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141 Cards in this Set

  • Front
  • Back
What is specific to ruminants with liver disease?
photosensitization
What is primary cause of photosensitization
Toxic plant ingestion
What is a secondary cause of photosensitization?
Liver disease
What are two function diagnostic tests for ruminant liver disease
Hypoglycemia (more specific in ruminants)

Hypoalbuminemia
Name 4 enzymes that are tested in ruminant liver disease
SDH
AST
GGT
OCT
Which hepatocelluar enxyme is sensitive and specific
SDH (short half life)
Which hepatocelluar enxyme is sensitive but NOT specific
AST (long halflife)
How can you check for cholestasis?
GGT (sensitive and specific)
T/F: ALT, ALP, and LDH are worthless in ruminants
True
What is most commonly elevated due to hemolysis but isn't really sensitive or specific enough?
Bilirubin
T/F: Extremely high bile acids are significant
True
On what side is the liver in the ruminant?
Right side
What will you see with an ultrasound of hepatic lipidosis?
increased echogenicity
What will cause a rounding of the caudal vena cava on U/S
Thrombosis (causes increased pressure)
Where and how do you perform a liver biopsy
Blindly on the R side at the 11th ICS
What is the most common reason to perform a liver biopsy?
to assess mineral status of a beef herd
What is a contraindication for liver biospy?
if abscesses are suspected

(also coag problems too if you bothered to check)
What is the most likely etiology of liver abscesses?
feedlot animals or dairy cows on high grain diets
What is the major bacterium isolated in liver abscesses?
F. necrophorum
(leukotoxins produced by it allow it to survive and cause abscesses)
What are secondary effects of liver abscesses?
Peritonitis (rupture of abscess)
Obstruction of bile duct
CVC thrombosis (portal hypertension and ascites)
Metastatic pneumonia (severe coughing with bloody discharge)
What is the treatment for liver abscesses?
Rarely attempted (not recognized until grave prognosis)

However may use surgical draining and parenteral abx followed by oral abx (penicillin, oxytet, macrolide)
1. What is the difference in osmolarity between the beginning and end of the proximal tubule?
Same: absorption is isosmotic
What is the main liver fluke ruminants can get?
Fasciola hepatica
What are the white spots with liver fluke infestation? Black spots?
White: Old sites of infections (fibrous)
Black: Active sites
How long does it take for liver flukes to mature?
2 months
How can you test for liver flukes?
Fecal sedimentation
ELISA
What is most commonly used flukecide?
Albendazole and Clorsulon
When do you treat for liver flukes in the Gulf states? Northwest?
Gulf: Around July (transmission is in spring and early summer)

Northwest: Treat in winter (transmission in late fall and early winter)
What causes Black disease and who does it affect primarily?
Clostridium novyi type B

SHEEP
How do you diagnose black disease?
Acute death: Necrosis of liver at necropsy (Gram + rods in lesions) and SQ hemorrhage
How can you prevent black disease?
Adequate fluke control
Vaccination for Clostridium novyi Type B (several wks prior to onset of fluke season and repeat if transmission is longer than 5-6mo)
What causes Red Water Disease? Who does it affect most?
Clostridium hemolyticum

CATTLE
What will you see at necropsy for Red Water Disease?
SQ petechiation
Dark red urine
Hemorrhagic pleural and peritoneal fluid
Hyperemic zone around necrotic lesions in liver
T/F: Clinical signs of liver disease in ruminants are often non-specific?
True
What is clostridial hepatitis secondary to?
fluke migration
Four viruses-->most common respiratory diseases
PI3
BRSV
BVD
IBR
How do you diagnose mycotic or bacterial nasal granulomas?
Endoscopy
Biopsy
Culture
T/F: Allergic rhinitis does not lead to granulomas
False
What does atopic rhinitis/enzootinc nasal granuloma look like?
Most frequently along medial wall: multiple, hard, white, raised nodules 1-2mm in diameter
What causes enzootic nasal adenocarcinoma in sheep and goats?
Ovine or Caprine adenocarcinoma virus

(Retrovirus)
What do you call the condition when nasal conchae lack communication with nasal cavity and fill with thick white fluid?
Congenital Cystic Nasal Turbinates
What two common causes of sinusitis?
Dehorning
Infected teeth
Case: Kid recently dehorned. Now the kid is anorexic, lethargic, has fever, seems painful, and has strange head tilt
Sinusitis
How should you prevent sinusitis
Dehorn as neonates
Dehorn by closed methods
Avoid dehorning in rainy, windy, or dusty conditions
What is the bot that may infest the nasal cavity of sheep and goats?
Oestrus ovis
Explain the pathophysiology of Oestrus ovis
Larvae deposited in nares in warm months migrate and undergo development in the upper respiratory tract
How would you confirm an Oestrus ovis infestation and what would you treat it with?
Endoscopy to confirm

Ivermectin, Moxidectin, Doramectin, etc (nothing specific)
What are the most common diseases of the pharynx, larnyx, and trachea (think general)?
Trauma
Celluitis
Abscesses
Name 2 common bacteria associated with diseases of the pharynx, larnyx, and trachea
A. pyogenes
Actinobacillus
Pasturella
Fusobacterium necrophorum
Strep

(whatever is in the mouth!)
What causes acute/chronic infection of laryngeal mucosa/cartilage of young cattle and laryngeal contact ulcers may allow invasion of Fusobacterium necrophorum?
Necrotic Laryngitis (calf diphtheria, laryngeal necrobacillosis)
Case: 5 month old calves acutely present with a moist cough. It has inspiratory dyspnea with stertor and open mouth breathing with the head and neck extended. The calves are salivating, seem to have difficulty swallowing, are depressed, have a fever and fetid odor to the breath. A few of the first calves to break with symptoms died after about 3d.

The larynx is swollen and painful on palpation.
Necrotic Laryngitis (calf diphtheria, laryngeal necrobacillosis)
"Honker cattle"- what is it and what are the two forms?
Tracheal edema syndrome of Feedlot Cattle

1. Acute dyspnea
2. Chronic cough
What is the cause of arytenoid cartilage abscesses?
Arcanobacterium (Actinomyces) pyogenes
What are the three classifications of pneumonia
Bronchial
Metastatic
Interstitial
What is the largest cause of economic loss in feedlot calves and lambs and a common cause of dairy calf death losses?
Bronchopnemonias:

Shipping fever or BRD (bovine respiratory disease) in beef calves

"Enzootic pneumonia" in dairy calves
Three major risk factors associated with enzootic calf pneumonia
Inadequate passive transfer of immunoglobulins
Nutritional issues
Environment
What are the common agents in shipping fever?
Bacteria: Pasturella multocida, Mannhemia hemolytica, Mycoplasma

Virus:IP3, BVD, IBR, BRSV
In what operative areas are the risks highest for shipping fever pneumonia in feedlot cattle?
At farm of origin
During transit
In the feedlot
T/F: Morbitity and mortality of feedlot cattle is highly variable with shipping fever
True
What can reduce the incidence of respiratory disease at the farm of origin
Weaning, creep feeding and routine surgeries done at least 3 wks before shipping
Vaccination
Correct nutritional deficiencies
What can increase the incidence of respiratory disease during transit?
Sale through auctions
Feeding low energy diets before shipping
Prolonged time in market channels
What can increase the incidence of respiratory disease at the feedlot?
Processing procedures
Mixing calves from different sources
Feeding diet of >75% concentrates
Variations in temperature
Case: Cattle with "red nose," conjunctivitis and ocular dishcharge, pyrexia, anorexia, decreased mild production, increased RR and coughing. Some of the cows had abortions.
IBR
Where are you most likely going to see IBR
Where cattle are concentrated
T/F: herpesvirus in sheep and goats is serologically the same as cattle
False
What role does BVD play in respiratory disease?
immunosuppression
T/F: Signs for RSV are specific
No-general "respiratory signs" (fever, depression, reduced appetite, increased RR, hypersalivation, nasal/lacrinal discharge)
What is the antibody prevalence to RSV

What is the case fatality rate?
60-80%

0-20% (low case fatality)
T/F: PI3 is a mild respiratory pathogen and really just predisposes cows to other infections with viruses and bacteria
True
See text for MCF, coronaviruses, bovine herpes virus type 4, adenovirus, rhinovius, reovirus, enterovirus (pg 78-79)
None have emerged as extremely important
What is the most common bacteria associated with respiratory disease?
Mannheimia (Pasturella) haemolytica (serotype A1)
What agents are often considered mild respiratory pathogen (isolated with other pathogens in pneumonia) that can cause immunosuppression and inhibit the mucociliary transport
Mycoplasmal agents

M. bovis is the most common
What type of pattern will you see on necropsy of a cow with Mannheimia haemolytica (BRDC)?
Fibrinopurulent bronchopneuminia (cranioventral)
What type of toxin is associated with M. haemolytica (BRDC)?
LPS endotoxin

also leukotoxin
How might you treat BRDC?
lower risk factors
mass medication
metaphylaxis(high risk calves)

Treat long enough and with the right drug and evaluate response
What NSAID can be used for BRD?
Flunixin
What is the most important management practice to prevent and control feedlot calf pneumonia?
Preconditioning:
Assure that at least 3 wks before shipping the calves are weaned, fed in bunks, drink from tanks, castrated/dehorned, treated for parasites, and vaccinated

Once there: avoid auction yards, minimize transport time, limit mixing, appropriate numbers per pen, control dust and maintain adequate nutrition
For what respiratory conditions are vaccines available
PI3
BHV1
BVD
BRSV
What can be the result of aspiration pneumonia?
Death
Gangrenous bronchopneumonia
What is CBPP (Contagious Bovine Pleuropneumonia) caused by?

What is the cause of CCPP (Contagious Caprine Pleuropneumonia)?
Will you see it in the US?
CBPP: Fatal bronchopneumonia due to M. mycoides subsp mycoides (small colony type)

CCPP: Mycoplasma F38

Hopefully not! Eradicated in US in 1892
Mycoplasma pneumonia of goats causes septicemia, polyarthritis, pneumonia and mastitis in kids and does. How is it passed and how would you control it?

What is the organism that causes it?
Passed via milk/colostrum from infected does

Control via Milk Culture, Cull carriers, Milk hygiene

Caused by large cology type M. mycoides subsp. mycoides
What is the primary cause of vena caval thrombosis and metastatic pneumonia?
Liver abscesses associated with rumenitis (lactic acidosis produce rumenitis)

Other causes: jugular phlebitis, mastitis, metritis, etc
What is the pathology of metastatic pneumonia
Lactic acidoisis produced rumenitis.
Bacteria invade damaged rumed epith and produce liver abcesses.
Septic thrombi may from in vena cava and then reach the lungs
Emboli block arteries
Aneurysm may develop
Fog fever
ABPEE (Acute Bovine Pulmonary Edema and Emphysema) which is an ARDS of adult cattle moved from dry/poor forage to vibrant green pastures
4 groups of interstitial pneumonia or "atypical" pneumonia
ARDS
Hypersensitivity disease
Chronic conditions (sequelae to the first two)
Parasitic diseases
ABPEE (Acute Bovine Pulmonary Edema and Emphysema) prevention?
Move cattle gradually to lush pastures
Delay use of lush pasture until frost
Cut pasture before grazing
Graze with adults AFTER young
Use pasture before lush
Strip grazing
ABPEE (Acute Bovine Pulmonary Edema and Emphysema) prophylactic medication
Monensin or Lasalocid reduces conversion of tryptophan
What is the cause of moldy sweet potato toxicity (4-Iponmeanol)?
Ingestion of furanoterpenoid toxin of sweet potatoes infested with Fusarium solani
What is a respiratory parasite that primarily infects young cattle and what type of life cycle does it have?
Dictylocaulus viviparus

Direct lifecycle
How do you detect Dictylocaulus viviparus? How would you treat it?
Baermann sedimentation

Tx: Levamisol, Fenbendazole, ivermectin, moxidectin (plus some other anthelmintics)
Case: Ewes with progressive emaciation and progressive respiratory failure. They have lymphocytic mastitis ("hard bag") and some have posterior paresis. Others have chronic nonsupurative arthritis and others still have vasculitis.
Ovine Progressive Pneumonia (Maedi-Visna)
What is the major route of transmission for Maedi-Visna?

What is the treatment?
nose to nose or droplet transmission

No treatment-Control by test-and-cull and isolate infected adults/artificial rearing of offspring
What is the most common congenital heart defect in ruminants?
Ventricular Septal Defects
T/F: Loudness of the murmur is correlated with size of the defect with a VSD
False
What type of murmur will you hear with a VSD and what is the location?
Systolic at left heart base
What two forms of lymphosarcoma can cause signs of heart failure?
Enzootic LSA (tumor invades myocardium)

Thymic LSA (enlarged thymus creates signs of heart failure)
What is a classic example of cor pulmonale?
High Altitude Disease (RSHF due to pulmonary hypertension)


occurs mostly in calves
What is the pathology of High Altitude Disease?
breathe low O2 concentration --> chronic alveolar hypoxia --> pulmonary hypertension --> R ventricular hypertrophy --> RSHF
What are three things that predispose one to High Altitude Disease
It is winter
Patient is a male
Patient ate Locoweed
What two valves are most commonly affected with Endocarditis?

What is the most common bacteria isolate?
Tricuspid valve
Pulmonic valve
(usually follows chronic inflamm. disease)

A. pyogenes
Case: Cow with loud systolic murmur, intermittent fever, and persistent tachycardia. CBC = mature neutrophilia. What is the most likely diagnosis?
Endocarditis
Case: Cow with decrease milk production and appetite. Her elbows are abducted and she has an expiratory grunt. Signs of heart failure are present (distended jugular pulse, brisket edema, etc). On auscultation, the heart sounds appear muffled. CBC shows a mature neutrophilia. What is your number one differential?
Traumatic reticulopericarditis
Where would you perform a pericardicentesis?
Between 5th and 6th ICS at the level of the costochondral junction

if pericarditis = high SG/protein/neuts
What are the most common arrhythmias in ruminants?
APCs and AFib
What is AFib commonly associated with?
GI problems that increase vagal tone, cause low K/Ca, and metabolic alkalosis
Cow that has irregularly irregular rhythm
AFib
What are VPCS commonly associated with?
Hypokalemia
Increased sympathetic tone
T/F: You don't need to worry about heart problems when treating milk fever
FALSE - hypercalcemia can cause bradycardia --> AV block -->sinus arrest --> ectopic beats --> death
What is a reason you would see an arrhythmia when you have a calf with diarrhea?
Hyperkalemia
T/F: Japanese Yew is a yummy plant that you should feed your cows in the spring
False...Dr. Dorman would be sad if you got this wrong
A selenium deficiency can cause what cardiac problem
White muscle disease

(low Se leads to increased free radicals and oxidative damage)
Gossypol exists in two forms - free and bound. Which one is toxic?
The free form
What two clinical syndromes will you see with a Gossypol toxicity?
1. Depresssion, anorexia, dyspnea, and death
2. Acute death without CS
T/F: Ionophores are quite unpalatable so it is rare to see cardiotoxicity
True
What is the most common cause of myocarditis?
Secondary to Histophilus somnus

See depression and anorexia early followed by CV signs
What is an infectious, noncontagious, arthropod-borne hemoparasitic disease of ruminants?
Anaplasmosis
Why does anaplasmosis cause economic losses?
death
abortion
weight loss
increased veterinary costs
T/F: Anaplasmosis can be transmitted via tick, biting flies, and even blood contaminated fomites like dirty syringes
True
Which tick is responsible for anaplasmosis?
Demacentor (andersoni or occidentalis)
What are the four stages of Anaplasmosis?
Incubation
Developmental
Convalescent
Carrier
describe the pathology of anaplasmosis
anaplasma infects mature RBC --> binary fission = initial bodies --> excyst from RBC to infect other cells -->parasitized RBCs phagocytized (EV hemolysis) = release acute phase reactants (fever)
T/F: Severity of anaplasmosis increases with age
True
Treatment for anaplasmosis?

Can cattle become immune?
Oxytetracycline

Yes
Describe an effective control program for anaplasmosis
1. Test and remove carriers
2. Test and clear carriers (abx instead of cull)
3. Oxytet during vector season
4. Oral abx
5. Vaccination
T/F: Babesia can be transmitted via ticks and mechanical vectors
False-ONLY ticks
T/F: Babesia causes extravascular hemolysis
FALSE- Anaplasmosis causes extravascular hemolysis but Babesia causes IV hemolysis
What was responsible for the elimination of Babesia from the US?
Eradication of Boophilus tick
What are the two most important species of Lepto in cattle?
L. borgpetersenii serovar hardjo
L. interrogans serovar pomona
T/F: An incidental host infection of Lepto is characterized by low susceptibility for infection but high pathogenicity for the host
True
How can one get Lepto
contact with infected urine or body fluids

invade through mucous membranes and skin lesions
What is the most common and economically important form of Lepto seen in cattle?
Chronic form

CS: renal disease, abortions, infertility, and stillbirths
Diagnosis of Lepto
Dark-field microscopy urine
Immunofluorescence
Culture
PCR assays
Histopath
Serology (ELISA)
What is the hallmark treatment for Lepto?
Tetracycline for 3-5d
Case: Sheep farm that has seen an acute, highly fatal, hemolytic crisis. Sheep have severe gastroenteritis accompanied by abdominal pain and severe diarrhea. Feces are blue and green. What is the likely cause?
Acute Copper toxicity
What is the most common form of copper toxicity in sheep
Chronic form

Normally from excess Cu or low Mo and/or sulfur
What is the pathophysiology of copper toxicity?
Excess Cu stored in liver --> eventually sudden release Cu = acute hemolytic crisis (precipitated by stressful event) -->can also cause methemaglobin and Heinz body formation -->hemoglobinuria + methemaglobinuria -->renal tubular nephrosis and renal failure
Case: Cattle have hemoglobinuria, salivation and CNS signs. At necrospy you see cerebral edema, red urine in bladder, and renal cortical necrosis
Water intoxication
What is postparturitent hemoglobinuria related to?
dietary phosphorus deficiency
Case: You have some cattle that presented with hemoglobinuria, anorexia, weakness, tachycardia, and dyspnea. They gave birth a little while ago and you just learned that they have a diet low in P
postparturitent hemoglobinuria
Case: Dead cows with tarry blood coming from all orifices. Should you investigate further?
NO! Suspect anthrax
How is anthrax infection normally contracted?
Ingestion of contaminated feed