Spr 16- Test Two- Lymphoid, Musculoskeletal, Integument, Urinary Flashcards
What are the four stages of fracture healing
Hematoma, fibrocartilagenous callus, bony callus, remodeling
Describe the Salter fractures
Straight, above (through plate and then upwards), lower (through plate then below), through, cRushing
Signalment- craniomandibular osteopathy
Westie/scottie in first year (3-7m, stop 11-13m)
craniomandibular osteopathy - describe
Excess bone growth at temporomandibular joint
craniomandibular osteopathy- inheritance
Autosomal recessive
Osteogenesis imperfecta- describe
problem with synthesis of matrix- especially type I collagen- leading to very brittle bones and fractures
Describe osteoporosis
Loss of bone due to more resorption than formation leaving susceptible to fractures
Causes of osteoporosis
Disuse, malnutrition, steroid use
Describe osteopenia
precedes osteoporosis- decrease in the number of thin trabeculae
Describe osteopetrosis
Increase in bone density due to defect in function of osteoclasts- failed bone remodeling
Describe chondrodysplasia
Bone and cartilage dysfunction of development
Chondrodysplasia breeds
Doxies, Corgis, Bassett hounds
Name three metabolic bone diseases
Scurvy, Ricketts, Fibrous osteodystrophy
Two main outcomes of scurvy
Peri-articular hemorrhage, osteochondrodysplasia
Pathogenesis of scurvy
Low vitamin C leads to decreased lysine and proline hydroxylation causing impaired collagen synthesis leading to weak vessel walls and deformity of physeal cartilage which results in peri-articular hemorrhage and osteochondrodysplasia
Disease of westies/scotties (MSkel)
craniomandibular osteopathy
Describe fibrous osteodystrophy
Primary (adenoma or hyperplasia of PThy) or secondary (Ca:P from nutrition or kidney dz) causes bone issues (rubber jaw, fractures of long bones)
Describe Ricketts
Decreased vitamin D and/or Phos leads to defect in endochondral ossification
Achondroplasia is a type of, describe
Chondrodysplasia- bones dont grow to normal size- dwarfism
Ricketts- signalment
Only young animals
Name dysplasias that can cause fractures
Osteogenesis imperfecta, osteoporosis
Describe hypertrophic osteoPATHY
Periosteal proliferation caused by an intrathoracic mass, NO joint involvement
Problem with type I collagen synthesis is called
Osteogenesis imperfecta
Describe hypertrophic osteoDYSTROPHY
Acute inflammation in primary spongiosa leading to necrosis of osteoblasts in metaphyses of young large breeds- non-infectious inflammation
Defect in function of osteoclast causes
Osteopetrosis- failure of bone remodeling leading to increased bone density
What is the radiographic finding of hyper’ o’DYSTROPHY
Double physeal line in metaphysis parallel to normal physis line
Shifting leg lameness in large breed dog that resolves on its own
Eosinophilic panosteitis
Avascular necrosis of femoral head in small breeds before physeal closure
Legg- Perthes Disease
Inflammation of the bone and marrow contents regardless of cause
Osteomyelitis
Disease of defective endochondral ossification
Ricketts
What does inflammation of primary spongiosis cause
Necrosis of osteoblasts and hypertrophic osteoDYSTROPHY
Why is osteomyelitis so bad
Tx difficult bc poor blood supply to bone makes it difficult to get Abx in, can become chronic if acute tx not successful
Name three examples of osteomyelitis
Fungal, bacterial, post-traumatic, surgery related
Name three common neoplasias of bone
Osteosarcoma, osteochondromatosis, multiple myeloma, chrondrosarcoma, chondroma
Osteosarcoma-
Malignant tumor of bone
Osteosarcoma- locations
Towards the knee, away from the elbow- does not cross joints
Osteochrondromatosis- describe
BENIGN neoplasia, proliferation of growth plate cartilage, multiple bony masses mostly in head and chest
Multiple myeloma- describe
Neoplasia of plasma cells, common in bones, malignant
What disease can be caused by surgery, penetrating wounds, fractures, hematogenous spread
Osteomyelitis
Define osteoma
Benign tumor of bone, very uncommon
Name the ways the joint responds to injury
Synovial hypertrophy and fibrillation, eburnation, osteophytosis of articular cartilage and bone
Define fibrillation
Joint rxn to injury/arthritis, forms vertical clefts in cartilage- dull, yellow-brown
Define eburnation
Polishing of exposed subchondral bone- bony formation over loss of cartilage
Define osteophytosis
body protuberances, bone trying to stabilize the joint
Presence of bence- joones proteins in urine indicates
Multiple myeloma
What are joint mice
Osteophytes or cartilage that break off and float in joint
Arthritis caused by aging lesion
Osteoarthritis
Name causes of chronic arthritis
Immune mediated, viral, untreated acute
Describe the lesion in osteoarthritis
Aging lesions: fibrillation, cartilage erosion, osteophytosis, eburnation, synovial hyperplasia
Describe the pathology of osteoarthritis
Decreased proteoglycan synthesis and increased metalloenzyme synthesis leads to a less viscous joint fluid from less proteoglycan in it
CAE is an example of
Immune mediated chronic inflammatory arthritis in goats
Describe osteochondrosis dissecans
Separation/cracking of an area of thickened cartilage where there should be bone, due to less endochondral ossification usually from decreased blood supply
Species with OCD, most common location
Pigs, dogs, horses- humoral head
Arthritis caused by wound or septicemia
Acute inflammatory arthritis
Osteochondrosis pathology, outcome
Abnormal differentiation of cartilage to bone; lameness, joint instability, joint mice
Joint neoplasia- name, describe
Synovial cell carcinoma- on joints of long bones
Difference between osteosarc and synovial cell carcinoma
Osteosarc does not involve the joints
DJD is an example of
Osteoarthritis
Shar pei fever is an example of
Immune mediated chronic inflammatory arthritis
IVDD- describe
Crack, tear or rupture of annulus fibrosis allowing inner nucleous pupposus to protrude
Types of IVDD
Type I- sudden, more common in chrondodystrophic breeds- NP calcified and pops out; Type II- gradual
Hip dysplasia- signalment
Large breed dogs
Hip dysplasia- describe
Degenerative, non-inflammatory deformation of the joint- subluxation of the femoral head
Elbow dysplasia- signalment
Large breed, GSD esp.
Elbow dysplasia- describe
Degen, non-inflamm, ununited anconeal process, fregmented medial coronoid process, OCD of elbow
Classify muscle injury
Distribution: Focal/multi-focal; Timeline: monophasic/polyphasic
Describe monophasic- what does this indicate
All muscle injuries at same time of progression - all acute, all chronic- indicates single insult
Describe polyphasic- what does this indicate
Varied chronicity of muscle injuries– some more acute, some chronic- suggests ongoing, repeated issue
Examples of polyphasic mm. injury
Toxin, deficiency, trauma related to fracture
Name the 6 responses to muscle injury
hypertrophy, atrophy, degeneration, necrosis (calcification), regeneration (rowing of nucleus), fibrosis
Low PCV, normal CK
Hemoglobin
Normal PCV, CK elevated
Myoglobin
Cause of downer cattle -muscle damage
Circulation
Cause of malignant hyperthermia in pigs, name others from this category of muscle damage
Congenital (fainting goats, muscular dystrophy)
Cause of black leg -muscle damage
Myositis from clostridium
Cause of SLE, purpura hemorrhagica- muscle damage
Autoimmune myositis
What type of muscle damage is capture myopathy in exotics
Exertional myopathy
Name a nutritional myopathy cause of muscle damage
Malnutrition atrophy; vitamin E/selenium def. white muscle disease
What is monensin
Toxin causing muscle damage
What type of muscle damage would disuse be considered
Exertional myopathy
Cause of splayleg in pigs -muscle damage
Congenital
Equine anesthesia- type of mm. dmg
Circulation
Types of myositis form of mm. dmg.
Bacterial, parasitic, autoimmune
Equine rhabdomyolysis- type of mm. dmg.
Congenital- sporadic polysaccharide storage myopathy
Laryngal hemiplasia- mm dmg type
Denervation
Rhabdomyoma- mm dmg type
Neoplasia (also, rhabdomyosarcoma)
Lymphoma does what do the size of the spleen, thymus, LN, spleen,
Increases spleen- nodular/not bloody, increases LN, increases thymus
All of the following result in decreased size of the thymus and LN except A. Parvovirus B. Lymphoma C. Corticosteroids D. Canine distemper E. A and D
Lymphoma
A uniformly enlarged dog spleen that bleeds on cut surface is most likely A. Hemangiosarcoma B. Hemangioma C. Lymphoma D. Congestion E. Nodular hyperplasia
D. Congestion