Snakes Flashcards
Taxonomy - Families for boa constrictors; pythons; king snakes
Boidae, pythonidae, colubridae
Taxonomy - Families for vipers; cobras and coral snakes
Viperidae, elapidae
Gland that regulates frequency of ecdysis
Thyroid
Bone that connects mandible to skull and allows for opening of jaws !80 deg
quadrate bone
Groups of snakes that possess two lungs
Boas, pythons - R is primary and L is reduced
Group with heart located more cranially (ecological niche)
arboreal
Ophidian heart chambers
sinus venosus, R atrium, ventricle, L atrium; coronary sulcus between atria and ventricle
Taxonomy - Families with external spurs for courtship
Boidae, pythonidae
Describe differences in anatomy betwen cranial, transitional, and caudal aspects of the snake lung
Cranial (thick, vascular, respiratory), transitional (thin-walled, semi-vascular, variably respiratory), caudal (membranous, avascular, saccular, nonrespiratory). Lesions typically in cranial lung.
List important considerations for housing venomous snakes
Enclosure must have a locking mechanism, snake must be visible form outside, appropriate signs and emergency bite protocols
Minimum quarantine period recommended for snakes
90 days
Analgesic of choice in snakes
Butorphanol (high dose 20 mg/kg) NOT morphine like other reptiles
Vessel of concern during approach for coeliotomy in snakes
Abdominal vein, ventral midline
Inclusion body disease etiologic agent
Arenavirus (enveloped RNA virus)
Inclusion body disease CS in pythons vs boas
Regurgitation (boas), neuro signs (opisthotonus, torticollis, lack of righting), pneumonia; ball pythons die within weeks, boas die after mos to years
Inclusion body disease gross and histologic lesions
Splenic and pancreatic atrophy; intracytoplasmic eosinophilic to amphophilic inclusions in multiple tissues (boas) or CNS (pythons)
Ferlavirus - What tyep of virus?
Paramyxovirus (ssRNA)
What paramyxovirus is NOT within genus Ferlavirus
Sunshine Virus
Ferlavirus clinical presentation, gross and histo lesions
Variable - No CS to severe resp dz with or without tracheal exudate, neuro signs; caseous-necrotic material within lungs, hemorrhages, and dermatitis; histo - Proliferative interstitial pneumonia with occasional intracytoplasmic eosinophilic inclusions
Bacteria causing granulomatous dz in puff adders and emerald tree boas
Chlamydophila pneumonia
Causative agent of snake fungal dz
Ophidiomyces ophiodiicola
Drug of choice for SFD in snakes
Voriconazole (F8); combo therapy with terbinafine likely synergistic
Causative agent of necrotizing hepatitis and enterocolitis, hemorrhagic, parasite
Entamoeba invadens
Snake mite scientific name
Ophionyssus natricis
What are the three major clades of snakes?
What unique anatomy defines them?
- Scolecopidia – Fossorial, blind snakes.
- Vestigial eyes (rods only), blunt heads, short tails.
- Multi-lobed liver, mandibular raking mechanism.
- Oviparous, retain pelvic remnants.
- Alethinophidia – Early blind snakes.
- Most have well developed, bilateral ovaries, retain both pelvic vestiges and hindlimb remnents and left lung.
- Caenophidia – Advanced snakes.
- No hindlimb vestiges or left lung.
- Many possess a well-developed tracheal lung.
Describe the anatomy of the snake by body length thirds. What organs are present in each third?
- Proximal 1/3 – Esophagus, trachea, PT glands, thymus, thyroid, heart.
- Second 1/3 – Lung(s), continuation of esophagus, liver, stomach, spleen, pancreas, GB, proximal SI, air sac.
- Caudal 1/3 – Caudal small bowel, gonads, adrenal glands, kidneys, cecum, colon, cloaca.
What groups of snakes have facial pit organs?
How do they function?
- Vipers and many boas and pythons have facial pit organs.
- True eyes, function via infrared and electromechanical radiation.
- Trigeminal innervations differ by spp but innervations to the optic tectum of the brain allow for formation of images from sensory information.
Describe snake skin structure.
Do the scales have osteoderms?
Are there any specific glands? What are they used for?
Describe the sheddding process - what is it called?
Do juvenile snakes (generalization) have any differences in their coloring?
What gives snakes their iridescence?
What color and pattern mutation morphs exist (name a few) and are there any associated problems?
Integument
- No dermal osteoderms
- Epidermal scales protect from abrasion and dehydration - enlarged head shields, small dorsal/lateral scales, wide ventral protective scales
- Paired cloacal scent glands within base of tail in females and dorsal to hemipenes in males - defense and social signals; otherwise almost no skin glands
- Shedding - ecdysis
- Hormonal input from thyroid
- Proliferation of epithelial cells from stratum germinativum forms new epithelial generation between stratum germinativum and the older outer epidermal layer
- Younger epidermal layer keratinizes to resemble outer layer
- Anaerobic glycolysis assists in separating the outer layer and acid phosphatase helps breaks down cementing material
- Dull blue look as thin fluid forms between two layers - go blue for several days until fluid is resorbed and clears up
- Should shed entire skin in one event with the spectacles
- During shed cycle, many will refuse food and seek shelter in moist/humid site
- Should resume eating immediately after ecdysis
- Dysecdysis - r/o incorrect humidity, lack of proper substrate, improper handling, malnutrition, dermatopathy (trauma, ectoparasites)
- Pigment cells within skin and microscopic surface structures for iridescence
- Juveniles may have brightly colored tails to use as lures to attract prey
- Captive propagation of color and pattern mutation morphs (albinos, leucistics, hypomelanistic, patternless, scaless) - problems with inbreeding
Describe the cardiovascular system of snakes.
Does heart placement vary by ecological niche?
Why is the heart mobile?
Describe the great vessels.
What portal systems exist? How does this affect drug administration?
Where is the ventral coelomic vein - why does it matter?
Where is venipuncture performed?
Cardiovascular
- Position varies by species and ecological niche - arboreal snakes have more cranial hearts and aquatic snakes have more centrally located hearts
- Heart somewhat mobile - possibly to help facilitate large prey passing through
- Sinus venosus, right atrium, ventricle, left atrium
- Communication between ventricles allows for shunting (R-L, L-R)
- Paired aorta; left exits left side of ventricle and right aorta exits right side of ventricle -> fuse caudal to heart to form abdominal aorta; left arch is larger than the right; pulmonary artery also exits ventricle
- Paired carotid aa and jugular vv anterior to heart near trachea; jugulars can be accessed with cut down
- Can control arterial pressure reflexively - control reduced when snake’s body temp is lower or higher than preferred
- Oxygen dissociation curves may be influenced by temperature (not shown to be true in ball pythons)
- Renal and hepatic portal circulations - recommended to administer renal eliminated drugs in front half to avoid nephrotoxicity and first pass effects (however studies indicate that clearance of drugs via renal-portal system may rely more on how kidneys clear a drug with tubular excretion affected more than glomerular filtration)
- Ventral coelomic vein through coelom - Avoid in surgery by making approach at edge of rib cage between second and third dorsal (lateral) scale rows
- Blood collections - ventral coccygeal vein and cardiocentesis most common
- Jugular vein not common for venipuncture - ⅓ to ½ the distance between the base of the heart and base of the skull - collect blindly along medial rib margins or cannulated
- Dorsal palatine vein - difficult without sedation; hematoma is problematic
- Hematocrit 20-30%
- Black rat snake blood volume is about 6% of body weight
Describe the lymphoid tissue of snakes?
Lymphoid tissue
- Gastrointestinal tract (GALT)
- Esophageal tonsils - boas, pythons, a few colubrids
- May have significance in viral infections
Describe the respiratory anatomy of snakes?
What is important about tracheal anatomy?
How many lungs? Which is present?
Describe the internal structure of the lung.
How does inspiration occur without a diaphragm?
What is unique about the glottis?
How do bull, dopher, and pine snakes generate their distinctive defensive hissing?
Respiratory
- Trachea has incomplete cartilaginous rings - ventral portion rigid; vascular lung can extend into trachea (tracheal lung)
- Left lung is usually reduced or absent
- Boas and pythons - left lung is moderately large
- Right lung - near the heart -> cranial to the right kidney
- Cranial portion vascularized to function in gas exchange (vascular lung); caudal portion air sac (saccular lung)
- Lungs - trabeculae with faveolar spaces
- Cranial: thick, vascular, respiratory - typically where lesions are seen
- Transitional: thin walled, semi vascular, variably respiratory
- Caudal: membranous, avascular, saccular, nonrespiratory
- Lungs - trabeculae with faveolar spaces
- Vascular lung - honeycombed units of gas exchange - faveoli
- Inspiration occurs by muscular expansion of the rib cage creating negative pressure
- Glottis is mobile and can extend cranial and/or lateral as necessary to facilitate breathing while ingesting large prey
- Epiglottal cartilage enlarged/modified for defensive hissing - bull, gopher, pine snakes
Describe ophidian digestive anatomy.
What are the four fang types?
What are the primary venom toxins?
How is food moved within the GI trach?
Describe liver anatomy.
Describe the anatomy of the pancreas, spleen, and gall bladder.
Describe the musculature of the esophagus, stomach, and intestines.
How long are the intestines compared to other reptiles?
Digestive
- Prey moistened/lubricated with mucus from palatine, lingual, sublingual, and labial mucus secreting glands in oral cavity
- Venom glands are modified labial glands in upper jaw below orbit
- Teeth
- 6 rows - one row on each mandibular bone and two on each maxillary region
- not differentiated except for those with specialized fangs
- replaced throughout life
- generally modified pleurodont teeth with a socket attached to the side of the bone
- vipers/pit vipers - fangs fold caudodorsally (solenoglyphous)
- Elaphids (proteroglyphous) and fanged colubrids - fangs do not fold
- Aglyphous - homodont maxillary teeth (more primative snakes)
- Opisthoglyphous - rear fanged - enlarged teeth in posterior maxilla
- Venom toxins: neurotoxins (neuromuscular junctions), hemorrhagins (destroy blood vessels), myotoxins (skeletal muscle); venom contains a variety of enzymes; including digestive
- Tongue forked tip and lives within a sheath beneath the epiglottis - olfaction (vomernasal organs on roof of mouth); snakes that lose their tongues may stop feeding
- Esophagus distensible, largely amuscular
- Use axial musculature and skeleton to transport food
- Lack cardiac (gastroesophageal) sphincter
- Stomach muscular, distensible for digestion
- Small intestine linear
- Liver - left and right lobes, dorsal portal vein, ventral hepatic vein
- Pancreas in triad with gallbladder and spleen distal to posterior tip of elongated liver; some sp have splenopancreas
- colon empties into cloaca (cr-cd - coprodeum, urodeum, proctadeum); urates and feces temporarily stored in colon and cloaca; role in water conservation
- Small cecum present in proximal colon - boas and pythons
- Fat bodies within coelom - each side of cavity, small group cranial to heart
- Shortest intestines of all reptiles.
Describe ophidian urinary anatomy.
Where are the kidneys located? How are they shaped?
Where do the ureters empty?
Describe the function of distal convoluted renal tubules in male snakes.
What is the primary nitrogenous waste?
Can snakes concentrate urine?
Urinary
- Paired lobulated elongated kidneys are caudal dorsally located last 25% of snout to vent length
- Kidneys have craniocaudal orientation; right cranial to left
- Ureters empty into urodeum - no urinary bladder
- Males - distal convoluted renal tubules hypertrophy during repro season and contribute to seminal fluid production -> kidneys have increased size and are paler
- Uric acid is the primary nitrogenous waste -> produce white to yellow urates
- Unable to excrete urine at a higher concentration than plasma
Describe ophidian reproductive anatomy.
Where are the gonads located?
Where do the oviducts open?
Where does the vas deferens empty?
What unique reproductive behaviors exst?
How is snake sex determined?
Reproductive
- Males - paired hemipenes invaginated in pouches in ventral tail base; during copulation a hemipenis evaginates into cloaca of female; can determine sex with lubricated probe
- Gonads are cranial to the kidneys; right more cranial
- Females - Ovaries near the pancreas; each oviduct has a separate opening into the urodeum
- Some fossorial species have one ovary and oviduct
- Fusiform testes between pancreatic triad and kidneys - enlarge and regress with season
- Sperm carried in Wolffian ducts (vas deferens) into urodum and to the base of the hemipenes, travels up the sulcus spermaticus into females cloaca
- Diverse reproductive behaviors
- King cobras build nests for incubation
- Egg brooding - pythons, some colubrids, some vipers
- Some Crotalids exhibit parental care and remain with newborn until after shed
- Snakes (species studied) have genetic sex determination
- Females heterogametic: ZW, males homogametic ZZ in advanced snakes
- Primitive snakes (boids, pythons) - males are XY and females XX
- Sexual dimorphism is rare, females generally get to larger sizes
- Most snakes reproduce sexually; some are parthenogenetic (blind snake, file snake); rare parthenogenesis reported in some other species
Describe the unique musculoskeletal system of snakes.
How do their jaws function?
What are the four locomotion strategies?
Do snakes have intervetebral discs?
Musculoskeletal
- Quadrate bones articulate with lower jaw and palatomaxillary arch to facilitate large prey ingestion
- No mandibular symphysis; ribs not joined ventrally, body can expand
- Pelvic vestiges and external spurs (used in courtship in boas and pythons)
- Locomotion is relatively low energy
- Lateral undulation - bend vertebral column laterally
- Rectilinear locomotion - caterpillar crawling
- Concertina locomotion - arboreal and fossorial snakes; energy expensive
- Sidewinding - sand or mud; series of separate parallel straight lines
- Caudal autonomy rare; no regeneration
- No intervertebral discus
Describe the nervous and sensory anatomy of snakes.
How do snakes hear?
How do snakes accomodate their vision?
Where do lacrimal secretions go?
How do pit organs work?
What is the jacobson organ?
Nervous/Sensory
- Unable to identify CN XI in snakes
- No external auditory opening, tympanic membrane or middle ear - however shown to be electrophysiologically sensitive to airborne low frequency sound of 150-600 Hz
- Eyes lack ciliary bodies - iris muscle movements move lens toward or away from retina
- Lacrimal secretions flow through subspectacular space between cornea and spectacle and drain into oral cavity at the distal aspect of medial maxillae
- Shape of pupil varies
- Specialized infrared receptors - heat pits of pit vipers developed independently of labial pits in boas and pythons
- Pit vipers - one organ on each side of head ventral to a line drawn between nostril and orbit; heat pits have a thin membrane stretched over an air filled cavity; heat info, direction and distance
- Boas/pythons - labial or rostral scales or both, but varies with species
- Innervation trigeminal nerve
- Keepers feeding thawed prey may get bit if by hand - smell prey but sense heat of hand
- Jacobson’s organs (vomeronasal) in roof of mouth - olfactory function, spherical, separate from the nose, innervated by olfactory nerve; lacrimal duct enters the duct of the vomeronasal organ; odors relayed to it by the forks in tongue
- CNS diseases - Inclusion Body Disease (arenavirus) of boas and pythons (ataxia, opisthotonos)
Describe the endocrine anatomy of snakes.
Where do the thyroid glands live? What do they control?
Does teh thymus involute?
Where are the parathyroids located?
Endocrine
- Single or paired thyroid glands just cranial to the heart - controls growth and shed cycle
- Thymus does not involute in adults, but difficult to find in adipose tissue cranial to the thyroid
- Paired parathyroid glands often embedded in the thymus - calcium metabolism
- Adrenal glands within the gonadal mesentery
- Pituitary gland -appears to function similar to mammals
- Pineal gland secretes melatonin
- Clinical significance of endocrine function/dysfunction poorly understood in snakes
Describe the normal behavior of snakes.
How do they regulate body temperature?
List three reasons why a snake may be warmth seeking.
What species display facultative endothermy?
How should temperature control be provided in human care?
Describe feeding behavior - how should this be handled in managed care?
Describe snake to snake behavior.
Behavior
- Ectotherms - behaviorally regulate temperatures
- Warmth seeking - ill, gravid, digesting prey
- Facultative endothermy - brooding female pythons species able to maintain temps several degrees warmer than ambient temp
- Thermal gradient recommended in human care
- Brumation - winter dormancy
Behavior
- If cage is only opened for feeding, will likely exhibit a feeding response when cage is opened
- Can train snake that prey item will be presented by tapping on enclosure with metal forceps
- Feeding large snakes outside the cage may be recommended for safety
- Courtship related interactions can be dramatic - pheromones, visual cues, tactile cues
- Behavior can be completely different during mating season - aggressive; traumatic injuries can occur
- Housing snakes singly usually referred - aggression, cannibalism (feed separately)
- Wash hands prior to interacting with a snake, especially after handling prey or predator species
- Having a king snake or other snake-eating snake nearby can affect behavior, likely due to pheromones
Describe the appropriate housing for snakes.
What lighting requirements do they have?
How does humitidy play a role?
Describe appropriate housing for venemous snakes.
Housing
- Snakes are escape artists - escape-proof cage; need latch or lock
- Plastic shoe boxes, sweater boxes, modified aquaria, home made, commercially manufactured from fiberglass or ABS plastic - easy to clean and disinfect
- Lighting requirements less understood compared to other reptiles
- Attention to photoperiod - good health, successful reproduction
- UVB not documented as necessary, but can allow for basking behavior/increased activity in diurnal snakes
- Freshwater should always be available - water bowls cleaned and disinfected at least once weekly
- Winter - forced air heat/drying effect -> dysecdysis, respiratory disease
- Too much humidity - harmful to desert species
- Most snakes due well between 50 and 70% humidity with adequate ventilation
- Plants, rocks, tree branches recommended as enrichment
- Substrate - newspaper or paper for hospitalized patients unless fossorial or aquatic
- Hide box/shelter area recommended
- Large enough to allow for activity
- Cage styles
- Basic - one substrate, water bowl, hide box, plant/tree branch
- Wet to dry - one or two substrate, moist area and dry area
- Tree-layer -bottom is gravel (can be moistened), middle sand, top is mulch
- Desert - thick sand substrate, small water bowl, good ventilation
- Swamp tea - rare; dilute solution of tea for water environment
- Natural setups and outdoor enclosures - outdoor must be escape, vermin and vandal proof
- Venomous snakes should be housed in enclosures equipped with a locking mechanism and the snake must be visible from the outside. Appropriate signs and emergency bite protocol.
Describe the heating and lighting requirements of snakes.
Thermoregulation
- Ectotherms need thermal gradient
- Heat tapes and thermostats may be used
- Light bulbs and heat rocks are inefficient and can be dangerous
- Temperature mosaic (top to bottom, front to back).
- External infrared heat sources that create basking zones.
- Humidity – Too low predisposes to chronic dehydration, dysecdysis, chronic renal problems.
- Excessive associated with development of dermatitis.
- Humidity chambers can be created.
- UV light generally not considered critical.
- Recent study showed certain snakes increase circulating 25 hydroxyvitamin D3 concentrations when exposed to UVB radiation.
Describe the feeding straegy of snakes.
What is the preferred prey source?
What are some common husbandry associated causes of anorexia?
How often should snakes eat?
Feeding and nutrition
- All snakes carnivorous, but diet varies by species
- Some specialized diets.
- Commercial sources recommended to reduce parasite transmission.
- Incorrect prey is common cause of anorexia
- Whole rodents are nutritionally complete, but rodents should be fed nutritionally complete rodent diet
- Frozen thawed preferred - avoid bite wounds/injuries of live prey, humane considerations
- Freezing few days before feeding will also help reduce parasite transmission.
- Live items may cause extensive trauma to snakes if left alone in the enclosure.
- Avoid feeding by hand - radiates heat, avoid bites
- May also be anorexic if appropriate environmental temperature is not provided hat
- Normal not to feed during ecdysis
- Feeding frequency varies by species, age, and season; juvenile and adults - once weekly feedings; babies need 2 feedings a week
- Juveniles may be fed more often (every 5-10 days).
- Adults every 1-2 weeks.
- May also be fasted periodically for 4-8 weeks without harm.
- When cycling a female, more frequent feedings are often done to increase weight prior to the fasting period associated with the gravid state.
- Male snakes will often refuse food during breeding season for weeks to months.
- Snake spp that consume fishes and amphibs will generally eat more often and two to three times a week may be appropriate.
- Many snakes may not feed during gestation and breeding males may have reduced appetite
What is brumation? What snakes do it?
How is it replicated in managed care?
What species can be negatively affected by brumation (meaning they don’t typically do it)?
Brumation
- Temperate zone snakes (colubrids) must be brumated to induce successful reproduction
- Fed well during summer and fall, then feeding is stopped and snakes can pass stool to empty gi tract before cooling cycle
- Cage temperature slowly dropped over several weeks - 2.8 deg C every few days for a total drop of 10-14 deg C conditions the snakes to enter brumation
- Maintained in dark with water, but no food for 3 months
- Then slowly increased temperatures and feed 2-3 weeks later
- Most tropical boas and pythons do NOT require drastic temperature drop (5 deg C) suffices and may only need to occur at night; total darkness not required; tropical snakes prone to respiratory or neurologic disease if too cool
- Neonate temperate zone snakes that are not yet feeding if in good condition can be brumated to induce them to feed after brumation
- No snake should be brumated if not in good physical condition or showing evidence of illness
Describe the ideal preventative medicine protocol for snakes.
Quarantine (F8):
- Progression of infectious dz in snakes may be significantly slower.
- Quarantine periods of at least 90 days are recommended.
- Testing should be targeted toward agents causing chronic dz that may take longer than a quarantine period to manifest, especially those that are environmentally stable with direct LC.
- Greater collection threats.
- Some of the snake pathogens that merit most significant consideration for quarantine pathogen – Adenoviruses, arenaviruses, Chlamydophila pneumoniae, Cryptosporidium spp.
Describe the proper physical restraint of snakes.
What about venemous snakes?
What about large constrictors?
Restraint - (Ch 20 Mader, F8)
- Gentle manual restraint by grasping head immediately behind the mandible. One handler for each 3-4 ft of snake.
- Venomous snakes should only be handled by trained individuals with appropriate equipment (tongs, hooks, tubes, shift boxes).
- Aggressive or unknown disposition - identify and control head; chapter recommends placing thumb and middle finger laterally behind the jaw and index finger on top of the head
- Additional handler recommended for large boids or pythons, even if docile - safety and to support lengthy body
- Physical Restraint (West):
- Never handle lizard spp with tail autonomy by the tail.
- Nonvenomous snakes restrained by grasping the neck caudal to the head while supporting the body with the other hand.
Describe snake anesthesia.
What are the most commonly used methods? What about venemous snakes?
What inhalants are commonly used?
What injectables are commonly used?
How is apnea handled?
What is the preferred analgesic?
Anesthesia and Analgesia (F8)
- Dissociative anesthetics, propofol, local anesthetics, inhalants most commonly used.
- Venomous – Restraint in tube then propofol or chamber/tube induction with gas.
- Isoflurane most common.
- Nitrous oxide has been used as a supplemental agent during induction in monitor lizards to reduce MAC.
- Primary benefit of inhalant anesthetics over injectable agents is more direct control over the anesthetic during the procedure.
- Most snakes will become apneic at surgical plane of anesthesia, need ventilation 6 BPM.
- Recovery should be on room air.
- Propofol – IV, IO, IC; rapid induction and recovery times, ventilation needed.
- With IC injection, study showed lesions in cardiac tissues were mild and resolved after 14 days.
- Alfaxalone – Heavy sedation in one study at 9 mg/kg IV, easily intubated, may be preferable to propofol.
- Less cardiorespiratory depression, shorter induction times, shorter total ax duration.
- Telazol – Low doses have been used for large, aggressive snakes before handling or intubation.
- Snakes show antinociceptive effects in response to butorphanol but not morphine, unlike other reptile groups. Effective dose of butorphanol is much higher than other spp (20 mg/kg).
Describe the approach to a snake coelotomy.
Where is the incision made?
How is ti closed?
What post-op changes to husbandry shoudl be considered?
Ch 97 Snake Celiotomy - Mader
- Avoid incising snake skin near shed cycle - skin softer and more difficult to handle
- Fasting - recommended to minimize diameter of gastrointestinal tract
- Incision made laterally between first two or second and third rows of dorsal scales
- Avoid incising scales if possible
- Avoid midline ventral abdominal vein
- Incision may need to be long due to anatomy
- Coelomic membranes are thin and tend to be relatively transparent
- Consider stay sutures to find again at closer
- Doesn’t hold sutures well
- Simple continuous suture of absorbable monofilament material recommended
- Body wall closed with a simple continuous monofilament absorbable suture
- Skin closed using everting pattern with horizontal mattress sutures of a nonabsorbable monofilament suture
- Everting pattern - recommended due to keratinized skin’s tendency to invert à reduced contact of cut surfaces à poor healing
- Orient knots dorsally to help minimize adhesion of substrate debris to knots
- No or limited access to submersion of incision in water recommended for 14 days post-op
- Tissue glue around incision site - may reduce contamination during healing process in aquatic species
- Suture removal – typically 6 weeks post-op
- Surgery may hasten shed cycle, may shed sutures earlier
- Changes in husbandry, such as use of a paper substrate to increase cleanliness, postop fasting, reduction in prey size to reduce the incidence of dehiscence, and increases in temperature within POTZ to accelerate healing recommended
Describe the following surgical approaches in snakes:
Coeliotomy
GI Surgery
Dystocia
Subspectaceular Abscess Drainage
Surgery (F8):
- Presurgical workup should include PE, CBC, chem.
- Supplemental heat should always be provided.
- Coeliotomy most common surgical procedure.
- Large abdominal vein runs along ventral midline.
- Approach should be between the second and third rows of lateral scales.
- Closure in two layers – body wall and skin. Skin is holding layer.
- Everting suture pattern for skin.
- One study showed polyglyconate and poliglecaprone were the least reactive materials.
- Remove sutures 4-8 wks after surgery.
- GI surgery – FB, management of intestinal prolapse or intussusception, excision of masses or granulomas, relief of impaction.
- Serosa-to-serosa contact for closure of GI incisions.
- Two layer closure ideal but may not be possible in small snakes. Can use a serosal patch.
- Coelomic cavity should be irrigated with warm, sterile saline after GI closure.
- Dystocia – Generally follicular.
- Salpingotomy indicated in reproductively valuable animals, where noninvasive techniques have failed, or if rads show natural passage not possible.
- Incision should be in avascular region of the oviduct. May need more than one incision to access all eggs or fetuses.
- Subspectacular abscesses – Often from ascending infections within oral cavity.
- Excision of spectacle to gain direct access.
- Small triangular wedge, allow for drainage.
- Topical antibiotic three to four times daily to manage infection.
- Spectacle will regenerate but the original incision must remain open until infection is under control.
Describe gout in snake.
How do the kidneys appear on gross necropsy? What about histo?
What is the most common cause of gout in snakes?
Where is the first anatomical site to have urate deposition?
- Gout
- Kidneys swollen- multifocal to miliary white/tan pinpoint nodules
- Impression smears can differentiate urate stasis (sexual segment streaking in males) from true renal gout
- Radiating urate tophi will be present in gout (vs round or amorphous urates with urate stasis)
- Histo: tophi appear as empty spaces and are surrounded by epithelioid macrophages, multinucelated giant cells and heterophils
- Secondary gout associated with dehydration is most common in snakes
- Uric acid deposition in kidneys usually precedes other tissues (pericardial sac, pleura, serosa of liver, etc)
- Articular (intervertebral) gout is not as common, but can occur
What is vertebral osteopathy in snakes?
What lesions are observed?
What are the proposed etiologies?
- Chronic vertebral osteopathy
- Proliferative, degenerative, inflammatory lesions in vertebral bodies, intervertebral joints, and ribs
- Bony remodeling, new bone and fibrocartilage formation, sclerosis, vertebral and costal spondylosis and ankylosis, degeneration of the articular cartilage, osteomyelitis, osteoarthritis, osteonecrosis, pathologic fractures
- Irregular patches of woven and lamellar bone with mosaic reversal lines
- Etiologies: trauma, viral, nutritional (hypervitaminosis A and D), chronic inactivity (confinement), chronic or resolved bacterial infections
- Salmonella (S. enterica arizonae associated with osteotropism in colony of ridgenose rattlesnakes), Pseudomonas, Staphylococcus
What are some common nutritional diseases of snakes?
What about piscivorous snakes?
What about egg-eating snakes?
- Nutritional diseases
- Both temp extremes will lead to anorexia and regurgitation if food is taken.
- Obesity is the most common nutritional disorder observed in captive snakes (F8).
- Reducing wt of obese snake should be done slowly over 6-12 months.
- Rapid reduction of food may lead to hepatic lipidosis.
- Captive snakes should not be fed wild-caught food items.
- Rodent suppliers who use pesticides to manage ectoparasites in their operation should be asked to stop use of pesticides a min of 3 wks before shipment.
- Avoid NSHP by dusting with calcium or vitamin sources for snakes fed neonatal rodents.
- Piscivorous snakes vet strictly fish may be predisposed to thiamine and vit E deficiencies.
- Neuro signs, loss of righting reflex, abnormal locomotion, muscle tremors, blindness.
- Vit E deficiencies leading to steatitis may occur when snakes are fed fish high in PUFAs.
- Feeding variety of fish spp and not a high percentage of fatt, cold water fish, is an effective prevention strategy.
- Egg eating - biotin deficiency caused by uncooked avidin binding it
How often are snakes diagnosed with neoplasia compared to other reptiles?
What are the most common hematopoietic tumors?
What are the most common oral tumors?
What are the most common GI tumors?
What are the most common renal tumors?
What are the most common integumentary tumors?
- Neoplastic - more often diagnosed with neoplasia than other reptile species
- Lymphoma - usually multicentric, though esophageal MALT reported
- Lymphocytes most commonly large and blast-like
- CD3+ T-cell lymphomas seem to be most common (biased as B-cell markers have limited diagnostic utility)
- Other hematopoietic: leukemia, mast cell tumors, histiocytic origin round cell tumors
- Squamous cell carcinoma
- solitary or multifocal; common in oral cavity
- Invasive, locally destructive, metastasis uncommon
- Association with chronic inflammation (stomatitis) has not been fully examined
- Other oral cavity tumors: fibrosarcoma, amelanotic melanophoroma, oral tumors of odontogenic origin, ameloblastoma
- Gastric, intestinal, cloacal adenocarcinomas
- Gastric: locally invasive and expansile masses - tubulopapillary arrangements of columnar to cuboidal neoplastic epithelial cells with scirrhous response
- Intestinal are common in colubrids, distal si and colon common sites
- Signet ring or mucinous cell morphology
- Pancreatic and pancreatic duct adenocarcinomas - well differentiated, but can be aggressive and metastasize
- Exocrine pancreas adenomas and nodular exocrine hyperplasia are a common incidental finding
- Renal adenocarcinomas
- large, solitary tumors composed of tubules lined with epithelial cells and scirrhous stroma that expand and disrupt normal parenchyma
- Urate tophi often present within neoplastic tubules and desmoplastic stroma
- Large cystic cavities with urine and urates can be seen
- Renal tubular adenomas - inicental finding - solid nodular foci of tubular proliferations that may compress adjacent tissue but lack desmoplastic response
- Reproductive - varial metastases
- Ovarian carcinoma, sarcoma and benign granulosa cell tumors
- Oviductal adenocarcinomas - exophytic, papulary, composed of cords of neoplastic cells that may have areas of hemorrhage, necrosis, and inflammation
- Integument:
- Squamous cell carcinomas most common with cloacal region (hemipenes, cloacal glands, cloacal skin)
- Chromatophoromas
- melanophoromas most common (gray or black composed of neoplastic spindled cells with prominent black cytoplasmic granules); variable activity (some invasive with intravascular and visceral mets)
- Iridophoromas: grossly white to light gray dermal masses of spindle cells with golden brown to yellow/green cytoplasmic pigment (most often benign)
- Xanthophoromas
- Cutaneous soft tissue sarcomas - locally invasive, interlacing bundles and streams of neoplastic spindle cells (fibrosarcomas) most common
- Many other benign and malignant neoplasms (smooth muscle, endothelial, mesenchymal, hepatic, biliary (often cystic), thyroid and parathyroid adenomas, pheochromocytomas, interrenal (adrenocortical) adenocarcinomas, intratracheal chondromas (airway obstruction in ball pythons), hemangiosarcomas of heart and spleen, etc
- Lymphoma - usually multicentric, though esophageal MALT reported
How does herpesvirus affect snakes?
What species are susceptible?
What lesions are suggestive?
- Herpesvirus infections uncommon - cobras, kraits
- Cobras: inflammation, degeneration, necrosis of venom gland epithelium associated with decreased venom production or poor quality venom, hepatic necrosis.
- Suggestive of herpesvirus: Hepatocellular necrosis with amphophilic intranuclear hepatocellular inclusions in clutch of boa constrictors concurrent with pancreatic, renal, and adrenal intranuclear inclusions
- All herpesviruses in reptiles and birds are in the subfamily Alphaherpesvirinae.
- Known for latency, should be considered infected for life.