Shared Flashcard Set

Details

Lecture 1
Musculoskeletal System
115
Veterinary Medicine
Professional
08/15/2016

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
What is a skeletal muscle cell called?
Definition
-myofiber
Term
What is the plasma membrane of skeletal muscle called?
Definition
-sarcolemma or plasmalemma
Term
Where in myofibers is the nuscleus located?
Definition
-around the periphery
Term
Why are satellite cells unique? Where are they located?
Definition
-only cell that retains the ability to divide
-b/n the basal lamina and plasma membrane
Term
Regeneration of skeletal muscle is dependent on what?
Definition
-preservation of basal lamina or sarcolemmal tube
Term
Definition: Focal monophasic
Definition
-isolated focal insult
Term
Definition: Multifocal monophasic
-ex?
Definition
-single insult, multiple sites
-ex: thrombus
Term
Definition: Focal polyphasic
-ex?
Definition
-repeated injury, one site
-ex: fibrotic myopathy
Term
Definition: Multifocal polyphasic
-ex?
Definition
-continued insults, many sites
-ex: nutritional myopathy
Term
What are some examples of common histologic artifacts seen with skeletal muscle?
Definition
-formalin causes contraction bands
-glycogen release causes loss of cross striations
Term
Describe Type I myofibers in regard to contration rate, fatigue rate, and type of metabolism.
Definition
-slow contraction
-slow fatigue
-oxidative metabolism
Term
Describe oxidative metabolism.
Definition
-low myosin/APase
-high mitochondrial enzymes: SDH, NADH-TR
Term
Describe Type IIA fibers in regards to contraction rate, fatigue rate, and metabolism type.
Definition
-fast contraction
-slow fatigue
-mixed metabolism
Term
Describe type IIB myofibers in regards to contraction rate, fatigue rate, and metabolism type.
Definition
-fast contraction
-fast fatigue
-glycolytic metabolism
Term
Describe glycolytic metabolism.
Definition
-high myosin/ATPase
-few mitochondria
Term
Between Type IIA and IIB myofibers, which is favorable?
Definition
-Type IIA
Term
HOw are Type I myofibers innervated? Type II?
Definition
-Type I = ventral horn
-Type II = motor neuron from the brainstem
Term
Are Type II or Type I myofibers in abundance at the periphery of a bundle? Which at the center?
Definition
-Type II
-Type I
Term
Describe the general function of type I myofibers. Example?
Definition
-repetitive, persistent, slow contraction
-ex: diaphragm, postural support, mastication
Term
Describe the general function of type II myofibers. Examples?
Definition
-rapid, bursts of contraction
-semimembranosus, semitendinosus, biceps femoris
Term
What are some different pattern types of skeletal muscle?
Definition
-streaks, focal, diffuse, multifocal, pathcy
Term
What are some examples of skeletal muscle character?
Definition
-chalky, fatty, fibrous, gritty, liquefactive
Term
What are some examples of pigment in skeletal muscle and their corresponding colors?
Definition
-LIpofusion: brown color due to wear and tear of age
-Melanin: shiny black in black face sheep
-Myoglobin
Term
What are some color variations seen in skeletal muscle?
Definition
-Tetracyclines = yellow
-Penicillin G = chalky white
-Iron Dextran = Dark brown
Term
Definition: Rigor mortis
-describe the onset time and order
Definition
-fixed contraction of muscle following death
-2-6h max = 24-48h
-jaw => trunk => extremities
Term
What three factors can alter rigor mortis? How do they do so?
Definition
-Glycogen reserve: dec glycogen = rapid rigor
-pH: dec pH = rapid rigor
-Temp of either environent or animal: inc temp = rapid rigor
Term
What happens after rigor mortis?
Definition
-release in the same order then autolysis
Term
What are the three major categories of skeletal muscle reaction to injury?
Definition
-atrophy, hypertrophy, degeneration
Term
Definition: Atrophy
Definition
-reduction in muscle size due to dec m fiber size (reduced cellular components)
Term
How does muscle atrophy appear histologically?
Definition
-fibers have angular margins and are dec in size
Term
What are the 4 types of atrophy?
Definition
-denervation atrophy, disuse atrophy, malnutrition, endocrine disease
Term
What is denervation atrophy? Which type of fibers are more severely affected? Examples?
Definition
-loss of nerve supply
-RAPID atropy with type I fibers more severely affected
-Ex: Roarer, Sweeny, Avulsion of Brachial plexus
Term
What is disuse atrophy? Which type of fibers are more severely affected? Examples?
Definition
-reduced stimulation or movement
-type II fibers more severely affected
-ex: Fracture, casting, Tenotomy, cage/Bed rest
Term
What is Malnutrition atrophy? Other names? HOw does it affect each fiber type?
Definition
-negative energy state
-aka cachexia or senility
-slow process with Type II fibers depleted and type I fibers resistant or hypertrophied with type switching
Term
Which type of fibers is more severely affected by endocrine disease? Examples?
Definition
-selective type II atrophy NOT as severe in most cases with no type I compensatory hypertrophy
-ex: canine hypothyroidism and hypoadrenocorticism
Term
Definition: HYpertrophy
-what two mechanisms can cause it?
Definition
-inc in diameter of muscle or myofiber
-caused in response to work or as a compensatory mech in response to degeneration
Term
Give an example of hypertrophy.
Definition
-X-linked muscular dystrophy in cats
Term
Describe degeneration.
Definition
-potentially reversible and segmental
-begins with vacuolar accumulation in cytoplasm of myofiber and is associated with cytoarchitectural changes on immunochem or EM
Term
Definition: Myolysis
Definition
-reduction of myofibrils to coagulum with Ca
Term
Definition: Zenker's degeneration
Definition
-severe, glassy-granular (Typhus)
Term
Definition: Discoid degeneration
Definition
-hypoxia, mild, cross-striatins intact, EM
Term
Definition: Vacuolar degeneration
Definition
-flocular/vacuolar change, storage diseases
Term
Definition: Fatty degeneration
Definition
-emaciated or anorectic animals
Term
Definition: Calcification
Definition
-the initial mechanism for all types of degeneration
-Ca drives the process of degeneration in the reduction/absence of ATP and occurs within several hours
Term
How does calcification appear histologically?
Definition
-darker and basophilic
Term
Is total necrosis common or rare? Examples?
Definition
-rare
-ex: infarcts, massive trauma, large burns
Term
Definition: Necrosis
Definition
-segmental degeneration that causes damage to plasma membrane associated with cell leakage and elevation of serum enzymes (CK and AST)
Term
Skeletal muscle has a remarkable ability to regenerate IF what three things prove true?
Definition
-nature of injury and magnitude not severe
-basal lamina remains intact
-satellite cells remain present and viable
Term
Skeletal muscle begins following degeneration or necrosis with the first microscopic changes at about ___ hours.
Definition
-12
Term
Complete skeletal regeneration occurs in about __-__ days.
Definition
-10-14
Term
What are the types of effects that degeneration has on skeletal muscle.
Definition
-Type I: MYofibrils alone or myofibril + sarcoplasm (basal lamina, nuclei, satellite cells intact)
-II: satellite cells + basal lamina intact
-III: satellite cells destroyed
-IV: also destroys endomysial CT and blood vessels
Term
What happens in regards to skeletal muscle if regeneration is not possible?
Definition
-repair is by fibrosis with loss of function
Term
What are the two types of skeletal muscle regeneration?
Definition
-optimum and budding
Term
Describe optimum skeletal muscle regeneration.
Definition
-basal lamina intact
-sarcoplasm contracts
-macrophage migration
-satellite cells: proliferate, migrate, fuse
Term
Describe budding skeletal regeneration.
Definition
-basal lamina NOT intact
-sarcoplasm and satellite cell giant cells bulge out end of tube
-not effecient = can only bridge 2-4mm
-many times completed by fibrosis
Term
What is arthrogryposis?
Definition
-congenital articular rigidity due to denervation with muscle atrophy or agenesis and subsuquent fibrosis
-seen in lambs, calves, piglets, foals
Term
What are some of the causal associations seen with arthrogryposis?
Definition
-Heritable genetic: Curley Calf Syndrome
-Toxic plants: Lupine & locoweed with cattle, sheep, and goats AND hybrid Sudan & Locoweed with horses
-Dietary deficiency: manganese with cattle, vit A with pigs
-viral infection: Akabane Bluetongue, Border dz, Cache Valley Feber
-linked to dysraphism
Term
Which domestic species are most commonly affected by congenital diaphragm clefts? Most common clefts? Issue?
Definition
-dogs and rabbits
-left dorsolateral tendinous portion
-predisposes to diaphragmatic hernia
Term
What is Myofibrillar hypoplasia?
Definition
-abduction of limbs
-aka splayleg in pigs and swimmer puppies
-also causes flattening of sternum and myofiber degeneration but transient and reversible
Term
Definition: Muscular Steatosis
Definition
-excess fat deposited in or replacing muscle fibers seen in old dogs/cattle/pig
Term
Describe muscular dystrophy.
Definition
-hereditary, progressive, degenerative disease of skeletal muscle
Term
Genes coding for which proteins are mutated in the case of muscular dystrophy?
Definition
-Dystrophin: in most dogs, initial hypertrophy in cats/mice/rat terriers
-Laminin alpha 2
Term
How is most muscular dystrophy passed? Exception being?
Definition
-X-linked
-except in Laminin alpha 2 muscular dystrophy in cats
Term
Which dog breeds are more commonly affected by canine muscular dystrophy? Males or females are mroe affected?
Definition
-Goldens, Irish terriers, Pembroke Welsh corgis
-Males > females
Term
How does canine muscular dystrophjy present?
Definition
-progressive limb weakness, muscle atrophy, stiff short-strided gait, exercise intolerance as young as 2 months
Term
Which domestic species are affected by myasthenia gravis?
Definition
-dogs and cats
Term
What is Myasthenia gravis?
Definition
-disorder of ACh receptors and NMJs
Term
Describe the acquired form of Myasthenia gravis.
Definition
-autoimmune disease, anticholinesterase Ab
-association with thymoma or thymic hyperplasia
Term
Describe the congeital form of myasthenia gravis
Definition
-endplate receptor defect
-Jack Russel Terriers, Smooth Fox Terriers, Springer Spaniels: pregressive weakness and recessive
Term
What are the clinical signs of myasthenia gravis?
Definition
-vomiting, coice change, exercise weakness, acute collapse, fatigue, dysphagia, at around 5-8w
Term
How do we diagnose myasthenia gravis?
Definition
-edrophonium test
-serology: Ab to Anticholinesterase
Term
What are the common names for Congenital Muscular HYperplasia? Animals commonly affected?
Definition
-double muscling and Culard
-Belgium Blue, Charolais, South Devron cattle
Term
What is congenital muscular hyperplasia?
Definition
-inc muscle fiber numbers, inc type IIB fiber size, dec fat stores, thin skin of the thighs/rump/loin/shoulder
-causes the dystocia
Term
In which species are storage diseases described most commongly?
Definition
-horse, cattle, sheep, cats, and dogs
Term
What are the genetic bases for the 4 common types fo stworage diseases?
Definition
-PSSM-1
-RER
-Glycogen branching enzyme disease
-Mucopolysacharidosis
Term
In regards to polysaccharide storage myopathy, where is there genetic mutation? What is the sigificance of this gene?
Definition
-GYS-1
-causes a mutation in glycogen storage that was favorable in ancient times in that it produces horses that can ride all day and get by on very little forage
Term
Is polysaccharide storage myopathy autosomal or heterozygous dominant? Meaning what?
Definition
-autosomal dominant trai but irrelevant for clinical purposes b/c there are no carriers
Term
What are the clinical signs associated with PSSM-1?
Definition
-reluctance to move
-stiff muscle
-very short choppy gait
-hunched appearance to loins
Term
How do we approach emergency care of PSSM-1 cases?
Definition
-stop exercise, blanket or hose, call vet
-provide fluids, small amounts (+/- electrolytes)
-NSAID for pain relief
-remove grain from diet
=begin monitoring serum muscle enzyme levels
Term
IN what specifically is there a mutation in cases of hyperkalemic periodic paralysis (HYPP)?
Definition
-genetic mutation in sodium channel (SCN4A)
Term
How is Hyperkalemic Periodic Paralysis genetically passed?
Definition
-inherited as an autosomal dominant trait, thus everyone with the gene is clinically affected
Term
What are the clinical signs associated with HYPP?
Definition
-muscle tremors
-muscle weakness
-sweating
-paralysis
Term
What are some of the causes of HYPP?
Definition
-stress, external stimulus (dietary change, fasting, anesthesia, illness, exercise, etc)
Term
Definition: Congestion
Definition
-passive congestion/ localized blood stasis
Term
Definition: Ischemia
Definition
-deficiency of blood to an area or part
Term
What clinically occurs in the case of ischemia lasting 6-24 hours? What about cases of ischemia lasting more than 18-24 horus?
Definition
-6-24 hours: death of myofiber and satelite cells = reduced regen and fibrosis
->18-24 hours = nearly total necrosis with phagocytosis and fibrosis repair
Term
In the case of a bloat line, on which side is the head of the animal?
Definition
-head is on the dark side
Term
What is the most common type of muscle ischemia? Describe it. Examples?
Definition
-external pressure
-external physical pressure exceeds perfusion pressure of local capilaries in animals that are in good conidtion
-ex: Downer cows, Fibrotic myopathy in horses, Periparturient Abdominal obliques, all casts and bandage pressures
Term
Definition: Vascular occlusive syndrome leading to muscle ischemia
-examples?
Definition
-blockage of vessel with infarction
-size of infart determind by size of the occluded vessel and duration of blockage
-Ex: aortic-iliac thrombus in horses, saddle thrombus in cats, HW thrombus in dogs
Term
What does vascular occlusive syndrome look like grossly?
Definition
-zone of hyperemia around a pale center
Term
Briefly describe muscle ischemia due to swelling iwthin a non-expandible compartment.
Definition
-vigorous exercise of muscle encased in a rigid fascia sheath
-more commonly seen in primates and avians
Term
What is the most common form of nutritional myopathy? What causes it?
Definition
-White muscle disease
-related to Vit E and Selenium deficiency (plasma mem alts leaving basal lamina and satellite cels intact with rapid regen possible)
Term
What are the clinical signs of White Muscle Disease? What about the gross and microscopic lesions resulting?
Definition
-recum, stiff gait, dyspnea, death
-diffuse or streaks of pale chalky mm of thigh, shoulder, etc with microscopic Zenker's degen
Term
What are the three major examples of Toxic Myopathy?
Definition
-Cassia (coffee senna) Toxicity, IOnophore Toxicity, GOssypol toxicity
Term
Which animals are commonly affected by Cassia (coffee senna) toxicity? Clinical signs?
Definition
-cattle, goats, pigs: plant toxic after kiling frost "Anthra quinone"
-myoglobinuria, elevated CK, pale m (heart NOT usually affected)
Term
Which animals are commonly affected by IOnophore toxicity? Common causes? Gross lesions?
Definition
-horses are very sensitive (alters mem transport of Na/K)
-Monensin, lasalocid, salinomycin
-pale areas or streaks in heart and skeletal m
Term
Which animals are most commonly affected by Gossypol toxicity? Causes? Gross lesions?
Definition
-cattle (worse in pre-rums) and pigs
-phenolic present in Cottonseeds
-dose-related cardiac and hepatic necrosis
Term
What are some examples of exertional myopathy?
Definition
-Rhabdomyolysis: RER, PSSM, Shivers, GBED
-Porcine Stress Syndrome: MH, Ryanodine Rc
-Capture myopathy in exotics
Term
Definition: Myositis
-two categories of causes?
Definition
-inflammation of muscle where inflammatory cells are responsible for initiating and maintaining myofiber injr
-caused by infectious agents (bacteria, virus, parasites) and immune-mediated causes
Term
What are the three major examples of Clostridial causes of myositis?
Definition
-GAs gangrene and Malignant edema
-Blackleg
-Botulism
Term
How does gas gangrene and malignant edema occur? Which animals are affected?
Definition
-wound infection/ penetrating wounds with Cl septicum, perfringens, novyi, or sordelli causes pdn of exoton with necross and destruction of blood supply (thus mm damaged are typically secondary)
-all animals but horse and sheep
Term
How does blackleg occur? Which animals are affected?
Definition
-necrotizing myositis due to ingestion of Cl chauvoei spores that are distributed in tissues and released following trauma in an area of low oxygen tension
-affected cattle and sheep 9mo-2y
Term
How does botulism occur?
Definition
-either ingestion of pre-formed toxin or toxico-nfectious botulism
Term
How do we tell the difference grossly b/n malignant edema and blackleg lesions?
Definition
-malignant edema is wet and blackleg is not
Term
IN addition to the clostridial organisms, what are some other examples of organisms that cause bacterial myositis?
Definition
-Corynebacterium pseudotuberculosis" sheep/goat = caseous lymphadenitis & equine = pidgeon fever/dryland distemper
-Truepurella/ARcanobacterium pyogenes
-Actinobacillus lignieresi (wooden tongue)
-Actinomyces bovis (lumpy jaw)
-Staph aureus
Term
What are some common examples of viral myositis? What are their associated virus types?
Definition
-Porcine encephalomyelitis: entero virus that causes necrosis of myofibers
-Foot and mouth disease: aphtho virus that causes segmental heart necrosis
-Bluetongue: orbi virus that causes infarction of mm and heart
-Akabane disease: Akabane virus that causes non-suppurative myositis of bovine fetus
Term
What are some examples of parasitic myositis caused by nematodes?
Definition
-Trichinella spiralis: adults in SI of swine => larvae penestrate intestine and encyst in m
-Ancylostoma caninum
-T. canis
Term
What are some examples of parasitic myositis caused by cestodes?
Definition
-Tainea soium
-Taenia saginata
Term
What are some examples of parasitic myositis caused by protozoa?
Definition
-Sarcocystis: horses, cattle, birds (int stages in muscle)
-H. americanum: canine = IH
-Neospora caninum: dogs, bovine = pale streaks in m
Term
How do dogs get H. americanum? Clinical signs?
Definition
-ingestion of tick
-leukocytosis, fever, anorexia, periosteal proliferation
Term
What are the three primary examples of Immune-mediated myositis and their associated clinical signs?
Definition
-MAsticatory/eosinophilic/atrophic myositis (long-nosed dogs): acute pain, unwilling to open mouth, eosinophilia, progressive loss of muscle
-Strep-assoc in equine: rapid atrophy in young quarter horses
Term
Antibodies to what specifically occurs in cases of masticatory myositis?
Definition
-2M myosin
Term
Autoantibodies to what specifically occurs in cases of Strep-assoc myositis?
Definition
-Strep M Ag
Term
Are primary muscle tumors common or rare?
Definition
-RARE
Term
What are the two more common primary muscle tumors?
Definition
-Rhabdomyoma (benign): cardiac in pig/cow/sheep and laryngeal in dog
-Rhabdomyosarcoma (malignant): widely metastatic in the dog
Supporting users have an ad free experience!