Quiz Flashcards
toxin, distinguishing/major CS, tx
What is the toxin(s) in cycads?
Cycasin (glycoside) + BMAA (neurotoxin)
What part(s) of cycads are toxic? Most toxic?
All parts are toxic - seeds most toxic
2 examples of cycads
Sago Palm
Coontie/arrowroot
What clinical signs are common with cycad poisoning? Is this an acute or chronic toxicity?
Vomiting, GI hemorrhage, liver failure, seizures
Acute toxicity
What are some specific treatments for cycad toxicity?
Aggressive decontamination
Vitamin K
Anti-seizure medications
Intestinal protectants
What toxin(s) is found in Crotalaria and Senecio species?
Pyrrolizidine alkaloids
Crotalaria or rattle box also also monocrotaline (alkaloid)
What parts of Crotalaria and Senecio are toxic? Most toxic?
All parts are toxic - seeds most toxic
What is the MOA for pyrrolizidine alkaloids?
They inhibit division of hepatocytes and block hematopoiesis
What clinical signs are seen with pyrrolizidine alkaloid toxicity? Is this an acute or chronic toxicity?
Liver failure, anemia, weight loss, colic
Chronic toxicity
What are the 4 hallmarks of PA toxicosis on liver histology?
Hepatocytomegaly
Hepatic necrosis
Bile duct hyperplasia
Fibrosis
What species are primarily affected by cycads?
Dogs, cats, ruminants
What species are primarily affected by PAs?
Cattle, horses, pigs, deer
What are some specific treatments for PA toxicity?
Vitamin K, poor px
What is the toxin in Lantana? It’s MOA?
Lantadene (triterpenoid) - inhibits ATP transporters in bile ducts
When is Lantana most toxic? Why? Which part is most toxic?
Most toxic after flowering due to immature berries - red berries most toxic?
What species are primarily affected by Lantana?
Cattle, sheep, goats, horses - small animals tend to avoid
What clinical signs are seen with Lantadene toxicity?
GI signs, constipation, secondary photosensitization, big head in sheep
What necropsy finding is common with Lantadene toxicity?
Swollen, green liver due to bile
What supportive care is done for livestock with Lantadene toxicity?
Keep them in a dark stall out of sunlight until lesions are healed
What is the toxin(s) in Bracken Fern? MOA(s)?
Ptaquiloside - carcinogen, myelosuppression
Thiaminase - thiamine deficiency (horses/monogastrics only)
What species are primarily affected by Bracken Fern toxicity?
Cattle, ruminants, horses
What clinical signs are seen in RUMINANTS with Bracken Fern toxicity? Is this an acute or chronic toxicity?
Enzootic hematuria, myelosuppression, acute hemorrhagic disease
Chronic toxicity with acute presentation***
What clinical signs are seen in HORSES with Bracken Fern toxicity?
Generalized weakness and unthriftiness
What specific treatments are recommended in animals with Bracken Fern toxicity?
Antibiotics
Blood transfusions
Protamine sulfate
Thiamine B1
When/what part of Bracken Fern is most toxic?
Younger plants and rhizomes most toxic
Toxic fresh or dried
What is the toxin(s) in Allium spp.? MOA(s)?
N-propyl disulfide + alkyl-cysteine sulfoxide - oxidative stress
What part of allium spp. are toxic?
All parts
What species are primarily affected by Allium spp. toxicity?
Cattle, dogs, cats
What clinical signs are commonly seen with Allium spp. toxicity?
Heinz body hemolytic anemia and accompanying signs
What are two other DDx for allium toxicity?
Zinc and acetaminophen toxicity
What specific treatments are recommended in animals with allium toxicity?
Fluids with HCO3
N-acetyl cysteine
Blood transfusion
What is the likely toxin in red maple? MOA?
Gallic acid, but unknown - hemolytic anemia
What part of red maple are most toxic and when?
Leaves are most toxic, when dried/wilted
What species is primarily affected by red maple toxicity?
Horses
What clinical signs are commonly seen with red maple toxicity?
Heinz body hemolytic anemia, methemoglobinemia, hemoglobinuric nephrosis
What specific treatments are recommended in horses with red maple toxicity?
Blood transfusions
Ascorbic acid
Antioxidants
What is the toxin(s) in white sweet clover? How is it produced? MOA?
Dicoumarol - converted from coumarol by fusarium spp. fungi - blocks vitamin K epoxide reductase
What species are primarily affected by white sweet clover toxicity?
Cattle - younger > adults
What clinical signs are commonly seen with white sweet clover toxicity? Is this an acute or chronic toxicity?
Delayed “sweet clover bleeding disease”
Chronic toxicity with acute presentation***
What specific treatments are recommended in animals with white sweet clover toxicity?
Whole blood
Vitamin K
When is corn toxic and what is the toxic principle?
When its moldy - fusarium spp. produces fumonisin = toxic principle
What is the toxin in ABPEE? How it is produced?
3-methylindole - produced from excess L-tryptophan
What is the toxin in sweet potatoes? How is it produced?
4-ipomeanol - produced from potatoes by fusarium spp. fungi
What species are primarily affected by moldy sweet potato toxicity?
Cattle, but all can be affected
What is the primary result of moldy sweet potato toxicity?
Acute interstitial edema
What is the toxin in perilla mint? What does this toxin cause?
Perilla ketone
Acute interstitial edema
What parts of perilla mint plants are toxic? Most toxic?
All parts, especially flowers (late summer/fall)
Fresh > dry
What species are affected by perilla mint?
Primarily cattle, but all
What are 4 DDx for acute interstitial edema?
Movement to lush pasture quickly (3-MI), moldy sweet potatoes (4-IP), perilla mint, moldy corn (fumonisin)
Treatment for ABPEE vs perilla mint
ABPEE - NSAIDs, furosemide, corticosteroids may be helpful
Perilla - no effective treatment
5 examples of nitrate accumulators
Johnson grass Lamb's quarters Dock Pigweed Ragweed
What is the toxin in nitrate accumulators? MOA?
Nitrite (from nitrate) - oxidizes to methemoglobinemia
What species are most sensitive to nitrate accumulators?
Ruminants
What specific treatments are indicated from nitrate accumulator toxicity?
Methylene blue
Ascorbic acid for horses
3 examples of cyanogenic plants
Black cherry
Elderberry
Heavenly bamboo
all have berries
What are the toxic parts of cyanogenic plants? Most toxic?
Seeds > leaves
Leaves most toxic when wilted
What is the toxin(s) in cyanogenic plants? MOA?
Cyanogenic glycosides - binds + inhibits cytochrome oxidase in mitochondria
What species are most susceptible to cyanogenic plants? What about heavenly bamboo?
Ruminants
Birds for heavenly bamboo
What is the principle clinical sign of cyanide toxicity? Why do we see this?
Cherry red blood d/t superoxygenation (can’t utilize oxygen)
What specific treatments are indicated for cyanide toxicity and how do they work?
Sodium nitrite to convert Hb to metHb = high affinity for CN
Sodium thiosulfate to increase formation of thiocyanate for excretion
What are the toxic parts of lilies?
ALL, even the water they are in
What species is classic for Lily toxicity?
Cats
What is the toxin(s) in lilies?
Unknown
What is the typical progression of clinical signs of lily toxicosis?
GI signs (1-3 hr), polyuria (12-20 hr), anuria (24-48 hr), death (3-7 d)
What bloodwork and UA findings are commonly seen?
Increased BUN, creatinine, potassium, phosphorous
Renal casts, proteinuria, glucosuria
What is the treatment of choice for lily toxicosis?
Early fluid diuresis, hemodialysis is only option for anuric phase
What are the three toxins in pigweed?
Nitrogen accumulator
Oxalates
Unknown renal toxin
What are the most consistent lesions seen with pigweed toxicosis?
Perirenal edema and degeneration of medullary structures
What species is most commonly affected by pigweed? Other species? Prognosis?
Pigs (also cattle + sheep), good px - only 10% mortality
What finding differentiates pigweed from oak toxicity?
Degeneration of medullary structures
3 examples of oxalate containing plants
Rhubarb
Deiffenbachia dumb cane
Poke weed
What do oxalate containing plants primarily cause?
Functional hypocalcemia and tubular necrosis due to insoluble calcium oxalate crystals
What are the primary lesions seen with consumption of oxalate containing plants?
Swollen kidneys
Microscopic hemorrhage
Calcium oxalate crystals
What 3 toxins are found in poke weed?
Oxalates
Saponins
Lectins
What specific treatments are indicated in animals who consume oxalate containing plants?
Calcium hydroxide or milk to make alkaline
What is the toxin in day blooming Jessamine? MOA?
1,25-dihydroxycholecalciferol - causes massive release of calcium
What part of the day blooming Jessamine is toxic?
Whole plant
What species is primarily affected by day blooming Jessamine toxicosis?
Cattle, horses
What are the primary clinical signs seen with day blooming Jessamine toxicosis?
Progressive lameness, chronic wasting, mineralization
What is the main principle of treating day blooming Jessamine toxicosis?
Tx hypercalcemia - bisphosphonates, calcitonin
What is the toxin(s) in oak species? What species are most affected?
Tannins
Cattle (young) and sheep most affected
Rare in horses, pigs resistant
What parts of oak are toxic?
Young leaves, buds, green acorns
What are common clinical findings with oak toxicity?
GI ulceration, pale/swollen kidneys, perirenal edema (not as extensive as pigweed)
What specific treatments are indicated in animals who consume oak species?
Polyethylene glycol
Calcium hydroxide for prevention
What parts are considered toxic/irritating in christmas trees?
Needles, oils, water
What is the toxin(s) in american holly?
Saponins
Theobromine (alkaloid)
What part(s) of american holly is toxic?
Leaves, berries
What species are primarily affected by american holly?
Dogs, cats, horses
What are common clinical signs seen with american holly toxicity?
V/D, excessive drooling
What is the toxin(s) in poinsettia?
Latex irritant sap
What part of poinsettias is considered toxic?
Leaves
What species does poinsettia toxicity typically affect?
Dogs and cats
What clinical signs are typically seen with poinsettia toxicity?
Mild irritation to mouth/stomach, vomiting, may have allergic rxn
What is the toxin(s) in mistletoe?
Lectins
Pharotoxins
What is the toxic part of mistletoes?
Berries
What species are primarily affected by mistletoe toxicity?
Dogs, cats, horses
What three body systems does mistletoe toxicity affect?
GI, cardio, neuro
What are the three toxins present in Dumb Cane and Golden Pothos?
Oxalates
Proteolytic enzymes
Raphids
What parts of Golden Pothos and Dumb Cane are toxic? Most toxic?
All - especially stems
What species are primarily affected by Dumb Cane or Golden Pothos toxicity?
Dogs, cats
What clinical signs are commonly observed with Dumb Cane or Golden Pothos toxicity?
Intense burning/irritation, excessive drooling, difficulty swallowing/breathing
What specific treatments are indicated in animals with Dumb Cane or Golden Pothos toxicity?
Secure airway, analgesics, demulcents
What is the toxin(s) present in Rhododendrons and Azaleas? MOA?
Grayanotoxins - activate Na channels
What parts of Rhododendrons and Azaleas are toxic?
All - including pollen and nectar
What species are primarily affected by Rhododendrons and Azaleas toxicity?
Dogs, cats
What clinical signs are commonly observed with Rhododendrons and Azaleas toxicity?
Bradycardia, muscle weakness, repeated swallowing, vomiting
What specific treatments are indicated in animals with Rhododendrons and Azaleas toxicity?
Calcium gluconate
Na channel blockers
What is the toxin(s) present in Tulips and Amaryllis? MOA?
Tulipalin A and B - alkylate proteins and DNA
What species are primarily affected by Tulips and Amaryllis toxicity?
Dogs, cats, horses
What clinical signs are commonly observed with Tulips and Amaryllis toxicity?
Gastroenteritis, hypersalivation, hypotension
What specific treatments are indicated in animals with Tulips and Amaryllis toxicity?
GI protectants if GI signs
What part(s) of Tulips and Amaryllis are toxic? Most toxic?
All - especially bulbs
What is the toxin(s) in Castor Bean plant?
Ricin (lectin)
What is the toxic part of Castor Bean plant? Most toxic?
All - SEEDS!!!
What species are affected by Castor Bean plant toxicity? Which are very susceptible?
All - cattle, horses, sheep, pigs, fowl, rabbits, small mammals
horses»_space; cattle
What clinical signs are commonly seen with Catsor Bean plant toxicity?
Vomiting, hemorrhage, heart contractions, hypertension
What is the treatment of choice for animals with suspected Castor Bean plant toxicity?
Aggressive GI decontamination
What are three other plants that have GI signs that we didn’t discuss?
Autumn crocus, Daffodil bulbs, christmas cactus