Metabolic disease (Yr 4) Flashcards

1
Q

what are some factors that are involved in the control of calcium homeostasis in the body?

A

parathyroid hormone
calcitonin
vitamin D

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2
Q

how does parathyroid affect calcium?

A

causing calcium to mobilise from bone (stores)
increases absorption from the gut (requires magnesium)

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3
Q

what is required for calcium absorption from the gut that is triggered by parathyroid hormone?

A

magnesium

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4
Q

how does calcitonin effect calcium?

A

reduces calcium absorption and availability

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5
Q

how does vitamin D affect calcium?

A

increased absorption from gut

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6
Q

what does the amount of ionised calcium in the blood depend on?

A

pH of blood (reduced binding with reduced pH hence reduced availability)

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7
Q

when does acute milk fever occur?

A

at/after calving

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8
Q

what are the clinical signs of acute milk fever?

A

initial tremors (hyperexcitation)
recumbent (muscles not working)
no faeces/urine (if there is faeces it will be dry)
postural bloat
slow HR/pulse

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9
Q

what are some differentials for recumbent cows after calving?

A

milk fever
acute coliform mastitis (endotoxaemia)
botulism
acute disease (salmonella…)
injury at calving

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10
Q

how is hypocalcaemia treated?

A

calcium borogluconate
phosphate supplementation
place in sternal recumbency

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11
Q

what is the role of phosphorous in the body?

A

essential compound of ATP (energy)

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12
Q

how can hypocalcaemia be prevented?

A

reduce calcium in diet (<0.7%) or massively increase it during dry period (>1.7%)
maximise DMI during dry period
DCAD dry ration
calcium binder during dry period to increase calcium mobilisation

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13
Q

why is low calcium fed during dry period?

A

tone the parathyroid during calving so more calcium is able to be mobilised more efficiently
high magnesium during dry period (essential for Ca absorption mediated by parathyroid hormone)

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14
Q

what is the aim of a DCAD diet?

A

reduces pH in blood (produces acidic urine)
this aims to trigger calcium mobilisation

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15
Q

how is a partial DCAD diet done?

A

control diet for minimum of 14 days pre-calving by giving low potassium forages and magnesium chloride flakes

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16
Q

when does hypocalcaemia occur in sheep?

A

pre-lambing (linked to stress - movement, weather, inadequate feeding…)

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17
Q

what is hypomagnesaemia also known as?

A

grass staggers

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18
Q

what is the cause of hypomagnesaemia?

A

magnesium output (in milk) is higher than input (in diet) as body is unable to store magnesium

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19
Q

what can affect the ability of the body to absorb magnesium from the diet?

A

high potassium (seen hen grazing lush/well fertilised pastures)

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20
Q

what are the clinical signs of hypomagnesaemia?

A

early - twitch/hypersensitive
recumbent and convulsing
(sheep usually found dead)

21
Q

what are some increased risk factors for hypomagnesaemia?

A

lush pasture
high yielding dairy cattle
stress - weather, movement, handling…

22
Q

how is hypomagnesaemia treated?

A

control convulsions (xylazine)
calcium IV
slow magnesium IV

23
Q

what is glucose produced from via gluconeogenesis?

A

propionate (also acetate and butyrate)

24
Q

how does adipose tissue produce energy?

A

lipolysis to give NEFA and glycerol

25
Q

what does the udder produce lactose from?

A

glucose (also propionate)

26
Q

where is glucose stored as glycogen?

A

liver

27
Q

what is the function of liver in relation to NEFA?

A

metabolise NEFAs to ketones
re synthesis NEFAs to fat

28
Q

what are ketone bodies?

A

energy source for muscle (not milk production or brain)

29
Q

what is the role of insulin?

A

facilitate glucose entry to cells and decrease gluconeogenesis
suppresses NEFA being converted to ketones

30
Q

what does glucagon stimulate?

A

gluconeogenesis and ketogenesis

31
Q

how does adrenaline effect ketosis?

A

stimulates lipolysis and NEFA release

32
Q

what are the clinical signs of ketosis?

A

reduced milk yield
selective appetite (refuse concentrates)
ketones in blood
firm shiny faeces
nervous ketosis (wall licking, kicking, blind…)

33
Q

what is the treatment for clinical ketosis?

A

oral propylene glycol
corticosteroids (dexamethasone)
IV glucose
vitamin B1 and 12
kexxtone bolus (monensin)

34
Q

why would you give a clinical ketosis cow corticosteroid?

A

stimulate gluconeogenesis

35
Q

how do kexxtone boluses aid ketosis treatment?

A

inhibit gram-positive bacterial growth in rumen which produce most of the acetate and lactate responsible for ketones
rumen produces more propionate and hence more glucose production can occur

36
Q

how can subclinical ketosis be tested for?

A

beta hydroxybutryrate in blood
NEFA in blood (indicates fat mobilisation)

37
Q

what does high beta-hydroxybutyrate indicate?

A

energy shortage and hence ketosis

38
Q

how can nutritional status of a cow be monitored?

A

BCS, DMI intake, cutting, rumen fill, faeces…
production targets/peaks
milk quality
biochemistry (metabolic profiles)

39
Q

what is the target BCS for cattle for most of the year?

A

2.5 (3 at start of drying off)

40
Q

what diagnostic markers can be used for monitoring metabolic and nutritional status?

A

beta hydroxybutryrate
NEFA
glucose
fat
protein
milk urea

41
Q

what is the cut-off for beta hydroxybutyrate for ketosis testing?

A

> 1.2 (this indicates ketosis)

42
Q

what does high beta hydroxybutyrate suggest?

A

ketosis

42
Q

what are high NEFAs suggestive of?

A

fat mobilisation

43
Q

when should you do metabolic profiling of cows?

A

take a random selection from…
early lactation (10-20 days)
mid lactation (80-150 days)
late dry cows (within 10 days of calving)
(allow 2 weeks after any major diet change)

44
Q

how can milk quality be a monitor for nutrition?

A

milk protein - low equates to energy deficiency
butterfat - low equates to lack of fibre
(fat/protein ratio to energy to fibre ratio)

45
Q

what are the two types of proteins measured in digestible crude protein?

A

effective rumen degradable protein (micro-organism feed)
undegradable dietary protein (passes through rumen into abomasum)

46
Q

what is needed for the effective rumen degradable protein to be taken up by the micro-organisms?

A

energy - if there isn’t enough energy milk urea will rise as the proteins won’t be able to be used by the microbes

47
Q

how can ketosis be minimised with dry period management?

A

low energy
maximise DMI
monitor BCS
avoid fat cows (they mobilise more fat)