Reptile medicine - specific conditions Flashcards

1
Q

What are common conditions seen in practice with chelonias?

A
  • MBD
  • Follicular stasis
  • Respiratory infection
  • Trauma
  • Overgrown beak

Specific conditions =
* Mycoplasma / herpesvirus respiratory complex in tortoises
* Ulcerative shell dermatitis

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2
Q

What is chelonian herpesvirus? What does it cause? Tx?

A
  • Testudinid HPV 1-4
  • Causes latent infections
  • Necrotizing stomatitis
  • Diphtheroid plates
  • 2ary rhinitis + conjunctivitis
  • Tx = NO effective tx - all become subclinical carriers
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3
Q

What does mycoplasma complex cause?

A
  • Rhinitis
  • Conjunctivitis
  • Subclinical + latent infections common
  • Tx = systemic Ab (doxycycline), eye drops (oxytet), nebulization (aminoglycosides), supportive care
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4
Q

What are risk factors for resp infections? Dx?

A
  • Young + debilitated individuals
  • Immunosuppressed patients
  • Dx = Specific PCR, radiography (assess lungs + 2ary infections)
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5
Q

What are other causes of resp signs in chelonias?

A
  • Bacterial infections
  • Viral = ranavirus, picornavirus, ferlavirus (paramyxovirus)
  • Coelomic masses / effusions
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6
Q

What conditions are more common in terrapins / turtples?

A
  • Ulcerative shell dermatitis
  • Bacterial pneumonia
  • Aural abscesses
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7
Q

What are specific conditions seen in lizards?

A
  • Intra-oral disease
  • Fungal dermatitis
  • Rostral abrasions = repeated trauma - progressive ulceration + teeth loss, osteomyelitis
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8
Q

How would you approach rostral abrasions?

A
  • AB - ceftazidime
  • Chlorohexidine
  • Analgesia - meloxicam
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9
Q

What is seen on clinical exam of periodontal disease (chameleons + agamid lizards)? Tx?

A

◦ Gingivitis
◦ Tartar and periodontal pockets
◦ Gingival recession and/or hyperplasia
◦ Loss of teeth
◦ Bone exposure +/- osteomyelitis/abscesses
◦ Pathological fractures
◦ Septicaemia

  • Tx = correct diet, Ga + scale/polish every 6-12months, topical chlorohexidine, Ab - ceftazidime
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10
Q

What are clinical signs of fungal dermatitis? Dx? Tx?

A

◦ Yellow discoloration/crusts
◦ Any area of skin but frequent around lips
◦ Weight loss and non-specific signs

  • Can get secondarily infected with bacteria
  • Contagious
  • Dx = skin scrapes, cytology, biopsies + histology, PCR
  • Tx = terbinafine, itraconazole, surgical debridement
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11
Q

What are common problems in snakes?

A
  • Stomatitis (inflammation of the mouth)
  • Anorexia
  • Respiratory signs
  • Retained shed
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12
Q

What can cause stomatitis? Dx? Tx?

A
  • Causes = immunosuppression, trauma (striking prey), microbial agent
  • Dx = exam, bloods + cytology + C&S
  • Tx = depends on cause = husbandry corrections, Ab, Chlorohexidine
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13
Q

What are viral causes of primary stomatitis in snakes? Dx? Tx?

A
  • Reptarenavirus/Inclusion Body Disease
  • Paramyxovirus
  • Nidovirus
  • Ranavirus
  • Picornavirus
  • Dx = PCR
  • Frequently associated with respiratory, neuro and other signs
  • Tx = No treatment
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14
Q

What are bacterial causes of primary stomatitis in snakes? Dx? Tx?

A
  • Gram -ve = Pseudomonas, Aeromonas, Proteus, E.
    coli
  • Anaerobic = Bacteroides, Fusobacterium
  • Mycobacterium sp.
  • Dx = C&S
  • Tx = ABs = Ceftazidime or marbofloxacin
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15
Q

What are possible tissues of prolapse in reptiles?

A

◦ Cloaca
◦ Intestine
◦ Bladder (some species)
◦ Oviduct
◦ Phallus/hemipenes

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16
Q

What is initial approach to prolapses?

A
  • Assess tissue necrosis / viability
  • Identify tissue (s)
  • Flush + clean tissues with sterile saline +/- dilute iodine
  • Reduce oedema / inflammation - meloxicam, hypertonic glucose topically
  • Identify cause - radiographs, US scan, bloods, fecal testing, surgically reduce prolapse
17
Q

What is known about neoplasias in reptiles?

A
  • Most common = integument neoplasias
  • Dx = FNA / biopsies
  • Other conditions resemble neoplasia = abscesses, dermatitis
  • Surgical removal best option
  • Chemo + radiotherapy protocols described
18
Q
A