Exam 2 Flashcards

(43 cards)

1
Q

What plant causes these symptoms: “Red as a beet, dry as a bone, blind as a bat, mad as a hatter, and hot as a hare”

What is the toxic agent & type of effects mediated?

Mechanism of action?

Why might an animal avoid eating this plant?

T/F: the seeds are the only toxic part of the plant

A

Jimsonweeds

Tropane alkaloids - parasympatholytic: increased peripheral vasodilation, blocking of sweating mechanism, decreased salivation, lack of sweating, loss of body temp regulation

Competitive antagonism of central & peripheral muscarinic acetylcholine receptors - inhibition of rest & digest responses

Plant has an unpleasant smell & bitter taste

False: all plant parts are toxic, seeds are most toxic

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2
Q

How might you be able to identify a case of Jimsonweed toxicity postmortem?

Treatment/Management?

Why would a parasympathetic drug (pilocarpine) be possible contraindicated?

A

Plant material may be present in GI tract

Tx/Mx: Benzodiazepines & barbiturates to control convulsions, supportive care

amount of drug needed to reverse effects would require a toxic amount to the animal & can also suppress breathing

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3
Q

What plants can cause “walking disease” & “stargazing”, ?

Toxic agent of these plants?

What organs are affected?

When do these plants become more toxic?

A

Senecio spp. & Crotolaria spp.

Pyrrolizidine Alkaloids

Liver (most common), kidney, heart, lung

Drought conditions –> stress

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4
Q

What needs to happen for the pyrrolizidine alkaloids to become effectively toxic to the animal that ingested it?

Mechanism of action?

What risks are we concerned about with chronic exposure?

What drug would result in a lethal toxicity if combined with pyrrolizidine alkaloids?

A

Metabolized to more active form in the liver –> pyrroles

Pyrroles act as alkylating agents resulting in DNA damage

Carcinogenic effects

Acetaminophen

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5
Q

Acute signs of pyrrolizidine alkaloid toxicity?

T/F: signs of toxicity may take weeks to manifest

What other signs unique to horses are seen in Crotolaria toxicity?

A

Acute: liver failure (anorexia, behavioral changes, icterus, visceral edema, ascites, photosensitization), sudden death

Chronic: weight loss, behavioral changes (walking disease, stargazing), frequent urination, rectal prolapse

True

Fibrosing alveolitis, laminitis

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6
Q

What postmortem lesions may be seen grossly with Senecio & Crotolaria poisoning?

Histopathologic lesions?

Tx?

A

Gross: Congested & edematous liver, fibrosis, cirrhosis in chronic cases, icterus, SC & serosal petechiation, edema of lungs & abomasal folds

Histo: centrilobular hepatic degeneration & necrosis, fibrosis, cirrhosis (chronic cases)

Tx: supportive, prevent further feed contamination, avoid exposure of young animals, control plants in pasture

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7
Q

What plant(s) contains taxine alkaloids and can cause sudden death due to heart failure?

Does this toxic agent have a high or low LD50?

T/F: plant is no longer toxic when dried

Mechanism of action?

A

Taxus spp.,

Low, only need 0.5% of BW of plant material

False

Inhibition of Ca & Na currents across cardiac muscle membranes - slows ventricular muscle contraction

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8
Q

When would you suspect taxine alkaloid toxicity?

How might you diagnose this toxicity postmortem?

Tx?

A

Sudden death in animals with recent exposure to garden clippings, or signs consistent with heart failure if caught early

Chewed leaves/twigs found in the rumen that resemble rosemary

Tx: avoid disturbance & handling, rumenotomy & AC

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9
Q

Which toxic agents can be found in common household vegetables & cause a Heinz body anemia?

Mechanism of action?

How may this result in abortion?

Gross lesions?

Tx?

A

Propyl disulfide & dimethyl disulfide (Allium-onion/garlic, Brassica-mustard)

MoA: normally reduced by glutathione, but if glutathione is depleted –> oxygen free radical formation –> hemolysis –> methemoglobinemia

Abortion: fetal hypoxia due to methemoglobin formation

Gross: congested, red-brown spleen & kidneys, pale or icteric carcass

Tx: supportive, diuretics, oxygen,

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10
Q

What is the toxic agent in Euphorbia spp.? Main irritant of the plant?

Effects/MoA?

Most common signs in SA?

Signs in LA?

Tx:

Why would washing the skin with water or milk be contraindicated?

A

Diterpene esters - plant sap

Inflammation & tumor production

SA: Gi irritation: salivation, vomiting, diarrhea

LA: blistering of exposed skin and MM, salivation, diarrhea +/- blood, collapse & death in extreme cases

Tx: supportive, symptomatic - NSAID’s, ABx, topical ointments, fluids,

Toxins are insoluble in water or milk so washing it with those may drive it deeper into skin - use warm soapy water instead

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11
Q

What kind of toxic agent do these plants contain: Sorghum, Johnsongrass, Vetch, elderberry, wild plum, corn, white clover etc.

MoA of toxin release?

What environmental factors can increases toxicity and how?

MoA of toxin itself?

A

cyanogenic glycoside

MoA: when plant tissue is damaged, it releases HCN

Env: more nitrogen in soil –> more cyanogenic glycoside production, caterpillar infestations can spread cyanogenic glycosides to surrounding vegetation

MoA: cyanide binds iron in cellular cytochrome oxidase –> blocks electron transfer needed for cellular respiration –> Hb cannot release oxygen to tissues –> blood becomes super saturated with oxygen

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12
Q

Signs of cyanogenic glycoside toxicity?

Postmortem findings?

Tx?

A

sudden death, CNS abnormalities, signs of oxygen starvation, red MM, muscle tremors, convulsions

PM: petechiae, cherry red blood, +/-almond-like odor

Tx: Methylene blue or sodium nitrite which forms cyanmethemoglobin which pulls cyanide from cytochrome oxydase, then treat with sodium thiosulphate which reacts with cyanmethemoglobin to form soluble thiocyanate –> excreted in urine

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13
Q

What is the main toxic agent in Oleander?

MoA?

Low dose effects?

high dose effects?

A

Cardiac glycosides

MoA: inhibition of Na/K ATP-ase

LD: Gi effects-vomiting, colic, rumen stasis, bloat, diarrhea

HD: bradycardia, ventricular arrhythmias, weakness, ataxia, tremors, posterior paresis, dyspnea, convulsions, coma

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14
Q

Postmortem findings of cardiogenic glycoside toxicity? (gross & histo)

Tx?

A

Gross: Sub-epicardial hemorrhages, pulmonary edema, may find leaves in the ingesta, ventral edema

Histo: multifocal myocardial inflammation, degeneration, and necrosis, +/- renal tubular lesions

Tx: remove from source, rumenotomy/stomach lavage may be useful if early, AC, digibind ($$$), atropine, propranolol,

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15
Q

Toxic component of sago palms?

Signs?

Tx?

A

cycasin (hepatotoxic) & neurotoxins, all plant parts are toxic

Signs: diarrhea (often bloody), liver failure, bleeding

Tx: emesis if early, AC (multiple doses), antiemetics, Vit. K, fresh plasma, SAMe, N-acetylcysteine

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16
Q

What kind of tissue does Fluoride toxicity like to affect?

How is fluoride excreted?

Diagnosis?

A

Developing/remodeling bone (ends of long bones, developing teeth)

Most in urine, some in milk

Feed, mineral, water analysis, biopsies of vertebrae or ribs, urine fluoride within 1-3 wks of exposure, kidney & liver testing post mortem

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17
Q

? pH & ? temperature in the rumen results in increased ammonia generation

? rumen pH promotes NH4 absorption

excessive ? production causes bloat

Why are hindgut fermenters less susceptible to NPN poisoning?

A

high & high

Increased

NH3

They have 1/3 to 1/4 the capacity of ruminants to convert NPN to ammonia, thus require 3x-4x the NPN in diet to develop a toxicity

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18
Q

NPN acclimation takes ? days that is lost in ? days when no longer being fed high amounts of NPN

What changes to the diet are made in order to promote growth of NPN converting bacteria?

A

3-4, 1-2

Easily digestible CHO’s and minerals

19
Q

Initial signs of NPN toxicity?

Signs as it progresses?

Final stages?

A

Uneasiness, slight bloat, excessive salivation

tremors, tachypnea, tachycardia, stiffness, ataxia

collapse, lateral recumbency, boat, regurgitation, spasms, convulsions, death

20
Q

Why would NPN poisoning, which forms alkalemic products, result in normal pH or even an acidemia?

A

NPN forms NH4 –> raises blood pH –> reduction in ability of cells to carry out oxidative phosphorylation & ATP production –> cells switch to lactate production to meet energy needs –> lactate accumulation results in an acidemic effect which brings back pH down from elevated levels to normal levels or below normal (acidemic)

21
Q

Antemortem ways of diagnosis in cases of NPN poisoning?

Postmortem ways to diagnose NPN poisoning?

What is more reliable, rumen assay or feed assay?

A

Antemortem: characteristic signs, history of change in feed, high rumen pH, ammonia smell

Postmortem: rumen content assay for ammonia (need to put sample in sealed container & freeze ASAP), feed assay content for high NPN content, bloat line lesion, pulmonary edema & froth/fluid in trachea

Feed assay (rumen assay unreliable as there is rapid breakdown in ruminal contents)

22
Q

Feed no more than ?% total NPN

NPN should not be more than ? of total nitrogen?

23
Q

What is done with poor quality roughage to increase its quality? What 3 things change in the roughage by doing this?

What happens when this same process is done to higher quality material?

A

Exposed to high levels of ammonia gas

Increases digestibility, crude protein, palatability

Ammonization introduces amino acids which undergo a condensation reaction with sugars in the feed/roughage to form toxic pyrazines & imidazoles

24
Q

Clinical picture of animals fed high quality feed that was ammoniated?

Why do you need to be worried about the calves in the same herd that has been exposed (even though the calves aren’t eating roughage yet)

What other precautions must you do (in order to protect human health)

A

Animals go “bonkers” - spontaneous trembling, rapid blinking or ear twitching, ataxia, apparent blindness, tachypnea, frothing at the mouth, urination, defecation –> stampede and run into objects +/- convulsions –> return to normal in 1-3 days

toxins can be passed through milk

discard contaminated milk for a minimum of 3 days AFTER toxic feed has been removed

25
What is the most important form of nitrogen that is absorbed by plants? Other forms? What mechanism is mainly used by plants to uptake nitrate via its roots? What must a plant do in order to be able to use nitrate as a protein source once it is absorbed from the environment? What happens when a plant is exposed to unfavorable growing conditions?
Nitrate, then nitrite, urea, ammonia High-affinity transport system (HATS) - ATP-dependent system Plant must reduce nitrate to ammonium via nitrate reductase Production of nitrate reductase decreases which means nitrate accumulates as it is not being reduced, plant not producing proteins
26
What happens to nitrate ingested by a ruminant? What happens if nitrite production is excessive? What is the dominant effect of nitrate in the rumen?
it is reduced to nitrite by microbes --> reduced again to ammonia --> eructated Nitrite is absorbed before it can be converted to ammonia salivation, colic, diarrhea, +/- vomiting, mainly GI irritation
27
Toxic effect of nitrite? What percentages of MetHb will cause mild clinical signs and severe signs/death What age range is most susceptible to nitrite poisoning? Effects of chronic exposure to low levels of nitrite?
Oxidation of hemoglobin to methemoglobin --> overwhelms RBC's MetHb reductase capacity and MetHb begins to accumulate 30-40%, >70% Fetuses & neonates impaired Vit. A function, endocrine abnormalities
28
Clinical picture of acute "typical" syndrome of nitrite poisoning? Tx for acute? Subacute/chronic? tx?
Acute/typical: signs of hypoxia, weakness, exercise intolerance, tachypnea, collapse, convulsions, death Tx: remove suspected sources of contamination, methylene blue Subacute/chronic: abortions 3-7d PI, weak calves, decreased milk prod., decreased gains, 2* infections Tx: injectable/oral vitamin A,D,E, iodized salts, feed high quality protein & abundant CHO
29
Postmortem signs of nitrite poisoning? Sample used for antemortem diagnosis? Sample used for postmortem dx? How much (ppm) is needed to affect pregnancy & lactation? How much (ppm) will cause acute poisoning?
BROWN discoloration of blood, tissues, nonspecific signs of GIT inflammation, undigested plant material in rumen, late term abortions Antemortem Dx: serum nitrate analyses Postmortem Dx: eyeball/aqueous humor: adult cattle: >10ppm suspect, >20 ppm diagnostic neonates/fetuses: 25-50ppm suspect, >50ppm diagnostic >3,000-5,000ppm (>300ppm in water) will affect pregnancy & lactation >10,000ppm will cause acute poisoning (>1000ppm in water)
30
What element/ion are we concerned with in polioencephalomalacia (PEM)? Why might there be excess sulfur compounds in a feed? What is sulfur and sulfate converted to inside the rumen & cecum? What effects does this compound theoretically have? What Clin. Path findings might we see in this kind of toxicity?
Sulfur/Sulfate Overzealous attempt to feed ammonium sulfate to prevent urinary calculi sulfide Blocks neuronal energy metabolism, interferes with cerebrum blood flow, generates oxygen free radicals, induces PEM Metabolic acidosis, hypokalemia, hypochloremia
31
What is the key principle in treatment of sulfur poisoning? Postmortem findings? Methods of Diagnosis?
There is no effective treatment, so key is prevention & mitigation of further damage: remove suspected sources, can give corticosteroids, fluids, and good nutrition Postmortem: +/- gray/black sulfide deposits in GIT, swelling & flattening & shortening of cerebral gyri, focal malacia or cavitation of midbrain & thalamus, may fluoresce under UV light, rarely will have cerebellar herniation into foramen magnum Diagnosis: dietary sulfur/sulfate levels >0.4%, hydrogen sulfide >2000ppm in rumen, histology of brain samples
32
What product of from a cotton plant is toxic to animals? What are the 3 main toxic effects? Where/what organs are mainly affected? Are ruminants on poor/good feed more susceptible? Why? What demographic is most susceptible to gossypol toxicity?
Gossypol (terpenoid aldehyde) Oxygen free radical formation, suppression of cellular redox cycling, DNA scission (cell arrest & apoptosis) Heart (most), repro system, liver, cell membrane function Low quality: gossypol is less toxic when bound to protein, so ruminants on poor diets are more susceptible Very young & monogastrics
33
Clinical picture for acute & chronic syndromes of gossypol poisoning? Postmortem findings for acute & chronic syndromes? Tx?
Acute: heart failure following exertion/stress Chronic: unthrifty, rough coat, ascites, dyspnea, edema, death following exertion/stress/severe dyspnea No gross lesions for acute Chronic: congestion, fluid accumulation in body cavities, enlarged heart, nutmeg liver (centrilobular necrosis) Tx: change feed, avoid stress/excitement, supportive care, poor prognosis for severe cases
34
Acidic/Alkaline soil predisposes plants to absorb more selenium? Besides ingestion of selenium, how else can an animal get selenium poisoning? What kind of selenium accumulator plants are useful as indicators of seleniferous soil? What kinds of plants are the major cause of Se poisonings? Why?
Alkaline soil Iatrogenic: excessive selenium supplementation Obligate Se accumulators (need it for growth) Grains & grasses: these plants are much more palatable than obligate or facultative Se accumulators despite containing relatively low amounts of Se, so animals more inclined to eat these plants in large quantities over a long period of time
35
Cause & clinical picture for acute syndrome of Se poisoning?
Cause: usually iatrogenic Clin Pic: progressive weakness, ataxia, dyspnea within 24hrs of exposure, death in 48 hrs usually with signs of heart failure -vomiting in swine
36
Cause & Clin Pic for subchronic Se poisoning?
Cause: iatrogenic Clin Pic: hindlimb ataxia, progressive posterior paralysis and tetraparalysis, hoof separation, no neurological deficits
37
Cause & clin pic for chronic Se poisoning?
Foraging for more than 30d on seleniferous grains/forages Clin Pic: weight loss, bilateral symmetrical alopecia, roughened hair coat, lameness, hoof separation/abnormal growth, immunosuppresion, decreased fertility, DJD, anemia
38
Tx for Se poisoning (for acute vs chronic) & prognoses? What kinds of diet potentiate Se toxicity?
Acute: supportive care, Vit. E; poor prognosis Chronic: arsanilic acid may protect proteins from non-specific Se incorporation (calves & pigs), remove source, provide Se deficient diet, therapeutic hoof trimming, NSAIDs, fair prognosis - recovery can take months Low protein/sulfur/Cu can potentiate Se toxicity
39
Besides ingestion, how else can Monensin be absorbed? What does monensin do inside the rumen? (MoA) Negative effects of Monensin on muscle?
Dermal absorption (also corrosive) Shifts microbial fermentation from acetic acid & butyric acid to propionic acid production Interference with transmembrane ion balance: intracellular Ca accumulation, inhibition of mitochondrial function (decreased ATP production), activation of cell death pathways (apoptosis)
40
Clinical signs of Monensin toxicity (24-48 hrs and 48+ hrs)? Most pronounced clin path finding?
Anorexia, depression, colic, ataxia, weakness, dyspnea, sudden death after stress, forced exercise, or high ambient temps Weakness, difficulty raising, collapse on exertion, CHF, dyspnea, death Increased CK & ALP
41
Postmortem findings of monensin toxicosis (gross & histo)
Gross: epicardial & endocardial hemorrhages, pale streaking of ventricular myocardium, edema, lung congestion & edema (lesions may be absent in acute death) Histo: myocardial & skeletal muscle degeneration and necrosis, hepatic necrosis, +/- renal necrosis
42
Monensin toxicosis tx?
remove ionophore source, avoid excitement, stress, give AC & cathartics, aggressive fluid therapy, injectable Vit.E/Se, treat any colic
43
Where does approximately 50% of fluoride absorbed become sequestered? Clinical signs of fluoride toxicity (acute and chronic)? Tx/Management/prognosis?
In bone Acute: large, acute exposure can cause GI irritation, kidney damage Moderate-Chronic exposure: affects bone & developing teeth - interruption of osteogenesis, spurring around joints cause pain and lameness, Tx/etc.: no specific Tx, poor prognosis, manage pain, avoid exposure, aluminum & Ca-carbonate at 1% can reduce fluoride absorption