Lecture 17: Bone Pathology II Flashcards

1
Q

What wrong and what cause

A

congenital cortical hyperosteosis (diaphyseal dysplasia)
Cause: autosomal recessive hereditary disease of newborn pigs

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2
Q

what are the signs of congenital cortical hyperosteosis

A

thickening of 1 or both forelimbs

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3
Q

Congenital cortical hyperostosis involved abnormal __ formation involving major lone bones. __ and __ bones most severely affected

A

periosteal bone formation, radius and ulna

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4
Q

piglets with congenital cortical hyperostosis are either __ or __ within first few days of life

A

stillborn, die

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5
Q

what are chondrodysplasias

A

primary lesions in the growth cartilage on physis and articular epiphyseal cartilage complex

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6
Q

what is disproportionate dwarfism and what is cause

A

chondrodysplasia that results in short legs with normal sized heads

Cause: mutation in fibroblast growth factor 4 (FGF4) that cause inappropriate activate of one or more FGFR (3) causing downregulation of chondrocytes proliferation

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7
Q

what is primordial dwarfism

A

limb length is proportional to head, caused by endocrine disorder- pituitary dwarfism or malnutrition

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8
Q

FGFR3 receptor is expressed by __ and __, not __ and acts as a __ chondrocyte proliferation

A

resting and proliferating chondrocytes, not hypertrophic chondrocytes, acts as inhibitor of chondrocyte proliferation and terminal differentiation

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9
Q

what is spider lamb syndrome and cause

A

chondrodyplasia in sheep
Point mutation in FGFR3, removing FGFR3 induced inhibition of chondrocyte proliferation

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10
Q

what breeds are affected by spider lamb syndrome

A

suffolks and Hampshire

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11
Q

what is pathogenesis of spider lamb syndrome

A

point mutation in FGFR3–> decreased FGFR3 inhibition of chondrocytes entering hypertrophic phase—> increased length of long bones and presence of multiple secondary ossification centers in epiphyses—> variation in shape, size and orientation of bones

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12
Q

what wrong and cause

A

spider lamb sheep syndrome
Notice multiple secondary ossification centers
Cause: point mutation in FGFR3

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13
Q

what are osteochondroses

A

lesions in growth cartilage of young animals, characterized by focal or multifocal failure or delay of endochondral ossification

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14
Q

what is osteochondrosis latent

A

well demarcated area of necrosis in epiphyseal cartilaged centered on necrotic blood vessels (only visible microscopically)

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15
Q

what is osteochondrosis manifest a

A

retained necrotic epiphyseal cartilage that is appreciated grossly

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16
Q

what is OCD

A

lesion at articular epiphyseal cartilage complex that forms a cleft in the necrotic cartilage with subsequent fracture of articular cartilage resulting in cartilaginous or osteochondral flap

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17
Q

identify the different osteochondroses seen in 1-3

A
  1. Osteochondrosis latent
  2. Osteochondrosis manifests
  3. Osteochondrosis dissects
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18
Q

what are joint mice

A

cartilage or osteochondral flaps that have fractured/detached from articular surface

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19
Q

how do bone cysts form

A

osteochondrosis—> necrosis—> cavitation—> subchondral cyst

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20
Q

what wrong

A

OCD with joint mice

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21
Q

what is rickets and osteomalacia and cause

A

failure of mineralization with subsequent bone deformities and fractures
Cause: vitamin D or phosphorus deficiency

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22
Q

what is pathogenesis of rickets and osteomalacia

A

vitamin D deficiency—> hypocalcemia—> stimulates PTH—> renal phosphorus loss enhanced further reducing deposition of calcium in bone—> causing bone pain, pathological fractures, and deformities such as scoliosis and kyphosis

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23
Q

what animals get rickets and what does it affect

A

growing animals, failure of endochondral ossification, affects bones and epiphyseal cartilage

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24
Q

who gets osteomalacia and what does it affect

A

adults, soft bone- affects bone only

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25
how would you characterize this lesion, what wrong and what cause
Rachistic rosary- due to rickets- irregular growth plates due to failure of endochondral ossification
26
what could have caused this in 1yr old steer
Rickets- phosphorus or vitamin D deficiency- pale blue is cartilage extending into bone
27
what are some causes of fibrous osteodystrophy
1. Primary parathyroid adenoma, hyperplasia, carcinoma 2. Secondary hyperparathyroidism- renal or nutritional 3. Pseudo hyperparathyroidism
28
Fibrous osteodystrophy is characterized by
widespread osteoclastic resorption of bone and replacement by primitive fibro-osseous tissue resulting in weakened bones
29
how does increased PTH, renal disease and nutritional deficiency of ca2+ lead to fibrous osteodystrophy/ pathogenesis
stimulation of osteogenic and osteoclast bone resorption—> decrease bone mineralization and replacement by fibro-osseus CT—> weakened bone structure
30
what could have caused this swelling of mandible and maxilla
fibrous osteodystrophy—> osteoclast activity—> resorption of bone and replaced by fibro-osseous tissue
31
what is osteitis
inflammation of bone
32
what is periostitis
inflammation of bone involving periosteum
33
what is osteomyelitis
inflammation of bone with involvement of medullary cavity
34
what hematogenous bacteria can cause inflammation of bone
T. Pyogenes, strep, staph, salmonella, E. Coli
35
what fungi can cause inflammation of bone
C. Immitis and blastomyces dermatidis
36
what viruses can cause inflammation of bone
swine fever, canine infectious hepatitis (adenoviruses), distemper virus, FeLV
37
what wrong in these photos
Suppurative Osteomyelitis, physitis
38
What wrong here
Hypertrophic osteodystrophy (metaphyseal osteopathy)= double physis lines
39
what is cause of hypertrophic osteodystrophy
idiopathic inflammatory disease- non-infectious
40
Define exostosis
nodular benign bon growth projecting outward from surface of a bone
41
what is enostosis
bony growth within medullary cavity, originating in cortical-endosteal surface
42
what is an ethesophyte
calcification of a tendon or a ligament at its point of insertion
43
what is hyperostosis
increased diameter of bone and implies uniform thickening on periosteal surface rather than modularity
44
what wrong
cartilaginous exostosis (osteochondroma)
45
what are cartilaginous exostosis (osteochondroma)
defect in skeletal development that results in eccentric masses located adjacent to epiphyses
46
what wrong
Cartilaginous exostosis (osteochondroma)
47
what wrong
hypertrophic osteopathy
48
what is hypertrophic osteopathy and what is it associated with
bilateral periosteal new bone formation in diaphyseal region Occurs secondary to primary lesion- intrathoracic neoplasia/inflammation
49
what is one theory on how intrathoracic masses can cause hypertrophic osteopathy
impulses originating in the thoracic lesion travel via the vagus nerve to the brainstem—> initiate reflex vasodilation in the limbs—> hypertrophic osteopathy
50
what wrong
chondrosarcoma
51
what wrong
osteosarcoma
52
what wrong
Secondary neoplasm of bone Lung metastatic osteosarcoma
53
what are the most common sites of bone metastatic neoplasia in dogs and what tumor is most common
rib shafts, vertebral bodies, humeral and femoral metaphysis Most often carcinomas
54
what is an infraction fracture
fracture without external deformation to cortex
55
what is an avulsed fracture
caused by traction of a ligament at its insertion onto bone
56
what is a green stick fracture
one cortex of bone is broken and other is bent
57
what type of fracture is this
avulsed
58
what type of fracture is this
green stick
59
describe the process of fracture repair occurring in body
1. Macrophages, platelets, proliferating osteogenic tissue at site of fracture produce growth factors that stimulate proliferation of repair tissue/woven bone 2. Undifferentiated mesenchymal cells penetrate and form granulation tissue 3. Granulation tissue outcome of cartilage and bone metaplasia 4. Primary callus (meshwork of woven bone) forms. Secondary callus forms when woven bone is replaced by lamellar bone
60
when Blood supply is less than optimal in fracture healing __will form
hyaline cartilage
61
when blood supply is anoxic during fracture healing __ will occur
necrosis
62
instability in fracture healing leading to mechanical tension and compression can cause development of ___ if excessive movement happens
fibrous CT
63
what happens if metallic implant too large for fracture repair
deprive bone from normal mechanical forces and causes disuse atrophy
64
how can intramedullary devices affect fracture healing
damage blood supply
65
what is arthrogryposis and what is pathogenesis
congenital contracture of joints Damage to CNS (akabane virus and bluetongue), hereditary or fetal paralysis caused by maternal intoxication with anagyrine in lupine plants or coniine in poison hemlock
66
what wrong
Arthrogyrposis
67
what can lead to degeneration of intervertebral discs
loss of water and proteoglycans, hypocelluarlity, and increased collagen content
68
degeneration of intervertebral disks and ensuing __ result in development of __ at margin of vertebral bodies or adjacent to disk
intervertebral instability, osteophytes
69
what wrong
Intervertebral disc herniation
70
What does erysipleothrix rhusiopathie septicemia cause and in who
pigs leads to synovial joint and intervertebral disk lesions
71
what does T. Pyogenes cause and in who
suppurative arthritis in cattle and pigs
72
what does haemophilus parasuis (glassers disease) cause and in who
polyarthritis in 8-16 week old piglets
73
what does Borrelia burgdoferi cause and in who
Lyme disease, arthritis in dogs, cattle and horses
74
what does mycoplasma hyorhinis cause and in who
fibrinous polyarthritis in weaned pigs
75
what does mycoplasma hyosynoviae cause and in who
fibrinous polyarthritis in pigs > 3 months
76
what does mycoplasma bovis cause and in who
fibrinous to pyogranulomatous arthritis in cattle
77
what does caprine arthritis and encephalitis virus cause
chronic arthritis in goats
78
what could have caused these joint changes in goat
caprine arthritis and encephalitis virus
79
From pig- what wrong and what could’ve caused. Also had diamond skin lesions
Marked synovial hyperplasia and lymphoplasmacytic infiltrates Cause: E. Rhusiopathie