Lecture 6 Flashcards

1
Q

What is a subfertile mare?

A

Not pregnant after repeated matings
Cannot carry a pregnancy to term
Has known reproductive pathology
Behavioral issues that affect reproduction

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2
Q

What causes sub-fertility?

A
Breeding management (number 1 cause)
Conformational defects
Susceptibility to endometritis
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3
Q

What are the types of endometritis?

A

Infectious endometritis
Post mating induced endometritis
Sexually transmitted diseases (CEM)

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4
Q

The uterus is considered what?

A

Sterile

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5
Q

All mares get what after mating?

A

Endometritis- sperm is very antigenic

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6
Q

How can normal mares clear endometritis?

A

Muscular uterus contracts and evacuates uterine contents

Open cervix- so things can get out

Healthy inflammatory response

Clearance of fluids through lymphatic system

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7
Q

What are the three barriers to uterine infectious?

A

Tight/closed perineum

Vestibular vaginal sphincter

Cervix

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8
Q

What agents cause acute infectious endometritis?

A
S. Zooepidemicus (most common)
E coli
Pseudomonas (standing water and turtles)
Klebsiella (wood shavings)
Fungal organisms
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9
Q

What is a chronic infectious endometritis?

A

Multiple episodes of uterine infection
Failed treatment
May involved multiple organisms

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10
Q

How long does a healthy mare need to clear PMIE

A

8 hours

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11
Q

What is a typical mare with poor clearance of PMIE?

A

Middle aged or aged

Pluriparous

Pendulous uterus with poor contractility

Perineal defects (sunken in anal sphincter)

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12
Q

What is the atypical mare that may have trouble clearing PMIE?

A

Middle aged
Maiden
Cervical incompetence during estrus

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13
Q

What does mucus do during endometritis?

A

Mucus is produced by endometrial ciliated cells

In normal mares, it is protective, but it becomes excessive in endometritis

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14
Q

What is a biofilm?

A

When bacteria live in an extracellular matrix and are essentially protected from swabs, antibiotics, and the mare’s immune system

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15
Q

When would you use low volume uterine lavage?

A

Used in chronically sub-fertile mares that have too much mucous and/or keep getting negative culture/cytology

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16
Q

Where should you get your uterine biopsy from?

A

Base of uterine horn to get a good sample what is going on in the entire uterus

17
Q

What might you see on uterine biopsy?

A

Inflammatory cells
Fibrosis
Dilated lymphatics