Diseases of the GI Tract Flashcards

(47 cards)

1
Q

What is diarrhea?

A

An increase in frequency of defecation or fecal volume

Volume is increased by water content

It is diarrhea when more water is excreted than absorbed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the 2 types of diarrhea?

A

Malabsorptive and secretory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What causes malabsorptive diarrhea?

A

Damage to villous epithelium and loss of enterocytes leading to shrotening of the villi because loss is faster than replacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What 2 events are the pathogenesis of malabsorptive diarrhea?

A
  1. Decreased surface area reduces absorptive ability of intestines
  2. Mature enterocytes are lost, as well as their digestive enzymes, resulting in a loss to absorb water

–> commonly caused by bacteria, virus, protozoa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is secretory diarrhea?

A

When water secretion is greater than can be absorbed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are some causes of secretory diarrhea?

A

Usually from hypersecretion from small intestinal crypts due to abnormal stimulation
■ This stimulation increases
adenyl cyclase activity & production of cAMP within the cells, resulting in opening chloride gates & secreting water, electrolytes, and bicarbonate
■ Most commonly caused by enterotoxins such as those produced by gram negative bacteria (ETEC) and sometimes rotavirus.
■ This type of diarrhea is more common in neonates.
■ Occasionally see ETEC in adults

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the most common types of Salmonella inn cows?

A

S. enterica serotypes typhimurium, dublin (host adapted), newport

5-20% of cows estimated to carry Salmonella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are some clinical signs of Salmonella?

A
Systemic Signs of endotoxemia
■ Fever
■ Tachypnea
■ Tachycardia 
■ Scleral injection (red eye)
■ Weakness
■ Rumenstasis
■ Maldigestion
–Loss of mucosal epithelial cells
■ +/-Secretory
–Enterotoxin production
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How can you treat/ prevent Salmonella?

A
Treat = fluids, NSAIDs, antibiotics (C/S)
Prevention = management, control Clostridium
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the causative agent of Johne’s Disease?

A

Mycobacterium avium ss. paratuberculosis

80% herd prevalence in the US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How is Johne’s Disease transmitted?

A
  • Ingestion is primary route –> manure, contaminated milk, water, feed
  • Intrauterine also spreads to 25% of calves
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the clinical signs of Johne’s Disease?

A
  • Persistent and treatment-resistant diarrhea
  • Rapid weight loss with good appetite
  • No fever
  • Bottle jaw due to potential protein losing enteropathy in dairy cattle ages 3-5
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the stages of infection in Johne’s animals?

A
  • Advanced clinical disease (severe emaciation, diarrhea, bottle jaw, wasting)
  • Clinical (weight loss, diarrhea, decreased milk production)
  • Subclinical (bacteria present and shedding but no clinical signs)
  • Silent (no apparent disease and not shedding)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How can you diagnose Johne’s disease?

A
  • Culture manure, tissue, environment

- PCR/ ELISA/ AGID on milk or blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How can you prevent Johne’s disease?

A
  • Test herd with ELISA
  • Confirm disease with PCR
  • Eliminate shedding animals
  • Retest every 6-12 months
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the causative agent of winter dysentery?

A
  • Bovine coronavirus
  • Sensitive to heat and common disinfectants, though survives cold temps
  • can withstand low pH, so survives in gut
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How is winter dysentery transmitted?

A
  • Fecal-oral route most common
  • Wild ruminants are reservoirs
  • Highest age risk between 2-6 years old
    • high morbidity, low mortality**
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the clinical signs of winter dysentery?

A
  • Anorexia, fever, liquid/ bloody diarrhea, respiratory signs, decreased milk production
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How do you diagnose winter dysentary?

A

Electron microscopy, ELISA, RT-PCR on intestines, feces, rectal or nasal swabs
must collect within 1-3 days of onset of diarrhea

20
Q

How do you treat winter dysentery?

A
  • Fluids, antibiotics
  • No proven vaccine
  • Clinical signs may persist
21
Q

Which Clostridium causes myonecrosis?

A

Clostridium novyi Type A

  • Results in a very edematous wound caused by the alpha toxin
  • Causes “bighead” in rams
22
Q

Which clostridium causes “Black Disease”?

A

Clostridium novyi type B

  • Results in infectious necrotic hepatitis –> highly fatal in well nourished adult (2-4 yo) sheep
  • Peracute death most common (1-2 HOURS sheep, 1-2 DAYS cattle), will see venous congestion on ventral skin
23
Q

What clostridium causes bacillary hemoglobinuria?

A
  • Clostridium novyi type D AND Clostridium hemolyticum
    • infection occurs after infection with Fasciola hepatica**
  • Occurs in pastures with poor drainage
  • Affects well-nourished calves > 1 year
24
Q

What are the clinical signs of bacillary hemoglobinuria?

A

–Peracute = death
– Tachycardia, tachypnea,
inappetance, agalactia, pale mm, +/-fever, severe anemia
– Hemoglobinuria = red water

25
What are gross lesions associated with bacillary hemoglobinuria?
Subcutaneous edema, petechial/ ecchymosis | ** Hepatic infarcts are pathognomonic **
26
What clostridium causes Braxy?
Clostridium septicum
27
What is the clinical progression of braxy?
Initially warm, malignant edema, hemorrhage occur around the wound and eventually spreads down the fascial plane, becoming cold
28
What clinical signs does the enteric form of braxy have?
Causes hemorrhagic necrotizing abomasitis in lambs Other clinical signs include depression, fever, colic, tympany **fatality can reach 100%**
29
Which clostridium causes clostridial enterotoxemia?
Clostridium perfringens - Normally found in the intestines  disease occurs when bacteria and toxins accumulate - Types A,C,D in USA; B found everywhere else; Type E uncommon
30
How do you prevent Clostridial agents?
Give vaccines and toxoids!
31
What is hemorrhagic bowel syndrome?
A frequently fatal disease of dairy cattle lactating 3-4 months --> blood clots from hemorrhage creates intestinal obstructions Associated with Clostridium perfringens Type A
32
What are the clinical signs of hemorrhagic bowel syndrome?
Peracute progressive weakness and abdominal distention (can be mistaken for other obstructions) Rectal exam appears basically normal Transabdominal US shows dilated loops of intestine 24-48 hours = dead or septic shock
33
How do you treat Hemorrhagic bowel syndrome?
Treatment usually unrewarding Medically: supportive care Surgically: remove effected bowel
34
Where does blister buttercup grow?
Grows early spring near bodies of water/ wet areas across the US
35
What is the toxin in blister buttercup?
Ranunculin, a glycoside eventually converted to protoanemonin Results in orally irritation and gastroenteritis CS include excessive salivation, reddened oral mucosa, diarrhea +/- blood
36
What are the toxins in pokeweed and what are its clinical signs?
Toxins are saponins, oxalates, and alkaloid phytolacine CS include severe bloody diarrhea, colic, excessive salivation, death
37
What are the toxins in coffee weed/ Sesbania and what are its clinical signs?
Found throughout US  grow in damp soil Green seeds most toxic and remain so for years CS include severe GI irritation, liver degeneration, hemorrhagic diarrhea, death Treat with laxatives and activated charcoal
38
What are lectins?
Glycoproteins that bind to cell receptors resulting protein synthesis inhibition and cell death Found in seeds and are very toxic
39
What are the 3 main lectins
Ricin (castor bean), abrin (rosary pea), robinin (black locust) **new growth most toxic** 2g/kg castor bean feed is lethal to cattle  intestinal irritation and profound purgation Animals eventually die of hypovolemic shock
40
How do you treat lectin poisoning?
- Activated charcoal - MgOH - IV fluids
41
What is the principle toxin in box shrubs?
Toxic alkaloids causing severe gastroenteritis, colic, hemorrhagic diarrhea Cattle are exposed from discarded clippings
42
What are some causes of rectal prolapse?
Tenesmus, dysuria, neuropathy, chronic coughing, genetics
43
What is a grade I rectal prolapse?
Rectal mucosa prolapses. Small, intermittent, and common
44
What is a grade II rectal prolapse
All layers of rectum prolapse. Common
45
What is a grade III rectal prolapse?
Same signs as Type II although the large intestine prolapses as well. Uncommon
46
What is a grade IV rectal prolapse?
Type III with an intact anal sphincter resulting in rectal/ intestinal constriction. Rare
47
How do you treat rectal prolapse?
Purse string suture with umbilical tape for 5-10 days --> give an epidural to stop straining Surgical amputation Rectal ring Treat underlying cause!!!!!!!!!!!!!!!!!!!!!!!