Reproduction of small animals Flashcards

(43 cards)

1
Q

Disorders of the oestrus cycle of the bitch - Abnormal length

A

Oestrus should occur after puberty around 6-7 months of age

Primary anoestrus occurs when there is no induction of first ostrus due to hypogonadism or hypopituitarism

Secondary anoestrus is when first oestrus has occurred but there is no subsequent oestrus. (Increased time between cycles)

-Endogenous causes: hypothyroidism, hypoadrenocorticism, obesity or luteal cysts
-Exogenous causes: Progestagens, androgens, steroids
T:Cabergoline –> dopamine receptor (D2) agonist –> INCREASED dopamine –> increased GnRH + inhibits prolactin

Split oestrus
Absence of, or depressed oestrus signs after a physiological prooestrus.
If prooestrus occurs again within 4 weeks usually next cycle is normal (hence split)
Multiple occurences: hypothyroidism, premature luteolysis

Shortened interoestrus interval
Anoestrus <2 months, usually causes repetition of oestrus however unlikely all cycles are fertile (low LH and no ovulation)

Causes: overstimulation of ovaries - follicular cysts
Premature dip in progesterone during dioestrus

Prolonged oestrus 
9 days - physiological 
>21 days - prolonged 
Caused by lack of ovulation 
Follicular cysts 
Signs of oestrus >21 days (mating behaviour) 
Dx: Vaginal cytology 
T: OVH, GnRH/hCG
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2
Q

Induction of oestrus in bitches and queens

A

Indications

  • Pathological anoestrus
  • Hunting or show
  • Cushing’s
  • Hypothyroidism
  • AI

Non-pharmacological - Dormitory effect (pheromones)

Pharmacological

  • GnTH agonists
  • Gonadotrophs - FSH/LH
  • Oetrogens - endogenous gonadotrophs
  • Dopamine agonist - Prolactin (Cabergolin) - given at anoestrus to induce prooestus

Deslorelin (GnRH agonist) implants - does induce oestrus, however pregnancy usually fails at day 40 due to CL regression due to reduced LH.

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3
Q

Prevention of the breeding in the female (medical approach)

A
Synthetic P4 antagonist 
Aglepristone 
- Short term: give before prooestrus 
- Long term: give in anoestrus 
- Total: just after prooestrus 
-Long term use can cause iatrogenic E2 + P4 --> reduces tissue sensitivity to insuln 

P4 analouges
MPA (methyhydroxyprogesterone acetate) - Long acting
MA (Megestrol acetate) - Short acting

Testosterone (mibolerone - CI’ed in cats) –> lengthens anoestrus

Desloreln (GnRH agonist) –> constant secretion supresses

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4
Q

Unwanted mating and pregnancy termination

A
Indications 
Health 
-Single puppy syndrome 
-Mismatched breeds (small + large) 
-Age (<1 year, >8 tear) - dystocia 

Breeding

  • Incorrect partner (pedigree)
  • Unwanted

Vaginal stricture + pelvic pathology

Medical

  • Pregnancy ketosis/DM
  • Fibroadenomatosis

Cryptorchids - termination

Pregnancy testing

  • Vaginal smear - cytology
  • Serum biochemistry - relaxin (28 days after ovulation)
  • presence of sperm vagina (<24 hours)

Surgical
OVH
-Oestrus –> ris kof haemorrhage
-Dioestrus –> pseudopregnancy

Aglepristone (P4 antagonist)
-decreases P4 activity

Oestrogens - inhibit P4

PG’s - Luteolysis

  • -> “Dinoprost”
  • -> “Cloprostenol”

Stages of termination

  • 30-35 days: reabsorption
  • 35 days: Surgical removal of foetus (abortion)
  • 45 days: Not recommended (due to ossifiction)

Drugs acting of pituitary
Dopamine agonist (cabergoline)
-Increased dopamine –>
GnRH antagonist –> decreased GnRH

CCS - decreased GnRH

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5
Q

Pregnancy loss (embronal and foetal mortality)

A

Embryonal death –> <30 days
Foetal death –> 30-35 days

Non-infectious
Hypoleuteoidism
-Embryo in P4 dependant
-Any prostaglandins –> luteolysis

Premature parturition

  • Related to hypoluteolism
  • Reabsorption/abortion

Myometrial activity
-Prostaglandins released –> 2nd luteolysis + foetal disstress

Mycotoxins

  • Zearalenone
  • Aflatoxin
  • Fusarium
  • Ochratoxin

Nutritional + status
-Vit B1
Stress –> cortisol –> foetal distress

Congenital disorders

  • Hydrops
  • Hydroallantosis
  • Cerebral dysplasia
Infectious 
Bacterial 
-Brucella canis 
-Salmonella 
-Listeria 
-E.Coli 
-Mycoplasma 

Viral
-Canine herpes - placental necrosis
<30 days - resorption
Last three weeks - Abortion

Canine parvo
-Absorption/stillbirth

Parasites

  • Toxoplasma gondii - hydrocephalus + calcification
  • Neospora caninum

Cs: If absorped before decection - no cs

Dx: Serum P4 + PM, vaginal bleeding

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6
Q

Abortion + dam exam

A

Abortion is loss of pregnancy
Embryonic death - <30 days
Foetal death - >30-35 days

Types
Abortion: Expulsion of foetus, before live

Partial abortion: Some pups live, some die

Foetal reabsorption: in first 1/2 of pregnancy usually due to inadequate hormonal support P4

Mummification: Death >45 days (ossification), skin remains and dries.

Premature/Stillbirth: Expulsion of viable puppies that died days/hours before parturition

Aetiology
Infectious - Brucella, herpes, toxoplasma, neospora, parvo
Non-infectious - Endocrine (P4), fetotoxic or teratogens

Dx: USG, vaginal cytology, serum P4, X-Ray (>45d)

foetal necropsy
Anasarca + hemoperitoneum
-merked oedema of the subcutis and hemoperitoneum are signs of sepsis

Limb deformities - varus + valgus

Canine herpes - haemorrhagic lungs, renal necrosis + petechial skin

Necrotic hepatitis - Toxoplasma
Bronchopneumonia - Bordatella bronchiseptica
Enteritis - PanLeukopenia

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7
Q

Dystocia in the bitch & queen (Assessment of vital functions of foetuses during(ante-) and post-partum)

A
Intrapartum monitoring 
Monitoring tools 
-B-Mode
-Döppler US: Foetal HR
-Tocodynamometry 
-Intrauterine 
Use of doppler + tocodynamometry concurrently allows for ID of labour stage + adjustment of oxytocin + Ca2+
Neonatal monitoring 
Spontaneous respiration 
-<60 seconds from expulsion 
-Clear nose and mouth --> CPR 
-Rub chest + check mm (red = good, blue = bad)

Neonatal CPR
-Back of elbow compression (120-180bpm) every second, each 6 seconds blow air into mouth and nose, do this for 20 mins.

Thermoregulation

  • Post-partum body temp reduces rapid
  • control environmental temp (32.2 degree)
  • Increase food intake, close to mother for warmth
  • Adequate bedding
  • Hypothermia leads to suckling and bradycardia

Umbilicus
-Ligate + ATb

Protect from dam
-Aggression

Colostrum
-Energy, nutrients, mAb (<24 hrs is critical)

General exam
-Assess common abnormalities (Cleft palate, Umbilical hernia, atresia anii)

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8
Q

Dystocia of bitch (Criteria of dystocia, primary and secondary atony of uterus)

A

Criteria for dystocia
>72 days or >36hours from temperature drop (1 degree)
>30 mins of abdominal straining
Green discharge

After 1st puppy is delivered

  • 30 mins straining from 1st puppy
  • Physically stuck
  • Maternal: Tremour, dyspnea, vocalisation

Uterine inertia (atony)
Most common cause of dystocia
Failure of expulsion with no obstruction
-Complete: Failure of Stage II induction
-Incomplete: Puppy’s start but not all delivered

Primary - Second phase of parturition fails to start

  • Litter size
  • Neuroendocrine disease (most common)
  • Genetic predisposition

Second - Exhaustion of contractile forces

  • Exhaustion of nutritients
  • Large foetus/materal malformation

Primary - Litter size, nutritional, neuroendocrine, age, nervous
Secondary - Narrow pelvis, Neoplasia, stricture, torsion, prolapse

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9
Q

Dystocia of the queen

A

Criteria for dystocia

  • Pregnancy >68 days
  • Straining for >5mins
  • Haemorrhagic discharge
  • Foetal fluids without straining

After 1st kitten is delivered

  • > 2 hours from first kitten + no care to kittens
  • Physically stuck
  • Maternal: Tremour, dyspnea, vocalisation

Uterine inertia (atony)
Most common cause of dystocia
Failure of expulsion with no obstruction
-Complete: Failure of Stage II induction
-Incomplete: Kitten’s start but not all delivered

Primary - Second phase of parturition fails to start

  • Litter size
  • Neuroendocrine disease (most common)
  • Genetic predisposition

Second - Exhaustion of contractile forces

  • Exhaustion of nutritients
  • Large foetus/materal malformation

Primary - Litter size, nutritional, neuroendocrine, age, nervous
Secondary - Narrow pelvis, Neoplasia, stricture, torsion, prolapse

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10
Q

Dystocia of the bitch (obstructive dystocia, forceps delivery)

A

Dystocia of the bitch

  • > 69 days pregnancy
  • > 30 mins abdominal straining with no delivery
  • No parturition within >36 hours of temp drop
  • Discharge

After first puppy

  • > 30 mins straining with no second pup
  • Discharge

Obstructive dystocia
Absolute
-Bone abnormalities - fracture, breed, imamture
-Soft tissue - Stricture, prolapse, abscess, adhesions, stenosis

Relative

  • Malposition, posture, presentation
  • foetal monsters

Medical management
Foetal extraction
-Seen in canal, manual extraction
-Plenty of lube, pull caudoventrally

Forcep manipulation

  • Use with care as forceps can damage the vaginal canal
  • Best when only one puppy stuck
  • C-Section is indicated otherwise
  • Manipulate the head gently
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11
Q

Dystocia of the bitch (medical + surgical management)

A

Medical
When maternal or foetal obstruction has been ruled out
physcial/forcep manipulation

Fluids
-Correct, Volume, electrolytes, A-B, glucose

Oxytocin

  • 1.1-2.2 IU/Kg induces labour by increasing frquency of contractions
  • Oxytocin induced contractions require influx of Ca2+
  • Calcium gluconate IV will augment oxytocin effect

Tocoylics

  • Terbutaline (Betamimetic)
  • Diltiazem (Ca2+ channel blocker)

Surgical
C-section
-indication: Atony, oversize, malformation
-Timing depends on: Lung development (61 days), P4 level, temp
Emergency C-Sec: Dystocia, stress, sepsis, torsion, discharge
Elective C-sec: previous C-Sec, primiparous, brachycephalics

Anaesthesiology
Pre-Med: Metaclopromide (AVOID XYLAZINE, OPIOIDS, MEDEDIMODINE)
Induction: propofol (AVOID KETAMINE)
Maintain: Iso + Sevo

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12
Q

Indication for volunatry and urgent C-section

A

Indications

  • Mal-position/presentation/posture
  • primary inertia (complete or incomplete)
  • Any history of dystocia
  • Foetal stress

Surgical
C-section
-indication: Atony, oversize, maternal malformation

Timing depends on: 
Lung development (61 days) 
P4 level <6nmol/l
Temp (drops 1 degree)
>24 hours from aglepristone admin --> C-Section if parturition still dystocic 

Emergency C-Sec: Dystocia, stress, sepsis, torsion, discharge

Elective C-sec: previous C-Sec, primiparous, brachycephalic, large puppy syndrome (singlee pup)

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13
Q

Disorders of puerperium (metritis + eclampsia)

A

Metritis
Inflammation of uterus
<7 days PP
Risk factor for dystocia and placental retention

E.Coli (uterine commensal) –> toxin –> sepsis

Absent milk let down, vaginal discharge
Dx: Vaginal swab
T: PGF2-a, OVH

Eclampsia
Hypocalcaemia / pueperial tetany
Cs peak at 2-3 weeks PP (peak of lactation)
Demand > bone metabolism
Cs: tremour, lack of puppy care, mydriasis, low BW puppies

Dx: Blood Ca2+
T: Supplement Ca2+ (avoid giving too fast as results in arrythmia)

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14
Q

Disorders of puerperium (uterine prolaps, placental retention)

A
Uterine prolapse 
All or partial (horn or body of uterus)
-Partial: cone shape 
-Complete: Y-Shape
Dry --> necrotise 

Straining during delivery
Excessive bleeding
Forced manual delivery
Hypocalcaemia

Visual protrusion with USG displacement

Placental retention
Larger litters = higher risk

Green placental discharge
Systemic disease

Retention –> atony, placentitis, necrosis

USG, speculum with discharge
T:Forcep removal, oxytocin (after Ca gluconate), Atb, OVH

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15
Q

Disorders of puerperium (Subinvolution of placental sites, disorders of maternal behaviour)

A

SIPS
Abnormal repair of endometrium PP (which usually occurs after placenta tears out of the uterus during birth)

Mostly young primiparous bithes

Cs; weeks of discharge PP
Dx: metritis, vaginitis, cystitis
T: OVH

Maternal behaviour disorders
Maternal bonding occurs shortly PP due to pheramones and prolactin
Facilitates
-Attentivness, nursing, grooming, protection

Anaesthetic drugs + stress can negatively affect these mechanisms and influence maternal behaviour

Maternal fear can cause cortisol and adrenaline release resulting in vasocontrcition and absent milk let down due to lower blood flow and inhibition of oxytocin reaching the mammary

Cs: infantophagia + aggression
T: Calm familiar environment + diazepam/midozolam

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16
Q

Disorders of the ovaries (cysts, tumours and remnant syndrome)

A

Cysts
Follicular - E2 producing cyst
-E2 –> prolonged proestrus + oestrus + sexual behaviour

Luteal - P4 producing post-ovulation
-P4 –> prolonged anoestrus. Risk of endometrial hyperplasia + pyometra

Dx: USG
T:
Follicular –> GnRH/LH –> ovulation
Luteal –> PGF2-a

Neoplasia
Epithelial 
Germa cell tumors of ova 
Connective tissue tumors 
-Disorders of oestrus length, masculinisation, pyometra 
Remnant syndrome 
-Left over tissue from a spay 
Cs:signs of heat (vulva oedema, standing for mounting)
Dx: lab hormones level 
T: removal of tissue
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17
Q

Disorders of the tubular parts of reproductive apparatus (uterus, cystic endometrial hyperplasia/pyometra, tumours

A

Pyometra
Cystic hyperplasia during dioestrus (P4 is high causing thickening of the uterine lining)
bacteria invade cysts and cause purulent inflammation and endotoxin release

Usually >5years of afge within 6 weeks of oestrus

Cs: PU/PD, fever, vaginal discharge, sepsis, abdominal distention

Dog with pyometra must be bred every season or will reoccur if no OVH

Dx: USG, X-Ray
T: OVH, PGF2-a, ATb

Uterine neoplasia
Usually non-spayed older dogs 
Leiomyo/sarco/ma 
Cs: increased risk for pyometra and infertility 
T: OVH, Chemo (doxyrubicin)
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18
Q

Disorders of the vagina and vulva (prolapse, vaginitis, discharge, neoplasia)

A

Vaginal prolapse
Mass that protrudes from the vagina
Proestrus + oestrus –> high E2 –> vaginal oedema and thickening
If left will dry and become necrotic

Cs: interrupts intromission, visible mass
T: tends to regress with lowered E2

Vaginitis
2 forms:
-Adult onset
Inflammation of the vulva usually due to bacterial infection (brucella, chlamydia)

Can be secondary to morphological abnormalities , viral infections (herpes), FB’s, neoplasia, steroids or endocrine dysfunction (Cushing’s)

-Juvenile / puppy (<7months)
Usually insignificant discharge of varying amounts with no other signs
Its main importantence lies in DDx as other issues like UTI’s, uterine FB’s or inverted vagina

Usually resolved after first oestrus so allow cycle to see if vagina corrects itself

Dx: manual exam, vaginoscopy (rule out septa or FB)

Vulval discharge 
Types
-Mucoid (proestrus)
-Blood (proestrus)
-Pus (pyometra, vaginitis)

E2 dependant - remnant syndrome, follicular cyst
Non-E2 dependant - Endometrial hyperplasia, abortion, toxins

Neoplasia
Malignant
-TVT: spread via sexual contact
-SCC, Leiomyosarcoma, mast cell tumor

Benign

  • Leiomyoma
  • Adenoma
  • Fibroma
19
Q

Disorders of the mammary gland (macromorphological irregularities, pseudopregnancy, mastitis)

A

Dogs: 5 pairs
Cats: 4 pairs

Morphological issues
Inverted nipples (can evert)
Hyper or hypoplastic nipples 
-Ectasia: widening and obstruction of nipples leading to inflammation + abscessation
Supernumery nipples 

May only become an issue when lactating so non breeding females may go unoticed

However in lactation may prevent milk let down

Pseudopregnancy 
Pregnancy signs in non-pregnant bitch 
Prolactin increase + P4 decrease 
6-12 weeks PP
Lasts 2-3 weeks 
Cs: mammary development, maternal behaviour, PU/PD
T: 
Self-limiting 
If mastitic give androgens to quell Cs
Mastitis 
Aseptic - pseudopregnancy
Colliform - E.Coli
Environmental - from environmental bacteria 
Gangrenous/spetic - abscesses
Acute/Chronic 
Dx: Milk culture + acidic milk (<7.3)
ATB:
Acidic <7.3 - mycin
Alkaline >7.3 - penicillin
20
Q

Disorders of the mammary gland (agalactia, fibroadenomatous hyperplasia)

A

Dogs: 5 pairs
Cats: 4 pairs

E2+P4 block prolactin during pregnancy

Lactogenesis (Stage 1 + 2)
End of pregnancy - reduction in P4 –> increased prolactin –> initiates lactation

Galactopoiesis
Lactation is induced by suckling –> releasing oxytocin (myoepithelial contraction)

Agalactia
Primary - total stop. Malformation. endocrine dysfunction.
Secondary - start/stop. Due to poor synchronisation of parturition. Stress. Metritis/Mastitis
T: metaclopromide (increases prolactin) + acepromazine (sedative)

Absence of milk let down 
Obstruction due to nipple malformation 
Oedema in the mammary 
endocrine dysfunction 
Stress + vasoconstriction (inhibits GnRH --> prolactin)
Y: Oxytocin 

Fibroadenomatous hyperplasia
Rapid abnormal growth of mammary tissue due to an exaggerated responce to P4

1-2 weeks post-oestrus

2 types;
Lobular - palpable masses in one or more mammaries
Fibroepithelial - Young, cycling or pregnant cats

Cs: erythema or necrosis
T: Anti P4
mastectomy

21
Q

Disorders of the mammary gland (tumours, Dx, Staging)

A

Most common site except skin
Hormones play an important role
-E2 + P4 (development of mammaries)

Risk factors

  • Age: >6 years
  • Location: caudal mammaries
  • Hormones: E2+P4 (unspayed at 7x higher risk)
  • Obesity: Adipose metabolism

Staging
T - size + invasion type (1-4)
N - LN’s (0-2)
M - Mx (0-1)

Stage 1-3: surgery
stage 4-5: poor prognosis

Expansion (inside capsule)
Invasion (extension outside of capsule)

T:
Lumpectomy - <1cm 
mammectomy - one gland 
mastectomy - Regional (1-3, 4-5)
mastectomy - uni/bilateral (1-5 + LN's)

Chemo (doxyrubicin, vincristine)

22
Q

Treatment of mammary neoplasia. surgical (Nodulectomy, mastectomy, mammectomy). Non-surgical treatment.

A

Non-surgical
Chemotherapy - doxyrubicin, vincristine

Radiation

Hormonal

  • Dopamine antagonist (cabergoline) - GnRH (E2) inhibition
  • Aglepristone - P4 blocker
  • E2 inhibitors (aromatase inhibitors) - tamoxifen

Surgical
<1cm - 2-3cm margin
>1cm - >3cm margin

Lumpectomy
-one lump <1cm

Mammectomy
Removal of one entire gland and underlying fascia + muscle

Masectomy 
Regional 
-1-3, 4-5 
Chain (Bi/Unilateral)
-1-5 + LN's 
-Large masses or suspected malignancy 
-Better to do 2x unilateral 5 weeks apart 
-Best preventative measure
23
Q

Neonatal disorders (physical exam and neonatal resuscitation)

A

Physical exam
History
-Age, litter size, behaviour with siblings and dam

Trauma - from dam
Status - hydration, behaviour
Skin+hair - coverage
eyes + ears - pathologies
Oral cavity - colour, malformation (cleft palate)
Congenital issues - hydrocephalus, hydrops
Neurological - postural reactions (neuro exam)
Suckling reflex - present until 3 weeks of age
Rectum - patency (atresia anii)
Umbilicus - Ligate, disinfect, ensure no bleed

Healthy, pink, eyes open at 12-14 days

T - >36 degrees C
R - 15-30rpm
P - >220bpm

Resuscitation 
Should breath spontaneously very soon PP
A - clear airway from mucous 
B - Breathing?
C - circulation (prevent shock)

CPR - press on right side of puppy once per second and breath once per 6 seconds

Warm + rub

Rectal massage to stimulate passage of meconium and urination

Energy - hypothermia + hypoglycaemia

24
Q

Neonatal disorders (bradycardia, hypothermia)

A

Thermoregulation
Neonates cannot properlly regulate their own body temp

Physiological ranges

  • Week 1: 36-37
  • Week 2: 37-38
  • Week 3: 38-39

Little fat + wet + surface area to volume ratio = rapid heat loss

hypothermia –> hypoglycaemia + bradycardia, CNS + Ileus
T: Feed, Heat source, Dry

Bradycardia
HR in neonates is not vagally mediated
Hypoxia (cardiomyocytes)
Hypothermia (protects the brain from ischemia - lowers O2 demand)

Temp <22 degrees –> bpm 40-50bpm

Cs: shiver, depressed, cyanosis
T: O2, Warm, glucose, IV adrenaline (NOT ATROPINE - no vagal affect)

25
Neonatal disorders (Hypoxia + dehydration)
Hypoxia Usually a result of expulsion -Umbilical torsion -Dystocia Neonatal hypoxia --> redistribution of blood to Lungs, heart, brain However advanced hypoxia bypasses this mechanism - Decreased HR (bradycardia) - Enteric necrosis (ileus) - CNS damage (seizures + coma) - Cyanosis + no suckling Dehydration Higher risk due to surface area to volume ratio Decreased kidney ability to retain water Caused by; -D+ -Warm environment Hypovolemia --> heart failure Rapid rehydration is also poorly tolerated and can result in cerebral oedema T: Warm isotonic fluid (4-6ml/kg/hr) (Ringer's with glucose for hypoglycaemia)
26
Neonatal disorders (Viral, protozoal, nematodes)
``` VIRAL Herpes (CAV-1) Transplacental, oro-nasal Hepatitis + vasculitis = DIC No suckling, Yellow-brown D+, hypothermia, cataracts ``` Parvo-1 - "fading puppy syndrome" Parvo-2 - Severe watery D+, myocarditis Distemper Transplacental -CNS issues T: Maternal vaccination ``` PROTOZOA Toxoplasma gondii -Hydrocephalus, blindness, calcification Neospora caninum -CNS, muscle atrophy and myocarditis Strongyloides -Transplacental/mammary toxocara canis + catii -Transplacental/mammary ```
27
Neonatal disorders (septicaemia, D+, respiratory disease)
Neonatal sepsis Bacteraemia + viraemia in the blood causing systemic infection --> shock If a single puppy is affected --> umbilical trauma If the whole litter is affected --> GIT or Respiratory route Bacteria- Brucella, E.Coli, lepto, strep, actinomyces Viral - Herpes (CAV-1), Distemper, Parvo 1 + 2, Corona Cs: hypermaeic mm + sclera + nail beds T: Warm, rehydrate, nutrition, ATb's ``` Diarrhoea Foul smelling bloody faeces massive water loss --> dehydration Inf: Campylobacter, listeria, slamonella Non-inf: milk replacers ``` Dehydration --> hypovolaemia --> hypothermia Dx: SG >1.035 (if dehydrated and <1.035 then inappropriate conc of urine) Respiratory distress I + II I - Destruction of alveoli II - Lack of surfactant (most common) Lungs mature at 61 days If delivered before this steroids can be given (to dam) to kick start lung function before parturition
28
Neonatal disorders (Fading puppy syndrome, neonatal isoerythrolysis)
FPS - Progressive weakness - Failure to nurse - Reduced body weight - Hypothermia - <2 weeks of life Common factors - Maternal care - Milk production - Nursing - Bith defects - Low BW - Infectious (Parvo-1) Cs: Low BW --> hypothermia, lack of suckling --> hypoglycaeimia + bradycardia Neonatal isoerythrolysis mAb's --> Neonatal RBC's (inherits sire antigens) Cs: severe haemolytic anaemia approx 3 days PP Can result in hydrops(anasarca) Dx: mix maternal blood with neonate blood --> agglutination = isoerythrolysis T: Substitute colostrum + supplement Fe + Vit K Fluids or transfusion
29
Congenital abnormalities of neonate
Defect in structure or function usually due to genetic defects Hydrocephalus Build up of fluid in the skull --> pressure necrosis Impedance of CSF drainage or overproduction Congenital/Acquired T: CCS, Diuretics, craniotomy Atresia ani Stenotic, or completely non-patent anus Female = recovaginal fistula Cs: progressive abdominal distention and pain T: 6-8 weeks - small surgical instruments can be used to locate the Colon and open Cleft palate + lip Often in brachycephalics Genetic, nutritional or exposure to teratogens (anything that disrupts normal gestation and foetal development) T: orogastric tube feeding and surgical correction (>12 weeks) Anasarca (hydrops fetalis) Massive subQ oedema Puppies often splay legged and bloated Environmental factors may exasserbate Dx: USG T: diuretics, massage, lower sodium intake in diet Flat chested kitten syndrome Flattening of ventral rib cage If whole rib cage affected it causes curling Dx: dyspnea, sternal flattening, angular costochondral joints T: K+ supplement, Splinting technique -Sutures are used to pull the sternocostal area and try to pull the ribs into place, any soft tissue contributing to the problem should be resected and repositioned to heal correctly Can do in young as bones are more plyable (>5 months becomes difficult)
30
Infertility of the bitch - disorders in oestrus cycle (split oestrus, shortened interval between oestrus, prolonged proestrus or oestrus)
Split oestrus Absence of, or depressed oestrus signs after a physiological prooestrus. If prooestrus occurs again within 4 weeks usually next cycle is normal (hence split) Multiple occurences: hypothyroidism, premature luteolysis Shortened interoestrus interval Anoestrus <2 months, usually causes repetition of oestrus however unlikely all cycles are fertile (low LH and no ovulation) Causes: overstimulation of ovaries - follicular cysts Premature dip in progesterone during dioestrus ``` Prolonged oestrus 9 days - physiological >21 days - prolonged Caused by lack of ovulation Follicular cysts Signs of oestrus >21 days (mating behaviour) Dx: Vaginal cytology T: OVH, GnRH/hCG ```
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Infertility of the bitch - disordered of heat (Primary and Secondary anoestrus)
Anoestrus State of sexual inactivity between oestrus or after age of puberty ``` Primary anoestrus (no signs of heat even after puberty 6-14months) Endogenous -Silent oestrus -Hypothyroidism -intersex/differentiation issue -P4 producing luteal cyst -Ovarian dysplasia ``` Exogenous - P4 agonists (MA, MMA) - CCS admin - OVH ``` Secondary anoestrus (Prolongation of the interoestrus period. Confirmed when oestrus does not occur 10-18 months after last oestrus, usually occurs every 4-10 months) Endogenous -Thyroid or adrenal dysfunction -Cachexia, obesity -Luteal cysts ``` Exogenous -Progestagens (P4), Androgens (milbemectin, Steroids Dx: serum P4(>2nmol/L for 2 months post-anoestrus) Serum FSH + LH T: Primary - correct underlying issue first Then induce oestrus - Prolactin inhibitors (dopamine agonist ) - cabergoline - GnRH stimulation - cabergolin - GnRH analogue
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infertility of the bitch - abnormal mating (behavioural problems, abnormalitiy of reproductive tract
Behavioural issues First mating must be non-traumatic to reenforce normal mating behaviour Inappropriate timing - Mating should occur during oestrus (approx 6 days from onset) - Common issues include proestrus mistiming - Increased success in insemination at 10-14 days from proestrus (5/6 days from onset of oestrus) Aggressive sire -This may cause reluctance to mate in future Tract abnormalities Can result in impedence of sperm or intromission Vestibulo-vaginal bands (speta) - Can manifest as vaginitis, incontinence, UTI - Persistent hymen - Narrowing due to hypoplasia Vaginal hyperplasia - overgrowth prevents intromission Segmental aplasia - aplasia of tract or ovaries Uterine tumors - leiomyoma, fibrosarcoma, SSS Cervical stenosis - sperm obstruction Cystic endometrial hyperplasia - often develop due to exogenous P4+E2, often seen in adenomyosis Endometritis/metritis - Inflammation and thickening of the utersus can impede implantation of fertilised ova
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infertility after apparently normal mating
Mating too far/too close to ovulation -Inappropriate mating timing due to poor observation of signs or misinterpretation of lab tests Abnormalities of vaginal canal -impedence of sperm transport Pregnancy failure -Associated with uterine disease (endometritis) or tubular disease (cysts) Male infertility -Male behavioural issues are the most common cause due to anatomical malformation, behavioural issues or infectious conditions Sperm defects - Primary or secondary defects >20% as well as motility or presence deficiencies Male intersex - XXY (kleinfelter syndrome), hermaphrodite Azoospermia - absence of spermatozoa in physiological semen Incomplete ejaculation - Failure of release of 2nd phase of sperm rich ejaculate. Nervous young stud Retrograde ejaculation - sperm ejaculates into the bladder (Phenylephrine - used to treat incontinence "sympathomimetic") Obstruction - vas deferens (neoplasia, granulation, spermatoceles) Testicular dysfunction - Torsion - Hypoplasia - Cryptorchidism - Sertoli cell tumour
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Disorders of the prepuce and penis - Hypospadias, phimosis, paraphimosis
Hypospadias Developmental disorder where the urethra exits ventral or dorsal to usual. Related to decreased androgens in utero. Classification - Glandular - Penile - Scrotal - Peri/anal Cryptorchidism is often associated with hyposapdias Cs: incontinence, urine scalding T: urethrostomy ``` Phimosis Inability to protrude penis from prepuce -Phallocampsis -Short penis -Ballanosis -Preputial stenosis ``` Dx: can't protrude DDx: behavioural or hormonal T: circumsize Paraphimosis Inability to retract penis --> oedema --> necrosis -ballanosis/postitis -Nervous issue (spinal issues) -Tranquillisers T: Cold pack and lubricate to try and replace Purse string suture
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Disorders of the prepuce and penis - Balanopostitis, priapism, urethral prolapse
Sympathetic - inhibits erection Parasympathetic - maintains erection Balanopostitis Balanitis - glans -Result in stenosis of urethra, adhesions and pain Postitis - prepuce Can be caused by trauma, herpes, rabies Strangulation results in oedema and necrosis with ulceration and purulent discharge T: Flush prepuce (ATB), lubricate with oil Priapism >4 hour erection w/ no stimulation Caused by; -CNS, drugs, vascular issues (entrapment of blood in the penis), masses. -Can be a reaction to phenothiazine or tranquilisers Non-ischemic: Artieral (high flow in) Ischemic: Venous occlusion (low flow out) DDx: Döppler USG T: Ischemic - Flush, drain + phenylephrine (sympthomimetic) Non-ischemic - just phenylephrine Urethral prolapse Result from testicular disease, dysuria (straining), uroliths Cs: pea-size mass from prepuce T: Sexual rest, ligation and removal
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Disorders of the testes - Anorchidism, monorchidism, cryptorchidism
Anorchidism + monorchidism Suspected ischemia of testes (torsion or embolism) in utero. Can be associated with sex hormone insufficiency + related Cs -Immature behaviour, feminisation, physical genital malformation Dx: palpation or laparoscopy DDx: mono, an and crypt with serum testosterone levels after GnRH or hCG ``` Cryptorchidism Lack of testicular decent either uni or bi lateral Location -Inguinal -Abdominal -Ectopic (femoral canal) ``` Cs: azoospermia with normal hormone production Higher temp = higher risk of neoplasia Dx: testosterone stim test -Testosterone responce to GnRH allow assessment of testicular leydig cell viability X-Ray, USG T: Castrate (remove cryporchid testicle first) Don't breed
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Disorders of the testes - Orchitis, epididymitis, testicular torsion (spermatic cord torsion)
Orchitis + epididymitis Inflammation of testes + epididymis (Primary - direct, Secondary - from orchitis) Non-infectious: Auto-immune, trauma Infection: Brucella, staph, e.coli, mycoplasma, herpes, distemper (HE, BDSM) Routes of infection - Direct/traumatic - Haematogenous - Ascending Chronicity results in fibrosis + atrophy Orchitis - interstitial, intralobular, necrotising Cs: enlargement, erythema, HL lameness, discharge Dx:purulent T: ATB, NSAID, castrate Testicular torsion Twisting of connective tissue that suspends testes (Lig. propria) >180 degrees results in ischemia by occlusion ``` Causes -Cryptorchidism -Neoplasia -Enlarged testes (inflammation) Cs: HL lameness, haematuria, stranguria Dx: döppler of blood flow to testes T: castrate ```
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Disorders of the testes - spermatocele, testicular neoplasia
Spermatocele Cyst of the epididymis caused by blockage Caused by; -Trauma -Adenomyosis (invasion of lining with glandular tissue) -Hyperplasia Sperm stasis --> leakage into surrounding tissue --> inflammation and granulation Cs: lack of ejaculation Dx: imaging T: Self-limiting Neoplasia Assosiated with hyperoestrogenism Germ cell tumours - Seminoma: spermatocyte tumour - Teratoma: totipotent cells Sertoli cell tumour - Hyperoestrogenism - Higher occurance in cyrptorchidism Leydig cell tumor (most common) -Increased testosterone --> more aromatisation --> more oestrogen Production leads to prostate hyperplasia -Cs: alopecia, gynomastectia, pancytopenia Dx: semen morphology T: Castrate
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Preventative and therapeutic orchiectomy
Orchiectomy Similar to a castrate uni or bi lateral Cats - <6 months Dogs - (anytime after 8 weeks) 16 weeks optimally ``` Preventative orchiectomy Suppression of behaviour -Lowering disease spread (FIV), less exposure to environment -Reduced roaming - RTA's -Detection of queens/bitches in heat ``` Unwanted pregnancies Hormone driven behaviours - Testosterone - spraying, aggression, humping - Easier to train Therapeutic orchiectomy -Cryptorchidism: neoplasia + torsion -Preventative testosterone diseases: prostate hyperplasia, prostatitis, peri-anal adenoma + hernia Suppression of harmful genetic traits - cryptorchidism, hip dysplasia, epilepsy, hydrocephalus
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Disorders of the prostate - benign prostatic hyperplasia, neoplasia
Benign prostatic hyperplasia Common occurance in intact males >5 years old Benign --> inflammation can cause stranguria, constipation, vomiting Two-forms Follicular Non-follicular (cystic) Increased incidence with excess testosterone (Leydig cell tumour) Hyperplasia --> increased vascularity --> haemorrhage Cs: tenesmus, haematuria (purulent - cystic, non-purulent - non-cystic), stranguria Dx: USG T: Oestrogen, P4 analouges, Castrate, prostatectomy Prostate neoplasia Squamous cell carcinoma -Incidence in sertoli cell tumours or exogenous E2 Adenocarcinoma -Multiple nodules that compress urethra + colon Cs: tenesmus T: Prostatectomy
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diseases of the prostate - Cysts and prostatitis
Cysts Fluid filled pockets that are single or multiple Intact dogs at higher risk (rare in cats) Arise due to blockage of ducts + accumulation of fluid Cs: tenesmus, stranguria, haematuria Dx: urinalysis, culture, X-Ray T: castrate or cystectomy Prostatitis Inflammation of prostate --> common in hyperplasia prostate Causes - Ascending (prepuce, urethra, testes) - haematogenous - venereal Acute: suppurative inflammation, abscessation and sepsis (peritonitis) Chronic: atrophy + fibrosis Cs: tenesmus, stranguria, haematuria, arched back Dx: urinalysis, imagine T: ATB, NSAID, Laxatives
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Infertility of dogs - poor semen quality (teratozoospermia, oligozoospermia, azoospermia, astenozoospermia)
Male infertility - lack of fertilisation of female even after multiple services Semen quality caused by hormonal issues, medictions, infection, cryptorchidism Sperm number Azoospermia - lack of spermatozoa in ejaculate Oligo(zoo)spermia - lowered sperm count in normal ejaculate Sperm motility Asthenozoospermia - >70% motility defects -Reduces the ability to travel up the oviduct Sperm morphology Teratozoospermia - >60% morphological defects Oligo/asteno/terato-zoospermia - reducation in number, motility, morphology Sperm defects Regional - head, mid, tail Primary - during development Secondary - during ejaculation >10% = infertility Chromosomal - XXY, cryptorchidism, hermaphrodite Acquired - Infection (orchitis), drugs or toxins
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Infertility of dogs - failure of conception after normal mating, failure to copulate/ejaculate
inability to impregnate a fertile bitch even after multiple services Failure to copulate - Female reception - nervous or aggressive female may put male off - Male who is nervous, or not sexually mature - Inappropriate environment (slippry floor, loud, busy) Physcial Any spinal, joint or muscle injury (especially of HL) Malformed penis - Phallocampsis - Short penis - Broken os penis Systemic disease - Cachexia, depression --> reduced libido - Premature (pre-pubescent) Sperm defects Regional - head, mid, tail Primary - during development Secondary - during ejaculation >10% = infertility Chromosomal - XXY, cryptorchidism, hermaphrodite Acquired - Infection (orchitis), drugs or toxins A/oligo-zoospermia Astenozoospermia teratozoospermia Oligo/asteno/terato-zoospermia