Ruminant neuro Flashcards

(265 cards)

1
Q

What is the most common cause of seizures in both goats & sheep?

A

polioencephalomalacia

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2
Q

What are causes of polioencephalomalacia?

A

-excessive sulfur consumption
-altered thiamine metabolism
-salt poisoning or water deprivation
-amprolium admin
-rations of molasses & urea
-Pb intoxication

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3
Q

Thiamine deficiency in PEM is pathologic because important in what cycles?

A

rate limiting enzyme in hexose monophosphate pathway– krebs cycle

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4
Q

What examples of bacteria and plants that produce thiaminases?

A

-bacillus thiaminolyticus, costridium sporogenes

-plants: bracken fern (pteridium aquilinum), horse tail (E. arvense), Nardoo fern (marsilea drummondii)

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5
Q

What is the sulfur role in development of PEM- pathologic mechanism?

A

-INC ruminal sulfide ** overwhelm hepatic index detox capacity
-cattle inhale ruminal gas (bypass hepatic circulation)

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6
Q

PB and sulfur can cause PEM by what mechanism?

A

**impair ATP production
–affect electron transport sim to sulfide

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7
Q

What are clinical signs of subacute PEM polioencephalomalacia?

A

symmetric
-blind
walk with head held erect
slight hyeprmetric gait

progresses to bilat cortical blindness
head pressing
opisthotonos
bilat
dorsomed strabismus
miosis
repetitve chewing
profuse pytalism
defective menace response
variable nystagumus
INC HR, RR

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8
Q

what are clinical signs of acute form of PEM polioencephalomalacia?

A

recumbent
comatose
episodic tonic-clonic convulsions
-recumbent & hypertonic between seizures

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9
Q

What are ddx for PEM polioencephalomalacia?

A

lactic acidosis
carbohydrate engorgement
ruminal tympany
enterotoxemia
salt poisoning/water deprivation
head trauma
bact meningoencephalitis
coccidoiosis w/ NS invovlement
vit A def
ethylene glycol poisoning
locoism
rabies
IBR encephalitis

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10
Q

What does CSF for PEM polioencephalomalacia look like?

A

mild pleocytosis: 5 to 50 WBCs with voaculoation
INC protein concen: >50 mg/dL

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11
Q

what is the treatment of polioencephalomalacia PEM?

A

thiamine
dexamethasone
mannitol
amtimicrobial admin
control convulsions: phenobarb, pentobarb, diazepam

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12
Q

ruminants with PEM secondary to molasses-urea diet don’t respond to what treatmetn?

A

–thiamine administration
** respond to glucose or oral glucose precursor

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13
Q

What are preventative measures to be taken for polioencephalomalacia?

A

-allow appropriate time to adjust to high concen. rations
-feedstuff analysis routinely: ID source too high in sulfur, remove high sulfur hay, ammonium sulfate, molasses
-thiamine supplementation
-brewers yeast
-gypsium
-cobalt

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14
Q

Water intoxication occurs when?

A

concurrent with period of restricted access to water followed by unrestricted access to water

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15
Q

Water intoxication pathogenesis

A

disease occurs once water enters extracellular fluid and moves to brain tissue

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16
Q

What are feedstuffs that are common sources of excess NaCL?

A

whey
saline preserved fish or fish meals
bakery by-products
-milk replacers or oral electroltye solutoins
-brine (flush during teh drilling of oil wells)

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17
Q

Acute salt intoxication occurs when

A

ignestion of large quantity of NaCl

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18
Q

chronic salt intoxication occurs when

A

long periods with decreased water consumption with low-mod salt intake

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19
Q

What is the pathogenesis of hyeprnatremia?

A

imbalance in sodium & water regulation
– INC in sodium plasma concentration
- causes movement of intracellular water into ECF= cellular dehydration

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20
Q

With chronic hypernatremia, when are clinical signs seen?

A

with osmotic adpatation in brain– no C/S seen until treatment with rapidly dec plasma concentraiton Na IVF
or drinking lg quantities of water

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21
Q

When are gastrointestinal signs seen with salt toxicity?

A

-large quantities of salt ingested over short time period
– intestinal lumen hyperosmolarity
(saline catharsis, osmotic diarrhea)

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22
Q

What C/S are seen with salt intoxication?

A

GI and neuro signs
– Stargazing, constant chewing movement, coma, dec milk production, blindness, aggressiveness, hyperexcitability, psychomotor seizures nystagmus vocalization

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23
Q

with salt intoxication, what is seen on serum and CSF?

A

serum/CSF concen: >160 mEq/L
>1:1 CSF: serum ratio
OR
brain NA concen >150 mEq/g or 1800ppm

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24
Q

What is seeing on necropsy with salt intoxication?

A

cerebral edema
softening & flattening of cortical gyri
microscopic lesions: laminar cortical necrosis, poliomalacia, +/- mengineal or perivascular infiltration of eos or monos

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25
Ruminants have a tendency to lick or chew objects that lead to lead poisoning. What are potential sources of Pb?
PB arsenate defoliants PB acid batteries used motor oils linoleum roofing felt paint machinery grease caulking compounds improperly compounded mineral supplements foliage- near smelters & battery recycling plants
26
What are factors that increase likelihood of ingestion?
lack of alternative feedstuffs hunger phosphorus deficiency
27
Lead toxicity influenced by what dietary factors?
calves on milk-- INC correlation with Vit D and enhanced Pb absorption Copper-pastures fertilized with pig slurry, potentiate accumulation of lead
28
What are the toxic effects of lead?
-inhibition of free sulfhydryl groups in many enzymes -interference with zinc containing metalloproteins -steric inhibition of enzyme activity -enzymes of heme synthesis susceptible to injury-- shortens RBC half-life
29
What are C/S of lead toxicity?
-hyperesthesia, muscular fasciculations, rapid fast twitching eyelids/facial mm -progression: ataxia, CP deficits, cortical blindness, head pressing, ondotprisis, coma, convulsions, bellowing death -GI signs: bloat, diarrhea, rumen atony, colic -infertility -abortions -fetal malformations
30
What is the preferred diagnosis of lead toxicosis?
blood concen: free RBC porphyrins and RBC concen delta-aminolevulinic acid
31
When collecting blood for diagnosis of pb levels, what tube should you use?
heparin to collect blood b/c does not chelate blood
32
What can be administered intravenously to in low lead tox poisoning levels?
EDTA-- solubilizes the bone lead stores adn INC the concen in plasma then excreted in urine
33
What is seen on radiographs in young animals chronically exposed to lead?
"lead lines"--radiopaque transverse bands & metaphyses of long bones
34
Why is anhydrous ammonia added to poor quality feed?
-improves nutrtional density -dec certain fungal toxic metbaolites -inc DML -enhances digestibility -inc protein value
35
Cause of cow bonkers
overammoniation >3% forage DMI
36
with lead toxicity, what is the effect on calves
toxin concentration in milk-- calves show C/S
37
What C/S are seen with ammoniated forage tox/Cow bonkers?
hyperasthetic ataxia sawhorse stance- at rest vocalization dysphonia walking/running into objects when excited: hyperactive, blind (appear), circle propulsively
38
What is the toxic principle of cow bonkers?
diakylimdazoles r-methylimidazole
39
ammoniated forage toxicosis/ bovine bonkers is seen at what level?
ammoniated >3% of forage on dry matter basis
40
When are clinical signs of ammoniated forage toxicosis/bovine bonkers worse?
worsen with hyperexcitability
41
Listeriosis can manifest as what forms of disease?
neonate septicemia abortion neonatal death ophthalmitis uveitis diarrhea neuro disease
42
What kind of neurologic disease does listeriosis cause?
multifocal brainstem Diffuse meningoencephalitis
43
What are possible sources of listeriosis?
carrier animals rottingvegetation pastures feed bunks
44
Which species has a higher case fatality rate due to listeriosis than cattle?
sheep & goats
45
What are common sources of contamination with listeriosis?
-decaying forage at bottom of feed bunk -spoiled silage at end of trench silo -rotting hay at periphery of hay stack
46
What toxin does listeria monocytogenes produce and what is its MOA?
listeriolysin- O- hemolysin
47
What C/S are seen in listeriosis?
asymmetric -CP deficits -head pressing -CN deficits: V-XII
48
Ocular disease due to listeriosis manifesting as keratitis, conjunctivitis, uveitis manifests in what species?
cattle and horses (w/o neuro signs)
49
Cattle with listeriosis develop metabolic acidosis due to?
salivary bicarb losses d/t CN deficits
50
How is ovine progressive pneumonia (OPP) virus spread?
-ingestion of infected colostrum and milk respiratory transmission fecal contamination of drinking water fomite
51
How is ovine progressive pneumonia (OPP) synergistic with what neoplasm?
Adenocarcinoma
52
What allows for OPP lentivirus to escape elimination by host immune response?
mutation of the gene encoding for envelope glycoproteins
53
ovine progressive pneumonia (OPP) infection establishes in what cell lineage?
monocyte or macrophage cell lines
54
ovine progressive pneumonia (OPP) multi-systemic diseases of adult sheep are characterized by:
-chronic progressive, debilitating pneumonia; respiratory failure -aseptic indurative mastitis ("hard bag") -wasting progressive emaciation despite good appetite ("thin ewe syndrome") -chronic non-suppurative arthritis
55
What neurologic deficits are seen with ovine progressive pneumonia (OPP)?
weight loss posterior paresis hindlimb ataxia stumbling proprioceptive deficits progressing ot paralysis & quadriplegia **may localize to spinal cord
56
ovine progressive pneumonia (OPP) diagnosis
serology: AGID, ELISA, western blot **presence of antibodies in serum= evidence of active infection
57
For testing and culling program for ovine progressive pneumonia (OPP), how often should testing be performed?
annual testing should be performed until two consecutive negative test results are obtained to be reasonably confident that the flock is virus free
58
Caprine arthritis encephalitis virus (CAEV) chronic infection is characterized by
demyelinating encephalomyelitis arthritis interstitial pneumonia
59
What are tissues of importance for Caprine arthritis encephalitis virus (CAEV) localization
synovium mammary gland central nervous system
60
What is the most common form of Caprine arthritis encephalitis virus (CAEV)?
debilitating polysynovitis-arthritis form **as young as 6 months, but more frequently in mature goats
61
Caprine arthritis encephalitis virus (CAEV): leukoencaphlomyelitis form is predominately seen in which age
predominantly less than 2 year of age (2 -6 months of age especially)
62
What are differentials for Caprine arthritis encephalitis virus (CAEV) leukoencphalomyelitis form
head or spinal trauma listeriosis cerebrospinal nedmatodiasis (parelaphostrongylus tenuis) multisystemic infection with mycoplasma spp
63
How to ddx Caprine arthritis encephalitis virus (CAEV) from listeriosis?
CAEV multifocal CNS lesions Listeriosis generally restricted to brain stem
64
Caprine arthritis encephalitis virus (CAEV) differentiating from mycoplasmal infections
mycoplasmal infections typically affect kids from 1 to 6 months of age, affected animals are systemically ill and often display septic polyarthritis and polyserositis
65
how to differentiate Caprine arthritis encephalitis virus (CAEV) from verminous meningoencephalomyelitis?
serologic or PCR testing for the virus CSF analysis season geogrpahic disturbtion of white-tailed deer host
66
What are ddx for Caprine arthritis encephalitis virus (CAEV) chronic interstitial pneumonia form?
lung worms, pulmonary abscessation and chronic bronchopneumonia
67
What is the diagnostic for Caprine arthritis encephalitis virus (CAEV)?
ELISA-- whole virus, core or enveloped proteins PCR- milk, tissue blood AGID-- older test, but still official USDA test
68
Caprine arthritis encephalitis virus (CAEV)L: CSF tap
TNCC: 5-1800/uL; predom mononuclear INC protein: 0-700 mg/dL, and pleocytosis
69
Caprine arthritis encephalitis virus (CAEV): arthrocentesis
brown to red-tinged inc tnccc, predom mononuclear dec protein
70
Which herpesvirus types are seen to cause encephalitis in cattle?
BOHV-1 and 5
71
BOHV-1 typically causes what?
infectious bovine rhinotracheitis-- fibrinonecrotic plaques upper airway and abortions, epizootic conjunctivitis, infectious balanoposthitis or vulvovaginitis
72
where does persistently infected with bovine herpesvirus survive?
in nasal and tracheal mucosa trigeminal ganglion
73
brain involvement seen with bovine herpesvirus is due to
centripetal spread along sensory neurons of trigeminal and olfactory nerves
74
BOHV encephalitis causes a nonsuppurative meningoencephalitis widely distributed in:
grey matter of brain ** primarily cerebrum and thalamus
75
What C/S are seen with BOHV encephalitis?
**resp signs proceed or concurrent with neuro C/S depression head pressing aimless circling paralysis fo tongue head tilt nystagmus convulsions blindness coma death seizures
76
CSF analysis with BOHV encephalitis
mononuclear pleocytosis
77
ovine encephalomyelitis-- louping ill epidemiology
ssRNA virus neurotropic Flavivrus
78
How is ovine encephalomyelitis-- louping ill transmitted?
Ixodes ricrumus, I. persulacatus Rhipacephalus appendiculatus fomites (blood contaminated) blood products
79
ovine encephalomyelitis-- louping ill amplication occurs in what species?
wild animals and red grouse (ingesting tick), hare-- improtant virus source
80
ovine encephalomyelitis-- louping ill concomittent infection with what increases viremia and mortality
anaplasma phagocytophilum
81
What C/S are seen with ovine encephalomyelitis-- louping ill?
ataxia, CP deficits, head tremors, hypometria (**characteristic bunny hopping gait), hyperexcitability **progression to head pressing, recumbency, convulsions, coma, death
82
Diagnosis of ovine encephalomyelitis-- louping ill
hemagglutination inhibition complement fixation **peak viremia at 7 days **usu not viremia at time of CNS
83
What is the cause of hairy shaker lambs?
border disease virus -- pestivirus, noncytpathic togavirus
84
What is the major reservoir for border disease virus?
congenitally infected seronegative animals with no symptoms --> placenta, infected offspring, saliva, resp secretions, urine & feces
85
hypomyelination caused by ovine encephalomyelitis-- louping ill
dyspmelinogenesis: virus induced degenr. of oligodroglial cells
86
ovine encephalomyelitis-- louping ill viral immunosuppression is due to
depressed blastogenic activity of lymphs -- dec T helper cell function -- INC T suppressor cell function
87
ovine encephalomyelitis-- louping ill cause of immunosuppression leads to death via
parasitism diarrhea bronchopneumonia
88
The worst clinical signs of ovine encephalomyelitis-- louping ill are seen in which age lambs?
lambs infected in early gestation (<50 days)
89
ovine encephalomyelitis-- louping ill: affected lambs show what C/S
short thickened body shortened legs smaller orbital size doming fronta bone +/- arthrogyropsis +/- neuro signs
90
teratogenic effect of ovine encephalomyelitis-- louping ill is seen at what days of gestation
50 to 90 days
91
ovine encephalomyelitis-- louping ill causes what clinical signs in goats??
during pregnancy-- fetal mummification and abortion
92
cattle co-mingling with sheep can contract what disease and develop what clinical signs?
ovine encephalomyelitis-- louping ill ** abortions in cattle at 50 days gestation
93
What are differentials for ovine encephalomyelitis-- louping ill?
other causes of infectious abortion copper def (sway back) hydrancephaly: cache valley, blue tongue, schmallenberg virus
94
Bovine spongiform encephalopathy ("Mad Cow") disease cause
accumulation abnormal prion protein in CNS leading to progressive neuro disease **altered conformation PrP-BSE
95
How Bovine spongiform encephalopathy ("Mad Cow") spread?
foodborne disease of cattle --assoc with ingestoin of meat & bone meal contam with BSE prion
96
typical Bovine spongiform encephalopathy ("Mad Cow") is seen in what age cattle?
4 to 6 year old
97
Bovine spongiform encephalopathy ("Mad Cow") is diagnosed with the startle reaction test with what clinical signs
hand test (punching towards animals head)/flash light/ hand clap/ loud "metallic" bang --> BSE cattle do not habituate to startling
98
What are C/S seen with Bovine spongiform encephalopathy ("Mad Cow")
inc head rubbing/head tossing mm fasciculations excessive vocalization tremors/ataxia licking of nostrils yawning flehman response head butting restlessness
99
How is Bovine spongiform encephalopathy ("Mad Cow") diagnosed?
PM exam only rapid prion tests: western blot, paraffin imbedded tissue blot, ELISA HISTOPATH:t issue of choice: medulla obex -->intraneuronal vacuolation in sp brain areas accompanied/ preceded by accumulation of Prp-BSE
100
What are differentials for Bovine spongiform encephalopathy ("Mad Cow")?
viral encephalopathies: pseudorabies/rabies, bronaencephalitis, bovine immunodef virus encephalitis -listeriosis -polioencephalomalacia -lead poisoning -CNS parasitic migration -brain tumors/abscesses -vit A deficiency
101
Suspected cases of Bovine spongiform encephalopathy ("Mad Cow") should be disposed of by which methods?
alkaline hydrolysis tissue digester
102
Bovine spongiform encephalopathy ("Mad Cow") is linked to what human disease?
Creutzfeldt Jakob Disease
103
What is the prion disease of sheep called?
Scrapie
104
When does most scrapie transmission occur?
during breeding season -placentas -birth fluids **most likely oral transmission
105
What are clinical signs of scrapie?
ocular lesions aural hematoms scratch reflex bruxism pytalism apathy hypermetria tremors ataxia
106
What are differentials for scrapie?
pseudorabies rabies borna encephalitis listeriosis PEM Lead poisoning CSF nematodiasis bran tumors/abscess maedivisni vit A def metabolic imbalances
107
What are differentials for pruritis seen?
psorptic & sarcoptic mange ringworm myiasis pediculosis atopy
108
US is free of pseudorabies in the domestic swine, where is pseudorabies present?
in feral pigs in the US
109
What is the pathogenesis for pseudorabies?
virus spreads centripetally in CBS by axonoplasmic transport--> acute infection: nasal mucosa, secretions and saliva
110
What are the clinical signs of pseudorabies/Aujezkys disease?
initial: acute to severe pruritus--alopecia, self-trauma other signs: twitching, chewing of tongue, ataxia, circling, bloat, nystagmus, strabismus, etc progression of C/S: hyerpesthesia, continuous mastication, vocalization, coma, opsithotonos, tenesmus, excessive nostril licking, fatal/death
111
what are differentials for pseudorabies/Aujezkys disease?
rabies PEM salt poisoning meningitis Pb poisoning hypomagnesemia enerotxemia
112
Where are good places for sampling for testing for pseudorabies/Aujezkys disease?
pharyngeal /nasal swabs-- cultured from ifnected nervous tissue -ag distinct from other herpesviruses -virus culture: sensory ganglia, dorsal horn of sc -segments serving pruritic areas= highest concen of virus
113
What is pathologic changes are seen indicating pseudorabies/Aujezkys disease on histopathology?
eosinophilic intranuclear inclusion bodies **most pronounced in dorsal nerve rootlets and dorsal horn -nonsuppurative encephalitis -neuronal degen.
114
Sporadic bovine encephalitis is caused by what organism?
chlamydophila pecorum bioptype 2
115
chlamydophila pecorum bioptype 2 is shed in
urine feces nasal secretions milk
116
How is chlamydophila pecorum bioptype 2/sporadic bovine encephalitis transmitted?
unknown
117
chlamydophila pecorum bioptype 2/sporadic bovine encephalitis resembles what disease?
hardware disease-- fibrinous pleuritis/peritonitis-- grunt/groan when pressure applied to xiphoid
118
chlamydophila pecorum bioptype 2/sporadic bovine encephalitis what clinical signs are seen?
Resp dz: nasal d/c, cough, dyspnea Polyarthritis/tenosynovitis meningoencephalitis: ataxia, CP deficits, circling, head tilt, opisthotonos, hyperesthesia, stiff neck, convulsions, coma
119
What diagnostic is highly suggestive of chlamydophila pecorum bioptype 2/sporadic bovine encephalitis?
pelural/peritoneal effusion: detection of reticulate bodies ***highly suggestive** PCR/serology
120
What are the most common bacterial isolates from pituitary abscesses?
Trueperella pyogenes corynebacterium pseudotuberculosis
121
What C/S are seen with chlamydophila pecorum bioptype 2/sporadic bovine encephalitis?
asymmetric neurologic deficits: dysphagia blindness anisocria absent PLR mydriasis flaccid tongue facial n paralysis facial hypalgesia ventrolat strabismus head tilt
122
What is that pathologic mechanism that leads to pituitary abscess formatoin?
entry via sella turcica hematogenously --> localizes int eh rete mirable (complex of bv encircling pituitary gland
123
Why is ataxia seen with pituitary abscess?
interruption of extrapyramidal motor nuclei in brainstem
124
Why is exophthalmos seen with pituitary abscess?
expanding abscess into retroorbital rete
125
Why is the clinical signs of loss of cranial nerve function with pituitary abscess?
extradural extension of abscess
126
Why is the clinical signs of bradycardia seen with pituitary abscess?
interference with diencephalic cardioaccelatory centers
127
Pituitary abscess formation is commonly seen in bulls that have what?
that receive rings and become infected -why recommend prophylactic admin penicillin -using aseptic procedure
128
What is the most common organism involved in brain abscesses in horses?
strep equi
129
What is the most common organism involved in brain abscesses in cattle?
T. pyogenes-- extension of sinus infection through calvaria bacteroides
130
Brain abscesses are difficult to differentiate from what other CNS disorder?
septic meningitis
131
Nervous coccidiosis presents with clinical signs similar to what other disease?
PEM ehtylene glycol poisoning Lead poisoning clostridial enterotoxemia
132
When is nervous coccidiosis seen?
large burden of coccidia oocysts-- range 4000 to 4 million/gram feces
133
What is recommended prevention of nervous coccidiosis?
ionophores in feed
134
What is the pathogenesis in ruminants with sarcocystis infection?
Ruminant ingest sporocysts -- sporocysts hatch in proximal small bowel -- penetrate medium sized mesenteric arterioles -- enter endothelial cells and form sporozoites mature in 3 stages -- total development require 10 weeks, dz at 9-11 wks after infection when sarcocysts encyst in muscle
135
what is the definitive host of sarcocystis?
dogs, cats, primates
136
What is the best prevention of sarcocystis infection in cattle?
**protect the food supply of ruminants -prevent savenging of carcasses: deep burial, incineration -keep feed bunks raised off ground -prophylactic feeding of monensin -elimination of predatory/scavenging carnivores
137
When does neospora caninum cause abortion?
predom midterm to late-term abortion (3-8 months gestation)
138
Typically fetuses are aborted with infection of neospora caninum, what occurs if the calf is born?
Neuro signs: C/S mild at birth then worsen --unable to stand/suckle -abnormal spinal refelxes flexural limb deformities, domed skull, torticullus
139
Babesia is transmitted to cattle via
cattle to cattle via Rhipocephalus (Boophilius) annulatus, microphus, or decloratus spp
140
Babesia causes what forms of diseases?
intravascular and extravascular hemolysis kidney and liver failure neuro dzes
141
What neurologic signs are seen with babesia infection?
Sudden CNS signs: fever, anorexia, depression, ataxia, CP deficits, mania, convulsions, coma +/- sudden death
142
What are causes of babesia encephalitis?
capillary thrombosis and infarction DIC anoxic encephalopathy direct invasion of parasite into CNS
143
Heartwater disease is caused by what organism?
Ehrlichia ruminantum **reportable disease in US
144
What is the organism that causes sleeping sickness in cattle?
Trypanosoma vivax, congolense, brucei
145
how is trypanosoma spp spread?
tsetse fly (glossina spp)
146
Vitamin A deficiency is typically seen in what cattle?
feedlots, with growing animals
147
What are diets that are low in vitamin A:
cereal grains beet pulp cottonseed hulls sorghum brewers grain wheat straw
148
Why are livestock protected from vitamin A deficiency?
store Vit A in liver
149
What develops after liver, vitamin A stores are depleted in cattle?
adults grow normally --> pailledema, blindness
150
Primary Vitamin A deficiencies are seen in what livestock?
cattle confined to dry lots pastured on dry grass forage for long periods fed indoors, unsupplemented vitamin depleted cereals (dec carotene activity in feed)
151
The destruction of carotene occurs due to what reasons? leading to vitamin A def
heat sunlight trace mineral supplements humidity pelleting exposure to rancid feed
152
How does secondary vitamin A deficiency occur?
interference with absorption -- interference with conversion beta-carotene in SI --> vitamin A (retinol)
153
What are conditions that require increased intake of vitamin A, in face of decreased intake?
fever lactation high ambient temperature inadequate dietary energy
154
Vitamin A is responsible for what in teh retina?
rhodopsin
155
Vitamin is responsible in normal function of what cells/tissues
osteoclasts/blasts epithelial tissues choroid plexus repro. tissues
156
What are causes of blindness associated with vitamin A deficiency?
1. Nyctalopia (night blinness)-- dec vit A aldehyde in regeneration of visual pigment rhodopsin-- usu reversible 2. Degenerative changes in outer retina layer-- reversible if txed early 3. stenosis of optic formen-->> compression of optic nerve-- irreversible
157
Papilledema, seen with vitamin A deficiency is due to what pathogenesis?
due to INC CSF pressure--> INC pressure in optic nerve--> papilledema (swelling of optic disc)
158
What are defects seen in calves born to cattle that are vitamin A deficient?
blind domed foreheads thickened carpal bones weak at birth
159
What are optic changes seen with Vitamin A deficiency?
pupils dilated & unresponsive papilledema optic disk-- pale, indistinct borders (inverted heart appearance), swollen disk may cast shadow on adjacent retina)
160
How to differentiate between Vitamin A deficiency from PEM?
vit A: no PLR (retina degen, constriction CN 2 @ optic forament) PB & PEM: intact PLR (normal mesencephalon & optic nerve)
161
What can be performed to diagnose Vitamin A deficiency?
assay vit A & beta carotene plasma concentration & feed concentrations
162
treatment of vitamin A deficiency causing acute encephalopathy, simple pappiledema
vitamin supplementation (440 IU/kg parenterally, then 6000 IU/kg every 50 yo 60 days OR dietary supplementation: leafy, fresh cured hay, green pasture, alfalfa meal OR commercial feeds
163
Helichrysum argyrophyllum poisoning Everlasting, Vaal sewejaartjie toxic plant poisoning can cause what clinical signs?
blindness/variety of CNS signs -progressive tetraparesis -depression -nystagmus -mydriasis -intention head tremor -stargazing -older sheep-lens cataracts
164
Helichrysum argyrophyllum poisoning Everlasting, Vaal sewejaartjie toix plant poisoning --is toxic only in what stage?
in flowering stage
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Helichrysum argyrophyllum poisoning Everlasting, Vaal sewejaartjie toix plant poisoning, pathogenesis leading to neurologic signs?
binds GABA--benzodiazepine receptor
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What is the toxic principle for flatpea poisoning (lathyrus sylvestris & L collis)?
2,4 diaminobutyric acid -- inhibits ornithine transcabamylase-- enzyme responsible for urea detoxification
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latpea poisoning (lathyrus sylvestris & L collis) manifests within how many days of ingestion?
within 5 days of consumption
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latpea poisoning (lathyrus sylvestris & L collis) neurologic signs
depression, mm tremors, spasmodic torticollis, recumbency, reluctance to rise when stim to move: circling, head pressing, odontoprisis **culminates fatally in seizure
169
Nitrofurazone toxicity is an antimicrobial prohibited use in the US, because it causes neurologic signs through what mechanism?
inhibits enzymes of oxidative glycolytic pathways --> interfere with brain metab. of carbs
170
Coenursisis (sheep GID, coenurus cerebralis infestation, taenia multiceps infestation) life cycle?
adults worms in GIT of dogs/wild carinovres--> shed eggs in feces --> ruminants ingest on infecte dpastures --> eggs hatch in SI of ruminant -->larva travel thorugh blood ot CNS--mature to coenurus cerebralis **ruminant dies & brain tissue eaten by carnivore
171
Coenursisis or sheep GID is caused by what organism?
Taenia multiceps
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Coenursisis (sheep GID, coenurus cerebralis infestation, taenia multiceps infestation) occurs in sheep after what epxosure?
after 2 weeks of exposure
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Coenursisis (sheep GID, coenurus cerebralis infestation, taenia multiceps infestation) pathogenic mechanisms?
1. encephalitis- invasion of CNS from large numbers of larvae 2. hypertesnive hydrocephalus-- interference cNS drainage 3. large cerebral cysts-- INC ICP
174
Coenursisis (sheep GID, coenurus cerebralis infestation, taenia multiceps infestation) C/s in sheep are dependent on what form develops
migratory phase: lambs 6 to 8 weeks: fever, dullness, mild neuro deficits acute encephalitis-- sudden onset of severe neuro signs + death w/in few days space occupying mass: depression, ataxia, head tild, circling, high estepping forelimb gait, unitl/aymm loss of vision
175
Coenursisis (sheep GID, coenurus cerebralis infestation, taenia multiceps infestation) treatment
praziquantel-- tx sheep with neuro signs NSAID/dex-- INC surivval psottreatment remova cysfs via craniotomy endemic reas; not feed carcasses to dogs, tx dogs **appro. mgmt has eliminated dz in N america
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Coenursisis (sheep GID, coenurus cerebralis infestation, taenia multiceps infestation) diagnosis
presumptive dx rads +/- radiolucent areas in calvaria ((postanerior projection CT- demonstrate presence of cysts
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What is the cause of lysosomal storage disease?
ceroid lipofuscinosis, an inherited autosomal recessieve disease
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lysosomal storage disease is reported in what species?
SOuth Hampshire Swedish landrace Rambouillet sheep Nubian goats Devon cattle horses
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Ceroid lipofuscinosis is characterized by:
intracellular accumulation of abnormal autoflourescent lipopigments in lysosomes of neurons and other cells throughout body --predom subunit C of mictochondiral synthase
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Ceroid lipofuscinosis C/S
progressive ataxia postural abnormalities blindness d/t retinal involvement sensory depression terminal stages: coma
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Ceroid lipofuscinosis CT abnormalities
enlargement of lateral ventricles, dec thickness of cerebral cortex
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ceroid lipofuscinosis treatment?
no rpactical method of treatment available
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What are infectious causes of hydrancephaly?
Akabane virus aino virus Chuzan virus Cache Valley virus Bluetongue virus BVDV Schmallenberg virus
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What serotypes of bluetongue virus infection are most commonly seen in neonatal calves & lambs in epizootics?
serotypes 11 & 17
185
Blue tongue virus is spread by what vector?
culicodies spp in spring
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Blue tongue virus is a cause of hydranencephaly is manifested in calves, lambs, kids as what C/S
arthrogryposis brachygnathia prognathia excessive gingival tissue
187
Hydrocephalus can be classified into what two categories?
1. normotensive 2. hypertensive
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Normotensive hydrocephalus is caused by?
failure of cell growth or cellular necrosis --> loss of fetal neurons inutero
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Hypertensive hydrocephalus is caused by?
INC in CSF vol results in compressive or obstructive lesions in ventricular sys or from dec CSF absorption
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Obstructive lesions leading to hypertensive hydrocephlus can be caused by congenital or acquired differentials, what is the pathogenesis?
trap CSF in ventricles causing inc in CSF vol & pressure--> results in ischemia and CNS degeneration --> sites of obstruction often: lateral apertures, mesencephalic aqueduct, lateral ventricles, interventricular foramina & 4th ventricle
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What are causes of acquired hypertensive hydrocephalus?
cerebral abscess cholesteatoma (equines) EIA Coenurus cerealis infestation meningitis lymphosarcoma acute inflamm dz: meningities & Vita deficiency
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What are causes of congenital hypertensive hydrocephalus?
hereditary condition in: hereford, charlais, ayrshire, dexter, holstein & Jersey calves Arabian foals
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What is the most common congenital brain disease of foals?
hydrocephalus
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Describe dandy walker like syndrome in foals?
recurrent violent seizures in foal-- agenesis of corpus collosum with cerebellar vermain hypopolasia
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What clinical signs are seen with hydrocephalus?
-skull doming-- sign of prematurity/dysmaturity -slow & somnolent -cerebral signs: head pressing, aimless & compulsive walking, blindness, seizure activity
196
What is a potential neurologic complication of upper/lower respiratory infection in ruminants?
otitis media/interna bacteria: Mannhemia, hemolytica, pasterurella multocida, C. pseudotuberculosis, H. somni, mycoplasma spp
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What is the organism that is responsible for the cluster outbreaks on diary farms of otitis media/ interna of ruminants?
Mycoplasma spp **contaminated milk is an important source for young
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Subclinical otitis is seen in what animals?
feedlot reared
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CNS signs from otitis media/interna in ruminants is caused by what?
damage of peripheral vestibular apparatus or extension into the CNS (rare)
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Neurologic signs seen with otitis media/interna
unilateral vestibular disease-- more common than bilateral -- head tilt-- toward side of the lesion --continuous horizontal nystagmus-- fast away from teh lesion -- imbalance-- tendency to stumble, fall or walk toward the side of the lesion recumbent-- lie on side of lesion ipsilateral facial nerve dysfunction-- ptosis, dropped ear, flaccid lips & nostrils
201
What are clinical signs that distinguish peripheral vs central vestibular disease?
peripheral: appetant, alert, aware of surroundings, no significant postural deficits, nystagmus constantly horizontal central: depressed, nystagus varies in direction, mkd CP deficits
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WhaWhat are antibiotics used in the treatment of otitis media/interna?
PPG mycoplasma-- tetracycline, florfenicol, macrolides **prolonged tx: 3 to 6 weeks, relapses occur
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What are things to consider if treatment of otitis media/interna does not respond to antimicrobials?
-osteomyelitis of petrous temporal bone -abscess formation in tympanic bulla -noninfectious cause (ie. neoplasia)
204
What are ear mite species that infest cattle?
Rallieta auris
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What are ear mite species that infest small ruminants?
Psoroptes cuniculi
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Severe ear mite infestations can lead to:
perforation of typmanum-- vestibular disease, facial paralysis, ataxia
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What is the ear mite life cycle/how are cattle infected?
protonymph, deutonymph (free living life stages)-- molt on vegetation and reinfest cattle when grazing/evening bedding
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What are potential preventative measures/treatment for ear mites (herd level)?
till pasture every 14 to 21 days with insecticide (consider for eradication)
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Describe histophilus somni bacteria
pleomorphic nonencapsulated gram negative
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What is the causative organism for thromoboembolic meningoencephalitis?
Histophilus somni
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thromoboembolic meningoencephalitis is a neurologic disease of cattle extending from what?
septicemia: -polenuronpuemonia -myocarditis -laryngeal bascess -polyarthritis -polyserositis -infections of ear, eye, udder & urogenital tract
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thromoboembolic meningoencephalitis is most commonly seen in what cattle?
feed lot cattle, less than1 year old
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H. somni virulence factors that induce apoptosis of enodthelial cells leading to microthrombus formation, what organs are commonly affected?
brain stem spinal cord synovium pleura lungs
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What neurologic signs are seen with thromoboembolic meningoencephalitis?
Cp deficits: knuckling, circumduction, crossing over, interference Cerebellum & caudal brain stem signs: head tilt, nystagmus, strabismus, blindness, muscular tremors, opisthotonos, coma, convulsions **death with 36 hours of onset of C/S **other organ sys typically involved
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What is seen on CSF analysis with thromoboembolic meningoencephalitis?
hemorrahge: high erythrocyte counts, xanthochromia, INC protein concen (>100 mg/dL) neutrophils: >500 WBCs/uL
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thromoboembolic meningoencephalitis for post mortem exam, what are hte best tissues with highest concentration of H. somni?
kidneys and brain
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What are ocular lesions caused by histophilus somni?
conjunctivitis multifocal retinal hemorrahges retinal edema w/ retinal detachment -- primarily seen in fundus -- swollen axos in nerve fiber layer of retina (EOS. cytoid bodies)
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What are antibiotics used in the treatmnet of histophilus somni?
tetracyclines penicillin aminoglycosides ampicillin
219
Extracellular magnesium concentrations are vital for:
normal nerve conduction mm function bone mineral formation
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Hypomagnesemia clinical signs
nerve hyperexctiability tetany convulsions sudden death
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hypomagnesemia is typically accompanied by what other electrolyte abnormality?
hypocalcemia
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moderate hypomagnesemia, clinical signs are seen
decreased feed intake nervousness dec milk fat & milk production
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What organ mantains magnesium homeostasis?
kidney
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Adult ruminants absorb magnesium from?
rumen
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adult ruminants secret magnesium from what organ?
small intestine
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What electrolyte interferes with absorption of magnesium?
K (potassium)
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Hypomagnesemic tetany is also called
grass/spring tetany grass staggers
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Hypomagenesemic tetany the seen at what plasma levels?
Mg < 0.5 mmol/L or 1.1 mg/dL
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What C/S are seen in cattle when dec in CSF magnesium?
clonic convulsions chomping jaws frothing salivation head arched back legs paddling HR >150 bpm RR> 50/min Temp> 105 (d/t mm activity) nystagmus eyelids flutter
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Hypomagnesemia is seen in beef & dairy cows and ews grazing lush pastures ebcause of what nutrients involved?
INC K, nitrogen DEC mg, Na
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Describe magnesiums involvement in PTH?
dec PTH secretion from parathyroid gland = DEC blood Ca OR DEC tissue response to PTH--> Mg must be present at PTH/PTH receptor complex to activate adenyl cyclase and allow cyclic AMP production
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Verminous encephalitis can occur in horses caused by what organism?
Strongylus vulgaris emoblization to CNS-- thrombi to ventricle, proximal aorta, or aortic branches that supply CNS
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What stage of Strongylus vulgaris is implicated in the verminous thrombI?
L4 or L5
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What are possible outcomes of Storngylus vulagris verminous meningoencephalomyelitis?
1. acute massive infarction 2. nonlethal or even subclinical 3. subclinical mebolizaiton & parasite migration
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The prevalence of strongylus vulagris has decreased with introduction of what anthelmintics?
macrocyclic lactones
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Hypoderma lineatum (common cattle grub) L1 hatch 5 to 7 days, penetrate skin and migrate in dorsal direciton along fascial planes, following BVs or nerves, then what occurs?
over 1 year-- miraitng larvae moutl once or twice and arrive in SQ along back; direct towards foramen magnum or other foramina of skull to penetrate and meander in brainstem
237
Hypoderma lineatum has decreased in cattle d/t
decreased pour-on & injectable systemic organophosphate insecticides
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Halicephalopbus gingivalis has propensity to invade and proliferate in what organs?
kidneys CNS-- brain is usual site of infection, less involvemnt spinal cord and cauda equina eyes
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What are characteristic lesions of halicephalobus gingivalis?
Renal lesions: multifocal lg nodules in renal parenchyma of 1 or both kidneys
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halicephalobus gingivalis CSF analysis?
normal to xanthochormic with increase dprotein and mild to mod pleocytosis of nucleated cells differential: mononuclear cells with lesser numbers of neuts & occasional eos
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What treatment is contraindicated in cerebral nematodiasis (in camelids)?
corticosteroids
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Paralephostrongylus tenuis (meningeal worm) aberrant host
horses lammas alpacas ruminants
243
Paralephostrongylus tenuis (meningeal worm) intermediate hosts
snales & slugs (ovis aries, occinellidae) -- infective larvae
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Paralephostrongylus tenuis (meningeal worm) exit through abomasum and migrate to
dorsal horn of gray matter of spinal cord-- mature into adults before traveling along dorsal nerve roots ot venous sinuses & subarachnoid spaces over cerebral hemispheres
245
What anthelmintics can be used in the treatment of Paralephostrongylus tenuis (meningeal worm)?
ivermectin--larval migration **high dose fenbdendazole-- BBB
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Paralephostrongylus tenuis (meningeal worm) incubation
3 to 5 weeks assymetric spinal cord incubation
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Triaryl phosphate poisoning/chronic organophosphate poisoning/dying back axonopathy common sources
motor lubricants hydraulic oils industrial solvents plasticizers automotive brake fluid
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Triaryl phosphate poisoning/chronic organophosphate poisoning/dying back axonopathy pathogenesis
-effects glial cells -- profound neurotoxic effects on longest axons --fibers degenerate @ distal, nonterminal areas - lesions spread proximally from terminal nerve rootlets into spinal cord until cell body dies, dying back axonopathy
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What are clinical signs of chronic Triaryl phosphate poisoning/chronic organophosphate poisoning/dying back axonopathy?
rough hair coat bloat dyspnea mm weakness incoordination of rear legs --> slow onset of neuro signs, progress to dog sitting posture, lack of normal CP responses, then become recumbent
250
Triaryl phosphate poisoning/chronic organophosphate poisoning/dying back axonopathy treatment
no tx & irreversible -prevention centered on eliminating access to potential sources
251
What are predisposing factors to the development of spinal abscess?
hematogenous spread/bacterial extension from lungs, heart septic inject site -neonates-- secondary septicemia -lambs-- tail docking or ewes chewing ont ail (ascending infection) -sequestra of vertebral fracture epizootics d/t inject of contam vx or mineral supplements
252
what are potential infectious agents isolated from spinal abscesses in ruminants?
C. pseudotuberculosis T. pyogenes M. hemolytica Staph aureus Fusobacterum necrophorum
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what are potential infectious agents isolated from spinal abscesses in foals?
Beta-hemolytic streptococci salmonelal spp actinobacillus equuli E. coli Rhodoccus equi Klebsiella pneumoniae
254
What are most common sites of spinal abscess formation?
costovertebral articulations intervertebral vertebral body epiphyses lumbar vertebrae freq involved
255
What are differentials for ruminants with spinal abscess
lymphoma-cattle trauma-- edema/inflammation, fx, hemorrahge, subluxation parasitic-- p. tenus vit E/selenium-- gneralized weakness Cu def (swaback in lambs) meningitis CL (esp sm ruminants) botulism neospora histphalus-- TEME CAE
256
What are ddx in horses for spinal abscess?
EPM EHV-1 viral: West Nile Halicephalobus, strongylus vulgaris Wobblers Trauma Rabies
257
Ankylosing spondylitis of holstein bulls C/S seen
--stilted gait --reluctance to move --dragging toes of rear limbs --slow to mount (bulls)-- spine may fx when mounting-- causing acute recumbency --paraperesis & ataxia
258
Pathologic changes seen with Ankylosing spondylitis of holstein bulls
calcification of ventral vertebral ligaments T11-L3 vertebrae
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Ankylosing spondylitis of holstein bulls is hereditary with what genetic association?
bulls have class 1 MHC BOLA A*phenotype
260
What are common underlying causes of downer cows (alert downers)?
MSK lesions: fracture, torn mm/tendons --Neuropathies: pelvic trauma, calving paralysis --Spinal cord compression: lymphosarcoma --metabolic disease: hypocalemica, hypokalemia, hypohposphatemia, hypomagnesemia
261
Hypocalcemia as a cause of downer cows (alert downers) is seen at what level?
Mod: Ca <8 mg/dL Severe: Ca <5.5 mg/dL
262
Hypomagnesemia as a cause of downer cows (alert downers) is seen at at what level?
Mg < 1.9 mg/dL
263
What value on clin path is most predictive of recovery in downer cows (alert downers)?
INC AST levels -- AST>171 IU/L- 80% more likley not to recover than AST <171 U/L
264
What values of CSP protein and TNCC are useful in predicting/locating lesion in downer cows (alert downers)?
No SC lesion: TP <0.25 g/L, TNCC <4.5 SC lesion: TP >0.39 g/L, TNCC >4.5
265
Prevention of downer cows (alert downers)
weakness & unable to rise after calving, INC dietary chloride levels during dry period -- K neg affects absorption of Mg