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Systemic path 1
systemic pathology
291
Veterinary Medicine
Graduate
02/02/2013

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Cards

Term
which of the following cardiac muscle changes is always irreversible?
atrophy
hypertrophy
degeneration
necrosis
none of the above
Definition
necrosis
Term
true or false? PDA is one of the most common cardiac conditions in the cat?
Definition
false
Term
tetralogy of fallot is made up of what?
Definition
dextroaorta
high VSD
right ventricular hypertrophy
pulmonic stenosis
Term

what is the most likely diagnosis for cardiac tamponade in a stallion?

a. aortic rupture

b. trauma

c. hemangiosarcoma

d. valvular insufficiency

e. pericarditis

Definition
aortic rupture
Term
what is Virchow's triad?
Definition
Hypercoagulability
Hemodynamic changes (stasis, turbulence)
Endothelial injury/dysfunction
Term
the normal heart has a ________ reserve capacity
Definition
3-5x
Term
the SA node is where?
Definition
cranial vena cava and right atrium junction
Term
the AV node is where?
Definition
beneath septal leaflet of tricuspid valve and traversing lower atrial septum onto the upper portion of the muscular ventricular septum
Term
the thickness of the left ventricular free wall is approximately _____x greater than that of the right.
Definition
2-3
Term
artifacts seen at necropsy (cardiac) include (4):
Definition
1. post mortem clots (red currant jelly not attached to endocardium)
2. chicken fat clots in the horse
3. red staining endocardium due to RBC lysis
4. euthanasia solution (white crystalline material on endocardium)
Term
the four steps to necropsy examination of the heart include:
Definition
1. follow the flow of blood
2. is the heart enlarged and proportional?
3. weight/BW dependant on speciees and athleticism
4. wall thickness
Term
T or F: histopathology of the heart will usually result in a specific diagnosis.
Definition
false.
Term
mature cardiac muscle cells are ______ and ______ and therefore have limited responses to injury
Definition
permanent and nondividing
Term
compensatory mechanisms of the heart include (6):
Definition
1. dilatation
2. hypertrophy
3. increase HR
4. increase peripheral resistance
5. increase in blood volume
6. redistribution of blood flow
Term
left ventricular hypertrophy is due to (3):
Definition
systemic hypertension(renal)
congenital abnormalities
mitral incompetence
Term
right ventricular hypertrophy is due to (3):
Definition
pulmonary hypertension
congenital abnormalities
tricuspid incompetence
Term
syndromes of cardiac failure or decompensation include (5):
Definition
1. cardiac syncope
2. congestive heart failure
3. decompensation
4. left heart failure
5. right heart failure
Term
what are the three compensatory requirements?
Definition
• time
• healthy myocardium
• adequate myocardial nutrition
Term
cardiac syncope can arise from:
Definition
arrhythmias, massive necrosis, ventricular fibrillation, or heart block
Term
CHF can arise from:
Definition
cardiac disease, pulmonary, renal, vascular disease leading to loss of cardiac reserve and development of decreased blood flow to peripheral tissues and accumulation of blood behind the failing chamber
Term
what is the pathophys of decompensation?
Definition
reduced renal blood flow-->hypoxia in kidneys-->renin-->aldosterone-->Na and water retention-->plasma volume increase-->edema
also erythropoiesis-->polycythemia
Term
left heart failure would manifest as:
Definition
pulmonary congestion and edema
Term
right heart failure would manifest as:
Definition
hepatic congestion (nutmeg liver), hepatomegaly, splenomegaly, edema as ventral SC in horse/ruminants, ascites in dogs, hydrothorax in cats
Term
what are the four general causes of congenital heart diseases, and what are some examples?
Definition
1. teratogenic drugs (griseofulvin, cortisone, thlidomide)
2. teratogenic plants (Veratrum)
3. nutritional deficiencies (vit A, riboflavin, zinc)
4. nutritional excess (vit A)
Term
what are the most common congenital heart diseases in the dog?
Definition
PDA
pulmonic stenosis
subaortic stenosis
persistent right aortic arch
Term
what are the most common congenital heart diseases in the cat?
Definition
endocardial cushion defects
mitral malformation
VSD
endocardial fibroelastosis
Term
what are the most common congenital heart diseases in the cow?
Definition
ASD
VSD
transposition of aorta
Term
what are the most common congenital heart diseases in the pig?
Definition
subaortic stenosis
endocardial cushion defects
Term
a PDA arises from?
Definition
left sixth aortic arch
Term
what are the path findings of PDA?
Definition
1. compensatory hypertrophy of LV/RV with left atrial dilation
2. dilation of pulmonary artery and ascending aorta
3. left vent hypertrophy if shunt <3mm, pulmonary hypertension and CHF if >5mm
4. variation in shape, diameter, length of the PDA
5. jet lesions in pulmonary artery
Term
what type of aortic stenosis is most common?
Definition
subaortic
Term
what type of pulmonic stenosis is most common?
Definition
valvular
Term
what are the path findings of aortic stenosis?
Definition

1. concentric hypertrophy of LV

2. fibrous endocardial thickening

3. post stenotic dilation

4. focal myocardial necrosis/fibrosis

5. heart failure when LV can't compensate

Term
what are the path findings of pulmonic stenosis?
Definition
1. concentric hypertrophy of RV
2. poststenotic dilatation of the maim pulmonary artery
Term
PRAA is a defect in which aortic arch?
Definition
fourth
Term
what comprises the ring in PRAA (4)?
Definition
ascending aorta, ligamentum arteriosum, main pulmonary artery, base of heart
Term
what is the path finding in PRAA?
Definition
1. esophagus compressed against trachea
2. dilation of proximal esophagus
Term
what are the three types of atrial septum defects?
Definition
1. ostium primium
2. ostium secundum
3. patent foramen ovale
Term
T or F: a foramen ovale that is probe patent is also functionally patent.
Definition
false. may be functionally closed
Term
what cardiac condition is seen particularly in burmese cats?
Definition
endocardial fibroelastosis
Term
which valve dysplasia is more common?
Definition
tricuspid is more common than mitral
Term
what is the Eisenmenger complex?
Definition
tetralogy of fallot without the pulmonic stenosis
Term
what are the clinical signs of general pericardial disease?
Definition
increased venous pressure
decreased arterial pressure
muffled heart sounds
Term
what are the 6 causes of hydropericardium?
Definition
1. CHF
2. toxemias
3. anema
4. febrile/septicemic illnesses
5. renal failure
6. hypoproteinemia of various chronic diseases
Term
what are the species-specific causes of hydropericardium caused by CHF?
Definition
1. high altitude disease in cattle following pulmonary hypertension
2. dilated cardiomyopathy in dogs/cats
3. ascites syndrome in poultry
Term
what are three febrile/septicemic illnesses that cause hydropericardium?
Definition
heartwater (Ehrlichia ruminatium) in ruminants
african horse sickness
bovine ephemeral fever
Term
what neoplasias cause hemopericardium?
Definition
hemangiosarcoma and heart base tumors
Term
what are the 5 causes of hemopericardium?
Definition
1. hemorrhagic pericardial effusion (large breed dogs) 2. hemangiosarcoma or heart base tumors 3. spontaneous atrial rupture 4. rupture of atria or aorta in horses (stallions) 5. complication of intracardiac injection
Term
what are the 6 classifications of pericarditis?
Definition
serous,
fibrinous,
purulent/suppurative,
hemorrhagic (sanguineous),
adhesive,
constrictive
Term
what are some specific diseases with fibrinous morphology of pericarditis?
Definition

cattle-pasteurellosis, blackleg, coliform septicemias

pigs- Glasser's, strep, pasteurellosis, enzootic mycoplasmal pneumonia, salmonellosis

horses-strep

birds-psittacosis

Term
endocardial degenerative mineralization occurs from:
Definition
-intake of excessive Vit D
-intoxication by calcinogenic plants with Vit D analogues
-infectious diseases (Johnes)
Term
what bacteria are implicated in endocarditis in cattle?
Definition
Arcanobacter (Actinomyces) pyogenes
Term
what bacteria are implicated in endocarditis in pigs?
Definition
Streptococcus
Erysipelothrix rhusiopathiae
Term
what bacteria are implicated in endocarditis in dogs and cats?
Definition
Bartonella Streptococcus E. coli
Term
what bacteria are implicated in endocarditis in horses?
Definition
Actinobacillus equuli
Term
what is the relative frequency of valve involvement in bacterial endocarditis?
Definition
mitral > aortic > tricuspid > pulmonary
Term
what is the difference between endocardiosis and endocarditis?
Definition
endocardiosis is non-inflammatory, degenerative, proliferative, unknown-etiology, targeting most often the mitral valve

endocarditis is an inflammatory alteration of the valvular and muralendocardium.
Term
what is the pathophys of sequelae of bacterial endocarditis?
Definition
bacterial (vegetative)-->colonization of valves--> thrombi--> embolization--> showering of kidney, lung, brain
Term
what is uremic endocarditis?
Definition
left atrial ulcerative endocarditis in acute renal insufficiency followed by fibrosis and mineralization
Term
could endocardiosis or endocarditis result in ruptured chordae tendinae?
Definition
endocardiosis
Term
which has characteristic parachute valves: endocardiosis or endocarditis?
Definition
endocarditis
Term
what are the 4 causes of myocardial necrosis?
Definition
1. ischemic infarction
2. nutritional deficiencies (vit E, selenium causing white muscle disease; mulberry heart disease in pigs
3. toxins-anthrax, ionophors, calcinogenic plants, Gossypol, blister beetles
4. physical injury-CNS injury, gastric dilation and volvulus, overexertion, electrical defibrillation
Term
where is the most frequent site for focal lesions of myocardial necrosis?
Definition
LV papillary muscles
Term
the three sequela to myocardial necrosis are:
Definition
1. sudden DEATH 2. arrhythmias 3. extensive scarring
Term
what are the three sequelae to myocarditis?
Definition
1. complete resolution of lesions
2. scattered residual scars
3. progressive myocardial damage with acute or chronic cardiac failure as secondary dilated cardiomyopathy
Term
what viruses can cause myocarditis? in what species?
Definition
parvo-dogs
encephalomyocarditis-pigs, mice, primates
eastern and western encephalomyelitis in horses
Term
what bacteria can cause myocarditis? in what species?
Definition
salmonella pullorum-chickens
clostridium piliforme-rodents
fusobacterium necrophorm-cattle
clostridium chauvoei-cattle
staph and strep-lambs
mycobacterium-many species
Term
what fungus can cause myocarditis?
Definition
Aspergillus
Term
what parasites can cause myocarditis in what species?
Definition
sacrocystosis-cattle
cysticercosis-pigs, cattle, sheep
trichinosis-pigs
Term
what protozoa can cause myocarditis in what species?
Definition
toxoplasma gondii-cats
neospora caninum-dogs
trypanosoma cruzi-dogs and cats
Term
describe the two forms of hypertrophy in the heart:
Definition
eccentric: enlarged ventricular chambers and walls with normal/thin walls. result of increased load

concentric: small ventricular chambers with thick walls. result of increased pressure load
Term
some cats with hyperthyroidism can have______as a result of _______.
Definition
cardiac hypertrophy as a result of cardiac contractile proteins under the influence of circulating thyorid hormones
Term
what is cor pulmonale?
Definition
group of diseases in which RV hypertrophy occurs with or without CHF as a result of pulmonary disease.
Term
T or F: all pulmonary diseases result in cor pulmonale.
Definition
false
Term
what are the causes of cor pulmonale?
Definition
1. primary chronic diseases of lung (parenchyma or vessels)
2. thromboembolic obstruction of pulmonary arteries
3. mech obstruction of pulm arteries due to compression by tumor
4. thoracic deformities which impair breathing.
Term
what are the three morphologic types of cardiomyopathies?
Definition
dilated/congestive, hypertrophic, restrictive
Term
which can cause cardiomyopathy: hyperthyroidism or hypothyroidism?
Definition
both.
Term
which is the most common cardiomyopathy?
Definition
congestive
Term
hypertrophic cardiomyopathy is characterized how?
Definition
thickening of LV wall
Term
what is a nutritional cause of cardiomyopathy?
Definition
taurine deficiency in cats and foxes
Term
what is a heritable cause of cardiomyopathy?
Definition
Duchenne muscular dystrophy in golden retrievers
Term
what are some endocrine causes of cardiomyopathy?
Definition
hyper/hypothyroidism, acromegaly, Cushing's, DM
Term
which neoplastic infiltrate can cause cardiomyopathies?
Definition
lymphosarcoma
Term
systemic hypertension can cause _________ in cats
Definition
cardiomyopathy
Term
taurine supplementation in puppies of this (breed of dog) can reverse ________ due to __________
Definition
portuguese water dog
dilated cardiomyopathy
autosomal recessive gene
Term
where are hemangiosarcomas found in the heart?
Definition
right atrium, right auricle
Term
which dogs usually get idiopathic dilated or hypertrophic cardiomyopathy?
Definition
large breed (males)
Term
about 20% of animals affected with hypertrophic cardiomyopathy will have _______
Definition
posterior paresis from thromboembolism of caudal abdominal aorta (saddle thrombus)
Term
what are the two types of restrictive cardiomyopathy? in what species does it occur?
Definition
1. LV endocardium with diffuse marked fibrosis. (Burmese cats)
2. excessive moderator bands that traverse LV cavity

both in cats
Term
the primary cardiac tumors include:
Definition
hemangiosarcoma (right atria), rhabdomyomas, rhabdomyosarcomas, schwannomas, myxoma, fibroma
Term
the tumors that metastasize to the heart include:
Definition
hemangiosarcoma, lymphosarcoma, malignant melanoma, osteosarcoma, adenocarcinoma, mast cell tumor, melanoma
Term
what tumors are found at the heart base?
Definition
chemodectomas, aortic body tumors, paragangliomas, tumors of ectoopic thyroid and parathyroid tissue
Term
name the tumor that arises from chemoreceptor tissue at the bifurcation of the carotid artery.
Definition
carotid body tumor
Term
what is an aneurysm?
Definition
localized dilatation or outpouching of thinned and weakened portions of a vessel
Term
what are the three species-specific causes of aneurysms?
Definition
Spirocerca lupi in dogs
copper deficiency in pigs
Strongylus vulgaris in horses
Term
what are the two species-specific causes of arterial hypertrophy?
Definition
muscular pulmonary arteries affected , may be associated with lungworm or heartworm in cats

high-altitude disease causing hypoxia-induced pulmonary arterial vasoconstriction and subsequent pulmonary hypertension in cattle
Term
T or F: arteriosclerosis rarely causes clinical signs.
Definition
True
Term
describe arteriosclerosis
Definition
age-related disease with rare clinical signs, proliferative lesion that results in loss of elasticity and luminal narrowing. abdominal aorta most frequently affected, lesions appear as slightly raised, firm, white plaques
Term
atherosclerosis is (important/unimportant in animals), with accumulation of extensive _____deposits, and associated with ________ and ______ in dogs.
Definition
unimportant
lipid, fibrous tissue, calcium
hypercholesterolemia, hypothyroidism
Term
what are some viral causes of arteritis and vasculitis?
Definition
equine viral rhinopneumonitis
equine infectious anemia
malignant catarrhal fever
blue tongue
FIP
classical swine fever
african swine fever
bovine virus diarrhea
Term
what are some bacterial causes of arteritis and vasculitis?
Definition
Salmonella
haemophilus somnus
erysipelothrix rhusiopathiae
haemophilus suis
haemophilus parsuis
Term
what are some chlamydial causes of arteritis and vasculitis?
Definition
sporadic bovine encephalomyelitis
Term
what are some rickettsial causes of arteritis and vasculitis?
Definition
rickettsia rickettsii
ehrlichia canis and ruminantium
Term
what are some parasitic causes of arteritis and vasculitis?
Definition
strongylus, dirofilaria immitis, spirocerca lupi, onchocerca
Term
what are the non-infectious causes of arteritis and vasculitis?
Definition
SLE, polyarteritis nodosa (rats), anaphylactoid purpurea, drug induced hypersensitivity, uremia
Term
what is ectopia cordis?
Definition
heart enclosed within pericardium outside of the thorax
Term
what is likely the condition in a horse with a seagull sign in the aorta?
Definition
hemopericardium due to ruptured aorta
Term
smooth nodules indicate (endocarditis or endocardiosis)?
Definition
endocardiosis
Term
irregular friable growths indicate (endocarditis/endocardiosis)?
Definition
endocarditis
Term
dilatation of the lymph vessels is:
Definition
lymphangiectasis
Term
rupture of the thoracic duct results in....
Definition
chylothorax
Term
what is suspected in a goat with a heart with tissue that appears grossly to be pale or white?
Definition
nutritional myocardial degeneration due to Vit E/Selenium deficiency
Term

what tumor type originates from cells in close association with nerves which function to initiate adjustments in the autonomic nervous system in response to changes in CO2, pH, O2?

a. insulinoma

b. perithyroidal ganglioneuroma

c. chemodectoma

d. neuroendocrine bronchial adenocarcinoma

e. pheochromocytoma

Definition
chemodectoma
Term

which layer of the adrenal cortex secretes glucocorticoids (non-human)?

a. zona glomerulosa

b. zona fasciculata

c. zona reticularis

d. all of the above

e. b and c

Definition
e. zonas fasciculata mostly and reticularis
Term

atherosclerosis in dogs in exclusively associated with what condition

a. hypoparathyroidism

b. DM

c. insulinoma

d. Cushing's

e. hypothyroidism

Definition
e. hypothyroidism
Term

which of the following is true about Addison's disease?

a. associated with calcinosis cutis

b. high serum potassium and low serum sodium

c. tachycardia

d. b and c

e. all of the above

Definition

b. hi serum K, low Na

(bradycardia due to hi K, NOT tachycardia)

Term
what are the three types of hormones?
Definition
  • polypeptide (stored in secretory granules) (e.g. TRH, ACTH, ADH, TSH, calcitonin, insulin, glucagon)
  • steroid
  • amino acid derivatives (e.g. thyroid)
Term
primary hypofunction is
Definition
the decreased hormone production or secretion due to a primary disease process in the gland itself
Term
decreased hormone production in a target gland resulting from destructive lesions in parent endocrine gland responsible for trophic hormone production is what?
Definition
secondary hypofunction
Term
what is the difference between primary and secondary hyperfunction?
Definition
excessive secretion of hormone by an endocrine gland indep of normal control mech vs excessive secretion of hormone by a target endocrine gland secondary to overstimulation be excessive trophic hormone from the disease parent endocrine gland.
Term
Veratrum californicum causes:
Definition
pituitary aplasia and prolonged gestation
Term
what is a craniopharyngioma?
Definition
-pituitary neoplasia in Rathke’s pouch
-most are benign
-adenoma-like signs due to compression, can lead to panhypopituitarism
-dwarfism possible if animal is still growing but usually animal is older
Term
what are the layers of the adrenal glands? what do they produce?
Definition
cortex:
-zona granulosa-mineralcorticoids
-zona fasciculata-glucocorticoids
-zona reticularis-androgens and some glucocorticoids

medulla-catecholamines
Term
who is susceptible to adrenal cortical adenomas?
Definition
ferrets and dogs
Term
what is seen on bloodwork of canine hyperadrenocorticism?
Definition
neutrophilia without a left shift, lymphopenia, eosinpenia, monocytosis, elevated glucose, elevated alkaline phosphatase
Term
hyperadrenocorticism presents in what derm signs in various species?
Definition
calcinosis cutis in dogs
hirsutism in horses
friable skin in cats
Term
what is seen on bloodwork of primary hyperparathyroidism?
Definition
hypercalcemia, low or low normal P
Term
“rubber jaw” or “big head” is seen in what condition? what is the bone replaced with?
Definition
primary hyperparathyroidism fibrous connective tissue
Term
what breeds are predisposed to dwarfism?
Definition
German shep, spitz, mini pinscher, karelian bear dog
Term
what causes proportional dwarfism?
Definition
failure of Rathke’s pouch to differentiate into hormone-secreting cells of pars distalis
-panhypopituitarism
Term
what breeds are predisposed to functional chromophobe adenoma (   bilateral adrenal cortical hyperplasia)?
Definition
bostons, boxers, daschunds
Term
what is caused by functional acidophil adenoma? what are the signs?
Definition

acromegaly,

excess growth hormone -insulin resistant diabetes -exaggerated skin folds -increased interdigital and interdental spaces -“big boned”

Term
what are the two types of diabetes insipidus?
Definition
-central form: inadequate ADH prod due to destruction of pars nervosa, infundibular stalk, or hypothalamus
-nephrogenic form: target cell defect in tubular epithelial cells
Term
what is an example of hyperfunction due to production of hormone by a non-endocrine tumor?
Definition
carcinoma of apocrine gland of anal sac releasing PTH-like hormone.
Term
what is an example of hyperfunction of an endocrine gland secondary to disease in a non-endocrine organ or nutritional imbalance?
Definition
Ca and P imbalance of chronic renal failure resulting in secondary hyperparathyroidism
Term
what is an example of hyperfunction due to failure of normal hormone degradation/clearance leading to buildup?
Definition
lack of renal degradation of PTH in renal failure
Term
what is an example of endocrine dysfunction due to failure of target cell response?
Definition
insulin resistance due to lack of insulin receptors
Term
what are the two parts of the pituitary gland, their subunits, and their products?
Definition
  • neurohypophysis- oxytocin and ADH
  • adenohypophysis -
  • pars distalis- GH, LH, LTH, prolactin, FSSH, TSH, ACTH 
  • pars intermedia-ACTH in the dog 
  • pars tuberalis-supporting capillary network
Term
what are the signs of adenoma of the pars distalis?
Definition
hypopituitarism, DI, CNS signs, blindness
Term
functional adenomas of the pars distalis are usually seen in what species what is the mechanism?
Definition
dog. neoplastic corticotroph cells secrete excessive ACTH leading to bilateral adrenal cortical hyperplasia
Term
describe a pituitary carcinoma
Definition
older dogs,
nonfunctional
highly invasive and destructive, causing osteolysis, necrosis, etc.
Term
what are the mechanisms for hypothyroidism (5)?
Definition
o Idiopathic atrophy
o Lymphoplasmacytic thyroiditis
o Pituitary or hypothalamus lesions
o Destruction by nonfunctional neoplasm
o Iodine deficiency
Term
describe a cortical carcinoma including histopath.
Definition
uncommon, found in older dogs
larger than adenomas, bilateral, invade surrounding tissues
histopath: anaplastic epithelial cells, non-encapsulated, invasive, associated hemorrhage and necrosis
hemorrhage, thrombosis, metastasis, clinical hyperadrenocortism as tumor is usually functional
Term
T or F: hyperadrenocorticism does not occur in the cat.
Definition
false
Term
after a ______ dose of dexamethasone, in adrenal dependent Cushings, cortisol level will ________ and the adrenals will be
Definition
any dose
not suppress
unilaterally different in size (other will atrophy)
Term
after a ______ dose of dexamethasone, in pituitary dependent Cushings, cortisol level will ________ and the adrenals will be
Definition
high dose
(+/-) suppress
bilaterally diffusely enlarged
Term
what are the mechanisms for Addison's?
Definition
1. diffuse adrenocortical atrophy-most common form immune mediated or idiopathic in young dogs
2. iatrogenic-abrupt cessation of long-term corticosteroids
3. trophic adrenocortical atrophy-destructive pituitary lesion, only ACTH dependent zones atrophied
4. miscellaneous causes of adrenocortical atrophy (toxic, Lysodren, infectious, inflammatory)
Term
what is atypical Addison's?
Definition
trophic adrenocortical atrophy-destructive pituitary lesion, only ACTH dependent zones atrophied
Term
which zones are ACTH dependent?
Definition
zona reticularis and fasciculata
Term
T or F: only ZF and ZR are affected in Addison's
Definition
false. ZG affected unless atypical Addison's.
Term
T or F: only ZF and ZR are affected in Addison's
Definition
false. ZG affected unless atypical Addison's.
Term
what characteristics makes adrenalitis more likely to occur?
Definition
high blood supply and locally abundant level of steroids make them susceptible to infection
Term
what is pheochromocytoma?
Definition
tumor of chromaffin cells in adrenal medulla, can be bilateral. 50% are malignant and invade caudal vena cava. may be functional and secrete catecholamines
Term
what is the liver filled with in Cushing's? and in DM?
Definition
glycogen in Cushing's
fat in DM
Term
what are the cells in the thyroid and what do they secrete?
Definition
follicular cells-T4 and T3
C or parafollicular cells- calcitonin in response to hypercalcemia
Term
what are two developmental disturbances of the follicular cells in dogs?
Definition
accessory thyroid tissue
thyroglossal duct cytsts
Term
what are the top two causes of hypothyroidism in dogs?
Definition
1. lymphoplasmacytic thyroiditis-diffuse lymphoplasmacytic infiltrates with follicular destruction and eventual fibrosis
2. idiopathic follicular atrophy/fibrous replacement (primary degenerative)
Term
the two neoplasms of the thyroid gland include:
Definition
adenomas and carcinomas
Term
what is the pathophys of diffuse hyperplasia and colloid goiter?
Definition
inadequate thyroxine synthesis--> decreased blood T4 and T3--> secretion of TSH from pituitary--> hypertrophy/hyperplasia of thyroid follicular epithelium-->enlargement of gland
Term
what are the causes of diffuse hyperplasia and colloid goiter?
Definition
iodine deficiency, compounds interferring with thyroxine synthesis (thoiuracil, sulfonamides)
Term
what could be likely in a cat with weight loss, PU/PD, polyphagia, and behavioral changes?
Definition
hyperthyroidism. assoc with functional thyroid hyperplastic lesions, adenomas (but can be carcinomas), often palpable
Term
what are the breeds susceptible to hypothyroidism?
Definition
goldens, doberman, dachshund, shetlands, irish setters, mini schnauzers, cockers, airedales
Term
what are the clinical signs of hypothyroidism?
Definition
decreased activity, weight gain, hypercholesterolemia, altered estrus cycles, decreased libido, dermatopathy (dry)
Term
what are the functions of PTH?
Definition
on kidneys: decrease P resorption, increase Ca resorption, stimulates conversion of vit D to active form which increases intestinal calcium and phosphorus absorption

bone: increases osteoclastic bone resorption net effect is to increase blood Ca and decrease blood P
Term
which two breeds are predisposed to inflammatory lesions of parathyroid chief cells and hypoparathyroidism?
Definition
schnauzers and terriers
Term
what are two chief cell hyperplasias that cause secondary hyperparathyroidism?
Definition
  • nutritional (dogs, cats, birds, reptiles, primates) low calcium/hi phosphorus diets, inadeq vit D in new world primates. stim parathyroid glands, hyperplasia, increase PTH
  • renal (dogs) chronic renal disease-->failure to excrete P and retain Ca; failure of kidney to metabolize Vit D--> hypocalcemia-->increased PTH-->fibrous osteodystrophy--> eventually still low serum Ca and hi P , (insoluble calcium phosphate)
Term
what are the clinical findings of primary hyperparathyroidism?
Definition
hypercalcemia low or low normal serum phosphorus lameness-prolonged osteolysis and osteoclasis generalized weakness, PU/PD, depression
Term
the adenoma of the thyroid gland is most commonly associated with what species?
Definition
cat
Term
the carcinoma of the thyroid gland is most commonly associated with what species?
Definition
dog
Term
the most common neoplasm in the parathyroid is the...
Definition
adenoma
Term
what is the most common cause of feline hyperthyroidism?
Definition
nodular hyperplasia
Term
what is pseudohyperparathyroidism?
Definition
hypercalcemia of malignancy
PTH related peptides or other bone resorbing substances are secreted by malignant non-parathyroid tumors. clinical sign is severe hypercalcemia
Term
what are the diagnostic criteria of pseudohyperparathyroidism?
Definition

-persistent hyper Ca/hypo P

-parathyroid chief cells will be atrophied

-thyroid C cells will be hyperplastic

-removal of tumor returns values to normal, but recurrence of hypercalcemia with regrowth of the tumor

Term

what three tumors are associated with pseudohyperparathyroidism?

Definition
  • anal sac apocrine gland acenocarcinoma (NOT perianal gland adenoma/adenocarcinoma)
  • lymphosarcoma
  • mammary gland adenocarcinoma
Term
who is most at risk for DM?
Definition
small breed female dogs
Term
what are the two beta cell degenerations in the cat that can lead to DM?
Definition
  • selective deposition of amyloid in the islets resulting in degeneration of beta and alpha cells. not all cats with islet amyloid will have DM
  • vacuolar degeneration of beta and alpha cells due to glycogen accumulation assoc with long term insulin resistance and exhaustion of insuling producing cells
Term
what are the 7 mechanisms for DM?
Definition
  1. beta cell degeneration
  2. anti-insulin Ab
  3. immune mediated islet cytotoxicity
  4. inappropriate secretion of hormones by other endocrine tissues
  5. destruction secondary to pancreatitis
  6. idiopathic atrophy
  7. hypoplasia of islets in young dogs
Term
what endocrine disease can cataracts be a clinical sign for?
Definition
DM
Term
a patient presents with blindness and gangrene of the extremities. what could be a DDx?
Definition
DM. signs due to microangiopathy
Term
what are the two beta cell neoplasms causing hyperfunction most often functional, most often in dogs 5-12 years old?
Definition

adenoma=insulinoma

adenocarcinoma-most common and usually in right lobe

Term
what is insulinoma?
Definition
adenoma of beta cells leading to pancreatic hyperfunction
Term
chemodectomas can be _____ or ______
Definition
adenomas (more common) or carcinomas
Term
stress intolerance and lymphocytosis are signs of:
Definition
Addison's
Term
bran disease or "big head" is associated with what dietary irregularity?
Definition
phophorus excess
Term
peripheral neuropathies can be associated with what four endocrinopathies? what are the signs of each?
Definition
  • DM-due to hyperglycemia (weak pelvic limb, reduced spinal reflexes and muscle mass, plantigrade stance of pelvic limbs in cats)
  • hypothyroidism-(LMN sings, megaesophagus, cranial nerve deficits, laryngeal paralysis)
  • hypoadrenocorticism(megaesophagus)
  • insulinoma
Term

deeply located muscles which function to maintian posture are composed mostly of what fiber type?

a. Type 1

b. Type 2A

c. Type 2B

d. satellite fibers

e. mitochondrial fibers

 

Definition
a. type 1
Term

flat bones of the skull develop by the process of what?

a. reversal lines

b. proliferation

c. intramembranous ossification

d. endochondral ossification 

e. hypertrophy

Definition
c. intramembranous ossification
Term

blood vessels from the metaphysis invade into the advancing growth plate bringing with them what type of cell that forms bone on the cartilage spicules?

 

a. osteoblasts

b. osteocytes

c. osteoclasts

d. megakaryocytes

e. a and b

Definition
a. osteoblasts
Term

equine botulism can lead to what complication?

 

a. aspiration pneumonia

b. hepatic abscesses

c. COPD

d. foundering

e. b and d

Definition
aspiration pneumonia
Term
muscle atrophy is associated most commonly with what two endocrine disorders in the dog?
Definition
hypothyroidism and hypercortisolism
Term
modeling is to  ________, as remodeling occurs ________ and does not__________
Definition

growth

throughout life

alter gross shape of the bone

Term
the bone formation that occurs without a distinct growth plate or collagen model 
Definition
intramembranous bone formation
Term
the bone formation that occurs when growth plate layers progressively generate a collagen model which is then ossified
Definition
endochondral bone formation
Term
unlike regular cancellous bone, woven bone is
Definition
less organized and patches weaknesses or areas of inflammation, infection, trauma
Term
intramembranous bones are susceptible to _________ as in ________in horses or _______in westies
Definition

fibrous osteodystrophy

"big head"

crandiomandibular osteopathy

Term
long bones are susceptible to early nutritional problems such as  ____ and _____
Definition
rickets and scuvy
Term
osteoids are _______________ and used to indicate ___________ or verify ____________
Definition

unmineralized collagenous matrix of bone

inadequate mineralization

a tumor as an osteosarcoma

Term
what does woven bone perpendicular to the periosteum suggest?
Definition
pulmonary osteodystrophy
Term
what are the five layers in endochondral bone formation and their characteristics?
Definition
  1. resting cartilage zone: inactive
  2. proliferating cartilage zone: interstitial growth within growth plate
  3. maturing/hypertrophic cartilage zone: cells making matrix and beginning to degenerate
  4. calcified cartilage zone: cartilagenous septa are invaded by blood vessels which bring osteoblasts and allows mineralization to begin
  5. primary spongiosa: bone deposited on outer surfaces of cartilagenous spicules
Term
blood vessels bring osteoblasts to allow initial mineralization at the growing edge of the physis, bue can only penetrate or itneract with carilate that is:
Definition
well-formed and if they are themselves composed of good quality collagen. 
Term
what is the pathophys of rickets?
Definition

lack of dietary Ca, Vit D, P, P/Ca imbalance

accumulation of osteoid

blood vessels don't invade inadequately mineralized collagen/cartilage, resulting in persistence of unmineralized cartilage within metaphysis. 

Term
what is the pathophys of scurvy?
Definition

lack of vitamin C in species that lack enzyme L-gulonolactone oxidase

blood vessels weak due to poor quality collagen cannot sustain osteogenesis and hemorrhage and result in diminshed metaphyseal bone formation

Term
what are the two layers of the periosteum?
Definition

outer fibrous (structure, protection)

inner osteogenic layer

Term
which bone cell is multinucleated? where is it found?
Definition

osteoclasts

Howship's lacunae

Term
what is the "regional acceleratory phenomenon"?
Definition
influx of fibroblasts, endothelium, osteoblasts, etc. to physically stabilize the break and restore blood flow for tissue survival. granulation tissue helps re-establish blood supply
Term
final state of bone repair depends on woven bone to create a supportive _______
Definition
fracture callus
Term
how are chondrodysplastic dwarves and pituitary dwarves different physically?
Definition
chondrodysplastic dwarves have short legs but a normal head. pituitary dwarves are proportionally small
Term
the lack of osteocytes suggest:
Definition
necrosis
Term
what is a sequestra?
Definition
unresolvable stranded island of necrotic bone surrounded by zone with no blood supply and more peripheral inflammation
Term
what is Legg-Perthes?
Definition
pelvic limb lameness with femoral head collapse due to loss of integrity of underlying bone. small breed. cystic bone spaces can form in areas of necrotic bone
Term

osteoporosis can be due to:

 

Definition
disuse, malnutrition, and corticosteroids
Term
what is the enzyme lacking in animals that need dietary vitamin C?
Definition
enzyme L-gulonolactone oxidase
Term

who gets osteogenesis imperfecta?

what is it?

Definition

Holsteins, dogs

small fragile trabeculae

Term

osteopetrosis is autosomal________,

and is the failure of ________ resulting in _______

Definition

recessive

osteoclasts

filling of medullaty cavity with excessive bone

Term
what are growth arrest lines and what do they indicate?
Definition
parallel horizontal lines of bone in metaphysis near physis indicating periods of slow growth as in anorexia or starvation
Term
hallmark microscopic pathology of osteopenia includes:
Definition
reduced numbers of trabeculae which are thin and often infracted
Term

what is the growth retardation lattice?

what is a common cause?

Definition
metaphyseal zone of increased bone density caused by a failure of osteoclasts to resorb primary trabeculae. can be seen in canine distemper
Term
what is the difference between osteomalacia and rickets?
Definition
rickets is teh therm used in growing animals
Term
what is osteomalacia?
Definition
failure to deposit adequate quantities of mineral in bone resulting in poorly mineralized bone which is soft/weak. 
Term
what are the gross lesions of rickets?
Definition
  • enlargement of ends of long bones and costochondral junctions (enlarged joints)
  • valgus deformity
  • soft bones
Term
what are the microscopic lesions of rickets?
Definition
  • increase in size and disorganization in the zone of hypertrophic cartilage
  • defective calcification
  • excess osteoid
  • marrow fibrosis
Term
what is FOD?
Definition

fibrous osteodystrophy

continuous action of parathyroid hormone pulling calcium from bone either bc there is a tumor producing excess parathyroid hromone or in an attempt to raise the serum Ca or restore normal P/Ca ratio due to poor nutrition

Term
what is the hallmark microscopic lesion of FOD?
Definition
marked bone resorption and fibrous replacement with loss of bone, numerous osteoclasts, irregular mineralization of osteoid, poorly organized woven bone, and increased fibrous tissue
Term

what is HOP-hypertrophic “pulmonary” osteo(arthro)pathy?

 

Definition
  • proliferative bone condition assoc with a space occupying thoracic or abdominal mass lesion. inciting cause is usually a tumor by can be infec/inflam.
  • hallmark path is chronic prolif of new bone beneath periostium, not involving joint surfaces. 
  • severing the vagus nerve can be curative
Term
what is HOD? (hypertrophic osteodystrophy)
Definition
  • young large breed dogs, less than 1 yr.  
  • swollen, painful, hot joint (or near joint) metaphysis. 
  • radiographically, there is a double line. parallel lines
  • will outgrow it, but need to get them non-weight bearing, otherwise, will slip their physis
Term
what is panosteitis?
Definition
  • transient inflammatory disease
  • pain, lameness, inflammatory
  • large breed dogs, german sheps,
  • woven tissue density around nutrient foramen, with a minor inflam component
Term
what is craniomandibular osteopathy? 
Definition
  • hereditary (small breed, westies, etc) or spontaneous.
  • also bull mastiffs.
  • proliferative bone.
  • reversal lines.
  • aggressive remodeling
Term
which is muscle specific? AST, ALT, CK?
Definition
CK
Term
what is osteomyelitis?
Definition

inflammation of the marrow spaces. chronic and disfiguring due to lack of drainage and persistence of infectious agents in necrotic bone

can be caused by bacteria (most common), also viral, fungal, protozoal

Term
the hallmark path lesion of osteomyelitis is:
Definition
inflammation!
Term
what is an osteoma?
Definition
slow-growing, benign, does not metastasize, expansile bone-forming lesion often on top of head
Term
what is an osteochondroma?
Definition
cartilage capped, exophytic lesion on the metaphysis of the long bones that stop growing when the growth plates close
Term
where are multilobular tumors of bone found?
Definition
canine skull
Term
where are chondrosarcomas commonly found?
Definition
axial skeleton, often in nasal location
Term
what is osteochondromatosis?
Definition
  • young animals
  • affects numerous bones and mis-interpreted as tumor
  • radio-opaque cartilage and bone nodules that may disrupt movement
  • hallmark path lesion is well-differentiated cartilage cap subtended by endochondral ossification
  • lesions will close when growth ends
Term
what is the most common primary bone tumor of the dog? who does it affect, and what is a possible outcome?
Definition

osteosarcoma

large breeds

metastasize to lungs quickly

Term
what is the hallmark of osteosarcoma?
Definition
presence of neoplastic (polygonal) osteoblasts producing osteoid
Term
chondrosarcomas have a predilection for:
Definition
flatbones of skull, sinuses, ribs
Term
the hallmark path lesion of the chondrosarcoma is... 
Definition
neoplastic cartilaginous cells near basophilic matrix
Term
reaction of joints to injury: 
Definition
  • synovial membrane: hypertrophy, pannus
  • articular cartilage: fibrillation
  • bone: myxomatous degeneration, pseudocyts, eburnation, proliferation

 

Term
chronic infections that lead to inflammatory arthritis have hallmark...
Definition
....acute inflammation with villus hypertrophy, lymphoplasmacytic inflam, fibrin, granulomas
Term
what is osteochondrosis?
Definition
  • large breed dogs
  • dysplasia of articular-epiphyseal complex with cartilage thinning and disorganization with fibrosis and possible collapse of subchondral bone. 
Term
what is generally the only primary tumor found in joints? what are the hallmark path lesions?
Definition

synovial cell sarcoma

biphasic tumors epithelial and spindle.

Term
what are the three reactions to injury of muscle?
Definition

1.      degen with regen

2.      degen and necrosis with some regen

3.      degen and necrosis with fibrosis

Term
muscle needs these two things to regenerate (KNOW)
Definition

1.      intact basal lamina or sarcolemmal tube for scaffolding

2.      satellite cells (aka proliferating myoblasts)

Term
what is IVD rupture?
Definition

dehydration-->  nuclear material erupts dorsally into vertebral canal housing spinal cord.

very painful

Term
what is fibrocartilagenous emboli?
Definition
IVD disk material as acute microemboli within spinal blood vessels
Term
a small amount of patchy formation of bone and cartilage within meninges of the spinal cord is observed in some dogs and cats by 5 yrs. what is it?
Definition
osseous metaplasia of the spinal meninges/ossifyin pachymeningitis
Term
what is myoglobinuric nephrosis?
Definition
release from damaged muscle leads to necrosis of renal tubular epithelium. hypoxia/renal ischemia may also be a factor
Term

complete the table:

       type 1                      type 2A                     type 2B

metab

speed

# of mitos

ATPASE

function 

Definition

                type 1                  type 2A                type 2B                                

metab           oxi                 oxi/glycolytic        glycolytic        

speed        slow                      fast                      fast

# of mitos    lots                     moderate               few

ATPASE        low                     moderate               high

function   postural                   rapid act         rapid act

Term
two common degenerative changes in muscle that are not specific for any particular insult/cause and include:
Definition
  • vacuolar degen-intracytoplasmic vacuoles
  • hyaline degen-glassy eosinophilic cytoplasm without striations
Term
the sequence of events leading to myofiber regen includes:
Definition

1.      striations lost

2.      macs and PMNs enter tissue

3.      satellite cells enlarge and divide

4.      satellite cells move to center of myofiber nuclear rowing is key sign

5.      later cross striations reappear

 

Term
two classic examples of muscle atrophy due to denveration are:
Definition

1. transection of radial nerve in HBC

2. left cricoarytenoideius dorsalis due to left recurrent laryngeal derve damage

Term

what are the common bac causes of abscesses  (KNOW!)

 

 

Definition
  •  strep zooepidemicus (horses)
  • Arcanobacterium pyogenes (cattle and sheep)        
  • cornyebacterium pseudotuberculosis (horse, sheep, goat)
Term
clostridial species leading to myofiber damage include:
Definition

o   perfringens

o   chauvoei

o   septicum

o   novyi

Term
which clostridium causes flaccid paralysis?
Definition
botulinum
Term
what are the signs in clostridium tetani?
Definition
sawhorse stance, prolonged tetanic muscle contractions, esp if startled
Term
if a cow comes in with gross lesions what smell like rancid butter, are dry, and spongy, what could it be?
Definition

Black leg. Clostridium chauvoei

ingested, dormant in skeletal muscle, trauma, exotoxins 

Term
what is the most common cause of clostridial myositis in horses?
Definition
C. septicum "malignant edema" either by ingestion or penetrating wound
Term
what is the mechanism behind C. botulinum?
Definition
  • toxin halts release of Ach at NMJ
  • dogs/cats not very susceptible (rodent eaters)
  • soil and GI tract spores
  • irreversible damage presynaptic axon terminals
  • horses susceptible, dysphagia and tongue weakness can cause aspiration pneumonia
Term
for cat bite wound cellulitis, the most common cause is:
Definition
Pasteurella multocida
Term
for granulomatous myositis, the most common cause is:
Definition
Mycobacterium bovis
Term
for chronic fibrosing nodular myositis of tongue in cattle, the most common cause is:
Definition
Actinobacillus lignieresii or Actinomyces bovis
Term
for botryomycosis, the most common cause is:
Definition
Staph aureus
Term
for parasitic myopathy in fetal cattle, the most common cause is:
Definition
Neospora caninum
Term
for purpura hemorrhagica in horses, the most common cause is:
Definition
Strep equi equi
Term
for pigeon fever of intramuscular pectoral abscesses of horses, the most common cause is:
Definition
Corynebacterium pseudotuberculosis
Term
for hind leg abscesses in cattle, the most common cause is:
Definition
Arcanobacterium pyogenes
Term
what is myotonia?
Definition
myopathy assoc with sustained contraction= stiff gait
Term
in pigs, the most common myopathies are:
Definition
1. malignant hyperthermia
2. myofibrillar hypoplasia “splayleg”-born with abducted legs; recover if given leg splints, non-slip floor, care
Term
what is HYPP? what does it affect?
Definition
  • hyperkalemic periodic paralysis quarterhorses,
  • autosomal dominant recurrent weakness 
  • muscle fasciculations 
  • hyperkalemia ONLY during episodes
Term
clinical signs: pale soft exudative meat. hyperthermia from stress. muscle tremors, edema in muscle especially shoulder, back and thigh muscles
Definition
porcine stress syndrome
Term
what is polysaccharide storage myopathy/recurrent equine exertional rhagdomyolysis?
Definition

-↑CK and AST

 

Term

What is the #1 plant cause of toxic myopathy in cattle?most common cause of segmental necrosis of myofibers (esp in diaphragm) in pigs

 

Definition
Cassia occidentalis (coffeeweed)
Term
the three exceptions to the autosomal recessive rule for inherited muscle problems are:
Definition

HYPP (autosomal dominant)

Duchenne's muscular dystrophy (X-linked)

fainting goats (autosomal dominant)

Term
what is Duchenne's muscular dystrophy? 
Definition

defect in dystrophin

X-linked

repeated bouts of necrosis and regeneration of skeletal muscle varies from early death to survival with resp failrue due to seevere diaphragmatic myonecrosis

Term
what is myasthenia gravis?
Definition

immune mediated

Ab against Ach receptors on skeletal muscle

self-tolerance

thymomas can initiate a loss of tolerance to Ach receptors

Term
What type of muscle fibers are lost in physiologic atrophy?
Definition
type II
Term

what is the mech for fainting goats?

what are the serum CK and AST levels?

Definition

autosomal dominant

chloride channel in skeletal muscle defect

serum CK and AST normal (no leaking

Term
in HYPP, the serum CK and AST are:
Definition
normal
Term
what is monensin?
Definition
  • feed additive used in cattle and poultry as coccidiostatic to improve growth
  • horses extremely sensitive, pale muscles, myonecrosis.
  • ionophores form lipid soluble dipolar reversible complexes with cations
Term
what is a nutritional myopathy?
Definition
Vit E/Selenium deficiency
Term
what is canine masticatory myositis?
Definition

eosinophilic myositis

german sheps with difficulty eating

acute disease with swollen temporalis and masseter

chronic disease with atrophic masticatory muscles

Ab agains IIM myosin 

Term
what is purpura hemorrhagica?
Definition

young to young adult quarterhorses

strep equi equi

circulating immune complexes

rhadomyolysis

Term
what are rhabdomyomas and rhabdomyosarcomas?
Definition
tumors with skeletal muscle differentiation
Term
the urinary bladder is a frequent site of:
Definition
botryoid rhabdomyosarcomas
Term
cross striations is a slam dunk hallmark for:
Definition
skeletal muscle differentiation in a tumor
Term
bull mastiffs are at risk for what bone disease?
Definition
calvarial hyperostotic syndrome
Term
what are the auto-immune disorders and their respective species?
Definition

1.      Purpura hemorrhagica-horses

2.      viral-horses, cats

3.      canine polymyositis

4.      masticatory muscle myositis (dogs)

5.      extraocular muscle myositisi (dogs)

6.      acquired myasthenia gravis (dogs/cats) 

Term
______ causes bread and butter lesions in _______
Definition

E. coli

cattle

 

Term
describe the electrolyte and heart changes in aldosterone insufficiency in Addison's.
Definition
  • ↑K, ↓K in urine
  •   ↓Na, ↑Na in urine
  •   ↓Cl, ↑Cl in urine
  •   hypovolemia
  •  bradycardia

 

 


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