Metabolic Disease Flashcards

1
Q

Metabolic Disease: Causes

A

Genetic

Nutritional

Hormonal

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2
Q

Metabolic Disease:

Genetic

A
  • Lysosoma Storgae Disease
    • glycogenoses
    • Mucopolsaccharidoses
  • Hyperlipidemia syndrome
  • Certain endocrine disorders
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3
Q

Metabolic Disease:

Nutritional

A
  • Vitamin and Mineral deficiency
  • Oral neoplasia or inflammation
  • Malabsorption syndromes
    • johnes disease
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4
Q

Metabolic Diasea:

Hormonal

A

Diabetes mellitus

Hypothyroidism

Hyperthyroidism

Hyperparathyroidism

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5
Q

Genetic Metabolic Disease

A
  • Many metabolic problems are due to problems with a single protein in a metabolic pathway
    • single gene defects
  • Most of these gene defects are inherited
  • May or may not have congenital morphological defects
  • Most genetic metabolic problems are irreversible.
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6
Q

Lysosomal Storage Disease

A
  • Characterized by the accumulation of mucopolysaccharides or lipid components within cellular lysosomes
    • lysosomes are the principle site of intracellular degradation of complex molecules
    • Inherited enzyme deficiency inhibits the degradation of these large molecules
    • Intermediate catabolic products can’t be degraded and accumulate within lysosomes
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7
Q

Alpha-mannosidosis

A
  • Deficiency in alpha-mannosidase
    • inherited as an autosomal recessive trait
    • Described in humans, cattle, and cats
    • Skeletal and ocular abnormalities may occur
    • Progressive neurologic disease
    • Cytoplasmic inclusions in neurons, mesenchymal, and epithelial cells
      • inclusions consist of mannose-rich oligosaccharides
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8
Q

Feline Alpha-Mannosidosis

A
  • Affects persian, Domestic Shorthair, and Domestic Longhair cats
    • Clinical onset occurs at an early age (8-10 weeks)
      • Disease is heterogenous being less severe in DLH cats
    • Progressive neurologic disease
      • tremor, ataxia, dysmetria, weakness, and emaciation
  • Cytoplasmic inclusions consist mainly of mannose and N-acetylglucosamine
    • inclusions in neurons, hepatocytes and other cells
    • High concentrations of these products are excreted in the urine.
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9
Q

Nutritional Metabolic Disease

A
  • Most nutritional problems exert their effect by altered metabolism
  • Improper nutrition can result from:
    • Inadequate nutrients in the diet
    • Inadequate nutrient uptake
    • Inadequate nutrient absorption
  • REVERSIBLE
    • nutrient deficiency in the diet is corrected
      • rickets is reversed by adding vitamin D
    • Dramatic excess demands are resolved
      • rapid changes during parturition and lactation
    • Nutrient imbalances are corrected
      • calcium and phosphorus ratios and bone disease
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10
Q

Liver - Lipidosis

A
  • The liver plays a central role in metabolism
    • Synthesis and metabolism of proteins, lipids, and carbohydrates
    • Conjugation and detoxification reactions
    • Waste product excretion
    • Bile secretion
    • Storage of nutrients
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11
Q

Hepatic Lipidosis

A
  • Some degree of lipidosis accompanies many metaboic alterations
    • hyperlipidemia syndromes
    • Endocrine disorders
    • Nutritional Problems
    • Physiological changes
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12
Q

Hepatic Lipidosis:

Metabolism

A
  • Metabolic inbalance can between protien, fat or carbohydrate can result in lipidosis
    • increased rate of fat entry to hepatocytes
    • Decreased rate of lipoprotein formation within hepatocytes
    • Decreased energy level.
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13
Q

Liver Lipidosis:

Morphology

A
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14
Q

Hormonal Metabolic Disease

A
  • Hormones are major regulators and integrators of metabolism
  • Any endocrine dysfunction or disease will have metabolic manifestations
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15
Q

Hormonal Metabolic Disease:

Fibrous Osteodystrophy

A
  • Inadequate intake or loss of calcium requires mobilization from tissues
  • Excessive and prolonged action of parathormone results in bone demineralization.
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16
Q

Hormonal Metabolic Disease:

Pituitary Adenoma

A
  • Neoplasia of chormophobes results in excessive ACTH production and can compress regions of the hypothalamus.
  • Adrenal cortical hyperplasia results in excessive adrenocorticosteroid production
  • Hypothalamic pressure can interfere with function of regulatory centers
17
Q

Hormonal Metabolic Disease:

Diabetes Mellitus

A
  • Most common in dogs, sometimes in cats
  • Inadequate insulin activity
    • Type 1 (Insulin-dependent)
      • decreased insulin secretion
    • Type 2 (Non-Insulin-dependent)
      • inadequate insulin release or target cell response
  • Conditions causing reduced insulin activity
    • Islet cell hypoplasia
    • Destruciton of pancreatic islets
    • Failure of insulin release from islet cells
    • Failure of tissues to respond to insulin
18
Q

Hormonal Metabolic Disease:

Diabetes Mellitus:

Clinical Features

A
  • Emaciation
  • Polyuria / polydipsia
  • Increased infections
    • not as prominent a feature as in humans
  • Hyperglycemia
  • Glycosuria
  • Ketoacidosis and ketonuria
19
Q

Hormonal Metabolic Disease:

Diabetes Mellitus

Pathological Features

A
  • Hepatic lipidosis and glycogenosis
  • Glomerulosclerosis and glycogen nephosis
  • cataracts
  • vascular lesions and necrosis are not as prominent as in humans
  • Other lesion associated with any predisposing factors
    • adrenal cortical hyperplasia or pituitary adenoma
20
Q

Metabolic Disease Pathogenesis

A
  • Irreversible Disease:
    • most commonly inherited
      • lysosomal storage disease
    • Sometimes hormonal depending on cause
      • neoplasia
      • Chronic organ failure
  • Reversible Disease
    • Most commonly nutritional
      • nutritional deficiency
        • starvation
        • Vitamin or mineral deficiency
      • Excessive demand that exceeds supply
        • pregnancy or lactation
      • Nutrient imbalance
        • calcium/phosphorus ratios
21
Q

Metabolic Disease:

Morphology

A
  • Highly Variable
  • Endocrine disease disrupting homeostasis
    • endocrine organ atrophy or neoplasia
  • Intestinal disease inhibits nutrient absorption
    • Granulomatous enteritis
  • Renal failure and electrolytes
    • chronic glomerulonephritis
  • Multisystemic effects of hepatic disease
22
Q

Central Metabolic Tissues:

Liver

A
  • Synthesis of plasma protiens
  • Biotransformation and conjugation reactions
  • Lipid, carbohydrate, and protein metabolism
  • Storage of nutrients
  • Secretion of bile and waste products
23
Q

Central Metabolic Tissues:

Kidneys

A
  • Excretion of metabolic waste products
  • Maintain acid-base, electrolyte and water balances
24
Q

Central Metabolic Tissues:

Endocrine Tissues

A
  • Regulate interactions between multiple metabolic processes
  • Maintain overall homeostasis
25
Q

Central Metabolic Tissues:

Gastrointestinal

A

Absorption of nutrients

Elimination of waste products

26
Q

Central Metabolic Tissues:

Bones

A

Storage of minerals

House hematopoetic tissues

27
Q

Metabolic Disease:

Manifestations

A
  • Sings of metabolic disorders are very diverse
    • some are ill-defined and mild
    • others are severe and life-threatening
  • Metabolic problems are often multi-systemic, but system-specific signs often occur
    • neurologic symptoms
    • Musculoskeletal symptoms
    • Endocrine symptoms