MSK 4 Flashcards
what is the cell type that is key to muscle regeneration?
satellite cells, they are able to divide, fuse, and can form mature myofibers
if there is muscle damage, what are 3 general clinical findings you might see?
- increased creatinine kinase (CK)
- increased AST
- myoglobinuria
what are 3 causes of pale muscles?
- necrosis
- mineral
- replacement by fat or collagen
what are two species that can cause parasitic muscle cysts?
- trichinella spiralis
- sarcocystis sp
name 4 reasons why a muscle would appear dark red
- hemorrhage
- necrosis
- inflammation
- myoglobin
name two reasons why a muscle might have a green appearance
- autolysis/putrefaction
- eosinophilic inflammation
what do you see nd how does this help you figure out what it is?
green discoloration due to eosinophils (bovine eosinophilic myositis)
define the following:
- myopathy
- myositis
- myonecrosis
- cachexia
- polymyositis
- muscle disease
- muscle inflammation
- muscle necrosis
- generalized muscle atrophy caused by disease or malnutrition
- inflammation of multiple muscles
how does muscle necrosis appear acutely and chronically?
acutely: red
chronic: white chalkly due to progression of mineralization caused by increased intracellular calcium
regernation of muscle requires what two things? what happes if you don’t have these two things?
- an in tact basal lamina
- viable satellite cells
if either of these are damaged, you’ll get healing by fibrosis
define muscle atrophy
decreased muscle volume, usually reversible if cause is corrected
list 3 physiological causes of muscle atrophy
- disuse (asymmetrical and localized)
- cachexia (symmetrical and generalized)
- senility (symmetrical and generalized)
how does cancer cause cachexia?
catabolic cytokines like tissue necrosis factor
name 3 endocrine causes of muscle atrophy
- hypothyroidism (dogs_
- hypercortisolism (dogs)
- pituitary dysfunction/tumors (horses)
why does denervation cause muscle atrophy?
muscle fibers require growth factors from nerves for maintenance and loss of nerve supply leads to rapid atrophy
this is the skull of a dog. what is happening here?
muscle atrophy due to denervation (tumor/disease in trigeminal nerve)
laryngeal hemiplasia is an example of _____. explain the pathogenesis
denervation atrophy
left recurrent laryngeal nerve is longer and prone to nerve degernation–>denervation of the left circoarytenoideus muscle–>laryngeal paralysis–>loud breathing and possibly aspiration penumonia
what is this?
laryngeal hemiplasia due to denervation (can see atrophy of left circoaretynoideus muscle)
in degenerative muscle diseases, is there inflammation?
yes, but inflammation is not the cause of the damage. damage is done first, then inflammatory reaction starts to heal the damage done
since muscles have lots of blood supply, how does infarction happen and give one example
infarction requires occlusion of large blood vessels or severe intramuscular vascular damage to occur
example is feline aortic thromboembolism where blood supply to the hind legs is blocked and causes paralysis
in regards to cell types in the muscles, which are most susceptible to oxygen and which are not? what does this mean for healing?
myofibers most susceptible to hypoxia, then satellite cells, then fibroblasts. this means that regernative ability depends on the time in the hypoxic state. If the hypoxia is prolonged, the satellite cells will be damaged and all that’s left is the fibroblasts so healing will occur via fibrosis/scar tissue
explain what compartmental syndrome is and provide an example
there is muscle damage of some sort leading to inflammation and swelling which increases intramuscular pressure (because the overlying fascia cannot expand), and this leads to ischemic necrosis
ex: recumbency in LA: ischemic necrosis of muscles under pressure when “down” for too long
prolonged recumbency in large animals causes what 3 things?
- pressure on the muscle arterial supply
- compartmental syndrome (inflammation and pressure in muscles)
- reperfusion injury
what is white muscle disease? what are the gross lesions?
nutritional deficinecy in Vitamin E/Selenium, which are antioxidants, so without them there are increased free radicals in the skeletal and cardiac muscles
gross lesions: muscles are pale pink to white (degeneration and mineralization), lesions ofen obvious in muscles with high workload like the tongue, heart, limbs, etc
horses are susceptible to ionophore toxicity. what does it do to them (pathogenesis) and what will it look like? give an example of an ionophore
toxic levels of inophores disrupt ion equilibrium leading to calcium overload–>this leads to skeletal and cardiac muscle necrosis which leads to death
it will cause the muscles to be quite pale from the necrosis, may look like streaks. BUT if acute enough there will be no lesions, just death quickly!
ex: monensin
give an example of one toxic plant that can cause a toxic myopathy
gossypol in cottonseed