Lame - muscle pathology Flashcards

1
Q

Why does myofibre necrosis due to injury usually only affect a myofibre segment rather than the entire length of the myofibre?

A

Because myofibres are multinucleate so only the bit associated with the affected nucleus is lost

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2
Q

When does global necrosis of entire length of myofiber occur?

A

Uncommon
Usually only crush injuries or widespread ischaemia

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3
Q

What is the first part of the process of muscle response to injury?

A

Fibres swell - hypercontraction
Eosinophilia occurs
Striations are lost
Fragmentation of the myofibre

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4
Q

What is fragmentation of the myofibre in response to muscle injure? What does it look like?

A

The myofibre breaks up and calcifies - creates chalky white streaks

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5
Q

Why do macrophages infiltrate damaged myofibres?

A

To clear the cytoplasmic debris

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6
Q

How do damaged myofibres reform into healthy myofibres after damage?

A

Satellite cells migrate into wounded area and differentiate into myoblasts
Myoblasts fuse into a myotube
Plasmalemma reforms
Nuclei migrate to periphery
Cross striations appear

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7
Q

What is a focal, monophasic degeneration in muscle injury? What is an example?

A

A single injury - all myofibres injured at the same time
Eg. intramuscular injection

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8
Q

What is a multifocal, monophasic degeneration type of muscle injury? What is an example?

A

A single insult to the whole muscle
Eg. toxin exposure, single episode of overly strenuous exercise

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9
Q

What is a focal polyphasic degeneration type of muscle injury?

A

Repeated injury at the same site in a muscle

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10
Q

What is a multifocal polyphasic degeneration type of muscle injury?

A

Repeated insult to the whole muscle
New lesions form while regeneration takes place
Eg. Repeated exposure to toxin, nutritional deficiency, ongoing degenerative process

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11
Q

What species/type of animals get white muscle disease?

A

Cattle, horses, sheep, goats
Neonates from selenium deficient mothers

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12
Q

What causes white muscle disease?

A

Selenium/vitamin E deficiency

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13
Q

How does selenium/vitamin E deficiency cause injury to muscles causing white muscle disease?

A

Oxidative injury to myofibres - muscle contraction produces lots of free radicals
Loss of antioxidant defence mechanisms causes damage

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14
Q

What muscles are affected with white muscle disease?

A

Cervical neck muscles for suckling
Proximal limb muscles
Tongue
Masticatory muscles
Myocardial muscles - cardiac failure

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15
Q

What is an example of exertional myopathy in wild animals?

A

Capture myopathy - wild animals with acute myonecrosis after considerable exertion before capture

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16
Q

What is another word for exertional myopathy?

A

Rhabdomyolysis

17
Q

What exertional myopathy/rhabdomyolysis is seen in horses?

A

Tying up

18
Q

What type of disorder is equine polysaccharide storage disorder? What causes it?

A

Autosomal dominant disorder - point mutation (in some cases)

19
Q

What type of fibres are affected by equine polysaccharide storage disorder?

A

Type 2 fibres

20
Q

What muscles are affected by equine polysaccharide storage disorder?

A

Gluteals
Semimembranosus
Semitendinosus
Epaxial muscles

21
Q

What is equine atypical myopathy?

A

Degeneration of postural and resp muscles after eating toxin in maple or sycamore leaves/seeds

22
Q

What species is immune mediated myositis seen in?

A

Mostly dogs

23
Q

What muscles are affected in immune mediated myositis? Why?

A

Masticatory muscles - contain type 2M myosin which is unique isoform to them

24
Q

What is seen on histopathology for immune mediated myositis?

A

Eosinophils
Plasma cells
Lymphocytes
Macrophages
Fibrosis

25
Q

What are the clinical signs ofr immune mediated myositis?

A

Acute - jaw muscles swell, pain, cant open jaw
Chronic/insidious - atrophy, decreased jaw mobility

26
Q

What causes fibrosis of the muscles in immune mediated myositis?

A

Basal lamina being damaged by immune cells

27
Q

What causes infectious myositis?

A

Direct penetration from wounds or injections
Haematogenous spread
Extension of nearby infection

28
Q

What primary muscle tumours are there? Are they common?

A

Rhabdomyomas/myosarcomas
Rare

29
Q

What primary tumours of associated tissues can cause muscle tumours?

A

Fibrosarcomas
Haemangiosarcoma
Infiltrative lipoma