Things To Know Flashcards
most common murmur in horses
aortic regurg associated with degenerative valve disease
anemia, neutrophilia, increased globulins, SAA, fibrinogen, +/- liver enzymes
ventricular hyperkinesis and chamber enlargement on echo
ragged edges of one valve appreciated
bacterial endocarditis
prognosis of TR in horses
Negative indicators include TR associated with:
1. structural valve lesions (endocarditis, flail leaflets, ruptured chordae tendinae)
2. clinical signs of right sided CHF
3. severe MR or pulmonary hypertension
in horses, degenerative valve disease affects which valve most frequently
aortic
what is the cause of TV endocarditis in horses
IVC infections
endocarditis mostly affects what valve in horses
aortic and mitral equally
bacterial endocarditis most commonly affects what valve in cattle
tricuspid
abnormal systolic jugular venous pulsations occur with
tricuspid regurg
bounding arterial pulse quality indicates what in horses with AR
severity and left ventricular volume overload
AR in horses
L sided diastolic
descrescendo, musical
what category of murmurs are most common in large animals
diastolic, regurgitation
what can help distinguish v-tachycardia from other tachy-arrythmias?
jugular pulses
bruit de cannon
rapid regular rhythm
drugs for v tach treatment
lido
quinidine
procainamide
mag sulfate
Treatment for V-tach is indicated when?
- HR >120 horses, >140 cattle
- clinical signs of CHF or CV collapse
- multifocal origin for VPD’s
- torsades des pointes (wide VT)
- “R on T”
coumarin-derived anticoagulant
warfarin
how does warfarin act
competitive inhibition of vitamin K
vit K dependent clotting factors
2, 7, 9, 10
CS of warfarin toxicosis
hematomas, ecchymoses of mms, epistaxis, hematuria
lab indication of warfarin tox
prolonged PT
because the plasma half life of factor 7 is shorter than the others
diagnosis of warfarin tox
history
signs of large vessel hemorragic diathesis
history of exposure
prolonged PT, +/- PTT
no other clotting abnormalities
!!
treatment of warfarin tox
give Vit K1 .5-1mg/kg (SC or IM) q6h until PT is normal again
DO NOT GIVE K3 - highly nephrotoxic
CS: spontaneous bleeding, intermittent epistaxis unrelated to exercise, petechial and ecchymotic hemorrhages, hematomas, prolonged bleeding after sx or needle sticks
Platelets have normal morphology, coag parameters, and FDPs
Glanzmann’s thrombasthenia
Glanzmann’s thrombasthenia gene
ITGA2B
glanzmann’s thrombasthenia
platelets are unable to aggregate in response to collagen or ADP blood forms loose clots with limited serum separation and deceased tensile strength
atypical equine thrombasthenia
TB’s
-platelets form normal clots and aggregate normally in response to ADP
-significantly reduced fibrinogen binding
-limited prothrombinase activity
-give amicar at sx
equine anemia
-edema, fever, etc.
-morulae observed in the cytoplasm on neutrophils
anaplasma phagocytophila
diagnosis of anaplasma
- morula within the cytoplasm of neutrophils and eos (difficult to find though!!
)
-positive PCR on blood (buffy coat)
-paired serology
tx of anaplasma
oxytet / doxy
-appear within mature erythrocytes
-non pigmente, paired, pair shaped bodied joined at an acute angle
Babesia bigemina
big boy
-small, pleomorphic
-single round or pear shape
-joined at an obtuse angle within mature erythrocyte
babesia bovis
little b
the most virulent of the 2
what tick spreads babesia
one-host, infected transovarially
boophilus
how does babesia cause anemia
-intraerythrocytic reproduction, then the escaping merozoites destroy cells intravascularly
-massive osmotic lysis
-immune mediated removal of damaged and healthy RBCs
diagnosis of babesia
-identification on Giemsa-stained blood smears
-serology
-PCR
prognosis of babesia tx
better if PCV >12%
poor if PCV <10%
maltese cross
-thileria equi
-intraerythrocytic parasite of the horse
-divides into four cells
-treat with imidocarb
QH gelding with blood at the end of urination - most likely cause
urethral hemorrhage
-tear / fistula formation along the dorsocaudal aspect of the ischial arch
- Dx on scope
-rest, can give TMS, Sx correct if persistent prob
according to smith, what gent dose is require for nephrotoxicity in the healthy horse?
20mg/kg q8h for several days
leptin and adiponectin come from?
they are both adipokines released from fat tissue
adiponectin
-anti-inflammatory
-insulin-sensitizing
-decreases with obesity, IR, and laminitis risk
which adipokine is helpful in assessing laminitis risk
adiponectin, NOT leptin