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47 Cards in this Set

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What is the toxin that causes acute bovine pulmonary emphysema (fog fever)?
3-MI
When do animals normally get acute bovine pulmonary emphysema?
Cattle moved from marginal pasture in fall or spring to lush pasture
Lush pasture Contains more tryptophan
-Rumen microbes not adapted to
L-tryptophan--> 3- methylindole---> lung damage
What's the MOA of 3-MI?
Damages pneumocytes
Proliferation of fetal type II Pneumocytes
Type II pneumocytes have more gas diffusion distance--> fluid in alveoli
What is the main clinical sign of 3- MI toxicity?
Acute respiratory distress syndrome within 2 weeks of pasture change
Do bovine with acute bovine pulmonary emphysema cough?
No, or minimal coughing
What are 6 clinical signs of acute bovine pulmonary emphysema?
1) Acute respiratory distress syndrome
2) "dyspnea"
3) Expiratory grunt or groan
4) Frothing from mouth
5) Open mouth breathing
6) Entire lung field involved
What are 4 pathologies associated with acute bovine pulmonary emphysema?
1) Lungs wet and heavy---> pulmonary alveolar edema
2) Pulmonary interstitial emphysema
3) Hyalin membranes
4) Type II pneumocytes
How do you diagnose acute bovine pulmonary emphysema?
History of change to lush pasture
-no specific lab changes
Why do you have to be VERY careful about treating cows with acute bovine pulmonary emphysema?
Stress of handling the animal may kill them more than treatment will save them
What are 4 possible components of treating acute bovine pulmonary emphysema?
1) Remove from pasture
2) Flunixin meglamine (banamine)
3) Corticosteroids, dexamethasone
4) Atropine??
What are 5 ways you can prevent acute bovine pulmonary emphysema?
1) Place in dry lot on hay a few days before putting on pasture
2) Limit pasture to a few hours during first few days
3) Cut pasture first
4) Delay pasture until 1st frost
5) Strip grazing
What are 5 toxins that cause atypical interstitial pneumonia or proliferative pneumonias?
1) Purple mint
2) Moldy sweet potatoes
3) Silo gases, NO2
4) Fungus contaminated plants
5) Brassica spp. ???
What is the mold that produces the toxin that causes moldy sweet potato toxicity? what is the name of the mycotoxin?
Fusarium solani produces mycotoxin furanoterpenold toxin
What are the 4 clinical signs of proliferative pneumonia caused by moldy sweet potato toxicity?
1) Could be pasture or stabled
2) Severe dyspnea
3) Often a grunt at end of expiration
4) Entire lung are involved
-abnormal lung sounds
-**not just cranial ventral as w/ broncho-pneumonia
How do you diagnose moldy sweet potato toxicity?
History of consuming plant
Lungs look like ABPEE
Why do you have to be very very careful when treating animals with moldy sweet potato toxicity?
Don't stress the animal into death due to hypoxia
What drugs can you use to treat moldy sweet potato toxicity?
Flunixin megalamine (banamine)
Corticosteroids, dexamethasone
What is the source of paraquat and diquat?
Commonly used dipyridyl herbicide that kills vegetation by inhibiting photosynthesis
-only used by licensed applicators
What is the most common circumstance of paraquat toxicity in people & animals?
Involves ingestion of concentration formulations
-hateful poisoning w/ meatballs
In dogs, only about 25% to 28% of orally administered paraquat is absorbed and the remainder is _________.
Excreted unchanged in feces
What is the mode of action of paraquat?
Absorbed paraquat undergoes extensive cyclic oxidation-reduction reactions in mammalian tissues, this redox cycling produces oxygen & hydroxyl and the ensuing *****free radical mediated damage to cellular macromolecules
**What macromolecule is most affected by free radical damage from paraquat metabolism and therefore responsible for most of the toxic effects?
**Membrane lipids
The ______ (organ) selectively accumulate paraquat, and therefore contain higher concentrations than other tissues.
Lungs
What damage is done to the lungs from paraquat poisoning?
Selective accumulation of paraquat develops into pulmonary edema & other lung damage, leading to fibrosis
What is the primary cause of death due to high doses of paraquat?
Death occurs 1-4 days after ingestion due to a combination of acute pulmonary edema****** and other things..
What are the clinical signs of subacute paraquat toxicity?
Poisoning w/ a slower onset of organ failure and eventual death from pulmonary edema and respiratory failure
What are the clinical signs of low doses of paraquat?
Late, irreversible pulmonary fibrosis syndrome w/ death ensuing several days to several weeks after exposure
What is the primary pathophysiology of tissue damage from paraquat toxicity?
Selective paraquat accumulation sites
-contact of mucosal surfaces & skin w/ concentrated paraquat solutions may result in marked tissue damage
How is paraquat toxicity usually diagnosed?
Combination of *clinical history, results of a *histologic examination of affected tissues & detection of paraquat in tissue or bait samples
What are the primary lesions related to paraquat toxicity?
Pulmonary edema
Renal failure
What is the treatment for paraquat toxicity?
No specific antidote
What is the prognosis of paraquat toxicity?
Overall prognosis=POOR
What is diquat?
A rapidly acting contact herbicide used to control aquatic weeds * destroy potato halums before harvesting
What are some common formulations of diquat?
Liquids, aqueous concentrates, water soluble mixtures w/ paraquat
True or false. Diquat accumulates in the lungs.
False, no affinity for lung tissue- that is paraquat
What organs take up diquat?
GI tract, liver & kidney
With minimal toxic concentrations diquat can produce signs in ___ days in cattle and ____ days in sheep.
8 days= cattle
3 days= sheep
What are the clinical signs of diquat toxicity? (5)
Anorexia, vomiting, diarrhea, GI distention, severe loss of water into lumen of GI tract
High exposure to diquat concentrations will elicit _____ damage & accumulate in the _____.
Elicit liver damage
Accumulate in kidneys
True or false. Diquat is not cumulative in body tissues.
True
What is usually the most helpful diagnostic aid for diquat toxicity?
History of diquat herbicide exposure
What clinical pathology will you see with diquat toxicity?
ALT increased w/ liver damage
What are 2 components of diquat treatment?
1) Decontaminate
2) Supportive therapy
-diuresis w/ mannitol or furosemide may be helpful
In diquat poisoning the main problems are associated with _____ and ______ damage.
Brain & kidney
*What should you avoid using for treatment of a patient with diquat toxicity?
Oxygen is contraindicated early in diquat poisoning
-oxygen administration may cause increased formation of oxyradicals
What are 3 ways to decontaminate an animal with diquat toxicity?
1) Induce emesis w/in 30-60 m
-in DOGS
2) Perform gastric lavage
-in DOGS
3) Administer adsorbent
What is the prognosis of diquat toxicity?
Guarded to poor w/ high levels
Animals have a good prognosis for recovery in 1-2 weeks w/ prompt treatment