Herps Flashcards
Many reptile and amphibian emergencies are the end result of improper _____ and/or _____.
husbandry, nutrition
What are the general signs of a sick reptile?
- decrease appetite
- lethargy
- change in colour (paler or darker)
- constipation
- diarrhea
- regurgitation
- oral or nasal discharge
- difficulty breathing (audible sounds)
- lameness
- change in body or limb shape
- swellings, nodules on head, trunk or limbs
- swollen coelom
- neuro signs (weakness, ataxia, paresis, paralysis)
What are the general signs of a sick amphibian?
- decrease appetite
- tacky skin = dehydration
- terrestrial amphibians hanging in or near water’s edge
- splayed legs, head down, eyes closed, reduced righting reflexes
- anurans: eyes wide open with dilated pupils that don’t respond well to PLR
- skin changes (colour, mucous production)
- bloating, esp in aquatic spp.
- swollen limbs + eyes
What is the first rule of a herp PE?
safety first!
what is one of the most common clinical findings in reptiles and amphibians on PE?
obesity
When should you collect diagnostic specimens from a herp?
while doing PE
When metabolic bone disease (MBD) is suspected in a herp, what do you need to be especially careful of during PE?
manipulating the jaw
care should be taken when manipulating the jaw in normal herps too!
reptiles and amphibians have ____ control over their pupils.
voluntary
when compared to mammals, herp oral cavities and mucus membranes are ______.
paler
____ temperatures are useful, especially in larger reptile species which can maintain their body temperature for up to ____ ____.
cloacal, 24 hours
How can you determine heart rate in a herp other than using a stethoscope?
- direct visualization of the apical heartbeat via transillumination at the xiphoid
- Doppler or B-mode ultrasound
what is extremely important to know when handling amphibians?
keep them wet!!!
amphibian POTZ’s are ____ than reptiles
lower
when dealing with amphibians, beware of ____ shock, especially from ____ and _____.
thermal
transport, handling
When handling amphibians, like during the PE, what should you do with your hands?
put on gloves (powder free nitrile or vinyl) and keep hands/gloves moist
why should you wear gloves when examining amphibians?
- decreases epithelial damage
- decreases danger of transdermal absorption of lotions/creams
- protects against toxic or noxious excretions
_____ movements can be used for resp rate monitoring in amphibians.
gular (throat)
Before administering drugs to herps, what is really important to do?
warm herp slowly to POTZ
tell me the prognosis for herps with the following mentations/processes:
1. semi-comatose to comatose
2. normal to dull reactions to environment and stimuli
3. acute processes
4. chronic processes
- guarded to grave
- better prognosis
- better prognosis
- poorer prognosis
What are the C/S of shock in a herp?
- weakness/depressed mentation
- tachycardia
- pale/discolored mm
- vasoconstriction of intramural vessels & ventral abdominal vein
- prolonged CRT
- dilated pupils
How do you asses a herp’s hydration status?
- mm moisture
- skin gliding over underlying tissue
- ocular globe position
- PCV/TP if values known
how do you correct a fluid deficit in a herp?
slowly!
acute losses: 12-36 h
chronic losses/dehydration: 48-96 h
when deciding which fluid to choose for a reptile, what should you look at?
plasma osmolality
what is the maintenance dosage of fluids for reptiles? what sort of fluids are appropriate for most lizards and snakes? what fluids are appropriate for chelonians?
10-15 mL/kg/day
balanced electrolyte solutions (plasmalyet, normosol, LRS) - lizards/snakes
BES, LRS, 50:50 LRS & 0.45% saline - chelonians
how do you calculate plasma osmolality?
2x [Na+] + glucose + urea
what is the most important organ in amphibians?
skin
what type of rehydration is very effective in amphibians?
transdermal
what is Dougie’s fav way to rehydrate amphibians?
plasmalyte A-7.4 (dilute 1:1 w/ sterile water, undiluted for hydrocoelom)
20-60mins (longer if needed)
dextrose can be added at 2.5%
in a reptile in resp arrest, what should you do?
intubation and IPPV
4-6 breaths/min
< 8cm H2O (<6 mmHg) inspiratory pressure
when administering O2 to amphibians, what do you have to be wary of?
be careful not to dry amphibian out
In a herp triage/emergency situation, where should you maintain their thermal support?
upper third of POTZ
True or false: reptiles do not posses a well developed endogenous opioid system
False!! they do possess a well developed endogenous opioid system
amphibians have a _____ dependent analgesic response to ____ and _______ such as ______.
dose
opioids
alpha-2 agonists
(dex) medetomidine
Amphibians have a ___ response to local anesthetics, but it’s important to watch for ____.
good, toxicity
antimicrobial therapy is targeted against what type of bacteria?
gram -
severe anasarca leads to what?
marked decrease in cardiac contractility (cardiac tamponade effect)
who gets bacterial pneumonia and what predisposes them to getting it?
pythons, boas, chelonians
simple resp system & no diaphragm
what type of bacteria cause bacterial pneumonia in herps? tell me 4 examples
gram -
P. aeruginosa, Aeromonas sp., Klebsiella sp., Proteus sp.
How do herps get bacterial pneumonia?
potential immunosuppression from an underlying viral infection or husbandry induced
what are the C/S of a herp with bacterial pneumonia?
- resp distress
- open mouth breathing
- nasal bubbling
- wheezing
- swimming difficulties in aquatic turtles
How do you diagnose bacterial pneumonia in herps?
radiographs, culture, necropsy
How do you treat bacterial pneumonia in herps?
antibiotics, improve husbandry, nutrition, supportive therapy
What is acute dermatosepticemia also called? Who does it affect?
Red Leg Disease
amphibians
What causes acute dermatosepticemia in herps? like etiology
name 4 examples
opportunistic pathogens
Aeromonas hydrophily, Pseudomonas Spp., Citrobacter spp., Salmonella sp., Acinetobacter spp., Proteus spp., Flavobacterium indologenes, F. meningosepticum, F. oderans
What is a potential risk factor for a herp getting acute dermatosepticemia?
underlying viral or fungal infection that allows opportunistic bacteria to get up in there
What are the C/S of a herp with acute dermatosepticemia?
- lethargy, anorexia
- sudden death
- anasarca
- bloating
- panophthalmitis
- abnormal posturing, head tilt, loss of righting reflex
- dermal petechiation, ventral erythema (esp. legs)
- multi-systemic hemorrhages
How do you diagnose acute dermatosepticemia?
culture, R/O viral or fungal involvement
how do you treat acute dermatosepticemia?
supportive, antibiotics
you get a herp with acute dermatosepticemia for necropsy. what do you expect to see?
- congestions and organomegaly
- necrosis and fibrin
- inflammatory infiltrate in liver, spleen, lung, heart, serosal surfaces
periodontal dz has a high prevalence in who?
agamids (bearded dragons) and chameleons