Neuro disease in small mammals and exotic species Flashcards
List 13 clinical signs of neurological conditions in small mammals
head tilt
weakness
paresis
exophthalmos
ocular discharge
mydriasis
swaying
nystagmus
tremor
urinary incontinance
seizures
loss of anal tone
circling
faecal impaction
List 10 clinical signs of neurological conditions in reptiles
loss of righting reflex
loss of withdrawel reflexes
loss of cloacal tone
limb paresis (hind is most common)
reduced grip in snakes
generalised or localised weakness
tremors/convulsions
blindness
circling
head tilt
stargazing
Describe the righting reflex
if they get stuck on their back, they should be able to right themselves immediately
List 8 clinical signs of neurological disease in birds
Loss of withdrawal reflexes
Loss of cloacal tone
Limb paresis
Reduced foot grip
Generalised weakness
Tremors and convulsions
Circling
Head tilt
List the clinical signs of central vestibular disease in small mammals
nystagmus (vertical or horizontal)
other CNS signs
List the clinical signs of peripheral vestibular disease in small mammals
nystagmus ( horizontal)
horners syndrome or facial nerve paralysis
List the possible differentials for central vestibular disease in small mammals
E. cuniculi
toxoplasma
neoplasia
List the differentials for peripheral vestibular disease in small mammals
otitis media
what type of rabbits are predisposed to otitis media
lop rabbits
describ how otitis media forms
infection penetrates through the tympanic membrane
List the clinical signs of otitis media
ataxia
circling
head tilt
+/- aural base abscess
why is otitis externa often not picked up in rabbits
they are prey animals and therefore hide their signs of disease
how can you prevent otitis media from occuring in lop rabbits
regular cleaning in order to prevent otitis externa
Describe how Encephalitozoon cuniculi is spread
is a fungi spread mostly in rabbit urine
List the clinical signs of E. cuniculi
CNS damage- hindlimb paralysis/ weakness, torticollis, urinary incontinence, tremors
Kidney damage: PUPD, weight loss, anorexia, cataracts/ uveitis
Describe how E. cuniculi travels through the body
- pathogen ingested in contaminated food/water
- pathogen moves via the blood stream into the kidneys
- is intermittently passed in urine
- pathogen moves into spine and causes hind limb paresis
- moves up the spine and into brain causing neuro signs
what is floppy bunny syndrome
this is flaccid paralysis due to muscular weakness - the exact cause is unknown
Describe how to treat floppy bunny syndrome
supportive care - most bunnies recover within 3-4 days
Describe how fipronil causes toxicity in rabbits
fipronil blocks GABA receptors in the CNS and stops chloride ion uptake, this causes excessive CNS stimulation and eventual death
List the clinical signs of fibronil toxicity in rabbits
seizures
tremors
hyperactivity
diarrhoea
hypersalivation
hypothermia
death
how soon after giving fipronil are clinical signs seen
around 9 days after
List 3 viruses causing neurological signs in reptiles
inclusion body disease (snakes)
ophidian paramyxovirus (snakes)
adenovirus (any reptile)
List the clinical signs of inclusion body disease in snakes
GI signs + neurological signs (head tremor, uneven pupils, muscle spasm, lethargy, etc)
List the clinical signs of adenovirus in reptiles
anorexia
diarrhoea
wasting
neurological signs (stargazing, twitching/seizures)
List the cliical signs of ophidian paramyxovirus in snakes
Respiratory signs + neurological signs (head tremor, uneven pupils, muscle spasm, lethargy, etc)
List 2 drugs that are toxic to reptiles and can cause neuro signs
ivermectin and metronidazole
List the clinical signs of ivermectin toxicity in reptiles
depression, paralysis and death in chelonia
sensitivities in other reptiles
List the clinical signs of metronidazole toxicity in reptiles
vestibular disease
List 3 viruses causing neurological signs in birds
Newcastle disease
Avian influenza
Marek’s disease
what causes Marek’s disease
herpes virus 1
what causes Newcastle Disease
Avian paramyxovirus 1
List the clinial signs of Newcastle disease in birds
Respiratory and head tilt
List the clinical signs of avian influenza
respiratory and sudden death
when does hyperlipidaemia occur in birds
if the birds are fed a poor diet - i.e. seed only diet for parrots
List the clinical signs of hyperlipidaemia in birds
obesity/overweight, tremors/seizures, weakness, liver damage signs
how can we treat hyperlipidaemia in birds
treat with liver protectants and change the diet
List the clinical signs of heavy metal toxicity in birds
regurgitation, lethargy, weakness, anorexia, weight loss, anaemia, polydipsia, diarrhoea and haemoglobinuria
CNS signs - depression, seizures, head tilt, blindness
List the clinical signs of head trauma in birds
depressed/ stunned
blindness
head tilt
what is pectin
the blood vessel at the back of a birds eye providing blood to the eye
what happens if the pectin is destroyed
the bird becomes blind in that eye
what causes Psittacosis
Chlamydia psittaci (zoonotic)
Describe how Psittacosis is spread
via faeces, urine and respiratory secretions
List the clinical signs of Psittacosis
Respiratory (dyspnoea, oculonasal discharge)
GIT (bright green faeces, regurgitation).
CNS (tremors, twisting of the head & body).
Sudden death (especially lovebirds)
Describe how to diagnose otitis media
radiography, otoscopic examine
CT is the best way
Describe how to diagnose spinal problems in rabbits
radiography
Decsribe how to diagnose heavy metal toxicity in birds
history + clinical signs
blood work
radiography
Describe how to diagnose hepatic lipidosis
bloods - can see grossly if severe, can test cholesterol levels and liver values
Describe how to diagnose E. cuniculi
blood test antibody serology (ELISA)- need to do 2 to see if increasing over time
urine antigen test (PCR)- unreliable
histology (kidney PCR) - PME if housed with other rabbits
Describe how to diagnose Marek’s disease
presumptive diagnosis on clinical signs and gross PME
can do histopathology and PCR
Can we treat Marek’s disease
No
Describe how to diagnose Psittacosis
PCR - conjunctival/cloacal swab or faecal PCR
Describe how to diagnose inclusion body disease
PM histology (liver, kidney, pancreas)
PCR (mouth or cloacal swab)
Describe how to diagnose Ophidian paramyxovirus
PM histology (lung/brain)
PCR (mouth or cloacal swabs)
Describe how to diagnose adenovirus in lizards
clinical signs
PM histology (liver biopsy)
Describe how to treat otitis externa/ media
antibiotic eardrops
analgesia
C&S
ear flush
massage aural base abscess to remove debris
when do we consider TECA-LBO in rabbits
if the ear infections are recurrent or non-responsive to treatments
what are the risks of TECA-LBO in rabbits
facial nerve paralysis, vestibular disease
can we treat E. cuniculi
we can ease symptoms and reduce inflammation, but we can’t reverse the damage already done
Describe how to treat E. caniculi
isolate individuals, disinfect the environment, kill pathogens (fenbendazole), NSAIDs or steroids, gut support
euthanasia should be considered
Describe how can we prevent E. cuniculi
quarantine new rabbits and treat them with fenbendazole (regular worming should be unertaken)
Describe how to treat hepatic lipidosis
change diet slowly over 6 months
liver supplements - milk thistle, hepatosyl and lactulose
how do we treat lead toxicity in birds
supportive treatment
calcium EDTA and remove metal particles from the GIT (endoscopically)
how do we treat psittacosis in birds
Doxycycline for 45 days