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Exam 3
Anemias in FA
76
Veterinary Medicine
Professional
04/07/2016

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Cards

Term
How does the PCV of ruminants compare to the PCV on non-ruminants?
Definition
-lower
-typical is 30-35
Term
Where do we collect blood on FA?
Definition
-tail or jugular but ear or precaval in a pig
Term
Discuss blood loss, hemolysis, and decreased production causing anemia regarding protein levels and phase of regeneration.
Definition
-Blood loss: low protein & regenerative
-Hemolysis: normal protein & regenerative
-Dec pdn: normal to inc protein & nonregenerative
Term
How long does it take to see changes in peripheral blood with regenerative anemia? What are those changes? Which animal does not exhibit these?
Definition
-takes 3-4 days
-polychromasia, basophilic stippling, nRBC, inc MCV
-horses
Term
What are some examples of external blood loss?
Definition
-wounds: castratin, dehorn, lacerations, dystocia
-intestinal parasites: Haemonchus, Bunostomum, flukes
-External parasites: lice, ticks, fleas
-GI bleeding: ulcers (cattle and pigs), diarrheal dz
-respiratory bleeding
-renal bleeding
Term
What are some examples of internal blood loss?
Definition
-hemoabdomen: castration, uterine prolapse, liver fx
-hemothorax: trauma, tumor
-coagulopathy: moldy sweet clover, DIC, thrombocytopenia
Term
How long does it take for the PCV/HCT to relfect blood loss anemia?
Definition
-12+ hours
Term
What clinical signs are reflective of blood loss anemia?
Definition
-pallor, HR, RR, resp effort, pulse character, CRT, exercise intolerance, deprresion, possible aggression
Term
How do we perform a cattle blood transfusion?
Definition
-take baseline TPR
-start blood slowly for 15 min
-monitor q5min for transfusion reaction (fever, tachycardia, twitching, dyspnea, give NSAID and antihistamine)
-give at 10-20 ml/kghr
Term
What do we give for blood loss anemia if there is no blood available?
Definition
-crystalloids: LRS, lasmalyte, 0.9% saline
-Hypertonic saline (7.2% NaCl)
Term
What is the major clinical difference b/n extravascular hemolysis and intravascular hemolysis?
Definition
-intravascular hemolysis has hemoglobinuria while extravascular hemolysis does nt
Term
What is an example of extravascular hemolysis?
Definition
-anaplamsosis
Term
What are some examples of intravascular hemolysis?
Definition
-copper toxicity, plant toxicity (onion, kale), bacillary hemoglobinuria, leptospirosis, postparturient hemoglobinuria, cold water erythrolysis
Term
What does hemoglobinuria, myoglobinuria, and hematuria all look like?
Definition
-hemoglobinuria: pink plasma, clear urine color (pink), urine pink after spin
-myoglobinuria: normal plasma, clear uring color (brown), urine red/brown after spin
-hematuria: normal plasma, cloudy urine, red pellet after spin
Term
What are the agents behind Anaplasmosis in FA?
Definition
-Anaplasma marginale & Anapamsa ovis
Term
Where in the US is Anaplasmosis endemic?
Definition
-south and west coast
Term
Anaplasma ______ infects cattle and wild ruminants. In which group of animals is it severe?
Definition
-marginale
-cattle
Term
Describe the age-related susceptibility of Anaplsmosis.
Definition
-young infected but no disease
-1-2y = mild disease
-3+ y = severe disease
Term
Which wild ruminants can be affected and act as a reservoir of Anaplasmosis? Do they develop severe clinical disease?
Definition
-deer, elk, and bison
-generally do not develop illness
Term
What are the 2 primary methods of Anaplasmosis transmission?
Definition
-vectors: Dermacenter ticks, flies, mosquitoes
-iatrogenically
Term
Describe the seasonality of Anaplasmosis.
Definition
-summer
Term
Where in Oklahoma is Anaplasmosis endemic in OK?
Definition
-eastern and central OK
Term
Describe the pathogenesis of Anaplasmosis.
Definition
0prepatent period is 2-4w
-recovery = persisten infection bu generally immune to disease
-splenic and hepatic RE system removes infected RBCs and some induction of autoantibodies and removal of those RBCs
Term
What are the clinical signs of Anaplasmosis?
Definition
-signs of anemia: exercise intolerance, separation from herd, pallor, high HR/RR, depression, aggression
-fever: stay in pond
-constipation: brownish-orange mucus
-icterus: muzzle, sclera, vulva, prepuce, teats, mouth
-signifcant weight loss/ poor milk
-abortion common in convalescent period esp if in last trimester
-recovered animals are persistent carriers: for life
Term
How do we treat Anaplasmosis in cattle?
Definition
-overstress may result in death!!! no treatment may be the best treatment
-long-acting oxytetracylcing
-blood transfusion if severe anemia
Term
How do we control anaplasmosis?
Definition
-vector control: especially ticks
-prevent iatrogenic transmission
-parasite resistance (Bod insicus)
-prophylais with chlortetracycline
-vaccination
-clearing carrier state probably not possible
-detecting carrier state: cELISA, PCR
Term
What are the hemotropic mycoplasmas of cattle, camelids, pigs, and sheep?
Definition
-cattle: Mycoplasma wenyonii
-camelids: M. haemolamae
-pigs: M. suis
-sheep: M. ovis
Term
How are heotropic mycoplasmas transmitted?
Definition
-hematophagous insects
-iatrogenic blood transfer
Term
In what animals is disease due to hemotropic mycoplasmas common?
Definition
-stressed, young animals and sick, old animals
Term
What are the clinical signs of M. wenyonii in cattle?
Definition
-low grade fever
-poor milk production
-swollen limbs, teats, scrotum, vasculitis
Term
What are the clinical signs of M. haemolamae in camelids?
Definition
-depression
-weakness: recumbency
-moderate to severe anemia
-profound hypoglycemia
Term
How do we treat hemotropic mycoplasmas?
Definition
-tetracyclines
Term
What is the common name for Babesia piroplasmosis?
Definition
-Texas cattle fever
Term
Why is Babesia significant in cattle? Which species are in cattle?
Definition
-FAD = REPORTABLE!!!
-B. bovies and B. bigemina
Term
How is babesia naturally transmitted?
Definition
-Boophilus spp (one--host tick)
Term
How do you differentiate Babesia and Anaplasmosis?
Definition
-Babesia has hemoglobinuria!!!
Term
What are the Leptospira interrogans serovars that we are concerned about in FA? What is it most commonly associated with clinically?
Definition
-pomona and icterohemorrhagiae
-most commonly involved with hemolytic crisis
Term
Which animals are infected with Lepto? Which animals get the resulting hemolytic syndrome?
Definition
-cattle, sheep, goats, and pigs
-young ruminants
Term
What are the clinical signs of Leptospirosis?
Definition
-fever
-depression
-icterus
-anemia
-petechial hemorrhages
-hemoglobinuria
Term
How do we treat Leptospirosis?
Definition
-tetracyclines
Term
What is the major public health concern with Leptospirosis?
Definition
-zoonotic
Term
What is the common name for Bacillary hemoglobinuria?
Definition
-redwater disease
Term
Which animal is affected by bacillary hemoglobinuria? What is the etiologic agent?
Definition
-cattle
-Clostridium novyi type D
Term
How is bacillary hemoglobinuria trasmitted?
Definition
-ingestion: spores in lover
-Anaerobiasis: sporulation
Term
What are the clinical signs of bacillary hemoglobinuria
Definition
-usually found dead
-depression, anorexia, fever, HEMOGLOBINURIA
Term
How do we treat bacillary hemoglobinuria?
Definition
-tetracyclines
Term
How do we control bacillary hemoglobinuria?
Definition
-vaccine and fluke control
Term
What results in Heinz Body Hemolytic Anemia in general? What are some speciffic examples?
Definition
-exposure to oxidizing agents
-many plant species: onions, Brassica species, red maple leaf (horses)
Term
What is cold water erythrolysis and in which situation does it commonly occur?
Definition
-osmotic shock to RBCs: goes into abomasum and into SI quickly thus absorbed too quickly and causes hopotonic crisis
-trailered show cattle during the summer
Term
When is postparturient hemoglobinuria seen? How do we control it?
Definition
-associated with marked hypophosphatemia in dairy cattle 2-4w PP
-control with dietary corrections
Term
Is Copper Toxicosis an acute highly fatal extravascular or intravascular hemolytic crisis?
Definition
-intravascular
Term
Which animals are most affected by copper toxicosis?
Definition
-sheep> goats >> cattle
Term
What causes copper toxicosis?
Definition
-long-term accumulation of Cu in hepatocytes = reaches cytotoxic level = death of hepatocytes = release of free Cu = oxidative damage ot RBCs
Term
What are some sources of Cu for copper toxicosis?
Definition
-cattle/horse supplements or minerals
-chicken litter/swine manure on pastures
-chicken litter in rations
-fungicides
-foot baths
-iatrogenic
Term
What triggers copper toxicosis and what are some examples?
Definition
-stress
-ex: weather, transport, starvation, commingling/fighting, working.shearing, concurrent liver insult
Term
What results from copper toxicosis in the body?
Definition
-hepatic necrosis, intravascualr hemolysis, severe anemia, methemoglobinemia, hemoglobinuric nephrosis
Term
What are the clincial signs of copper toxicosis?
Definition
-acute death loss
-weakness, depression
-complete anorexia
-hemoglocinuria
-anemia: pallor, tachycardia, tachypnea
-icterus
-CNS: hepatic encephalopathy
Term
How do we diagnose copper toxicosis?
Definition
-feeding historyy and clinical signs
-serum/tissue copper levels
Term
Which samples do we use to diagnose copper toxicosis for a peracute live case, herdmate, and postmortem diagnosis?
Definition
-blood
-liver
-kidney
Term
What do we find on necropsy of copper toxicosis?
Definition
-icterus and red urine
-liver often pale, yellow/bronze
-kidneys often dark red-black with metallic sheen (gun metal)
Term
How do we treat copper toxicosis?
Definition
-minimize stress
-IV fluids
-oxygen
-clood transfusion if <10%
-vit E
-vit C
-chelation therapy
Term
How do we prevent copper toxicosis?
Definition
-feed sheep mineral
-caution with show supplements
Term
What are the two major categories of nonregenerative anemia? Give examples of each.
Definition
-inadequate RBc pdn: iron/copper/cobalt deficiency
-bone marrow depression: Bracken Fern toxicity
Term
What are the results of iron deficiency?
Definition
-chronic glood loss
-microcytic hypochroic
Term
Which animals are most affected by iron deficiency?
Definition
-neonatal piglets and veal calves
Term
What is primary copper deficiency? What is secondary copper deficiency?
Definition
-primary: diet deficient in copper
-secondary: antagonists: molybdenum, sinc, sulfur imbalances
Term
What are the results of copper deficiency?
Definition
-microcytic hyochrmic anemia
Term
Which animals are most affected by copper deficiency?
Definition
-young growing calves, lambs, kids
Term
What are some copper defiency syndromes?
Definition
-reduced growth rate
-rough hair coat
-depigmentation: spectacled
-chronic diarrhea in adult cows
-osteoporosis: spontaneous fractures
-demyelinating syndrome: swayback or enzootic ataxia
Term
How do we treat copper deficiency?
Definition
--diet supplementation
-injectable Cu glycinate
-copper oxide needles
Term
Is aplastic anemia common or rare? What causes it physiologically? What is the cause?
Definition
-rare
-reduced bone marrow pdn of blood components
-bracken fern toxicity in rums
Term
Are cattle or sheep more susceptible to bracken fern toxicity?
Definition
-cattle
Term
Where in the US does bracken fern toxicity mostly occur?
Definition
--Pacific NW and upper Midwest
Term
What does Bracken Fern Toxicity cause:?
Definition
-cancer
-immunosuppression
-bone marrow suppression
Term
What are the clinical signs of bracken fern toxicity?
Definition
-chronic blood loss = inc HR/RR
-intermittent hematuria
-pale mucous mems
-weight loss
-dec pdn
-pass blood clots in urine
-dysuria, pollakiuria
Term
What are some examples of acquired coagulopathies?
Definition
-moldy sweet clover toxicity
-oak toxicity
-BVDV induced thrombocytopenia
-Bovine neonatla pancytopenia
-DIC
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