Final end Flashcards
Hepatorenal syndrome
- liver cirrhosis, portal hypertension, ascites + edema
- activation of sympaticus, renal vasoconstriction, uraemia and azotemia
Nephritic syndrome
- immune complexes, lodge in capillaries
- elicit immune response to capilliaries
- increase WBC
- inflammed nad breakdown allowing RBC + WBC to leak through
- protein loss (mild)
- decrease GF
- water and sodium retention
Nephrotic syndrome
- increase glomerular permeability
- podocytes aren’t working/lost
- protein leaks out (albumin decreased)
- frothy urine
- edema
- increased lipids
- decreased CO
causes of prerenal disorder
- decreased renal perfusion
- venous pathology
- decreased arterial BP
- increased intrabadominal pressure
stages of prerenal disorder
- compensatory = maintain normal kidney function. Afferent = dilation, effe = constrict, increase GFR, Na, H2O reabsorption. Increase blood vol + BP, secretion of prostaglandins and NO
- prerenal kidney failure
- decreased GFR as no more dilation and constriction
- strong sympathetic and RAAS activation
- prerenal uremia and azotemia
frothy bloat
- small gas bubbles produced during fermentation in rumen are separated above ruminal content
- abnormal fermentation
= sudden production of large amount of gas
= gas trapped
= stable foam is formed, eructation canont occur
= rapid expansion - animal + plant influences formation of foam
- salivary mucine is antifoaming but production is decreased
- most common = grazing legume
- less common in dairy cattle
- no separation of gas, foam formed, no eructation, increased pressure in rumen.
= increased rumen motility
= increased pressure + stretching of wall
= hypotonia of rumen
= atony of rumen
death occurs due to suffocation
bloat
- frothy bloat (primary)
= abnormal fermentation of luminal content - free-gas bloat (Secondary)
= mechanical disturbances
hypertrophic cardiomyopathy
- inherited disorder
- left ventricular concentric hypertrophy and interventricular septal thickness
- inner diameter of left chamber is reduced - atrial dilatation of increased pulmonary pressure
- stagnation of blood in L. atria predisposes to formation of thrombus
- myocyte degenerative changes and interstitial fibrosis - decreased ventricular dilatation and contractions
aortic regurgitation
- semi-lunar valve fails to close properly
- left ventricular eccentric hypertrophy -> compensation -> diastolic murmur
- relative insufficiency of mitral valve
- dilation of the left atrium
- pulmonary edema
- hypertrophy and dilation of right ventricle
respiratory sinus arrhythmia
- change of rate of spontaneous depolarisation in SA node related to respiration
- helps to stabilise CO, allowing the HR increase during inspiration when left ventricular SV decrease
supra ventricular arrhythmia
atrial extrasystole, supraventricular tachycardia, atrial flutter and atrial fibrillation
atrial flutter
abnormal herat rhythm occurs when atrial pump rapidly, supra ventricular tachycardia
sinus block
- disturbances in which impulses are generated in sinus node, cannot be conducted by atrial muscle
- 1 degree - delayed conduction from SA - atrial muslce
- 2 degree - inability to conduct some SA node
- 3 degree- none are conducted
AV block
- partial/complete interruption of transmission (A->V)
- 1st - delay of conduction, prolonged P-Q interval
- 2nd - some aren’t conducted (Mobitz 1+ 2(
- 3rd inability to conduct
cystic fibrosis
- genetic disease with abnormally thick mucus production in mucus glands
- lungs and pancreas mostly affected
- airway obstruction, athelectases and infection
- cor pulmonale and resp distress syndrome
lung hypertension
- lung disease with vasoconstrictive/structural changes in BV
- left heart failure, 2ary to pressure increase in lung veins
- congenital heart malformation
- hypoxia and cor pulmonale
chronic obstructive bronchitis
- hyper secretion, diffuse obstruction, chronic productive cough due to inflammation, mucosal gland hypertrophy and hypreplasia
pleural disease
- pleuritis = wet/humid
dyspnea and pain = athetectases - hydrothorax = increased hydrostatic/ decreased oncotic pressure (liver and kidney disease)
- pneumothorax = closed/open/ventile
bronchopneumonia
from bronchioles to alveoli
- small foci of inflammation
neonatal resp distress syndrome
- premature partus, piglets and puppies
- insufficient amounts of lung surfactant
- during exhalation, residual vol is exhaled and lungs collapse
brisket disease in cattle
- severe hypoxic response with vasoconstriction
- tachycardia, jugular veins dilatation, subcutaneous edema in neck
lung edema
- abnormal fluid accumulation in lungs cardiogenic lung edema - capillary pressure increase, congestive heart failure, increased pressure noncardiogenic - angio-mural edema - capillary damage, ROS production - alveolar pneumocytes type 2 damage - penetration of plasma and erythrocytes clinical signs - cough, dyspnoea, restlessness, tachycardia, foamy sputum
atelectasis
- aeration failure and lung collapse
- alveolar collapsing disturbs lung circulation
- necrosis, epithelial destruction
1. obstructive, 2 compressive, 3 postoperative
lung pneumonia
congestive, hépatisation and resolution stage
- fever, hyperventilation, dyspnoea and tachypneoa
lung emphysema
- destruction of alveolar walls and septa
- alveolar and interstitial
mechanical theory - bronchiolitis, laboured breathing, cor pulmonale, alveolar walls and capillary network distension
biochemical theory - alpha1 antitrypsin, elastine function is lost
consequence - decreased area of gas exchange
- loss of network and elastic fibres
- increased residual vol
- lung hypertension
iron deficiency anaemia in pigleta
- sow = low permeability of transplacental barrier - milk contains small amount of iron
- piglets = born with very low Fe stores, rapid growth + needs
- environment = pigs raised in confinement without access to soil
pathophysiology = tissue hypoxia, hypothermia, GI inflammation, insufficient Fe supply
clinical signs = decreased appetite, inadequate efficiency of food utilisation, stunts growth, anaemia, pulmonary edema
hypersecretion
- increased gastric juice secretion
- increased conc of gastrin = acute and chronic gastrin, decrease gastrin catabolism, hypertrophy of tumour G cells
- increased cos of corticosteroid -= acute and chronic stress
- increased conc of histamine = mastocytoma
- consequence = peptic ulceration, inactivation of pancreatic enzymes, deposition of bile salts, diarrhoea and steatorrhea
further biotransofmraiton in the liver
toxins (non polar) -> intermediate -> end product (more polar)
ammonia detoxification
- waste product of AA metabol and pther N2 compounds
- formed by AA deamination and urea degradation
- place of origin: intestine, liver and kidney
- SI => protein digestion -> ammonia
- LI => bacteria degradation -> ammonia
goes to portal circulation -> urea cycles -> urea
disorders of ammonia detoxification
- decreased liver function -> decrease ammonia detoxification
- liver cirrhosis -> NH3 bypass liver -> toxic action of the brain -> hepatic en ephalopathy
hepatic encephalopathy
- liver failure, means decreased utilisation of ammonia and portosystemic shunting leads to accumulation of ammonia in systemic circulation, readily crossing BBB
- depression, lethargy, ataxia, stupor, coma
causes of sideropenic anaemia
- decreased intake (newborn)
- decreased absorption ( insufficient secretion of HCl)
- blood loss
- increased demand
aplastic anaemia
- pancytopenia = anaemia + leukocytopenia + thrombocytopneia
- autoimmune destruction of hematopoeitic stem cell
- causes = mostly idiopathic, infection, drug therapy, toxins ingestion, genetic disorders
sideropenic anaemia
- when iron becomes limiting for erythropoeisis
- in absence of iron, Hb cannot be product in suff quantities
- microcytic hypochromic anaemia
regenerative - sufficient iron absorption + blood loss in upper GI tract
nonregenerative - concurrent: nutritional iron deficiency + suppress regeneration
iron deficient RBC - shrinkage, membrane blebbing = features of apoptosis
- keratocytes, acathyocytes, schisocyte
haemolytic anaemia
- intravascular = destruction of RBC within blood vessles
- extravascular - phagocytosis of RBCs
hereditary stomatocytosis
- alaskan malamute, inherited autosomal recessive trait
- increased osmotic fragility of erythrocytes and shortened lifespan
- membrane cytoskeletal defect
pyruvate kinase deficiency
- insufficient ATP production
- highly regenerative anaemia
- erythrocyte 1/2 life is shortened
- haemolytic anaemia
immune mediated haemolytic anaemia
- primary idiopathic IMHA -> mistakingly recognises RBC as foreign and produces autoantibodies against
- secondary -> immune system produces antibodies against erythrocytes by virus, bacteria..
- alloimmune hemolytic anaemia
neonatal isoerythrolysis in kittens
- type B queen, mate to A or AB toms
- kittens bearting type A antigen
- signs within 24-36hrs
- weakness, tachycardia, ear and tail tip necrosis
DIC
- multiple clot formation
cause: sepsis, neoplasm, metastatic tumour
anaemia in chronic disease
- normocytic normochromic anaemia
- most common non-regenerative
- mediated by inflammatory cytokines
- decreased RBC lifespan and decreased RBC prodcution
thrombocytopenia
- decreased bone marrow production (drugs, infectious agents, necrosis, aplasia)
- increased platelet consumption (extensive acute bleeding + DIC)
- increased platelet destruction (immune mediated destruction)
inherited and acquired
von willebrand disease
- inherited deficiency
- disorders of primary haemostasis
- spontaneous mucosal bleeding
- slow wound healing
- vWD def = decreased platelet pug formation
- type 1 = deficiency in amount of vWD
- type 2 = relative decreased more severe
- type 3= most severe, complete absence
fragmentation hemolytic anaemia
- secodndary to vascular disease of DIC
- mehcnaicla trauma
- keratocytes, shcistocytes and cathocytes
anaemia due to infectious agents
- extravascular hemolysis
- decreased erythropoiesis
- babesia, myocplasma
- breakdown cell membrane
oxidant - induced haemolytic anamia
- onions (dogs, cats), barassica species (rum), nitrate containing pnlants (rum)
- minerals - sink (dogs), copper (sheep, dogs)
- chemicals - skunk muscle (dogs>cats)
- drugs - acetaminophen (cats,), Vit K (dogs)
anaemia of chronic kidney disease
- non-regenerative anaemia
- not presen t in all animals with kidney chronic
- decreased erythropoietin production
- increased hepcidin
- decreased rBC lifespan
disorders of biotransofmration I liver
- decreased inactivation and excretion of endogenous metabolites
- accumulation Imn body -L toxic reaction
- liver cirrhosis - toxins, bypass the liver
biotransformation in liver
- conversion of endogenyous/ exogenous compounds
- deotoxification = conversion to ineffective metbaolites
- bioactiation = increased toxicity, CCL4 => CCL3
mechanism of biotransformation
stage 1 = non synthesis = oxidant, reduced and hydrolysis
stage 2 = synthesis = coagulation, methy and acetyl
aetiopathogenesis of shock
- hypvolemiac = loss of circulation gblood
- cariogenic = disease of myocardium
- distributive = inaqedquate blood vessel adatpion
disorders of haemostasis
- acquired disroders -> due to underlying disease (old animals)
- inherited (young) (dog) - von willebrand and haemopilhilia
pure red cell aplasia
- absence of identifiable erythroid precurorsors
- only erythroid line is affected
- severe non-regenerative normocytic normoochromic
- primary/secondary
cariogenic shocks
disease of myocardium ,myocardial infarction and pulmonary embolism