Oral Cavity Disease Ruminants Flashcards

1
Q

What are some of the presentations of a cow with an oral cavity disorder?

A
  • Anorexia/inappetance, relative/complete
  • Ptyalism/drooling (lesion, obstruction, failure to ingest/chew/swallow)
  • Swelling head/lips/mandible
  • Protrusion of the tongue
  • Oedema submandibular space
  • Partly chewed lumps of food present (‘quids’)
  • Bloat (‘ping or ‘dull thud’)
  • Penetrating wounds
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2
Q

You must examine the oral cavity as part of a clinical exam. How should you do this sufficiently?

A
  • Suitable restraint
  • Equipment required
  • Good light source
  • Mouth gag/towel
  • Halter/bulldog
  • Sedation?
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3
Q

What are some infectious-viral differential diagnoses for salivation?

A
  • BVD
  • MCF (Ovine herpesvirus-2)
  • IBR (BHV-1.1, 1.2 respiratory)
  • Bovine papular stomatitis / orf (parapox virus)
  • Rabies, FMD, BTV
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4
Q

What are some infectious-bacterial differential diagnoses for salivation?

A
  • Calf diphtheria (necrobacillosis), F. necrophorum, necrotic laryngitis
  • Actinobacillosis (Wooden tongue)
  • Actinomycosis (Lumpy jaw)
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5
Q

What are some traumatic differential diagnoses for salivation?

A
  • Choke
  • Drenching gun/bolus injuries/oral burns
  • Teeth
  • Vagal nerve damage
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6
Q

What are some clinical signs seen with rabies (viral cause of salivation)?

A
  • excessive salivation
  • behavioural change
  • muzzle tremors
  • vocalization
  • aggression
  • hyperaesthesia and/or hyperexcitability
  • pharyngeal paresis/paralysis
  • The British Isles ( UK and the Republic of Ireland) have been rabies free since rabies was eradicated in 1922.
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7
Q

What kind of infection is orf?

A

Viral

Often secondary bacterial infection

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8
Q

Which animals and age are mostly affected by orf?

A
  • Young lambs unable to suckle
    • Mastitis in ewes (teats) and zoonotic!
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9
Q

When do you vaccinate against orf?

What types of vaccine is it?

A
  • Only vaccinate against orf in endemically affected flocks
    • Live attenuated vaccine
    • VMD product database (do not vaccinate close to lambing, vaccination will not protect lambs via colostrum)
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10
Q

What is shown here?

A
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11
Q

What are some clinical signs of bluetongue in sheep?

A

–Eye and nasal discharges which becomes thick and crusty

–Drooling as a result of swelling and/or ulcerations in the mouth

–Swelling of the neck and/or the face, especially around the eyes and the muzzle

–Severe lameness affected sheep are reluctant to rise

–Haemorrhages into or under the skin

–Inflammation and pain at the coronary band

–A “blue tongue” is rarely a clinical sign of infection

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12
Q

What are some clinical signs of bluetongue in cattle?

A

Cattle, possibly no signs of illness, clinical signs can include:

–Nasal discharge

–Swelling of the neck and head, especially around the eyes and muzzle

–Conjunctivitis

–Lameness

–Saliva drooling out of the mouth

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13
Q

What kind of animal and age does Actinobacillosis affect?

A

A.k.a wooden tongue

Affects mainly adult cattle

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14
Q

What are some clinical signs of Actinobacillosis (wooden tongue)?

A
  • Painful, sometimes fever
  • Stomatitis, glossitis, fibrous tissue, cellulitis evolving in pyogranulomatous infection
  • Swollen tongue, often protrudes, hard to the touch, submandibular swelling, enlarged Lnn
  • Salivation and reluctant to eat
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15
Q

Other than the tongue, where else can actinobacillosis affect?

A

Can also affect skin, oesophageal groove, rumen wall etc

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16
Q

What is the treatment for atinobacillosis?

A
  • Early initiation often successful outcome
    • Harder to treat the longer it is left
    • Prognosis is poor the longer it is left
  • Antibiotics
    • procaine penicillin and dihydrostreptomycin
      • pen and strep for long enough - need a high MBC, diffiuclt to get to this level, daily treatment needed
    • streptomycin and dihydrostreptomycin
    • daily IM >10 days
  • Sodium iodide
    • IV sodium iodide 7g/100kg, 10% (Sigma)
    • Risk of treatment: restless, tachycardia, staggering
    • Repeat every 10 days
      • does work
      • use with anti-inflammatories and antibiotics
    • Cease treating if signs of iodism (dry flaky skin, lacrimation, coughing, anorexia) occur
  • NSAIDs
17
Q

How can you prevent actinobacillosis?

A

Isolate cases and review feeding

Something in the environment that is causing the damage that initiates actinobacillosis leading to wooden tongue

Manage the causative agent.

18
Q

What age and animals is diphtheria common in?

A

Necrotic lesions in pharynx and larynx

Common in calves, often <3 months old

19
Q

What is actinomycosis (lumpy jaw)?

A

Gram positive

Faculative anaerobe

20
Q

What are some clinical signs of actinomycosis?

A
  • Chronic infectious disease (slow process), swelling, abscesses, fistulous tracts, fibrosis
  • Mucosal damage
  • Painful?
  • Suppurative granulation of the mandible and maxilla
  • Hard, immobile lesion (differentiate from local abscess)
  • Low incidence in UK
21
Q

What is the diagnosis for actinomycosis?

A

Clinical signs

22
Q

What is the treatment for actinomycosis?

A
  • Early treatment often successful
  • Antibiotics: procaine benzylpenicillin, daily IM at least 10 days
  • Sodium iodide
    • As in ‘Wooden tongue’
  • NSAIDs?
  • Bone deformation remains
23
Q

What clinical signs do you see with calf diphtheria?

A
  • Necrotic lesions in pharynx and larynx
  • Common in calves, often <3 months old
  • Trauma to buccal mucosa, erupting teeth, contaminated buckets, rough feed
  • Swollen cheeks, salivation, foul-smelling breath, painful swallowing, cough, inspiratory dyspnea
  • Laryngeal form with stertor more common in older calves 3-18 mo
24
Q

What are differential diagnoses for calf diphtheria?

A

trauma, foreign body

25
Q

What is the treatment for calf diphtheria?

A
  • Isolation
  • Antibiotics
    • procaine benzylpenicillin, daily IM, at least 5 days
    • Sometimes longer course (2-3 weeks), particularly if laryngeal
  • NSAIDs
  • Tracheostomy
26
Q

What can cause stomatitis?

A
  • Traumatic injuries
    • drenching gun
    • bolus applicator
  • Foreign bodies like sticks, root vegetables
  • Caustic substances on farm
    • chemical dips
    • caustic soda
    • Formalin
27
Q

What is the treatment for stomatitis?

A
  • Remove any decaying food material
  • Broad spectrum antibiotic, ie amoxicillin (5 days)
  • NSAIDs (3 days)
28
Q

What is choke and what do you see with it?

A

EMERGENCY!

  • Common in cattle
    • Large quantities of feed, rapid intakes
    • Root crops
      • Potatoes, turnips, apples, fodder beet etc
  • Profuse salivation and bloat
    • Distress, extended neck, coughing
    • Obstruction at certain sites
      • Oropharynx, thoracic inlet, heart base
      • May palpate if cervical/Passage of a stomach tube
29
Q

What is the diagnosis of choke?

A

Based on history & clinical appearance