Metabolic Diseases Flashcards

(63 cards)

1
Q

what are the two ways you can get a metabolic disease?

A

inherited (congenital), or acquired

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

which way to get a metabolic disease is more common in small animals?

A

inherited

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

which was to get a metabolic disease in more common in production animals?

A

acquired

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

what are metabolic storage disorders and inborn errors of metabolism?

A

commonly related to genetic storage disorders with accumulation of metabolic byproducts; related with enzyme deficiency or dysfunction

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

what are production-related metabolic disorders?

A

development of diseases are related with management factors, but pathogenesis is related with alteration in metabolism in high energy-demand animals

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

what type of metabolic disease is procine stress syndrome (PSS)?

A

metabolic storage disorder

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

what is porcine stress syndrome also called?

A

malignant hyperthermia

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

what is malignant hyperthermia in pigs (3)

A

a metabolic storage disorder that is a

  1. life-threatening inherited disorder
  2. disease of the skeletal muscle
  3. mutation in the ryanodine receptors in the sarcoplasmic reticulum in myofibrils
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what happens in porcine stress syndrome?

A

deficiency of Ca2+ channels, so all are released and none are left to hold muscle fibers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

is it possible to genetically test for porcine stress syndrome?

A

yes, has defined genes that carry it

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

what happend when the ryanodine receptors in the myofibrils of the sarcoplasmic reticulum are triggered to fuck up?

A

whole body contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are triggers of porcine stress syndrome?

A
  1. halogenated inhalation anesthetics (isoflurane, desflurane, sevoflurane)
  2. depolarizing neuromuscular blocking drugs
  3. stress!!!!
  4. exercise!!!!!
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

describe the pathogenesis of porcine stress syndrome?

A

sudden release of calcium in the myofibril cytoplasm which produces extensive contraction of skeletal muscles and fatal hypermetabolic state, skin hemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

can you manually pull an affected prcine stress syndrome pig out of the contracted state?

A

no, just have to wait it out like a seizure

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

what are the symptoms of porcine stress syndrome? (7)

A
  1. muscle and tail tremors
  2. labored and irregular breathing
  3. blanching and reddening of the skin
  4. rapid rise in body temp
  5. collapse
  6. muscle rigidity
  7. eventual death
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the genotypic designation of malignant hyperthermia in pigs?

A

stress-resistant: NN
stress-carrier: Nn
stress-positive: nn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what kind of meat is porcine stress syndrome related with? why?

A

PSE (pale, soft, exudative) due to more rapid pH reduction after slaughter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is equine metabolic syndrome also called, officially?

A
  1. insulin disregulation syndrome

2. equine syndrome X

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how can you remember what equine metabolic syndrome is?

A

fat horse syndrome!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what kind of environment are horses made to thrive in?

A

harsher environments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

why does domestication often lead to equine metabolic syndrome?

A

horses meant for a hard life are given cushy, overfed, and underworked, sedentary lives instead

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

in what kinds of horses is equine metabolic syndrome often found?

A

obese horses and ponies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

why is equine metabolic syndrome often found in obese horses and ponies?

A
  1. increased adiposity
  2. insulin resistance!!!!
  3. hyperinsulinemia: need more insulin bc it no longer targets tissues in the same way
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

describe the pathogenesis of equine metabolic syndrome

A

obesity leads to increased leptin, adipokines, and inflammatory mediators, which increases fatty stores, which increases fat in the liver, which increases insulin resistance, which increases insulin levelsm which causes dysregulation of glucose metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
describe how equine metabolic syndrome causes predisposition to laminitis
insulin is related with vasoregulatory effect, and insulin resistance decreases nitric oxide which causes vasoconstriction, which leads to altered epidermal cell function and glucose uptake, which causes predisposition to laminitis
26
what is laminitis?
inflammation and pain in foot/hoof
27
what are the clinical findings of equine metabolic syndrome? (5)
1. localized adiposity 2. laminitis might exist 3. patient might not lose weight with feed restriction 4. increased appetite 5. infertility and abnormal repro cycle in mares
28
why might a patient with equine metabolic syndrome not lose weight with feed restriction?
because it is hard to treat once horse reaches obesity
29
describe treatment and prevention of equine metabolic syndrome
1. progressive dietary management, specifically carbohydrate restriction 2. exercise 3. if diet and exercise not enough, use medicine 4. NO SUDDEN dietary changes
30
why are sudden dietary changes not effective as a course of treatment in a horse with equine metabolic syndrome?
might increase lipid release, which could cause liver failure in extreme cases
31
what is equine fatigue?
horse inability to continue when exercised for too long or too hard
32
list the symptoms of equine fatigue (11)
1. panting 2. profuse sweating 3. dehydration 4. acid-base imbalances 5. electrolyte imbalances 6. exhaustion, laying down 7. decreased motivation 8. respiratory issues 9. lethargy and tiredness 10. loss of muscle coordination 11. death after 10-15% dehydration
33
what causes the acid-base imbalances observed in equine fatigue?
increased metabolism with no new food or water kicks in anaerobic exercise, which produces lactic ACID, leading to imbalance
34
what causes the electrolyte imbalances observed in equine fatigue?
the profuse sweat loss
35
when high intensity exercise causes equine fatigue, what happens? (pathogenesis)
increase in anaerobic metabolism of creatinine phosphate and glycogen leads to intracellular acidosis and negative feedback in glycolytic enzymes
36
what accumulates in the muscles when high intensity exercise causes equine fatigue?
hydrogen ions, lactate, phosphate, ammonia, and ADP
37
what decreases in the muscles when high intensity exercise causes equine fatigue?
ATP, phosphocreatine, and pH
38
what two types of exercise can cause equine fatigue?
1. high intensity exercise | 2. prolonged exercise
39
describe what happens when prolonged exercise causes equine fatigue (pathogenesis)?
increased temperature, increased use of liver and muscle glycogen causes hypoglycemia
40
for what duration of submaximal exercise does muscle provide 50% of glycogen?
30 minutes, drops down after that
41
how much of total energy used for exercise comes from blood glucose?
only 10%, the rest has to go to other places
42
what is the best way to prevent equine fatigue?
avoid heat
43
is transition cattle disease a specific disease itslef?
no, it covers a wide range of disease that all happen during the transition time period
44
what percentage of disease in dairy cattle happen between 3 weeks pre and 3 weeks post parturition?
80%
45
why do so many metabolic disease occur in dairy cattle in this transition period pre and post partum?
mom's body transitions more to supporting baby than mom prepartum, baby grows so much that mom stomach shrinks and she is not taking in as many nutrients. then, once she calves, her stomach is still small but now her body is putting all its energy into rearranging body and producing milk that mom has a negative energy balance as her lactation is at its peak and body energy stores are at their lowest, will take from muscle, adipose tissue, etc to make up the gap
46
why does body condition score in dairy cattle matter so much in transition cattle diseases?
if mom too think before calving, will get sick because of the whole negative energy balance thing, and if cows with a BCS of > or equal to 3.75% are more likely to mobilize their body stores to produce milk = ketosis
47
what is ketosis also called?
acetonemia, ketonemia
48
when does ketosis typically occur in cattle?
in dairy cattle during early lactation
49
when does type II ketosis usually occur? what is it accompanied by?
very early lactation (after baby), usually accompanied by fatty liver
50
when does type I ketosis usually occur?
close to the peak of lactation (4-6 weeks post baby)
51
what is the pathogenesis of ketosis?
1. feed intake does not meet energy demand 2. insufficient ruminal production of proprionic acid, a volatile fatty acid and the main producer of glucose 3. not enough glucose so cow become hypoglycemic (low blood sugar) 4. low blood sugar makes cow metabolize fatty acids and glycerol supplies 5. those fatty acid and glycerol stores are oxidized to form Acetyl-CoA (but makes a fuck ton) so 6. excess Acetyl-CoA (due to lack of energy to convert more) is converted ketone bodies 7. accumulation of ketone bodies excreted in milk and urine = ketosis
52
what happens to the liver in ketosis?
when feed intake does not match energy demand, there is a lack of energy and the liver can't cope
53
can ketone bodies be used for energy? efficiently?
yes but they are inefficient, and some glucose-dependent tissues (like the liver) can't use
54
describe the epidemiology of ketosis in cattle
1. prevalence of 7-14%, a range that depends on management 2. all cows can be affected 3. no genetic predisposition 4. there is greater risk in cows with BCS > or equal to 3.75
55
what clinical findings are associated with ketosis in cattle?
1. apathy 2. decreased feed intake 3. decreased milk production 4. empty abdomen 5. CNS disturbances in a few cases 6. increased BHB in blood, urine, and milk
56
what is BHB?
Beta Hydroxy Butane
57
what are the ranges of BHB?
0 (low) to 1.2 (normal) to greater than 1.2 (high)
58
how do you treat ketosis IV?
IV bolus of 50% dextrose with out without glucocorticoids
59
how do you make the decision to include glucocorticoids in the 50% dextrose IV bolus when treating ketosis in cattle?
glucocorticoids depress the immune system, which could icnrease the chance for mastitis or other infections, include glucocorticoids with caution
60
what is glucocorticoid?
a stress hromone that raises blood glucose when present
61
how do you treat ketosis with feed?
include propylene glycol (a glucoe precursor) in feed ration
62
how do you treat ketosis in cattle phrophylactically?
control BCS before dry period (cow not too thin or too fat)
63
what kind of diet is good for ketotic cattle during late lactation? why?
diets with highly digestible fiber and low starch, starch ferments super fast, not always time to get nutrients out before it's gone