Lame - muscle pathology Flashcards

(29 cards)

1
Q

Why does myofibre necrosis due to injury usually only affect a myofibre segment rather than the entire length of the myofibre?

A

Because myofibres are multinucleate so only the bit associated with the affected nucleus is lost

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2
Q

When does global necrosis of entire length of myofiber occur?

A

Uncommon
Usually only crush injuries or widespread ischaemia

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3
Q

What is the first part of the process of muscle response to injury?

A

Fibres swell - hypercontraction
Eosinophilia occurs
Striations are lost
Fragmentation of the myofibre

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4
Q

What is fragmentation of the myofibre in response to muscle injure? What does it look like?

A

The myofibre breaks up and calcifies - creates chalky white streaks

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5
Q

Why do macrophages infiltrate damaged myofibres?

A

To clear the cytoplasmic debris

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6
Q

How do damaged myofibres reform into healthy myofibres after damage?

A

Satellite cells migrate into wounded area and differentiate into myoblasts
Myoblasts fuse into a myotube
Plasmalemma reforms
Nuclei migrate to periphery
Cross striations appear

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7
Q

What is a focal, monophasic degeneration in muscle injury? What is an example?

A

A single injury - all myofibres injured at the same time
Eg. intramuscular injection

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8
Q

What is a multifocal, monophasic degeneration type of muscle injury? What is an example?

A

A single insult to the whole muscle
Eg. toxin exposure, single episode of overly strenuous exercise

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9
Q

What is a focal polyphasic degeneration type of muscle injury?

A

Repeated injury at the same site in a muscle

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10
Q

What is a multifocal polyphasic degeneration type of muscle injury?

A

Repeated insult to the whole muscle
New lesions form while regeneration takes place
Eg. Repeated exposure to toxin, nutritional deficiency, ongoing degenerative process

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11
Q

What species/type of animals get white muscle disease?

A

Cattle, horses, sheep, goats
Neonates from selenium deficient mothers

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12
Q

What causes white muscle disease?

A

Selenium/vitamin E deficiency

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13
Q

How does selenium/vitamin E deficiency cause injury to muscles causing white muscle disease?

A

Oxidative injury to myofibres - muscle contraction produces lots of free radicals
Loss of antioxidant defence mechanisms causes damage

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14
Q

What muscles are affected with white muscle disease?

A

Cervical neck muscles for suckling
Proximal limb muscles
Tongue
Masticatory muscles
Myocardial muscles - cardiac failure

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15
Q

What is an example of exertional myopathy in wild animals?

A

Capture myopathy - wild animals with acute myonecrosis after considerable exertion before capture

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16
Q

What is another word for exertional myopathy?

A

Rhabdomyolysis

17
Q

What exertional myopathy/rhabdomyolysis is seen in horses?

18
Q

What type of disorder is equine polysaccharide storage disorder? What causes it?

A

Autosomal dominant disorder - point mutation (in some cases)

19
Q

What type of fibres are affected by equine polysaccharide storage disorder?

A

Type 2 fibres

20
Q

What muscles are affected by equine polysaccharide storage disorder?

A

Gluteals
Semimembranosus
Semitendinosus
Epaxial muscles

21
Q

What is equine atypical myopathy?

A

Degeneration of postural and resp muscles after eating toxin in maple or sycamore leaves/seeds

22
Q

What species is immune mediated myositis seen in?

23
Q

What muscles are affected in immune mediated myositis? Why?

A

Masticatory muscles - contain type 2M myosin which is unique isoform to them

24
Q

What is seen on histopathology for immune mediated myositis?

A

Eosinophils
Plasma cells
Lymphocytes
Macrophages
Fibrosis

25
What are the clinical signs ofr immune mediated myositis?
Acute - jaw muscles swell, pain, cant open jaw Chronic/insidious - atrophy, decreased jaw mobility
26
What causes fibrosis of the muscles in immune mediated myositis?
Basal lamina being damaged by immune cells
27
What causes infectious myositis?
Direct penetration from wounds or injections Haematogenous spread Extension of nearby infection
28
What primary muscle tumours are there? Are they common?
Rhabdomyomas/myosarcomas Rare
29
What primary tumours of associated tissues can cause muscle tumours?
Fibrosarcomas Haemangiosarcoma Infiltrative lipoma