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Pathology of GIT (minus Oral cavity)
227301
106
Veterinary Medicine
Undergraduate 3
05/20/2012

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Term
Atresia
Definition
congenital; no lumen
Term
What causes hyperkeratosis?
Definition
Vit A deficiency or chlorinated naphthalene poisoning
Term
Causes of stenosis
Definition
scars (cicatrization);
external pressure (e.g. from tumour);
developmental defect (e.g. persistent right 4th aortic arch);
diaphragmatic hernias
Term
Causes of obstruction
Definition
stenosis (and its causes!);
foreign bods;
gastro-oesophageal intussusceptions (dogs);
bloat
Term
Causes of dilation
Definition
2nd to stenosis;
2nd to achalasia (disorder of peristalsis);
congenital (mega-oesophagus)
Term
Sequelae of Obstruction
Definition
external pressure ( stenosis) -> pressure necrosis -> oesophagitis -> gangrene;
obstruction -> bloat [rums] -> rupture -> pleuritis;
--> resolution! (maybe)
Term
Sequelae of Dilation
Definition
regurgitation -> inanition -> stagnation + putrefaction of food
Term
Causes of Achalasia
Definition
degeneration of mesenteric plexus;
degeneration of vagus/its nuclei
Term
Gastro-oesophageal intussusception
Definition
affects dogs (larger breeds esp.); dogs >3months old;
may incl. spleen and pancreas;
sequelae: acute regurgitation -> dyspnoea -> haematemesis (vomits blood) -> shock -> death
Term
Causes of Oesophagitis
Definition
viral (papular stomatitis, BVD, MCF, MD, Rinderpest);
bacterial (Fusobacterium necrophorum);
fungal (Candida albicans);
2nd to trauma;
neoplasia (infectious viral papilloma [C + dog], squamous carcinoma [cat]);
parasite (Gasterophilus/bot fly larvae [H], warble fly larvae [H], Sarcocystis gigantea [S], Spirocerca lupi [dog]);
lead poisoning
Term
Where does Candida albicans establish?
Definition
extends from pars oesophagea; normally 2nd to debilitating disease
Term
What causes Trichobezoars (hair balls in rumen)?
Definition
excessive licking of coat;
dietary fibre deficiency
Term
What are Phytobezoars?
Definition
plant fibre-balls in rumen
Term
ABD of Primary (frothy) Bloat
Definition
A - grazing pasture w/high legume content
B - plants have cytoplasmic proteins that stabilise gas bubbles + ferment protein -> foam produced -> builds up + blocks cardia -> incr. pressure = decr. cardiopulmonary func.
C - bloat line (congested cervical vs. blanched thoracic mucosa); distended rumen with foam inside; dark blood clots poorly (anoxia)
Term
A+D of Secondary (free gas) Bloat
Definition
A - physical/functional defects in gas eructation (oesoph. obstruction; oesoph. stenosis; vagal N damage)
D - rumen distended with putrified milk
Term
B+D of Rumenitis (due to Kikuyu poisoning)
Definition
B - superficial rumen necrosis -> rumenitis -> indigestion -> death
D - lesions of necrosis + inflamed forestomach walls (microscopically)
Term
ABCD of Rumenitis (due to Grain Overload) / Rumen acidosis
Definition
A - incr. intake of easily digestible carbs
B - incr. VFA production + D-lactic acid -> flora become amylolytic -> rumen pH <5.. incr. VFA also = incr. absorbance of FAs + acidosis + incr. intraruminal osmotic pressure = fluid absorbed into rumen + rumen protozoa die
C - dehydration; more fermenting contents; acid smell; necrosis + inflammation + hyperaemia of rumen wall = incr. susceptibility to 2ndary infection (necrobacillosis + mycotic)
D - Histopathology
Term
Sequelae of Rumen acidosis
Definition
frothy bloat -> rumen necrobacillosis -> (superficial foci of coagulative necrosis provide entry for..) -> mycotic infarctions due to zygomycete fungi -> liver abscesses -> caudal vena cava thrombosis -> pulmonary embolic aneurysm -> abomasal ulcers -> poliocephalomalacia -> laminitis
Term
Bacteria of Rumen necrobacillosis (+ causes of liver abscesses)
Definition
Fusobacterium necrophorum + Arcanobacterium pyogenes
Term
B+S of Traumatic Reticuloperitonitis
Definition
B - thing penetrates reticulum to cause localised fibrinous, suppurative + granulomatous peritonitis (and maybe some abscessation, haemorrhage + vagal N damage too)
S (sequelae) - perforation of diaphragm + pericardium -> local pleurisy + pneumonia -> CHF
Term
Viral infections of forestomach
Definition
infectious bovine rhinotracheitis
MCF + BVD
papillomavirus
parapoxvirus (scabby mouth)
Term
Non-pathogenic parasite of reticulum
Definition
Paraphistomes - Calicophoron calicophorum (fluke)
Term
Poisonings of forestomach
Definition
heavy metal;
prussic acid;
urea;
plants
Term
Causes of Dilation/Volvulus/Torsion of stomach/abomasum
Definition
primary = overfeeding of grain [H];
pyloric obstruction [lambs + calves];
paralysis of gut in peritonitis;
vagal paralysis;
abomasal bloat (by Sarcina + Clostridium spp.)
Term
D + splenic Sequelae of Dilation of stomach/abomasum
Definition
D - wall of stomach congested + dark; contents blood stained and undergo putrefaction
S - vessels to spleen occluded, leading to congestion and swelling of spleen also
Term
CS of Abomasal Displacement (to the left, to the left)
Definition
C - indigestion; may result in spontaneous recovery
S - [C]
Sequelae - volvulus of abomasum -> vessel occlusion -> abomasum distends with blood-stained fluid + gas -> wall necrotises
Term
S of Gastric rupture
Definition
S - [H]
Sequelae - gastric contents enter peritoneal cavity -> peritonitis + colic
Term
When does Active Hyperaemia occur?
Definition
after ingestion (physiological);
as part of acute gastritis (pathological)
Term
What is Passive Hyperaemia ass'd with?
Definition
central/peripheral circulatory failure
Term
ADS of Gastric Infarction
Definition
A - DIC syndrome; part of acute infection of Salmonellosis, Coliform enteritis, E.coli, erysipelas, European Swine Fever, swine dysentery
D - venous infarction of mucosa seen on internal surface of greater curvature; dark red colour on both mucosal + serosal surfaces
S - [P]
Sequelae - 2nd necrosis + inflammation of mucosa
Term
Gastrorrhagia is a part of...
Definition
uraemia [dog];
gastric ulceration [P, C];
reaction to aspirin [cat];
haemonchosis [S]
Term
AC of Oedema Disease in Pigs
Definition
A - rapid proliferation of GIT E.coli when pigs weaned onto high energy + protein diets
C - submucosal gastric oedema, oedema of mesentery + intestine, subcutaneous oedema over head + around eyes
Term
Causes of Oedema Disease of Abomasal Folds [C, S, D]
Definition
cachexia (thickened flabby abomasal folds);
haemonchosis (" ");
ostertagiosis (" ");
arsenic poisoning (" ");
MCF (" ");
Fusobacterium;
Clostridium (braxy in [S]);
Zygomycosis (infarcts + ulcers);
Salmonellosis
Term
Causes of Gastric + Abomasal Ulcers
Definition
NSAIDS
Glucocorticoids + stress (inhib arachidonic acid availability, needed for prostaglandin synthesis + decr. epi cell turnover)
reduced mucosal perfusion (e.g. hypertension)
Term
Normal mechanics of mucosal protective mechanism
Definition
mucosa covered in mucus/bicarbonate layer + prostaglandins stimulate mucus production, bicarbonate secretion and perfusion.

-> disturbance to this = hypersecretion of HCl and pepsin
Term
Sequelae of large gastric ulcers
Definition
ulcer -> gastrorrhagia -> malaena + haematemesis / 2nd infection (esp. fungi) / ulcers perforate -> peritonitis
Term
Causes of Abomasal Ulcers in cattle
Definition
irritation by roughage (calves);
atony of abomasum (oldies) as in hardware disease + displaced abomasum;
lymphoma;
BVD, MCF, FMD
Term
ABDS of Gastric Ulcers in pigs
Definition
A - ulceration of fundus = fatal haemorrhage with Hyostrongylus rubidus; pars oesophagea ulceration (growing pigs) due to incr. Cu, whey, starch, unsaturated FA in diet OR deficient protein; finely-ground feed
B - lesions start as fissures in hyperplastic parakeratotic epithelium -> erosion -> ulceration
D - carcass= pale with blood clot covering ulcer if acute
Seq - Candida albicans in keratin / fatal gastrorrhagia
Term
ADS of Gastric Ulcers in horses
Definition
A - phenylbutazone treatment, stress, surgery
D - many small punctate ulcers/erosions (most common in oeshopageal region)
Seq - ulcers perforate -> exsanguination (death due to blood loss)
Term
Causes of Gastric Ulcers in dogs
Definition
Foreign bods,
NSAIDS,
seq of uraemia
-> can perforate -> peritonitis
Term
Cause of Gastric Ulcers in cats
Definition
aspirin (inhibits prostaglandin synthesis)
-> can perforate -> peritonitis
Term
Location + Effect of Bot Fly Larvae (gasterophilus) [H]
Definition
gastric mucosa of pars oesophagea
ulceration + granulamatous inflamm.
Term
Location + Effect of Draschia (Habronema) megastoma nematode [H]
Definition
wall of stomach
granulomatous inflamm -> suppuration -> 2nd infection
Term
Location + Effects of Trichostrongylus axei [H]
Definition
areas of metaplastic + hyperplastic mucosa
appear as raised nodules; cause catarrhal gastritis (MUCH MUCUS!), bottle jaw, diarrhoea
Term
C of Hyostrongylus rubidus [P]
Definition
catarrhal to ulcerative gastritis
Term
C of Haemonchus spp [S]
Definition
anaemia, pale MMS, bottle Jaw
Term
BCS of Ostertagia + Teladorsagia larvae
Definition
B - cause adenomatoid hyperplasia of mucosa; type II infection in autumn/winter during histotrophic phase [C]
C - looks like Moroccan leather (apparently); clinical signs = diarrhoea, bottle jaw, high pepsinogen level
B/Seq? - hyper + metaplasia of surrounding epithelium -> decr. HCl synth -> less pepsinogen activated into pepsin
Term
Features of Ollulanus tricuspis [cat]
Definition
small
no eggs in poo
affects many felids
C - vomiting, gastritis, ill thrift
Term
Neoplasms of cat + dog
Definition
almost always malignant carcinomas
gastric lymphomas in cats + [C] with enzootic bovine leukosis
-> form polyps or perforate -> melaena + haemorrhage
-> can metastasize to liver
Term
Neoplasms of horse
Definition
squamous cell carcinomas in pars oesophagea (look like swiss cheese)
-> form polyps or perforate -> melaena + haemorrhage
-> can metastasize to liver
Term
Neoplasms of cattle
Definition
lymphomas in abomasal folds
-> form polyps or perforate -> melaena + haemorrhage
-> can metastasize to liver
Term
Congenital disorders of Intestine
Definition
atresia ani (=enlarged abdomen, imperforate anus)
intestinal atresia
caecocolic atresia (in PM note total lack of fat)
atresia coli/segmental blind-end colonic atresia (recessive in Holstein Fresians)
Term
AC of Intestinal Obstruction
Definition
A - 2nd to congenital or..
acquired (worms, foreign bods, enteroliths, bezoars, external compression, impaction, functional paralysis as in Paralytic ileus + Grass sickness [H])
C - looks like an accordion with elastic underparts
Term
Consequences of upper intestinal obstruction
Definition
=more acute, severe + rapid
haemoconcentration; electrolyte depletion; alkalosis
Term
Consequences of lower intestinal obstruction
Definition
(colon) = less acute (can even be chronic)
toxaemia
Term
Consequences of intestinal strangulation
Definition
segment engorgement; fluid + electrolytes lost; toxaemia + shock
Term
PM D of (mesenteric) Volvulus/torsion of intestine
Definition
intestines appear congested + full of blood-stained fluid; rapid death
red-gut [S]
Term
Causes of Eventration (displacement of intestine outside abdomen}
Definition
post-surgery
through patent umbilicus
post-trauma
(part of schistosomus reflexus)
Term
What is in internal hernia?
Definition
displacement of intestines through trauma in diaphragm, mesentery or omentum, (also epiploic foramen or nephrosplenic place [H])
Term
What is in external hernia?
Definition
displacement of intestines outside peritoneum , where intestines are covered by at least one layer of skin. can be:
-ventral (pregnancy)
-umbilical (congenital)
-inguinal
-perineal (in male dogs with prostatic disease)
Term
What species are affected by muscular hypertrophy of the terminal ileum?
Definition
P + H
Term
Which species is affected by diverticulosis (big bubble-like cysts in mucosa))?
Definition
S
Term
Which species is affected by intestinal emphysema (looks like pink bubbles in mucosa)?
Definition
P
Term
What parasite is thought to be ass'd with haemomelasma ilei in [H]?
Definition
Strongylus edentatus larvae
Term
Which species are affected by rectal prolapses?
Definition
S, P, C
Term
3 normal ways that the SI digests ingesta
Definition
-intralumenal digestion (enzymes from exocrine glands + microbes)
-membrane digestion (in glycocalyx on microvillus surface)
-intracellular digestion (after pinocytosis)
Term
what is absorbed in the colon?
Definition
Na, Cl and (passively) water
Term
Consequences of enteritis
Definition
-necrosis of villus epi=crypt hyperplasia (as in TGE, Staph enterotoxin)
-necrosis of crypts=denuded villi + collapsed mucosa (as in parvo, radiation sickness)
-deficient digest + abs
->wasting + dehydration + lost electrolytes
=DIARRHOEA!
Term
3 types of small bowel diarrhoea
Definition
secretory
malabsorptive
effusive
Term
causes + mediators of secretory diarrhoea
Definition
bacterial entertoxins; e.g. E.coli
mediated by prostaglandins, histamine, kinins
Term
features of malabsorptive diarrhoea
Definition
osmotic retention + villus atrophy (TGE)
Term
causes of effusive diarrhoea
Definition
inflammation (Salmonella, Clostridium, Yersinia) or hydrostatic changes
Term
Cause of large bowel diarrhoea
Definition
loss of absorptive eptihelium
Term
inflam of SI / duodenum / jejunum / ileum
Definition
enteritis / duodenitis / jejunitis / ileitis
Term
inflam of caecum
Definition
typhlitis
Term
inflam of ileocaecal valve
Definition
typhlodicliditis
Term
inflam of colon / rectum
Definition
colitis / proctitis
Term
Define dysentery
Definition
blood, fibrin, cellular debris and mucous in watery faeces
Term
Define haematochezia
Definition
fresh blood in (normal) faeces
Term
Causes of colitis
Definition
-parasitic (=eosinophilic)
-bacterial (=granulomatous) as in Johne's Disease
-may follow acute viral enteritis as in BVD
Term
What is Sprue (atrophic enteritis) and when may it occur?
Definition
is the stunting, atrophy and coalescing of villi during healing, resulting in a more cellular epithelium with a reduced SA (and many inflammatory cells).
may be a manifestation of chronic disease
Term
Viral enteritis agents and their affected species
Definition
rotavirus [calves]
coronavirus [calves P cat dog]
parvo [cat dog]
mobilli [rinderpest-C, dog distemper]
pesti [C, P]
herpes [everything!]
Term
B of rotavirus
Definition
usually affects upper SI; superficial damage to villi -> atrophy of villi -> osmotic diarrhoea -> 2nd infection (E.coli or Crypto)
Term
B of coronavirus
Definition
lower SI + colon; superficial damage to villi -> atrohpy -> osmotic diarrhoea
Term
What is a coronavirus in suckling pigs and what are CS?
Definition
Transmissible gastroenteritis (TGE)
C - epidemic diarrhoea; vomiting + wasting disease
D - ELISA for testing faeces
Term
Lesions of FIP wet form?
Definition
serofibrinous effusion in peritoneum
multifocal granulomas on serosal surfaces
Term
Lesions of FIP dry form?
Definition
granulomas on surface of kidneys/lungs + microscopic granulomas in CNS + uveitis + keratitis
Term
ABDS of FIP
Definition
A - mutation of enteric non-contagious FIP coronavirus (in immunodeficient animals)
B - FIP-infected macros target small/medium veins in serous mems -> Ag-Ab complexes form (type 3 HSR) -> vasculitis -> exudation (effusive form) OR a delayed type 4 HSR -> pyogranuloma formation!
D - (wet) histo=vasculitis, perivasculitis, fibrin, necrotic debris, mixed inflam cell response
D - (dry) microscopic granulomas in CNS tissue, uveitis, keratitis, histo=perivascular pyogranulomas + vasculitis
mucosa may have petechiae
Ddx - lymphomas (for kidney nodules)
Sample - kidney, brain, eye, lung
S - 6-12w old kittens
Seq - (teratogenic) cerebellar hypoplasia in kittens in utero
Term
ABDS of panleucopenia/infectious feline enteritis
Definition
A - parvovirus
B - virus replicates in proliferating cells of SI crpyts -> necrosis -> denudation of villi
+ necrosis of proliferating thymic + haemopoietic tissue in bone marrow -> panleucopenia
D - PM-serosa has roughened appearance
intranuclear inclusion bodies in myocardium of pups; lung + endothelial cells of dogs
patchy hyperaemia of serosa + entorrhagia
Seq - 2nd infection; myocarditis in pups 3-8w old;
Term
ACD of Hog cholera
Definition
A - Classical swine fever; pestivirus
C/D - haemorrhages in LNs + kidneys (turkey egg), splenic infarcts, inflam of intestine (catarrhal, fibrino or haemorrhagic), button ulcers in caecum
Ddx - Salmonellosis
Term
ABC of E.coli
Definition
A - Escherichia infections
B - bac invade RBCs or adhere to brush border OR produce toxins that cause enteritis ('white scours' in newborns).. K99 [rums] K88 [P]
C - 2ndary suppurativ lesions (arthritis, meningitis, white spotted kidney), septicaemia, cystitis/pyelonephritis, mastitis
Term
ETEC / EPEC / EIEC / EHEC / VTEC
Definition
enterotoxigenic E.coli (cause most enteric colicbacillosis in calves + piglets)
enteropathogenic E.coli (attach to + damage enterocytes + endothelial cells; eneteroadherent)
enteroinvasive E.coli
enterohaemorrhagic E.coli
verotoxic E.coli (ass'd with pig oedema disease)
Term
ABCDS of Oedema disease in pigs
Definition
A - verotoxic strain of E.coli
B - endothelial damage -> oedema of eyelids, nose, ears, greater curvature of stomach + colon
C - nervous signs; infarcts in gastric wall, ascites, hydrothorax, hydropericardium with fibrin strands, encephalomalacia in brainstem
D - fibrinoid necrosis of small arteries; acute death
S - recently weaned piglets
Term
ABC of Post-weaning diarrhoea in piglets
Definition
A - alteration of coliform flora, resulting in proliferation of ETEC
B/C- gastric infarction
Term
ABCD of Salmonellosis
Definition
A - S.typhimurium [H, C, S, P], S.dublin, S.hindmarsh [C, S], S.brandenburg [S, human], S.choleraesuis [P]; ass'd with stress factors; carriers also
B - acute/chronic enteritis, typhlitis, colitis
C - pneumonia, septicaemia, abortion, arthritis, meningitis
Ddx - Listeria, swine fever
S - young more likely to suffer generalised infections
Term
Salmonellosis rums
Definition
young or adults
fibrinonecrotic enteritis
typhlocolitis
abomastitis
catarrhal enteritis
(+ microscopic disseminate foci of necrosis in liver/spleen)
Ddx - Enteric listeriosis resembles salmonellosis in S
Term
Salmonellosis pigs
Definition
colonic lesions (acute/chronic) ; button ulcers if chronic
splenomegaly
gastric infarcts
Ddx - classical swine fever
Term
Salmonellosis horses
Definition
usually typhimurium
young/old
fibrinonecrotic enterocolitis
penumonia
polyarthritis
meningoencephalitis
septicaemia
Term
Yersinia pseudotuberculosis ABCDS
Definition
A - subclinical infections + carriers
C - gastroenterocolitis + abortions; blood stained diarrhoea
D - lesions in intestine, mesenteric LNs, liver, placenta; bacterial colonies in lamina propria
Seq - enteritis -> haemorrhagic; bloody contents
S - C, S, G, deer
Term
Yersinia enterocolitica ABCS
Definition
A - subclinical infections + carriers
B/C - enterocolitis
S - S, G, P
Term
ABCDS Johne's disease
Definition
A - Mycobacterium avium - paratuberculosis
B - granulomatous inflamm of ileum, jeju, caecum, prox colon
C - eyes sunken, sever diarrhoea, wasting, dehydration
D - ZN stains acid-fast organisms (AFOs)
serosal surface of ileum (modular lymphangitis or cerebriform pattern); also looks like spaghetti in C; prominent lymphatics in S; epithelioid M0s, + WBC's, Langhans' giant cells, plasma cells, N0s
inflam foci in liver
clumps of AFOs in faecal smear
Ddx - Tb in deer, G
S - mature C, S, G; young <1yr deer
Term
Porcine intestinal adenomatosis complex
Definition
A - Lawsonia intracellularis
D - serosal surface of lower SI has cerebriform appearance
necrotic ileitis
PIA (porcine intestinal adenopathy)
congealed blood vessel
proliferative haemorrhagic enteropathy (PHE)
Warthin-Starry silver stain shows intracellular comma-shaped bac
Term
Campylobacter jejuni S
Definition
dog cat C S
Term
ABD Swine Dysentery
Definition
A - Brachyspira hyodysenteriae
B - dysentery due to fibronecrotic colitis
D - Warthin-Starry silver stain
Term
Spirochaetal colitis ACD
Definition
A - Brachyspira piloscoli
C - diarrhoea, ill thrift
D - Warthin-Starry silver stain
Term
Rhodococcus infection BCD
Definition
B - multifocal pyogranulomatous pneumonia
ulcerative typhlocolitis
D - G+ rods within M0s
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