Reproductive disease in reptiles and avians Flashcards

1
Q

what are the clinical signs of reproductive disease in reptiles?

A

Lethargy
Anorexia
Bloated/distended celomic cavity
Dyspnea
Lameness/leg paresis (tortoises mainly)
Swelling around the cloaca
Straining +/- blood or prolapsed tissue from the cloaca
Behaviour changes e.g. pacing, nesting, digging.

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2
Q

what are the clinical signs of reproductive disease in birds?

A

Lethargy/depression
Inappetence/reduced crop fill
Bloated/distended
Dyspnea
Seizure/tremors
Separation from the group/being bullied (chickens)
Lameness/leg paresis, reluctance to move/perch
Straining +/- blood or prolapsed tissue from the cloaca
‘Fluffed up’ appearance, hunched posture, wide legged stance
Behaviour changes e.g. feather plucking, aggression, regurgitation

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3
Q

what are the common reproductive conditions of reptiles?

A
  • **Prolapse e.g. hemipene/cloaca/oviduct **
  • Impactions e.g. hemipene/femoral pores
  • Hypocalcaemia
  • Pre-Ovulatory Ovarian Stasis (POOS)
  • **Post-Ovulatory Egg Stasis (POES/ Dystocia) **
  • Neoplasia
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4
Q

what is the first step with a prolapse, why is this important?
what are the common causes of prolapse in reptiles?

A

first step- identify organ - affects prognosis (penile, can amputate, cloacal tissue needs to be viable)

Causes
* Constipation
* Endoparasites
* Impaction
* Egg binding
* Egg in the bladder
* Cystitis/bladder stones
* Traumatic copulation
*

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5
Q

what common reproductive condition affects tortoises? why?
why can this lead to death?

A

Pre-Ovulatory Ovarian Stasis:
In oviparous reptiles, the ovaries produce follicles, when they ovulate these become eggs.
Some reptiles, like tortoises, are induced ovulators, therefore suffer from POOS

Ovaries produce follicles but they never ovulate so they increase in volume and size each year –> Space occupying effect –> fatal
.

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6
Q

what are the two categories and causes of post-ovulatory egg stasis?
what is the treatment for these two categories?

A

obstructive dystocia:
* Uroliths
* Egg/foetus oversize
* Pelvic abnormalities
* Renomegaly
Surgical treatment needed (or ovocentesis)

non-obstructive dystocia
* Hypocalcaemia
* Inadequate husbandry, diet, nesting site etc.
* Poor muscle tone
* Dehydration
Husbandry changes +/- medical treatment first

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6
Q

what is the difference with Pre-Ovulatory Ovarian Stasis (POOS) and
Post-Ovulatory Egg Stasis (POES/ Dystocia)
why is this important?

A

POES is Eggs, POOS is folliclues, need to differentiate via radiography because
POOS = Surgical
POES = Surgical, medical or husbandry
If POES you need to identify whether obstructive or non-obstructive

POOS - the eggs will stay in the ovary for a period and then breakdown into the celomic cavity this is inflammatory and will lead to peritonitis –> septicaemia

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7
Q

what are the common reproductive conditions of birds?

A
  • Sexual frustration
  • Chronic egg laying
  • Abnormal eggs
  • Egg binding
  • Prolapse e.g. oviduct, phallus
  • Coelomitis (egg yolk peritonitis)
  • Salpingitis (inflammation of the oviduct)
  • Neoplasia
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8
Q

sexual fustration is a very common problem for pet parrots who live alone.
In the wild they have monogamous pairings that bond for life. What behaviours do bonded birds do to eat other?

A bird that is lonely or inappropriately bonded to their owner will be more likely to demonstrate what behaviours?

what is the prevention of sexual fustration?

A
  • Stroking
  • Beak touching
  • Preening/cleaning each other
  • Feeding each other

inappropiate behaviour:
* Excessive regurgitation (especially if there are mirrors in their cage)
* Feather plucking due to frustration, stress and anxiety
* Jealousy and aggression, especially to spouses of their ‘partner’.
* Excessive egg laying

Prevention:
* Share interaction and caring responsibilities equally between members of household.
* Avoid stroking down length of back
* Avoid certain behaviours e.g. mouth to beak feeding
* Do not positively reinforce courtship behaviours e.g. regurgitation
* Remove mirrors in their cage so they cannot self-bond.
* Keeping them as a pair (depending on species)

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9
Q

what speices of birds suffer most commonly form chronic egg laying?
when/why does this occur?
what can chronic egg laying lead to?
what are the predisposing factors?

A
  • Particularly common in captive cockatiels, lovebirds and budgies.
  • They can lay a large number of eggs in succession.
  • Can be without the presence of a mate and outside of the correct breeding season.
  • Removing the eggs as they are laid can ‘induce’ the bird to lay more (‘double clutching’).

Can lead to:
* Uterine inertia
* Calcium depletion
* Egg binding
* Yolk coelomitis
* Osteoporosis
* Uterus prolapse/cloaca

predisposing factors:
* Increased photoperiod
* Food type (e.g. high fat)
* Presence of actual or perceived mates
* Lack of environmental enrichment

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10
Q

Egg binding is more common in birds due to the fact that birds produce eggs more frequently than reptiles.

In what species is more common in?
What are the most common causes?

A

most common in smaller species e.g. budgies, cockatiels, finches, canaries etc.

common causes:
* Laying e.g. chronic egg laying or first-time layers
* Eggs e.g. malformed eggs
* Disease e.g. systemic disease, oviductal disease
* Husbandry e.g. lack of exercise, low temperatures, malnutrition (deficiencies Ca, Vit A and E and obesity)
* Genetic predisposition

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11
Q

Just like in reptiles, an egg binding and an egg lodged in the pelvic canal may compress the pelvic blood vessels, kidneys, ureters and ischiatic nerves.
what can this lead too?

A

Circulatory disorders
Lameness, paresis or paralysis
Pressure necrosis of the oviduct
Metabolic disturbances by interfering with normal defecation and micturition, and cause ileus and renal disease.

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12
Q

what is coelomitis? what are the common causes?

A

Inflammation of the celomic cavity (mammal equivalent is peritonitis).
Celomic cavity because fluid filled.

causes:
* Ectopic eggs
* Ovarian neoplasia
* Cystic ovarian disease
* Oviductal disease e.g. salpingitis

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13
Q

why would female birds and reptiles have increased calcium?

A

When female birds and reptiles are reproductively active they tend to have increased total Ca levels (not ionised).
Useful to double check findings that may be incidental e.g. follicles in reptiles.

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14
Q

what diagnosis would be top of you list with these findings in a tortoise?
Radiograph = lateral view shows reduced lung field but no eggs.
Bloods = increased total calcium
Ultrasound = via prefemoral fossa, can visualise follicles (or CT scan).

A

Bloods = increased total calcium (causes you to suspect reproductive cause).
Pre-Ovulatory Ovarian Stasis Diagnosis

You should see a large volume and number, remember the tortoise can be anorexic for another reason and you happen to see some follicles that’ll be laid in the future as eggs normally. Do not rush to surgery.

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15
Q

what is seen on these three radiographs?

A

Post-Ovulatory Egg Stasis Diagnosis
AKA Dystocia

Tend to lay eggs in clutches.

They often present non-specifically with anorexia and lethargy BUT also showing signs of nesting, digging or restlessness.
You see egg on an xray in an anorexic tortoise, are they the cause of the problem or an incidental finding?

16
Q

what is the top differnential for this chicken?
History of prior egg laying.
Hugely distended on clinical exam.
Radiograph: fluid filled/soft tissue density throughout the celomic cavity. Displacement of ventriculus and compressed air sacs.
Celomic aspirate showed a large volume of cloudy fluid with evidence of egg yolk.

A

coelomitis

17
Q

what is the treatment for:
* pre-ovulatory ovarian stasis (follicles).
* egg binding, oviductal disease, ovarian tumours, chronic egg laying.
* egg binding/post-ovulatory stasis
* for tumours
* Prolapse

A
  • Ovariectomy for pre-ovulatory ovarian stasis (follicles). (in reptiles always surgical)
  • Salpingohysterotomy/ectomy for egg binding, oviductal disease, ovarian tumours, chronic egg laying.
  • Ovocentesis for egg binding/post-ovulatory stasis
  • Orchidectomy for tumours
  • Prolapse: Lubricate and replace or amputate prolapses, can place stay sutures to prevent future prolapses. + treat underlying cause!
18
Q

what is the treatment for:
ascites,
egg binding/post-ovulatory stasis

A

Ascites: abdominocentesis and treat with NSAIDs if coelomitis. +/- antibiotics (only if secondary infection has tracked up from vent)

**egg binding/post-ovulatory stasis ** Hormone injections e.g. repeat oxytocin injections +/- prostaglandin

19
Q

what is the differnece between salpingotomy and ovariansalpingectomy?

A

Salpingotomy = remove eggs only (can breed again)
Ovariosalpingectomy = remove oviduct and ovaries

20
Q

what is the process for ovocentesis?

A
  • Needle is inserted into an egg and its contents aspirated under GA (via cloaca or percutaneous)
  • Followed by manually moving the egg (milking it along) or deliberately collapsing the egg shell and it removing it piece by piece (or let it be passed piece by piece by the animal).
  • First opinion option (not tortoises or ectopic eggs) Do this if the egg is at the point of the cloaca and you can touch it with a finger without skin or tissue in the way..
21
Q

what husbandry changes need to be made for reproductive disease in reptiles?

A
  • Correct husbandry and dietary deficiencies
  • Temperature and humidity requirements may be different/more specific when gravid!
  • Bathe and keep hydrated e.g. misting for chameleons and large shallow bowls for tortoises.
  • Ensure access to an appropriate substrate/ nesting site for the species
22
Q

what husbandry changes need to be made for birds with reproductive disease?

A
  • Decrease photoperiod (8-10 hrs)
  • Remove real/perceived mates. Discourage territorial behaviour.
  • Prevent nesting by removing all shredable/nesting material
  • Reduce the amount and calorie(fat) content of food
  • Increase exercise and foraging time
  • Stop stroking and petting and mouth to mouth actions
23
Q

why is routine neutering not done in birds and reptiles?

A
  • Apart from prolapses, males rarely have problems with their reproductive tract.
  • Outside of breeding season/reproductive activity the reproductive tract in reptiles can be very hard to find.
  • Ovaries are diffuse in reptiles, so can be difficult to remove all ovarian tissue/follicles, so no guarantee of future problems.
  • Particularly risky procedure in birds. The ovaries are firmly attached to the dorsal abdominal wall, the cranial renal artery and the common iliac vein overlay them. Lacerating the common iliac vein can cause life threatening haemorrhage during ovariectomy.
  • Birds can still get egg yolk peritonitis after a salpingohysterectomy because ovaries remain.

hormonal implants are used as a way to stop birds from producing eggs for a period of time to allow for husbandary changes to happen and then prevent the problems in the future