YR3 8 L HO2 Flashcards
Inflammation of the Liver
Hepatitis
Inflammation of the Bile Ducts
Cholangitis
Inflammation of the Gall Bladder
Cholecystitis
Inflammation of the Liver & Traids
Cholangiohepatitis
Viral Diseases that affect the Liver
Equine Herpesvirus 1, Canine Herpesvirus, Infectious canine hepatitis (ICH), Feline infectious peritonitis (FIP), Rift Valley fever, Wesselsbron disease
Equine Herpesvirus 1 clinical signs
1)Icterus 2)Aborted or weak neonatal foal w/ severe hyperaemia of the mucosae & pulmonary congestion & oedema
Equine Herpesvirus 1 histo
Foci of necrosis with nuclear inclusion on the edges of necrotic foci in the liver, lungs, adrenal & thymus gland
Canine Herpesvirus aka
Fading puppy’
Canine Herpesvirus - gross, histo
Macro - Necrotic foci & haemorrhages on the liver, kidney, lungs, adrenals, spleen, brain & intestine. Micro - Nuclear inclusions (diag.)
Canine Herpesvirus residual lesions
Cerebellar hypoplasia, retinal & renal dysplasia
Canine Herpesvirus clinical signs
1)Infectious tracheobronchitis aka ‘kennel cough (+Bordetella brochiseptica +/- Adenovirus II) 2)Genital syndrome - infertility, abortion, stillbirths
Infectious Canine Hepatitis agent
Canine Adenovirus I
Infectious Canine Hepatitis lesions (ma)
Yellowish-brown to dark red and mottled liver +/- fibrin strands on the surface. Haemorrhages in and/or oedema of the gall bladder walls. Charac. ‘paint brush’ haemorrhages on serosal surface of stomach. Petechiae in the thalamus
Infectious Canine Hepatitislesions (mi)
Nuclear inclusions in hepatocytes, Kupffer cells and endothelial cells (of thalamus as well)
Infectious Canine Hepatitis sequelae
Blue Eye - the reason Adenovirus II is used in the vaccine
Feline Infectious Peritonitis (FIP) agent
FIP virus - Carona virus
Feline Infectious Peritonitis (FIP) lesion
Multifocal to coalescing granulomas w/ a layer of organising exudate on liver capsule
Bacterial Disease - how
Bacterial hepatitis common - usually multifocal & haematogenous 1)Spread from portal vein, hepatic artery, umbilical vein 2)Spread from biliary tree 3)Ext. of ‘hardware disease’
Bacterial Disease list
1)Campylobacter foetus subsp. foetus in aborted and neonatal lambs 2)Actinobacillus equuli in foals 3)Salmonella spp. 4)Mycobacterium spp. 5)Pasteurella multocida in aborted lambs 6)Yersinia pseudotuberculosis in ruminants 7)Listeria monocytogenes in aborted lamb
Liver Abscesses; species, pathogenesis
Cattle, usually asymptomatic. Heal by fibrosis. Rupturing > peritonitis, or into the hepatic vein or caudal vena cava > embolism to the lungs - PEA syndrome
Pulmonary Embolic Aneurysm (PEA)
Liver abscess > thrombosis of caudal vena cava > pulmonary embolism
Liver Necrobacillosis - agent, lesion
Fusobacterium necrophorum. Large multiple to coalescing foci of coagulative necrosis
Liver Necrobacillosis - Navel-ill
Omphalophlebitis - Umbilical infection > liver and lung foci
Campylobacter foetus subsp. foetus abortion lesion
Hepatic lesions
Salmonella lesion
Small disseminate foci of necrosis may be seen in the liver and spleen
Mycobacterium spp. - Pig
Miliary TB
Mycobacterium spp. - M.avium paratuberculosis
Johne’s disease - small granulomas may occur in the liver
Infectious Necrotic Hepatitis aka
Black Leg
Infectious Necrotic Hepatitis agent, species
Clostridium novyi toxins - sheep, cattle, rarely horses & pigs
Infectious Necrotic Hepatitis predispositions
Fasciola hepatica, Taenia hydatigena larvae, liver biopsy
Infectious Necrotic Hepatitis signs, lesions
1)Very dark skin discoloration 2)Single or multiple large necrotic foci surrounded by ring of hyperaemia
Bacillary Haemoglobinuria - agent, species
Clostridium haemolyticum toxin due to liver damage by Faciola hepatica or biopsy - Cattle (acute, fatal)
Tyzzer’s Disease - agent, species, lesion
Clostridium (Bacillus) piliforme. Foals 1-5wks. Multifocal necrotic hepatitis and necrotising colitis
Liver Parasitic Diseases
1)Toxoplasmosis 2)Ascaris suum 3)Taenis hydatigena
Toxoplasmosis agent, species
T.gondii. Cat - immunosuppressed
Ascaris suum pathogenesis
Larval migration > ‘Milk Spot’ liver
Taenia hydatigena larvae - aka, hosts
Cysticercus tenuicollis (. DH - Dog & other canids, IH - Sheep, cattle, goat
Echinococcus granulosus lesion
Multilocular larval cysts
Inflammation of unknown aetiology
1)Serum hepatitis in horses 2)Chronic active hepatitis in dogs 3)Cholangiohepatitis & icterus in mature cats
Inflammation of unknown aetiology - Serum hepatitis in horses
Centrilobular to submassive necrosis
Inflammation of unknown aetiology - Chronic active hepatitis in dogs
1)ICH, leptospirosis 2)Copper toxicosis - hereditary in Bedlington terriers, Dobermans and West Highland white terriers 3)Anticonvulsant drugs (primidone and phenytoin)
Chronic active hepatitis in dogs - Copper toxicosis lesions
Cirrhosis (multinodular hyperplasia and fibrosis with inflammation)
Toxic Hepatopathy aetiology
Liver essential in detoxification and excretion of xenobiotic. Liver often severely affected; other organs untouched
Toxic Hepatopathy pathogenesis
1) Biotransformation (metabolism of lipid soluble compounds by microsomal MFO enzymes, e.g. CCl4, plant toxins) - intermediate reactive radicals formed 2)Natural affinity (storage results in raised levels and toxicity, e.g. Cu) 3)Some compounds not metabolised, e.g. P
Toxic Hepatosis - Plants/Mycotoxins
1)Facial eczema 2)Panicum spp. 3)Lupinosis Myoporum spp. (ngaio) poisoning 4)Ragwort (Senecio) poisoning 5)Cestrum spp. (inkberry) poisoning 6)Blue-green algae 7)Pimelea spp. Poisoning 8)Lantana spp. 9)Aflatoxicosis
Toxic Hepatosis - Facial Eczema aka, causes
Sporidesmiotoxicosis via mycotoxin sporidesmin. Icterus & hepatogenous photosensitivity
Toxic Hepatosis - Facial Eczema liver effects
Acute - swollen, Chronic - left lobe atrophy, central/right lobe hyperplasia, fibrosis and bile duct hyperplasia
Other Causes of Hepatogenous Photosensitivity
1) Panicum spp. grasses 2)Phomopsison lupins 3)Cestrumspp. 4)Blue-green algae 5)Myoporum spp. (ngaio) 6)Lantana spp.
Toxic Hepatosis - Myoporum(Ngaio) Poisoning
Furanosesquiterpenoid oils metabolised by MFOs zonal necrosis
Toxic Hepatopathy - Chronic ragwort (Senecio spp.) Poisoning; aetiology, lesion (m&m)
The toxins are pyrrolizidine alkaloids - have antimitotic effect. Fibrosis and nodular hyperplasia. Note megalocytosis histologically.
Toxic Hepatosis - Organic/Inorganic
1)Copper poisoning - acute or chronic 2)Saccharated iron toxicity 3)Carbon tetrachloride 4)Phosphorus 5)Anticonvulsants 6)Steroids 7)Mebendazole 8)Paracetamol
Toxic Hepatosis - Copper Acute path
Acute haemolysis arises when plasma copper increases following Cu release from liver cells damaged by excessive storage of Cu
Toxic Hepatosis - Copper Acute lesion
1)’Gun-metal’ grey-black kidney 2)Khaki coloured icterus
Toxic Hepatosis - Copper Chronic histo
Copper cells and megalocytes also seen in chronic ragwort poisoning
Liver Hyperplasia
1)Nodular 2)Cystic
Liver Nodular Hyperplasia lesion(m&m)
Macronodular hyperplasia - colour difference may be due to fatty change. Micromodular - evident microscopically
Liver Neoplasia
1)Hepatoblastoma - sheep 2)Hepatocellular adenoma and carcinoma 3)Cholangiocellular adenoma and carcinoma 4)Metastatic neoplasms