ch.26alterationsinbloodproteins Flashcards

(32 cards)

1
Q

what is the principle measurement of serum or plasma protein by refractometry?

A

The degree of light refraction of a solution is proportionate to the concentration of solid

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2
Q

What are examples of that falsely increase total protein reading?

A

-marked hyperlgycemia (>700 mg/dl)
-Azotemia (BUN>300 mg/dL)

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3
Q

Does hemolysis alter refractometer reading of total protein?

A

No

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4
Q

How do automated analyzers measure serum total protein?

A

biuert reaction

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5
Q

Immunoelectrophoresis is used for:

A

quantifying each immunoglobulin subtype (IgG, IgM, etc.) via electrophoresis followed by immunoprecipitation using subtype-specific antibodies

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6
Q

Common causes of panhyperproteinemia-dehydration in horses?

A

-acute toxic colitis of unknown cause
-acute salmonellosis
-potomac horse fever
-intestinal clostridiosis
-intestinal strangulating obstruction
-proximal enteritis
-gram-negative sepsis, endotoxemia
-botulism
-choking (esophageal obstruction)

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7
Q

Common causes of hyperglobulinemia in horses

A

abdominal (mesenteric) abscess (including “bastard”strangles
pulmonary abscess
chronic pleuritis
purpura haemorrhagica
Equine infectious anemia

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8
Q

What are less common causes of panhyperproteinemia-dehydration

A

chronic renal failure
chronic hepatic disease
guttural pouch mycosis with dysphagia
equine protozoal myelitis
salt toxicity
lead toxicity
yellow star thistle poisoning (dysphagia)
Dysphagia of unknown cause

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9
Q

What are less common causes of hyperglobulinemia in horses?

A

chronic hepatic disease
strongylosis
lymphoma (lymphosarcoma)
immune mediated cytopenia

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10
Q

Common causes of panhyperproteinemia- dehydration in ruminants?

A

-ruminal acidosis (grain overload)
-abomasal torsion
-acute salmonellosis
-peritonitis
-sepsis, toxemia (mastitis, metritis)
intussusception
-vagal indigestion
- oral or pharyngeal foreign body with dysphagia
-coccidosis
-diarrhea, undifferentiated
-salt toxicity
-toxins, poisonous plants

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11
Q

Common causes of hyperglobulinemia in ruminants?

A

abdominal abscess (traumatic reticuloperitonitis, uterine tear, other)
chronic pneumonia
umbilical abscess
lymphoma
caseous lymphadenitis (sheep & goats)
other abscess

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12
Q

What are physiologic responses to dehydration?

A

increased urine concentration
decreased urine output
increased fluid absorption from GIT
increased thirst

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13
Q

polyclonal gammopathy definition

A

increase in globulins due to production of different immunoglobulins by plasma cell sin response to chronic antigenic stimulation

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14
Q

Hypergammaglobulinemia definition

A

increased IgG in the gamma-globulin fraction
– seen in range of chornic inflammatory disease: including internal abscessation,chronic heptatitis, immune mediated diseases and lymphoma

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15
Q

monoclonal gammopathy definition

A

increased production of a single immunoglobulin by a clonal population of B lymphs/plasma cells

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16
Q

Monoclonal gammopathies are most commonly seen in:

A

neoplasia of B lymphs or plasma cells
—> B cell lymphoma, multiple myeloma, B-cell lymphocytic leukemia

17
Q

Causes of hyperfibrinogenemia in horses:

A

abscess (abdominal or other)
chronic peritonitis
pleuritis
pneumonia
osteomyelitis
septic arthritis
cholelithiasis
neoplasia with inflammatory response
vasculitis (equine purpura hemorrhagica)
cellulitis
GI inflammation
salmonellosis

18
Q

Causes of hyperfibrinogenemia in Ruminants

A

acute mastitis, esp coliform
abscess
traumatic reticuloperitonitis, pericarditis
salmonellosis
GI inflammation
Pyelonephritis
endocarditis
pleuritis
pneumonia
chronic peritonitis
necrotic rumenitis
lymphoma (lymphosarcoma)
septic arthritis
cellulitis
omphalophlebitis
osteomyelitis

19
Q

Examples of negative acute phase proteins

A

albumin
trasnferrin
transthyretin (prealbumin)
apoliportein A1

20
Q

What is ferritin?

A

an iron storage and transport protein

21
Q

Albumin accounts for what percentage of colloid oncotic pressure?

22
Q

The synthesis of albumin is controlled by?

A

plasma colloidal oncotic pressure

23
Q

Where is albumin produced?

24
Q

When does liver disease cause hypoalbuminemia?

A

chronic diffuse, liver dzes
– chronic hepatitis, fibrosis, hepatic neoplasia

25
Common causes of hypoalbuminemia in horses?
parasitism glomeruloneprhitis pyelonephritis idiopathic granulomatous enteritis intestinal lymphoma (lymphosarcoma) Salmonellosis Equine ehrlichial enterocolitis (Potomac horse fever) Colitis Clostridiosis Nonsteroidal antiinflammatory drug toxicosis
26
Common causes of panhypoproteinemia
excessive fluid therapy or water intake acute blood loss GI ulceration strangulating GI obstruction, incarceration Protein-losing enteropathy (chronic granulomatous bowel disease) acute severe peritonitis Nonsteroidal antiinflammatory drug toxicity Glomerulonephritis
27
What are clinically important mechanisms of PLE?
defective lymphatic transport increased mucosal permeability GI parasitism exudative inflammation ulcerative blood loss
28
Common causes of hypoalbuminemia in ruminants
protein malnutrition, starvation amyloidosis pyelonephritis glomerulonephritis salmonellosis Johnes disease Trichostrongylus infection
29
Common causes of panhypoproteinemia in ruminants
excessive IV fluid therapy or water intake acute blood loss abomasal ulceration blood-sucking GI or external parasites GI ulceration
30
acute blood loss can result in what blood abnormalities?
hypoproteinemia anemia
31
Differentials for GI blood loss include
abomasal or gastric ulcers blood-sucking parasites (Haeomonchus contortus) viral or bact infecton azotemia neopalstic invasion exposure to casutic hcemicals
32
Congestive heart failure can result in either hypoalbuminemia or panhypoproteinemia via what mechanisms?
dilution effects from palsma volume expansion protein loss into ascitic fluid and interstitium decreased albumin synthesis d/t hepatic congestion &/or concurrent inflammation