Pathology Semester 2 part 2 Flashcards
Explain a neurogenic disease of the oral cavity
hypoglossal nerve damage in horses with guttoral pouch disease. cause lingual muscle atrophy.
give 3 colour changes to the oral mucosa and the reason
pallor (anaemia/CHF), cyanosis (toxic, uraemia, hypoxia), petechiae/haemorrhages
term for inflm of gums and of palate structures
gingivitis and stomatitis.
necrobacillosis GI disease… type of inflm
Fusobacterium necrophorum. Calf diptheria or hepatic necrosis. Fibrino-necrotising laryngitis.
Wooden tongue
Actinobacillus ligniersi. pyogranulomatous inflm with fibrosis and abscessating glossitis. Splendore-Hoepli figures on histo.
Give 2 bacterial inflm infections of mouth
wooden tongue and necrobacillosis
Bluetongue virus GI path… vector, virus, pathogenesis
culicoides vector, orbivirus. viraemia, endothelial damage, microthrombi, haemorrhages, ischaemic necrosis. oedema and hyperaemia of oral/nasal mucosa, ischaemic necrosis of mucosa.
two types of stomatitis
vesicular and erosive/ulcerative
oral vesicles are caused by what process
ballooning degeneration of epithelial cells.
FMD
aerosol/oropharyngeal transmission. ulcers on tongue, lips, mouth, coronary band. ballooning degeneration, cells detach from BM, oedema and fibrin fill vesicle, bullae forms, ulcerates/ruptures
2 other causes of vesicular stomatitis (except FMD)
Rhabdovirus vesicular stomatitis and Picorne-viridae-enterovirus in pigs (swine vesicular disease)
Erosive and ulcerative stomatitis (2)
BVD/Mucosal Disease (MD) - Pestivirus, BVDV1. Malignant catarrhal fever (ovine herpes virus 2).
‘Mucosal Disease’
seen in PI calves with cytopathic form of BVDV. sharply delineated flat ulcers on mouth, tongue, oeseophagus and GI tract.
malignant catarrhal fever
Ovine herpes virus 2, Allcephaline herpes virus 1. Bison most susceptible. Oral and GI erosions with conjunctival and keratitis lesions (unlike MD).
2 agents of feline erosive and ulcerative stomatitis
feline herpes virus and feline calicivirus
fungi causing oral disease in suckling animals
candida albicans. white, fluffy chalky plaque on oral structures. poor hygiene or immunocompromised.
lingual muscle can harbour which kind of parasite
metacestode cyst of tapeworms (Taenia saginata/solium)
eosinopihlic granuloma complex 3 parts
indolent ulcer, oral eosinophilia granuloma, eosinophilic plaque.
tonsilitis bacteria
haemolytic streptococci, coliforms.
aujeskys disease
necrotising tonsillitis, swine herpes virus type 1.
oral benign tumour
papilloma, epulides
epulides, 3 types
benign tumour in dog/cat. derive from periodontal ligament or connective tissue. fibrous, ossifying and acanthomatous
most common oral tumour in cats, how about dogs?
squamous cell carcinoma. melanoma.
tonsillar squamous carcinoma what species and how malignant
spreads early, found in dogs. characteristic keratin pearls.
which neoplasm derives from connective tissue of oral cavity, is malignant and second most common in cats?
fibrosarcoma
sialoadenitis and sialolith
inflm of salivary gland and calculi in ducts
ranula
cyst formation in salivary gland duct.
how could the oes be obstructed, strictured or compressed?
obstruct with foreign body, neoplasm, parasites. compressed by LN, abscess or neoplasm. stricture with persistant RAA.
2 types of megaoesaphagus
congenital (GSD, great dane, irish setter) or acquired secondary to neural reflex disorder. can be due to distemper, botulism, myaesthenia gravis.
thymoma and myaesthenia gravis are assoc with which disease
megaoesophagus
spirocerca lupi
intermediate host is beetle, dogs/canids DH. ingested beetle, L3 migrate to oes, cause granulomatous oesophagitis and related to fibro and ossifying sarcoma
oesophageal papilloma in cattle
BPV type 4.
abnormality of ruminal mucosa
parakeratosis, hyperkeratosis. due to high concentrate diet.
2 types of ruminal tympany
frothy and gassy bloat. decrease venous return and hypovolaemic shock. frothy due to lots of legumes, gassy due to physical obstruction.
Saponaria officinalis (saponins) are responsible for what
cause of bloat in cattle
Lactobacillus acidophilus causes what
ruminal acidosis. Over ingestion of CHO - increase VFA - atony - drop in ruminal pH - proliferation of L. acidophilus - death when pH reaches below 4.5.
what is the risk to survivors of ruminal acidosis
secondary necrobacillosis, peritonitis and pericarditis.
3 viruses that can induce ruminal ulceration
FMD, MD, MCF
5 areas of the stomach
cardia, fundus, body, antrum, pylorus
which cells produce pepsinogen and gastric acid?
pepsinogen = chief cells. acid = parietal cells. ECL cells stimulate acid cells via histamine.
GDV is assoc w/
excess eating and aerophagia. small food particles and weak hepatogastric ligament is predisposition.
what displacements occur in gastric volvulus
pylorus and duodenum compressed between oes and dilated stomach, spleen moves with gastrosplenic ligament, oes can be completely occluded
results of displacements of gut (GDV)…
gastric haemorrhagic infarction, decreased venous return, decreased CO, hypotension, decrease renal function, shock.
what is the cattle equivalent of GDV
left or right abomasal displacement. similar results as in GDV.
Horse stomach parasites. pathogenic?
Gastrophilus intestinalis, nasalis and haemorrhoidalis, no link with ulcers
ruminant gut parasite causing hypoproteinaemic oedema and anaemia
haemonchus contortus (problem when moving cattle off and moving sheep on)
allotriophagia term for? assoc w/ 3 conditions
pica. encephalitis, starvation, boredom.
which species get gastroliths
reptiles and horses.
acute catarrhal gastritis patho and causes
serous inflm of mucosa and serosa, thickened and red. poisons, Helicobacter spp, parasites.
Ollulanus tricuspis causes what condition
parasitic catarrhal gastritis in felids. transmission via vomit. small <1mm worm.
acute haemorrhagic gastritis
poisons, swine erysipelas, braxy, NSAID overuse
Braxy
sheep/calves in cold climates. Clostridium septicum enterotoxin, severe odema and emphysema in submucosa, haemorrhage and venous thrombosis.
haemorrhagic gastritis causal agents
CSF virus, anthrax, leptospirosis (with uraemia)
uraemic gastritis
endothelial degeneration, necrosis, thrombosis, infarction. excretion of ammonium (in saliva and gastric juices) causing coagulative necrosis. assoc w/ chronic renal failure.
stomach ulcers cattle
in pylorus, assoc w/ transport or diet
pig stomach ulcers
in squamous epithelial part, due to hyperacidity, fine grain diet or stress.
horse stomach ulcers
in non-glandular portion
dog/cat stomach ulcers
pylorus or proximal duodenum. associated highly with mast cell tumours! histamine over stimulation
outcome of stomach ulcers
haemorrhage, perforation, peritonitis
stomach ruptures common in
horses due to dilation. First serosal tear, then musclaris. can occur post-mortem, see fine borders with less haemorrhages.
horse stomach rupture types (2)
primary (over ingestion of CHO, excess water intake). secondary (due to blockage in colic or dysautonomia).
most common gastric neoplasia of dogs
adenocarcinoma. arises from glandular mucosa, can metastasise.
benign stomach tumour
adenoma/benign adenomatous polyp
stomach epithelial tumour common in large proventricular area
squamous cell carcinoma. yellow-brown colour due to keratin production
cats, FeLV negative, B cell tumour in older patient
lymphosarcoma
which tumour would be originating from tunica muscularis of stomach
leiomyoma
common congenital GI finding
atresia. anal/rectal or intestinal
aplasia of neurons in large intestinal myenteric ganglia would give rise to
megacolon - lack of peristaltic movement
which gut herniation is common in horses
epiploic herniation
RF for intussusception in small animals and horses
hyperactive bowel movements, parvo, distemper enteritis. in horses, ileum into caecum due to tapeworm.
horse volvulus causes
pedunculated lipoma in mesentery, usually at jejunum or ileum
intestinal misalignment consequences
misalignment of bowel, occlusion of veins, persistence of arterial supply, hyperaemia, hypoxia, capillary fragility, haemorrhage and necrosis and infarction
necrosis and aplasia of neurones in sympathetic ganglia (coeliac)… in horses
Clostridium botulinum type C. Horse grass sickness (primary dysautonomia)
4 MOA of enteritis
maldigestion, malabsorption, hypersecretion, increase motility
maldigestive enteritis
impaired villous enzymatic digestion (rota virus, coronavirus, enteropathogenic e. coli)
malabsorptive enteritis
loss of villous SA
hypersecretive enteritis
secretion of electrolytes due to enterotoxin damage (Enterotoxic E. coli, Yersinia enterocolitica)
common TYPE of enteritis inflm
catarrhal. hyperaemic, lymphocytic infiltrates and loss of villi.
corona and rota virus pathogenesis
need lactases so damage the tip of villi. crypts are spared of damage, recovery is possible.
canine parvovirus type 2 pathogenesis
need highly replicating cells with DNA polymerase, attack crypts of mucosa, poor ability to repair
fibrinous enteritis often caused by
feline parvovirus (panleukopenia virus)
Enterotoxic E. coli causes
<1w old catarrhal enteritis. adheres to enterocytes, produces toxin and toxin causes secretory diarrhoea
Enteropathogenic E. coli
catarrhal enteritis by adhering loosely and leading to destruction of villi
E. coli septicaemia
first few days of life, oral/umbilical infection in immunocompromised animals.
‘oedema disease’ in pigs
STEC (shiga-like toxins) produced by E. coli. occurs mainly post weaning. oedema in sub-cutis of face, stomach wall, mesenteric LN. toxin damages vessel integrity.
fibrinous/fibrino-necrotising enteritis feeatures
fibrinous exudate, deep mucosal damage and the vessel integrity is poorer cf. catarrhal.
viral causes of fibrinous/fibrino-necrotising enteritis
Classical swine fever / ‘Hog cholera’ - fibrinonecrotising typhlo-colitis or just colitis (‘boutons’). not in UK.
why do boutons form in inflm conditions
lymphoid patches in gut, contain fibrin and lymphoid aggregates. In CSF they are raised, in parvo they are depressed.
bacterial causes of fibrinous/fibrinonecrotising enteritis
Salmonella, PPE
Salmonella enteritis
S. choleraesuis or S. typhimurium. SI colonisation, adhere, penetrate, proliferate and survive in Mp, trojan horse effect. In young animals septicaemia, adults can cause typhlocolitis or sub-clininical carry.
pig form of salmonellosis
necrotising enteritis (S. cholerasuis) or ulcerative proctitis with rectal stricture (S. typhimurium) - stricture is due to lack of blood supply at one point in rectum where if damaged, scar-like tissue forms.
Porcine Proliferative Enteritis
intestinal adenomatosis complex. L. intracellularis. Infects crypt cells, spreads in epithelium by cell proliferation. Has variable disease forms.
PPE forms (4)
1) PPE - lesions in ileum, post weaning pigs, mucosal hyperplasia, hypertrophic mucosa with large crypts.
2) Proliferative haemorrhagic enteropathy - older animals, more lethal.
3) necrotic enteritis - mucosal necrosis, pigs.
4) terminal ilietis - chronic, related to healing of necrotic enteritis.
haemorrhgaic enteritis cause
Bacillus anthracis. ACUTE and ZOONOTIC.
granulomatous enteritis
Johne’s (paratuberculosis). ileal lamina propria macrophages contain acid fast bacteria.
lymphoproliferative and eosinophilic enteritis (IBD)
idiopathic IBD with lymphoplasmacytic proliferation most common. Chronic vomiting and diarrhoea. possible hypersensitivity to dietary antigens or bacterial antigens in intestinal flora.
malabsorption syndrome causes
V+/D+. Weight loss, steatorrhoea. caused by pancreatic enzyme insufficiency or acute/chronic enteritis.
malabsorption syndrome gross
dilated white villi (lymphangiectasia), small granulomas in subserosa and mucosa (lipid granules, Mp try to clear), dilated sub-serosal and mesenteric lymph vessels.
passive hyperaemia, oedema and haemorrhagic infarction are seen with what condition of bowel
misalignment
Strongylus vulgaris associated with which 2 lesions of gut
ischaemic intestinal infarction and haemomelasma ilei (dark nodules on subserosa along vessels). can be incidental and sub-clinical.
4 MOA of parasites causing damage
deprive host nutrients, blood sucking, mechanical blockage, toxic/allergic metabolites
chronic catarrhal enteritis caused by protozoa is commonly. what histo finding?
Eimeria or Isospora. hypertrophic crypt cells.
sheep, cattle, goat, horse coccidia species
E. crandallis/bakuensis/ahsata. E. bovis/zuerni. E. arloingi. E. leuckarti.
pig, rabbit, cat coccidia spp
Isospora suis. E. irresidua/magna/piriformis/perforans. Isospora felis.
ruminant cestodes where ruminant is DH
Moniezia expansa/benedeni
horse cestodes
anoplocephala perfoliate, A. magna.
thrombotic verminous endoarteritis in horses caused by… what about L3 induced granulomas in wall of colonic mucosa/caecum?
large strongyles - small stronglyes
Oesophagostomum dentatum
swine follicular ulcers in lymphatic follicles.
colorectal polyps seen in
dogs, benign neoplasm.
malignant tumour of caudal GI tract
adenocarcinoma. severe fibrous tissue proliferation (scirrhous reaction). can invade and metastasise.
cats mainly get which GI tumour
malignant lymphoma. diffuse/nodular thickening of intestinal wall. usually older cats.
Congenital defects of the liver
Intrahepatic cysts (Persian cats), portosystemic shunt (intra or extra hepatic)
Intra v extra hepatic shunts
Intra - ductus venosus does not close, left umbilical connection to VC (Irish wolfhound). Extra - portal vein connection to VC/azygous, more severe. (Maltese, Yorkshire terriers). Get microhepatia, ultimately hepatic encephalopathy.
2 dislocations of liver
Diaphragmatic hernia or lobe torsion
RF for liver rupture
Trauma, neoplasia (haemangiosarc), amyloidosis. Get haemoperitoneum.
Passive hyperaemia of liver
“Congestion”. ++hepatic vein pressure. Occurs near central vein first.
Chronic congestion of liver, causes? Gross?
CHF, endocardiosis, reticuloperitonitis. Sinusoids pressure increase, thick capsular surface and nodular texture. ‘Nutmeg liver’
Histo of backwards congestion
Centrolobular necrosis, fibrosis at central vein. Hypoxia leads to necrosis and fibrosis.
Explain acquired portosystemic shunt.
Chronic liver diseases causes increased pressure/flow in usually non functional veins, bypass liver to give route with better flow. Many small connections instead of one large shunt.
Teleangiectasis
Dilation of functional blood vessels. In liver see dilation of sinusoids. Unknown pathogenesis.
Peliosis hepatis
Irregular blood filled cysts in liver parenchyma. Mainly cats due to focal necrosis of hepatocytes.
hydropic degeneration occurs where and why
in hepatocytes, due to high metabolic rate and prone to hypoxic change. looks like ‘cloudy swelling’. It is a non-specific change due to Na+ influx into the cell. expanding organelles.
atrophy of hepatocytes looks like
reduction in size of cells. due to pressure from other organ or reduced blood supply.
what fatty change occurs in the liver? what is the normal mechanism for fat?
lipidosis. accumulation of triglycerides in hepatocytes. usually FFA (from adipose tissue and food) go into liver and esterified to form triglycerides which then are sent to form apoproteins and lipoproteins (in times of energy deficits).
4 pathogenesis methods of lipidosis
nutritional lipidosis (too much fat in diet). excessive FFA release (energy demand too high). hypoxic lipidosis (decreased oxidation of FA, accumulation of FFA), toxic lipidosis (impaired synthesis of apoproteins, destruction of cellular membranes).
gross and histo of hepatic lipidosis
enlarged, round edges, pale yellow and friable. small vacuoles which distend cell and displace nucleus to periphery.
stain used to highlight fat in lipidosis
oil-red-orange.
5 diseases that may cause lipidosis
hyperlipidaemia (diabetes etc), ketosis (twin lamb etc), hypoglycaemia (puppies starvation or stress), hyperadrenocorticism, tension lipidosis (cattle liver ligament area of hypoxia)
4 examples of depositions in liver cells
lipidosis, glycogen, amyloidosis, pigment storage
glycogen accumulation histo
swelling, hydropic degeneration appearance, feathery, central nucleus. can stain with PAS.
4 causes of glycogen accumulation
1) diabetes mellitus (hyperglycaemia) 2) glycogen storage disease (enzyme lacking which breaks down glycogen) 3) iatrogenic steroid induced 4) cushings
4 reasons for high cortisol and therefore glycogen storage overload
increased gluconeogenesis overall. 1) idiopathic adrenal cortical hyperplasia 2) primary adrenal cortex tumour 3) iatrogenic cortisol 4) pituitary tumour