Reptile medicine - general conditions Flashcards

1
Q

What are general conditions seen in reptiles?

A
  • Nutritional problems
  • Retained Shed
  • Dystocia
  • Parasites
  • Prolapses
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2
Q

What are nutritional problems with reptiles?

A
  • Calcium disorders - metabolic bone disease (MBD), hypocalcaemia
  • Hypovitaminosis A
  • Obesity
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3
Q

What are causes of metabolic bone disease? Who are patient at risk?

A

Causes =
◦ Inadequate UV-B exposure (290-320 nm)
◦ Diets lacking Calcium +/- Vitamin D3
◦ Incorrect Calcium: Phosphorus ratio in diet
◦ Other conditions (e.g. CKD) can also affect Calcium metabolism
Patients at risk =
◦ Young growing individuals
◦ Herbivore species
◦ Chameleons, geckos
◦ Females in reproductive condition
◦ Individuals with CKD

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4
Q

What are clinical signs of MBD?

A
  • Fibrous osteodystrophy
  • Abnormal shell shape
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5
Q

How is MBD diagnosed?

A
  • Clinical history
  • Clinical exam
  • Radiographs - bone density, bone deformities, osteodystrophy lesions
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6
Q

How would you treat MBD?

A
  • Vitamin D3
  • Calcium gluconate
  • Calcitonin
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7
Q

What is hypovitaminosis A? Who are patients at risk?

A
  • Squamous metaplasia of different epitheliums
    Patients at risk =
    ◦ Terrapins and aquatic turtles
    ◦ Individuals with unbalanced diets
    Common clinical signs =
    ◦ Blepharitis + keratoconjunctivitis
    ◦ Overgrown nails and beak (chelonians)
    ◦ Stomatitis
    ◦ Rhinitis
    ◦ Aural abscesses
    ◦ Retained shed
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8
Q

How would you treat Hypovitaminosis A? Dx?

A
  • Dx = history + typical lesions
  • Vitamin A
  • Surgical removal of conjunctival debris + aural abscesses
    *Ab eyedrops if eye lesions
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9
Q

What reptiles are more prone to obesity?

A
  • Tegus
  • Monitor lizards
  • inadequate diet + lack of exercise
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10
Q

What are main causes of retained shed (dysecdysis)

A

◦ Low humidity
◦ Low temperature
◦ Poor water quality (aquatic species)
◦ Poor nutrition
◦ Dermatitis (including. Mites) and previous skin lesions
◦ Iatrogenic trauma

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11
Q

How can you treat retained shed?

A
  • Correct husbandry (humidity + temp) + diet
  • Look for other causes (mites)
  • Increase humidity/rehydrate
  • Apply vaseline on affected areas
  • Surgial if = retained spectacles in snakes, retained shed around eyelid, extreme amputation
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12
Q

What are 2 main types of dystocia?

A

Obstructive =
◦ Reduced pelvic canal size
◦ Abnormal size or shape of eggs/fetus
◦ Non- reproductive masses (e.g. neoplasia, abscess, bladder stones)
◦ Complications during egg laying: fractured egg, adhesions to oviduct, etc

Non-obstructive =
◦ Inadequate husbandry and diet – e.g. temperature, humidity, lack of suitable egg laying sites
◦ Oviduct infections
◦ Poor physical condition of female – e.g. reduced muscle development
◦ Other health problems

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13
Q

What is pre/post ovulatory dystocia?

A
  • Pre-ovulatory Dystocia – Failure to ovulate and/or resorb follicles. (usually non-specific complain - not eating/more lethargic)
  • Post-ovulatory Dystocia – Failure to lay eggs or give birth to fetus (repro related complaints - recent egg laying, more active, digging around substrate)
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14
Q

How is s pre-ovulatory dystocia Dx? Tx?

A
  • Dx = clinical exam (distended coelomic cavity), Radiographs (soft tissue masses), US - diagnostic
  • Tx = medical (improve husbandry + correct health), Surgical - GA + Spay
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15
Q

How is post-ovulatory dystocia diagnosed? Tx?

A
  • Dx = clinical exam (distended coelom, eggs appear as lumps + palpable)
  • Radiographs + US = fully diagnostic
  • Tx = medical (induce egg laying), Surgical (ovariectomy +/- spay)
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16
Q

How can you induce egg laying?

A
  • Supportive care - keep in POTZ, fluids, egg laying tray
  • Calcium gluconate
  • Propranolol
  • Oxytocin
17
Q

What are external parasites that affect reptiles?

A
  • Ticks - only in wild
  • Mites
  • Ophionyssus natricis (snakes - dark colour)
  • Ophionyssus lacertinus (lizards - red colour)
18
Q

What are main problems caused by mites?

A

◦ Hematophagous
◦ Very mobile
◦ High reproductive rate
◦ Females lay their eggs in the environment/vivarium
◦ Can potentially transmit other pathogens

19
Q

What are clinical signs of mites?

A
  • Changes in behaviour - pruritus, hyperactivity, spending more time in water tub
  • Skin changes
  • mites visible (lips, eyelids, skin folds)
  • retained shed (+ spectacles in snakes)
  • Frequent shedding
  • Dermatitis + 2ary bacterial / fungal infections
20
Q

What are potential complications of mites?

A

◦ Anemia (heavy infestations)
◦ Disease transmission =
- Aeromonas hydrophila
- Hepatozoon sp.
- Retrovirus (Boas)

21
Q

Tx of mites?

A
  • Ivermectin (not in chelonias)
  • Fipronil
22
Q

What are internal parasites of reptiles? General approach?

A
  • Cryptosporidium
  • Coccidiosis
  • Oxyurids - not pathogenic
  • Routine testing - wet mount, flotation, fecal smear w ziehl-nielsen + egg count
23
Q

What does crypto cause? Transmission? What does disease depend on?

A
  • Affects GI mucosa
  • Snakes = gastric hyperplasia (regurgitation, weight loss, swelling cranial half of body)
  • Lizards = enteritis (weight loss, emaciation)
  • Fecal-oral route of infection
  • Subclinical carrier state common
  • Clinical disease depends on =
    ◦ Patient’s immune status
    ◦ Stress
    ◦ Other pathogens present on GI tract
24
Q

How is crypto treated?

A
  • NO effective Tx
  • Spiramycin, paromomycin, TMP + Sulfa = all reduce CS + shedding
  • Euthanasia?
25
Q

What is seen with cocci? Dx? Tx?

A
  • Mostly in lizards
  • instestinal cocci = isospora
  • biliary cocci = choleoeimeria
  • CS = weight loss, slow growth, lethargy
  • Dx = in house testing - flotation
  • Tx = toltrazuril / TMP + Sulfa
26
Q
A