Intro to Chelonians Flashcards

1
Q

What is a chelonian?

A
  • Turtle - aquatic (marine)
  • Tortoise - terrestrial
  • Terrapin - aquatic (freshwater)
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2
Q

What is a chelonian’s metabolism like?

A
  • Slow - 1/5 - 1/7 of mammalian metabolism
  • Varies with:
    • species
    • metabolic state
    • temperature
    • immune status
    • general husbandry conditions
  • Anaerobic metabolism:
    • switch to anaerobosis with vigorous activities
    • Increased lactate production
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3
Q

Define Poikilothermia

A

Inability to regulate core body temperature

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4
Q

Define Ectothermia

A

regulation of body temperature depends on external sources

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5
Q

What are the pros and cons of being Poikilothermic/Ectothermic

A
  • Pros - do not waste energy for thermogenesis
  • Cons:
    • activities are limited by ambient temperature
    • Limited aerobic capacity
    • Brumation
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6
Q

What is the optimum temperature zone for chelonians?

A
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7
Q

What is the chelonian shell?

A
  • Unique to this order of reptiles
  • Flat, plate-like bones that surround spongy, cancellous tissue
    • Dermal bone
  • Fused ribs, vertebrae and some osteoderms
    • Carapace
    • Plastron
    • Bridges
  • Pectoral and pelvic girdle within the carapace (rib cage)
  • Shell (dermal bone) covered by epidermal tissue ⇢ flexible, keratinized plates (Scutes)
    • Scutes and the bones are staggered so the horny plate sulci do not sit between the bony plate surures
    • Scute and bony plate terminology is slightly different and is based upon anatomical location
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8
Q

what coelomic cavities do chelonian have?

A
  • Pleural cavity
  • Peritoneal cavity
  • Separated by post-pulmonary septum
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9
Q

What type of GI system do chelonians have

A
  • Varies depending on diet
    • long with 1 cecum in herbivorous species, large colon
  • Cloaca
    • combined body system’s outlet
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10
Q

What type of respiratory system does a chelonian have?

A
  • Trachea
    • complete tracheal rings
    • Tracheal bifurcation very cranial in chelonians
  • Larynx similar to birds - No epiglottis
  • Lungs:
    • Multicameral (complex, many-chambered)
    • Gas exchange surface includes ediculae and gaveolae (larger than alveolae)
  • Breathe with their legs
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11
Q

What type of Cardiovascular system do chelonians have?

A
  • 3 chambered heart
  • Incomplete ventricular septum
    • muscular ridge that minimizes mixing of oxygenated and deoxygenated blood
      • well0developed in some chelonians
  • Pathway of blood:
    • Precaval + Postcaval + hepatic veins ⇢ sinus venosus (unique to reptiles, dorsal to right atrium)
    • Ventricle divided into 3 subchambers
      • Cavum pulmonale (ventral) - extends cranially into the pulmonary artery ⇢ deoxygenated blood to lungs
      • Cavum arteriosum (dorsal)
      • Cavum venosum (dorsal - extends to the aortic arch ⇢ carriers oxygenated blood systemically
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12
Q

what is the renal system of chelonians like

A
  • most are uricotelic (secrete uric acid as end product)
    • some (typically aquatic) secrete a significant amount of urea
  • Reptilian nephrons
    • loopless = do not concentrate water
  • have a large, bilobed urinary bladder
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13
Q

what is the repro system of chlonians like?

A
  • intracoelomic gonads
  • phallus
    • Sexual organ
    • Not an outlet for Urine
    • Can be “exhibited’ - not the same thing as a prolapse
    • Prolapse can occur and can result from a variety of disease conditions
  • oviparous
    • typically do not incubate eggs
    • sex ratio often determined by temperature
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14
Q

How are male and female chelonians sexed?

A
  • Males:
    • Concave plastron
    • Long Front toenails
    • Vent extends well beyond margins of shell
    • Eye color (box turtles -red)
    • longer tail
    • Typically smaller
    • Anal scutes V-shaped
  • Females:
    • Flat plastron
    • Short toenails
    • Vent does not extend beyond margins of shells
    • Eye color (box turtles - brown)
    • Shorter tail
    • Typically larger
    • Anal scutes U-shaped
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15
Q

How should chelonians be handled?

A
  • Always get back up for large and potentially dangerous reptiles
  • If unsure of the species or temperament of the animal, wear gloves
  • Wear gloves or wash hands thoroughly after handling
    • zoonotic risk with salmonella
  • Hold across the middle of the shell or the edge of the carapace and plastron with both hands
  • Can bite and scratch with their beaks and toenails (turtle > tortoises)
  • Will retract head and limbs making examination difficult
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16
Q

What is the equipment needed for a PE of a chelonian

A
  • Doppler (HR)
  • Ophthalmology instruments - direct ophthalmoscope
  • Credit card/spatula or mouth speculum (to examine oral cavity)
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17
Q

How can HR and RR be obtained on chelonians?

A
  • Reptiles can hold their breath for long periods of time (sometimes several minutes)
  • HR - cannot auscultate most of the time ⇢ use doppler
    • Place on neck over the carotid artery or in the thoracic inlet
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18
Q

How are chelonian bodies scored?

A
  • Range 1 to 9
  • Look at:
    • palpability of ribs
    • pectoral/pelvic girdles
    • girth of tail
    • muscle mass of forelimbs and hind limbs
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19
Q

How is the coelomic cavity palpated

A
  • One or two fingers placed in the inguinal area between the hindlimbs and shell
  • Feel for cystic calculi, foreign bodies, neoplasia, potential eggs
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20
Q

Where can blood be collected from chelonians?

A
  • Jugular vein
  • brachial vein
  • dorsal coccygeal vein
  • subcarapacial plexus
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21
Q

What unique cells appear on a chelonian CBC?

A
  • Heterophil
    • function similar to neutrophil, lacks the enzyme myeloperoxidase
      • purulent material is thick and not liquified
  • Azurophil
    • Behaves like a heterophil in snakes
    • Behaves like a monocyte in all other reptiles
  • Appearance of cells varies by species
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22
Q

What is different about the Biochemistry profile of chelonians?

A
  • Lymph dilution is a concern - any sample with clear fluid or a watery appearance may have lymph dilution (or it may appear grossly normal)
  • Can reduce all parameters, but most severely affected are total protein and potassium
  • Effect of sex:
    • females - higher cholesterol total calcium, total protein, albumin
  • Seasonal effects - brumation
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23
Q

What collection tubes should be used for chelonian blood

A
  • some species will hemolyze in EDTA (purple tube)
  • Blood should preferably be put in heparin (green tube)
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24
Q

Where should intramuscular injections be given in chelonians?

A
  • Tail and rear limbs avoided because of the presence of a renal portal system ⇢ do NOT use caudal half of the body for infections
    • drugs given in the caudal portion will enter into the ventral abdominal veins and pass through the hepatic vein first. So will undergo a hepatic first-pass effect
    • Blood from the hindlimbs/tail can directly reach the kidneys, and nephrotoxic drugs may result in severe renal tissue damage. Or if renally excreted may result in ineffective levels of drugs (Renal first-pass effect)
  • Locations:
    • Upper arm (deltoid, triceps)
    • Forearm (biceps)
    • pectorals
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25
Q

Where should subcutaneous injections be given in chelonians?

A
  • Axillary and inguinal spaces
  • Technique - insert needle parallel to body wall in between scales
26
Q

What other routes can be used for drug administration in chelonians?

A
  • Intracoelomic (not recommended)
  • Oral
  • Intravenous
  • Intraosseous - humerus, femur, gular, bridge
  • Cloacal
27
Q

How can radiographs be taken of chelonians?

A
  • Small patients - use dental radiographs
  • Positioning:
    • Dorsoventral
    • Lateral (horizontal beam)
    • Craniocaudal (horizontal beam)
28
Q

What other diagnostic imaging can be done on chelonians?

A
  • Ultrasound
    • can be limited (thick shell)
    • 2 axillary windows
    • 2 prefemoral fossa windows (inguinal)
  • CT
    • extremely helpful
    • creates a 3D picture and remove challenges associated with imaging animals with large boney shells
29
Q

What Husbandry-Associated Diseases exist in Chelonians

A
  • Hypovitaminosis D
  • Metabolic bone disease
  • Beak deformities (acquired and congenital)
  • Vitamin A deficiency
  • Cloacal prolapse
  • Urolithiasis
  • Reproductive disease:
    • Egg-binding/dystocia
    • Follicular stasis
30
Q

What are the infectious diseases of chelonians

A
  • Salmonella spp
  • Mycobacteriosis
  • Generalized abscesses
  • Testudinid Herpesvirus
    • Other herpesviruses too
  • Ranavirus
  • Mycoplasmosis
  • Ulcerative shell disease
  • Intranuclear Coccidiosis of Testudines (TINC)
    *
31
Q

What are the nutritional requirements of chelonians?

A
  • Range from herbivorous to omnivorous to carnivorous
  • Herbivores
    • Wide variety of greens
    • certain veges
    • very small amounts of fruits
32
Q

What is Hypovitaminosis D?

A
  • Vitamin D required through dietary intake and through synthesis in the skin via UV
  • Necessary for intestinal absorption of calcium
  • Hypovitaminosis D ⇢ calcium deficiency
    • result in metabolic bone disease
33
Q

How is Metabolic bone disease diagnosed

A
  • Solid history (poor diet, lack of UV)
  • Clinical presentation
  • Bloodwork - inverse Ca:P ratio, low tCa (often normal) low iCa
  • Imaging - decreased bone density
34
Q

What are the clinical signs of metabolic bone disease in chelonians

A
  • Tremors
  • weakness
  • seizures when severe
  • anorexia/hyporexia
  • soft or deformed shell
  • reluctance to move
35
Q

How is Metabolic bone disease treated/prevented

A
  • Improve husbandry and environmental conditions
    • Temperature, UV, humidity
      • Expose to unfiltered sunlight
        • screens - must be large enough to allow light through
        • No glass - block UV
      • Artificial light with UVB - Must replace q6 months (UV portion burns out)
    • Calcium supplementation
      • high quality diet
      • Calcium supplementation - injectable, oral
    • Supportive care - fluids, heat, feeding
36
Q

What is Vitamin A deficiency like in Chelonians? diagnostics? treatment?

A
  • Squamous metaplasia of epithelial surfaces
    • swollen conjunctiva very common presentation
  • Loss of protective respiratory ciliary mechanism
    • Secondary respiratory infections
      • ocular and nasal discharge
      • Buoyancy issues
  • May predispose to inner and middle ear infections ⇢ aural infections
  • Wild turtles - Potentially organophosphate (OP) toxicity
  • Diagnosis:
    • history, clinical signs, postmortem findings
  • Treatment:
    • oral/parenteral Vit A
    • Ophthalmic ointments as needed
    • Antibiotics (secondary infections)
    • Correction of diet
    • Supportive care - fluids, heat, feeding
    • Sx for aural abscesses
37
Q

What is cloacal prolapse in chelonians? DDx?

A
  • Consider it could also be phallus, bladder, intestines, oviduct
  • Cause not always clear (Differentials):
    • Urolithiasis
    • Dystocia
    • Endoparasitism
    • Neoplasia
    • Ca-deficiency
    • Enteritis
  • Goal: ID what anatomical structure is involved
    • may require amputation
38
Q

What is urolithiasis of chelonians? Dx? treatment?

A
  • Very common in desert species
  • Often non-specific signs in addition to hematuria, straining, cloacal-prolapse
    • may be an incidental finding
  • Cause: chronic dehydration and urate sediment concentration (100% urate)
  • Dx: Imaging (radiographs, CT)
  • Tx: Surgery
    • prefemoral approach
    • plastonotomy
    • Lithotripsy
39
Q

What reproductive diseases are in chelonians?

A
  • Egg-binding/dystocia
  • Follicular stasis
  • Etiology:
    • Likely multifactorial
    • Poor diet, low humidity, poor cage design (inappropriate or lack of substrate, lack of shelter, inappropriate lighting/timing of lights)
  • Dx: Imaging (radiology, CT)
  • Tx:
    • correct husbandry
      • substrate, temperature, calcium in diet, appropriate humidity, nesting area
    • Surgery
40
Q

What Trauma is commonly seen in chelonians? Treatment?

A
  • Shell Fractures
    • commonly caused by HBC
  • Assessment:
    • location
    • simple or compound
    • Visceral involvement
    • Aquatic or terrestrial species
    • Wild chelonian - potential release?
  • Treatment:
    • Clean fracture site
    • Stabilize and cover
      • Mesh
      • epoxy glue
      • dental acrylic
      • screws
      • wire
      • plates
    • Antibiotic
    • Analgesia
    • Surgical stabilization
    • Feeding
    • Dry docking?
  • Recovery can take 6-12+mo
41
Q

What causes infectious diseases in chelonians?

A
  • Suboptimal environment and inappropriate husbandry can predispose or precipitate infectious disease
  • Opportunistic pathogens and environmental pathogens commonly implicated
  • Primary pathogens exist even in environments with optimal husbandry
42
Q

Why is it a concern for Chelonians to carry Salmonella spp

A
  • Carried asymptomatically by most reptiles in GI flora
  • Zoonotic disease
    • children <5yo and immunocompromised individuals are advised against reptile interactions
  • Symptomatic disease syndromes seen in reptiles:
    • Abscesses
    • Osteomyelitis
    • Snakes
      • vertebral osteopathy
      • Necrotizing gastroenteritis
  • Common spp in reptiles:
    • All taxa
      • Salmonella enterica (and subsp. enterica)
43
Q

How is Salmonella carrier status assessed in chelonians

A
  • Requires 5 cultures over 30 days
    • shedding is intermittent
  • Cannot declare that a reptile is salmonella-free
    • Cannot be deemed free by treating with antibiotics
      • Resistance develops
      • Do NOT treat carriers - creates more zoonotic concern
44
Q

What is Mycobacteriosis in chelonians?

A
  • Most common in aquatic chelonians, any species can be affected
  • Main features
    • Disease most commonly granulomatous
    • Detection via acid fast in an area of granulomatous inflammation = highly suspicious for infection
      • >100 mycobacteria/ml of tissue necessary for visualization so negative does not = definitive negative
    • Slow growing - culture most successful from unfixed biopsy sample
  • Treatment:
    • Difficult, not often recommended due to zoonotic concern
      • euthanasia if speciation reveals an organism of significant zoonotic concerns
    • If attempted - multimodal for 6mo-1yr ⇢ recheck biopsy and hematology
      • Then recheck CBC q3mo for several years for leukocytosis (suspected recurrence)
    • No proven or approved treatments in reptiles
45
Q

What mycobacterium species are common to chelonians?

A
  • M. chelonae
  • M. szulgai
  • M. marinum
  • M. foruitum
  • M. ulcerans
  • M. leprae
  • M. haemophilum
  • M. avium
  • M. kansasii
  • M. terrae
  • M. leptaemurium
46
Q

What are generalized abscesses in chelonians? Dx? Tx?

A
  • Most external ‘masses’ are actually abscesses
    • usually inspissated and surrounded by a fibrous capsule
    • often impenetrable to drug therapy
  • Hematogenous spread possible
  • Predisposing factor: hypovitaminosis A
    • Squamous metaplasia ⇢ periocular, perioral, glossal, and oral abscesses
  • Dx: Imaging, culture and sensitivity
  • Tx:
    • Ideally remove entire capsule
    • Marsupialization with second intention healing and daily lavage
  • Recurrence common
  • Husbandry correction may be necessary
47
Q

What is Testudinind Herpesvirus? Clinical signs? Dx? Tx?

A
  • TeHV3 most widespread and pathogenic of the herpesviruses
    • Causes substantial illness in Hermann’s tortoises and Russian tortoises
  • Clinical Signs:
    • Stomatitis
    • Diphtheritic plaques in the mouth (rarely esophagus)
    • Rhinitis - clear and serous progressing to thick purulent discharge
    • Conjunctivitis
    • Oral discharge
    • Occasionally CNS signs with head tilt and circing
    • Weight loss, cachexia, difficulty breathing
  • Latent infection - all survivors chronically infected
  • Dx:
    • Serologic tests - serum neutralization, ELISA, indirect immunoperoxidase
      • more useful in chronic infections
    • Molecular methods: PCR, RT-PCR
    • Impression smears
    • Virus isolation
    • Histopathology: eosinophilic intranuclear inclusion bodies
  • Tx:
    • Acyclovir or ganciclovir
    • Supportive care
48
Q

What other herpesviruses exist in sea turtles

A
  • Gray patch disease
  • Fibropapillomatosis
  • Lung, eye, trachea disease (LETD) virus
  • Loggerhead genital-respiratory virus (LGRV)
  • Loggerhead orocutaneous herpesvirus (LOCV)
49
Q

What other herpesviruses exist in freshwater turtles

A

Hepatitis

50
Q

What is Ranavirus in Chelonians? Signs? Dx? Tx?

A
  • Causes viral disease in many ectothermic animals
    • Fish
    • Ambhibians
    • Reptiles
  • Chelonians (freshwater turtles, boxturtels, tortoises)
    • Clinical signs:
      • Subcutaneous edema (“red-neck disease”)
      • Nasal discharge
      • Conjunctivitis and ocular discharge
      • Stomatitis
      • Systemic disease
      • Death
  • High mortality Rate
  • DX:
    • CBC - Anemia, intracytoplasmic inclusions
    • ELISA
    • PCR, real-time PCR
    • Virus isolation
    • EM
  • TX: acyclovir
51
Q

What is mycoplasmosis like in Chelonians?

A
  • Mostly in wild North American tortoises
  • Several spp. (Mycoplasma agassizii, M. Testudineum)
  • Transmitted through direct contact most commonly
  • Subclinically affected tortoises can act as source for naïve animals
52
Q

Clinical signs of mycoplasmosis?

A
  • Rhinitis and nasal dishcarge
  • Conjunctivitis and ocular discharge
  • Palpebral edema
  • Conjunctival hyperemia
  • Chronic infections - grooves from nares, depigmentation around nares
53
Q

How is mycoplasmosis diagnosed in chelonians?

A
  • Culture
  • PCR (genus specific) - nasal swab or flush
  • ELISA - Ab 6-8wks post infection ; passive transfer demonstrated
    • Paired titers
54
Q

What is the treatment/prognosis of mycoplasmosis in chelonians

A
  • Tx:
    • Persisten infection and shedding
      • no guidelines for treatment and release
    • Enrofloxacin, clarithromycin, tulathromycin
  • Prognosis:
    • Acute mortality rare
    • Some clear infection
      • Most deveop chronic infections
        • persistence in nasal epithelium with mucosal damage ⇢ ⇡ Susceptibility to secondary infections
    • Death due to severe debilitation
55
Q

What causes Ulcerative shell disease

A
  • “SCUD” septicemic cutaneous ulcerative disease
  • “Shell rot”
  • Variety of etiological agents contribute:
    • Citrobacter freundii
    • Aeromonas hydrophila
    • Morganella morganii
    • Clostridium spp
    • Saprophytic fungi
  • Other factors:
    • suboptimal husbandry
    • Poor water quality
56
Q

What are teh clinical signs of Ulcerative shell disease

A
  • Pitted scutes that may slough and reveal underlying hyperemia and purulent discharge
  • Anorexia, lethargy
  • Petechial hemorrhages of the shell and skin
  • Liver necrosis and abscessation
57
Q

How is ulcerative shell disease diagnosed? Tx?

A
  • Cytology and culture and sensitivity (bacterial and fungal causes)
  • Tx:
    • Shell lesion debridement
    • Dry docking for aquatic species
    • Systemic antibiotitcs
    • Possibly ntifungals
    • Husbandry corrections
    • Analgesia
58
Q

What is Intranuclear Coccidiosis of Testudines (TINC)?

A
  • Systemic disease involving multiple organs
    • highest numbers of organisms in kidneys and pancreas
  • Can either rapidly progress to death or see improvement with months of anticoccidial therapy and improved husbandry
  • Contributing factors:
    • Stress
    • Thermoregulatory challenges
  • Carrier animals with recrudescence of clinical signs possible
59
Q

Clinical signs of TINC

A
  • Disseminates systemically - clinical signs vary
  • Mucosal changes: conjunctival or nasal erythema or discharge
  • Ulceration of cloacal mucosa
  • Subcutaneous edema
  • Anorexia and lethargy
  • Abnormal diurnal patterns
  • Increased respiratory effort and open mouth breathing
  • Weight loss (or gain from ascites and urine retention)
60
Q

How is TINC diagnosed

A
  • Cytology of nasal discharge
  • Biopsy and histology of affected tissues
  • Fecal floatation
  • Quantitative PCR on swabs from conjunctiva, oral and choanal mucosa, and cloaca
61
Q

How is TINC treated?

A
  • Correct husbandry deficiencies
    • prompt removal of feces
    • minimize stress
    • appropriate preferred optimal temperature zone critical
  • Isolate affected individuals
  • Fluid therapy as indicated
  • Broad spectrum anthelmintic, antiprotozoal and antibiotic therapy
    • Toltrazuril
    • Ponasuril
62
Q

What is the prognosis of TINC

A
  • Death common
  • Treatment may eliminate organism, but histologically often com across tissue slcerosis (= long term organ effects)