boxes
59
What enclosure requirements do hamsters/gerbils need?
solid floors and sides w/ secure lids gerbils great jumpers, both will climb hamsters enjoy elaborate homes with tubes Provide hide boxes (hamsters only use if in sleeping area) cage clean weekly substrate: aspen shavings or recycled paper products (gerbils use a fine sand) water bottles that are cleaned and changed daily - gerbils drink less than hampsters rodent wheels on solid surface exercise balls - supervise
60
How do we handle and restrain hamsters?
easily startled aggressive when startled or when first awake - gently prod from sleeping area to wake, wait to pick up until fully awake scoop into hand do not tolerate much handling before biting can scruff - empty cheek pouches first, include extra cheek in scruff, extended periods of scruffing can cause exopthalmosis due to pressure behind eyes
61
how do we handling and restrain gerbils?
NEVER catch or restrain by tail very fast - often easier to catch by scooping into cup first can scruff - cheek skin not a problem like hamsters
62
How do we collect blood, do injections and fluid therapy in hamsters/gerbils?
blood: lat tail vein in gerbils, mask down first, arm tail or cloth to dilate vessels Cranial vena cava - risky, need full GA Injections by SQ or IP Fluid is difficult, hard to access veings, cannot give full volumes
63
How can we give meds, GA and do rads with hamster and gerbils?
meds: most meds are ELDU, hard to hid meds bc they're cautious eaters GA: mask for induction and maintenance, can converse syringe case Rads: use GA and tape/positioning aides
64
What class, order and family are mice/rats?
mammalia, rodentia, muridae
65
What is the anatomy/physiology of mice/rats
rats: incisors grow continuously, molars do not. Harderian glands behind eyes secrete porphyrins (tears look red) lifespan 2-3yrs Mice: incisors grow always, molars not. lifespan 1-2yrs
66
What are common problems of rats?
chronis resp dz - common, from mycoplasma pulmonis (also from streptococcus and corynebacterium), tx w/ antib - may kill organism, but body's response to mycoplasma cause resp damage. Antib may cause dec clinical signs but not cure dz mammary tumors: usually benign (fibroadenoma), grow VERY quickly, occurs in both genders, surgical removal usually curative Live/fur mites: common, scratching and fur loss, skin/scrape/scotch tape to dx red discharge from eyes/nose - porphyrin secretion inc w/ stress/underlying dz\
67
What are the common problems + dz w/ mice
Mites: alopecia, pruritic w/ self trauma common (can scratch ears right off) may have underlying skin condition and not mites mammary tumors - almost always malignant (adenocarcinoma) and metastatic px por
68
How do we house rats/mice
rats: easily socialized, good with others, rarely bite, make better pets. Curious, intelligent, bruxism and boggling = signs of contentment MICE: more active and nervous, quicker to bite, do not allow much handling/interaction, aggression with others
69
How should rat/mice enclosure be?
good ventilation bc ammonia fumes solid floors, careful with wire sides for mice can use aquarium w/ fitted lid substrate: recycled paper or aspen shavings provide hide boxes, wheels, tubes (PVC pip, cardboard rolls) - good bc play in/on, chew on check/change water 2x/day bc rodents cannibalize when water runs out provide appropriate wood blocks for gnawing
70
How do we handle/restrain rats?
pick up one hand then support w/ one hand around shoulders and one underneath never pick up by tail for potential painful procedure, hold in same manner w/ thumb under mandible and stretch them out slightly
71
How do we handle/restrain mice
will bite can pick up by base of tail and be placed onto a rough surface - only use tail for quick transfer (will bite own tail to escape), when sat down they will run, can scruff, wrap tail around little finger to control do not wear thick gloves and squish bc injury, suffocation and dropping
72
How do we collect blood, inject and give fluids to rats/mice
max 10% total blood V can be taken, average 70ml/kg BW used warmed lat tail veil use 23g needle w/ tuberculin syringe or heparin microhematocrit tube directly from needle, can use syringe case w/ breathing holes in the end to help w/ restrain (60cc for cats, 3cc for mice) injections give SQ or IP fluid therapy: 5 ml max fluids at one time
73
How is GA and rads done with mice and rats
GA: mask down, can use a syringe case or place them completely inside a k9 mask, hypothermia is a concern, provide heat source during procedure Rads - need GA, may be able to use dental x-ray unit, use tape and positioning aids
74
What class, order and family is a hedgehog from?
mammalia, order eulipotyphla and family erinaceinae
75
What is unique about the anatomy and physiology of hedgehogs?
nocturnal omnivores - mostly insectivores males - no scrotal sac; testes housed in perianal recess surrounded in fat very sensitive smell and hearing poor vision thick fibrous dermal layer under spiny skin - lots of fat, few blood vessels and slow absorption of SQ injections self anointing (wanting) - frothy saliva rubbed over spines - often in response to strong odors
76
What are the normal values for hedgehogs?
 Weight – Male 400-600g; Female 300-600g  Temperature – 36-37.4C  HR - 180-280bmp  RR - 25-50/min  Lifespan – 4-6 years
77
What are common diseases and problems for hedgehogs?
tumors - common (30%), oral squamous cell carcinomas, mammary tumors, mast cell tumors Wobbly hedgehog syndrome - progressive paresis/paralysis, starts with hind end, thought to be genetic, axonal and spinal cord degeneration, no tx Mites - common in young animals, in older animals w/ new appearance of mites, look for underlying disease causing immunosuppression trauma to feet/legs - often get strings/hair/dental floss wrapped around feet/legs anesthetize to remove; if severe may require amputation
78
What is some common behaviour for hedgehogs?
nocturnal, solitary "popcorning" curl into ball and hiss when upset anointing - if introduced w/ new smell/taste they will like it and hypersalivate - white, frothy spit and will use to paint or anoint their spines if handled young will be better high fall risk - poor eyesight and depth perception undemanding and easy to care for not known for chewing things
79
How should hedgehogs be housed?
solid floods/sides good climbers and will scale wire cages Large floor space - if too small will cause behave issues like weaving, compulsive pacing and endless perimeter laps provide exercise wheel - ensure solid, provides mental and physical health benefits and helps with weight control substrate: aspen shavings or recycled paper products provide multiple, different hide boxes w/ PVC pipes, cardboard boxes, shredded paper/cloth keep enclosure away from direct sunlight, AC units and heating vents - will estivate does not hibernate
80
How should we handle/restrain hedgehogs?
will stay curled up until no more perception of danger/annoyance wear leather gloves or use folded towel to protect hands use food to encourage unrolling - stroking spines causally can help them relax curl tighter with noise so keeping area quiet is important patience - never foice them open when unroll, can scruff or insert fingers at shoulder and wrap them underneath behind forelegs to prevent rolling can try placing in sink w/ after to encourage unrolling sometimes req GA to unroll
81
How are hedgehogs put under GA
mask or chamber can use ET tube of 2 mm or less OR 14g catheter w/o the stylet hypothermia risk, provide heat meds/injections - SQ: give on right side below spine layer to avoid accidental puncture of spleen/kidney, lower on R side Spine layer slow absorption - thick fat w/ little blood supply IM: use quads PO: mix w/ fav food, inject into prey item, mix with joice
82
How is blood collecting from hedgehogs?
jug: hard to visualize but anatomically similar Vena Cava: sedation - heart more cranial Peripherals difficult bc short legs use 25G needle w/ tuberculin syringe to prevent laceration or collapse pre-heparinize syringe to prevent clotting rads - use GA and positioning aids