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136 Cards in this Set

  • Front
  • Back
What is this disease?



What is the probable cause of this disease?


What clinical signs would an animal with this present with?

What is this disease?




What is the probable cause of this disease?




What clinical signs would an animal with this present with?

Juvenile Pancreatic Atrophy




Probably autoimmune but the exact cause is unknown




Veracious appetite, voluminous feces

This is a histologic slide of Juvenile Pancreatic atrophy. 



This is most commonly seen in what breeds?

This is a histologic slide of Juvenile Pancreatic atrophy.




This is most commonly seen in what breeds?

German Shepherds

Describe what lesions are seen in this pancreas. What disease causes this? What triggers the formation of these lesions?

Describe what lesions are seen in this pancreas. What disease causes this? What triggers the formation of these lesions?

Acute pancreatitis




This is the autodigestion of the pancreas of an unknown trigger. Grossly, you see hemorrhage, edema and foci of chalky-white fat necrosis.

Describe what is seen in this histologic slide and what disease is most likely causing this. 



What would be seen on a CBC with this disease?

Describe what is seen in this histologic slide and what disease is most likely causing this.




What would be seen on a CBC with this disease?

Fibrinous, suppurative pancreatitis and widespread inflammation (seen in Acute pancreatitis)




On a CBC, you would see increased liver enzymes due to the close proximity of the liver to the pancreas.

What are the 5 different vesicular stomatitis diseases?




What species gets infected with each?

1. Foot and mouth disease- All cloven footed animals


2. Vesicular stomatitis- Cattle, Horse, Swine


3. Swine Vesicular Disease- Swine


4. Vesicular Exanthema of swine- Swine


5. Seneca valley virus- Swine

Along with these lesions seen in this cow's tongue, the farm had a devastating outbreak where several cattle and pigs died with vesicles on the feet and snout, palate, and hypersalivation. 

What disease do you suspect?
What do you say about the...

Along with these lesions seen in this cow's tongue, the farm had a devastating outbreak where several cattle and pigs died with vesicles on the feet and snout, palate, and hypersalivation.




What disease do you suspect?


What do you say about the farms downwind from this farm?

Foot and mouth disease




This disease is extremely contagious and can spread in the direction of the prevailing wind very long distances.

How do sloughing lesions of foot and mouth disease originally begin? How do they progress?




What symptoms are seen in sheep?




How do you definitively diagnose this disease?

The lesions start as small vesicles, grow together to form larger bullae and then they rupture to form sloughing lesions.




Sheep have less of these symptoms and it is not as devastating as it is in cattle and pigs




You have to have the lab perform a test in order to distinguish it between this disease and the other vesicular diseases.

Describe the difference between




Noncytopathic and Cytopathic strains of BVD.

Noncytopathic- no changes seen on histologic slide, you only get the phenotypic changes




Cytopathic- cells look vacuolated and necrotic along with the phenotypic changes

How does an animal become infected with the "mucosal disease" form of this virus?




What is one symptom of BVD that happens in very few other diseases and can help confirm the diagnosis of BVD? What other clinical signs are seen with Mucosal Disease?

Immunotolerant cattle gets infected with the Cytopathic strain of BVD




Hemorrhagic peyer's patches




Ulcers on ventral tongue, esophagus, abomasum, small intestine, vasculitis

If you get infection of BVD with an animal that is pregnant, what can happen?

Fetal abortion and mummification


Congenital defects


Late term abortion

If a cow is infected with BVD at time of breeding, will this animal typically breed?

No

If you have an immunotolerant mom that infects the calf before 125 days of gestation, what is seen in the calf?




If you get a late gestation infection?

With early stage- the calf becomes consistently viremic for life




With late stage- you get a normal calf that is just seropositive to BVD

If you get an infection of an immunocompetent, non pregnant cow, what types of scenarios can result?

Sub-clinical infection *most common


Pyrrexia, diarrhea, mild oral ulcers/erosion




Hemorrhagic syndrome


Lymphoid necrosis in peyer's patches- where cysts will replace the empty holes


Immunosuppression


Severe peracute BVD


Clinical BVD

There are three different forms of malignant catarrhal fever in cattle.




Name the three and what symptoms are associated with each?




histologically, what do you see?

Peracute- high fever, death in 1-3 days


Head and eye *most common- corneal opacity, nervous system signs


Intestinal form- photophobia, lacrimation, ulcers on tongue, rumen, esophagus




Histologically, you see lymphocytic infiltration and vasculitis in the brain (resembles lymphoma)

What are the three papular somatides?

Parapoxvirus infections




Bovine papular stomatitis




Contagious ecthyma (sore mough in sheep and goats)

These blisters are seen on the gums, roof of mouth and esophagus. 

What disease is this?
What change histologically causes these lesions?

These blisters are seen on the gums, roof of mouth and esophagus.




What disease is this?


What change histologically causes these lesions?

Bovine Papular stomatitis




Proliferation of epithelium

This type of lesion is seen in what type of dog?

This type of lesion is seen in what type of dog?

(Gingival hyperplasia)




Seen in brachycephalic dogs

While most epuli are benign, this type of epulis is invasive. 

What is it called?
How can it be treated?
What is the prognosis?

While most epuli are benign, this type of epulis is invasive.




What is it called?


How can it be treated?


What is the prognosis?

This is an acanthomatous epulis. This is the invasion of acanthomatous epithlium into the bone of the animal.




You can treat this with radiation but, regrowth can occur. And, if this does regrow, it will regrow as a squamous cell carcinoma

The carcinoma seen here is most likely a what?

This is most commonly seen in what species of animal?

The carcinoma seen here is most likely a what?




This is most commonly seen in what species of animal?



A squamous cell carcinoma, most likely found in a cat




*This can metastasize to other locations

The image seen here is an image of?

What kind of prognoses do these carry?

The image seen here is an image of?




What kind of prognoses do these carry?

This is an oral melanoma.




90% of these will metastasize to other areas in the body, they usually carry a poor prognosis

What is this an image of?

What type of therapy should be done?

What is this an image of?




What type of therapy should be done?

These are benign, wart-like structures caused by canine oral papilloma virus




These do not need to be treated, they will regress spontaneously as the immune system fights them off.

The black tarry blood seen in this ulcer can eventually lead to what?

What predisposes a dog or cat to ulcers?

The black tarry blood seen in this ulcer can eventually lead to what?




What predisposes a dog or cat to ulcers?

Can eventually lead to melena




1. the presence of histamine producing mast cell tumors anywhere in the body


2. Zollinger-Ellison Syndrome- a gastrin secreting pancreatic cancer


3. Previous treatment with NSAIDS or steroids


4. Chronic renal disease

Ulcers of the pig stomach are found in what location of the stomach?




Are these common?


What clinical signs are associated with them?

These are found in the nonglandular mucosa of the stomach




These are very common in pigs but rarely do they cause death or they are rarely associated with any clinical signs

What is the cause of ulcers in the calf abomasum?

If paired with ulcers in the mouth, think viral diseases.




If alone, check to see if they were treated with antibiotics for longer than a week, as this predisposes the calf to this disease.

If you found ulcers in an adult horse GI tract, and the mucosa of the esophagus was thickened, what would that mean in terms of disease cause?




What if it were a foal?

Adult- incidental finding, especially prominent the more athletic the horse was




Foal- they get these and then they will perforate, causing acute peritonitis.

What is the most common stomach cancer in dogs and cats?




What prognosis does this disease carry?

Gastric Adenocarcinomas




These will metastasize widely, prognosis is quite poor

What is the most common stomach cancer in horses?




What symptoms are associated with this cancer?




What prognosis does this disease carry?

Squamous cell carcinomas




Weight loss and anorexia




Very poor prognosis, most diagnoses are done at necropsy

What is the most common stomach cancer in cattle?




What is the progression of this disease?

Lymphosarcoma




They are found in cattle that have been previously infected with bovine leukemia virus




They can be infected with this virus at any age and then the cancer develops at 5-7 years of life

What damage to the small intestine is seen here?

What virus commonly does this?

What damage to the small intestine is seen here?




What virus commonly does this?

Loss of crypt cells, atrophy of the villi




Caused by parvovirus attacking rapidly dividing cells in the body.




This then causes severe malabsorptive diarrhea

What is the cat's version of parvovirus?




Where does this virus attack in the body?

Panleukopenia




Wipes out the bone marrow

How do you want to treat an animal with parvovirus?




What is important to remember when looking for this virus grossly and histologically?

Give antibiotics to prevent a secondary infection with an overgrowth of clostridia, this overgrowth can cause disease




Both grossly and histologically, the disease is segmental. So, look at multiple sections of the intestine to find the lesions caused by this virus.

What disease is seen in these villi?

What is the two different causes of this?

What is seen on a CBC?

What disease is seen in these villi?




What is the two different causes of this?




What is seen on a CBC?

This is lymphangectasia, where the central villi lymphatics are swollen




This can be congenital, caused by not enough lymphatics to drain the villi or it can be acquired, caused by a blockage of the lymphatics in the villi




On CBC, you will see hypoproteinemia

What are the 6 mechanisms of diarrhea?

1. Altered motility- not well understood


2. Hypersecretion (ETEC)


3. Malabsorption


4. Maldigestion- ex. pancreatic exocrine insufficiency


5. Altered permeability and protein loss (Johne's, Lymphangectasia)


6. Infiltration of gastric mucosa



What mechanism of diarrhea is seen in this image?

If this animal recovered in a few days, what virus most likely caused the diarrhea?

What mechanism of diarrhea is seen in this image?




If this animal recovered in a few days, what virus most likely caused the diarrhea?

Malabsorption caused by villous atrophy




Coronavirus

These arrows are pointing to what?

What mechanism of diarrhea can this cause?

These arrows are pointing to what?




What mechanism of diarrhea can this cause?

These are inclusion bodies in the gastric mucosa, as caused by canine distemper virus.




This can cause malabsorption diarrhea although the main disease here is still respiratory related

What mechanism of diarrhea is represented in this picture?

What can cause this?

What mechanism of diarrhea is represented in this picture?




What can cause this?

Infiltration of the gastric mucosa, eosinophilic gastroenteritis




This can be caused by parasites, food allergies. But, if neither of these exist, it can be idiopathic too.

What lesion is seen in this image from a boxer?

What  mechanism of diarrhea does this cause?
What would you see histologically?
Treatment would involve what?

What lesion is seen in this image from a boxer?




What mechanism of diarrhea does this cause?


What would you see histologically?


Treatment would involve what?

This is histiocytic, ulcerative colitis, common in boxers.
This causes infiltration of gastric mucosa diarrhea, due to the infiltration of macrophages between the intestinal crypt cells. The crypt cells also are PAS positive.


Treatment may be best by using antibiotics as it seems to have a better response than steroids

What are the 6 causes of neonatal diarrhea?

E. Coli


Rotavirus


Coronavirus


Cryptosporidia


Coccidia


Clostridia

Where is E. coli found in the digestive tract?




What is the difference between a pathogenic and a nonpathogenic strain of E. coli?

Found lining the epithelium in the small intestine




Pathogenic strain has fimbriae that allow the attachment to the small intestine and can produce enterotoxins that produce disease

If you were looking to test for calf coronavirus in the small intestine, what sections of the small intestine would you want to test?




What lesions would you expect to see?

Sample the ileum and the colon, the duodenum won't have lesions in it




You will see villous atrophy in the intestine

Describe the life cycle of cryptosporidia

Histologically, what do you see?

Clinically, how does this cause rapid death?

Describe the life cycle of cryptosporidia




Histologically, what do you see?




Clinically, how does this cause rapid death?

The oocyst made is immediately infective, most maturation of the oocyst happens in the environment. These protozoa then rest on the surface of the cilia causing neonatal diarrhea.




Histologically, you see the "little blue dots"




Death is not often solely caused by cryptosporidia but is a part of death due to atrophy of the fat cells.

how can clostridium type C affect piglets?




Gross lesions?

It can cause neonatal diarrhea that will wipe out whole litters of piglets very quickly




You can get grossly black, necrotic lesions of the jejunum and the ileum

What are the 5 bacteria species that cause enteric disease after the neonatal period?

Salmonella


Brachypsira Hyodysenteriae


Lawsonia Intracellularis


Mycobacterium Avium subsp. Paratuberculosis


Clostridium Perfringens Type D

Salmonella has three different species and each of them affect different animals. What are those three and what animals do they affect?




What gross lesions do you see with this bacteria?

Dublin- calves


Cholerasuis- swine


Both cause focal random necrosis, enteritis


Mucosal necrosis is dull/tan yellow appearance of the intestinal surface




Typhurium- chronic intestinal salmonella in pigs


The spiral colon can become necrotic due to a rectal stricture





Brachyspira hyodystenteria affects what age of piglets?




What symptoms are seen?


Where are the gross lesions seen in the body?

Growing pigs 6-17 weeks of age




Weight loss, anorexia, guant piglets, bloody diarrhea




Affects the large intestine only

Lawsonia intracellularis causes what gross and histologic lesions?

If you were to stain them, what shape would it take on?

Lawsonia intracellularis causes what gross and histologic lesions?




If you were to stain them, what shape would it take on?

Gross lesions- proliferative, necrotizing enteritis causing thickened, corrugated enteritis

Histologically- causes the crypts to proliferate like they're neoplastic

if you stain them with silver stain, they are comma shaped organisms

Gross lesions- proliferative, necrotizing enteritis causing thickened, corrugated enteritis




Histologically- causes the crypts to proliferate like they're neoplastic




if you stain them with silver stain, they are comma shaped organisms

What are the two diseases that cause an influx of macrophages in between the crypt cells?

Johne's Disease




Boxer colitis

What is the gross and histologic lesions caused by Johne's disease?

What is the gross and histologic lesions caused by Johne's disease?

Gross- small intestinal disease causing thickened and corrugated mucosa




Histologic- causes the influx of macrophages in between crypt cells

What are the 5 things you want to look at a gross, unfixed brain for?

1-Asymmetry
2- Leptomeninges, should be clear
3- Edema
4- Petechia/Ecchymoses
5- Large areas of hemorrhage

What are some things that can cause asymmetry in a fresh brain?

Atrophy


Hypo/Hyperplasia


Hemorrhage

What causes the cloudiness appearance seen in this image?

What causes the cloudiness appearance seen in this image?

Inflammation of the leptomeninges




This fluid exudate will move when pushed around the brain

Edema in the brain leads to what gross changes in the brain?

Wet leptomeninges, flattened gyri, shallow sulci

What causes petecchia/eccymoses in the brain?




What causes larger areas of hemorrhage?

Small hemorrhages- septicemia




Larger hemorrhages- trauma

Describe how and where rabies testing is done in MI




If you send in a sample, what parts of the brain do you want to include?

The MI department of health and human services does direct fluorescent antibody testing to test for rabies.




Submitted brain must include sections of pons/rostral medulla along with the cerebrum. You must never freeze the sample.

How long is a brain in formalin before it is looked at?




How do you section it?

About a week




Sectioned using a brain knife

What gross lesions do you look for and what do they indicate when looking at a formalin fixed brain section?

Discoloration- nonspecific, can mean hyperemia, hemorhage, degeneration, necrosis and inflammation




Malacia- softening, necrosis




Cystic lesions- hydrocephalus

What is the general term for this condition in the brain?

If it was of the grey matter, it would be what term?
White matter?

What is the general term for this condition in the brain?




If it was of the grey matter, it would be what term?


White matter?

Malacia- the softening/necrosis of brainGrey matter of the brain- encephalomalaciaWhite matter of the brain- polioencephalomalacia (image)
Malacia- the softening/necrosis of brain

Grey matter of the brain- encephalomalacia
White matter of the brain- polioencephalomalacia (image)

If the discoloration of the brain or spinal cord is very dark brown or black, what process is likely to have happened?

Hemorrhage

In order to formalin fix the spinal cord, what step must you do to insure proper fixation?

Cut the dura mater to allow the penetration of the formalin

What is seen in this section of the spinal cord?

What is seen in this section of the spinal cord?

Myelomalacia- softening of the spinal cord




(the discoloration is non-specific)

Compression of the spinal cord can happen in what three ways

Compression of the spinal cord can happen in what three ways

1. vertebral lesions




2. disc disease




3. mass lesion

Define hydromyelia

Dilation/distension of the central canal of the spinal cord

Dilation/distension of the central canal of the spinal cord

Define Syringomyelia

Holes in the neuropil of the spinal cord

Holes in the neuropil of the spinal cord

What sections of the spinal cord would you want to send in for testing?

Depending on clinical and gross symptoms

What are some of the things you want to evaluate fresh and formalin fixed peripheral nerves for?

Fresh- look on both sides and compare for symmetry, thickness/color




Fixed- look for thickening (indicating inflammation, neoplasia), thinner (atrophy, degeneration), and discoloration (hemorrhage, degeneration, inflammation)

While regeneration of neurons is minimal, what nervous system is better at regeneration than the other?

PNS nervous system is better at regeneration than the CNS

What are the three supporting cells of the CNS

Astrocytes




Oligodendrocytes




Microglial cells

What are some of the primary injuries to a neuronal axon?

Trauma


Nutritional deficiencies


Toxicoses


Inherited defects

Define/describe wallerian degeneration

The axon will degenerate distal to the axon injury

In the spinal cord, the degeneration cranial to the site of injury will be in the ascending tracts and the degeneration in the caudal spinal cord will be in the descending tracts

The axon will degenerate distal to the axon injury




In the spinal cord, the degeneration cranial to the site of injury will be in the ascending tracts and the degeneration in the caudal spinal cord will be in the descending tracts

What are the mechanisms of primary myelin sheath degeneration?

Inflammatory/immune mediated- either by leukocyte enzymes or a specific immune response to myelin proteins




Toxic/metabolite


Inherited defect in metabolism


Oligodendrocyte injury

What are the causes of secondary myelin sheath degeneration?




What does this lead to?

Ex. Wallerian degeneration (secondary to axon degeneration)

Fragmentation of myelin leads to vacuolization of the neuropil, whichs termed "spongiosis", or a spongy appearance to the nervous tissue

Ex. Wallerian degeneration (secondary to axon degeneration)




Fragmentation of myelin leads to vacuolization of the neuropil, whichs termed "spongiosis", or a spongy appearance to the nervous tissue

What are the two ways spongiosis can occur?

Fragmentation of myelin




Edema

What is the most numerous cell type in the CNS?




What are their functions?

Astrocytes




1. Structural support


2. Detoxification


3. Maintain BBB


4. Inflammatory/immune- phagocytosis, antigen presentation, produce cytokines


5. Lay down glial processes to induce the formation of tight junctions (reperative cell)

Are infections properly walled off with just astrocyte function alone?

No, tey lay down glial processes, not collagen so a junction tight enough to wall off infections is not created.

What is the function of an oligodendrocyte?


In white matter- formation/maintenance of myelin in the CNS




In grey matter- they're called "satellite cells" and they are responsible for neuronal metabolism

What is the function of a microglial cell?

Resident macrophage of CNS

What are the three components of the blood-CNS barrier

1. tight junction of endothelial cells




2. Basement membrane of capillaries




3. Astrocyte foot processes

What is true about the efficiency of the lymphatic vessels in the CNS?

There is poor exudate drainage so, the CSF stays in the brain. This is why CSF can lead to a diagnosis of certain diseases

What is the ependymal epithelium?

Epithelium lining the ventricular system in the brain and the central spinal canal

What is the Choroid plexus epithelium?




What is its function?

Tufts of epithelium in the lateral, 3rd and 4th ventricles




They are responsible for making CSF

What is the function of the CSF?

Deliver nutrients/remove wastes




Shock absorber for the brain

Describe the CSF flow through the brain

It flows through the lateral apertures of the 4th ventricles and into the subarachnoid spaces




The fluid is then absorbed into the brain at the arachnoid villi, which are evaginations of the arachnoid into the dural venous sinuses on the convex brain

What are the three layers of the meninges?




What is the function of the meninges?

Dura mater- later that is closely associated to the skull periosteum




Leptomeninges- the arachnoid and the pia mater




Function is to protect the brain and spinal cord

Why do different congenital malformations of the nervous system develop at different ages in different species?




Can multiple malformations happen?

They develop at different times in different species because each species develops their nervous system at different rates




Multiple malformations are possible because all of the nervous system components are closely connected

What are the two general causes of congenital malformations in the nervous system?

Genetic errors




Environmental

What are the two ways that genetic errors can occur which lead to congenital malformations of the nervous system?

During gestation, a somatic mutation happens. You get one animal affected and its an isolated event




Inherited from mom, a germ cell mutation, you get multiple animals affected

What are some examples of environmental causes of congenital malformations in the nervous system?

Physical agent


Nutrition


Toxin


Virus

Define Hydrocephalus:




Differentiate between internal and external hydrocephalus.




What does it mean if it is communicating?

Hydrocephalus- the accumulation of too much CSF leading to the dilation of the ventricles




Internal has no involvement of the subaracnoid space, external has subarachnoid space involvement




Communicating comes secondary to extravascular obstruction, your subarachnoid spaces are involed. Noncommunicating, only the lateral ventricles or lateral and the 3rd ventricles are affected, the obstruction is only within the ventricles.

What is the difference between compensatory and obstructive hydrocephalus?

Compensatory- ventricles expand because the nervous tissue parenchyma is lost




Obstructive-


Acquired- neoplasm/inflammation compresses the ventricle


Developmental- malformations interfere with flow, most often a narrowing of the aqueduct

What defect is seen in this picture?

What is the two causes of this?

What defect is seen in this picture?




What is the two causes of this?

Cerebellar hypoplasia- 

Small cerebellum

Caused by a viral infection, inherited/developmental genetic defect

Cerebellar hypoplasia-




Small cerebellum




Caused by a viral infection, inherited/developmental genetic defect

What defect is seen in this picture?


Histologically, what would you expect to see?


What causes this?

What defect is seen in this picture?




Histologically, what would you expect to see?




What causes this?

Cerebellar abiotrophy- 

Premature degeneration, loss of purkinje cells and granular layers

Due to intrinsic metabolic defect

Cerebellar abiotrophy-




Premature degeneration, loss of purkinje cells and granular layers




Due to intrinsic metabolic defect

Biochemical defects of the nervous system are most often what type of disease?

Lysosomal storage disease

How does the genotype of the lysosomal disease inherited influence the phenotype of the lysosomal activity?

(autosomal recessive disease)




AA- No/minimal measurable enzymatic activity


Aa- 50% normal enzyme activity


aa- fully functional




This is called "Gene dose dependent"

How can you determine if an animal is a carrier for a lysosomal storage disease?

Measure the level of enzymatic activity. If you're at about 50% of normal, you'd expect that animal to be a carrier.

How does lysosomal storage diseases lead to neuronal dysfunction?




How do you classify these diseases?

Dysfunction is due to the accumulation of uncatablized substrates in the neurons




You classify them based on the biochemical nature of these substrates

How is the brain protected from trauma?

1. Frontal sinuses


2. bone layers


3. meninges


4. CSF

What are the two pathogenic factors that lead to brain trauma?

1. Distortion/tearing of the nervous tissue and blood vessels




2. Hypoxia, leading to neural ischemia

Where is spinal cord injury most likely to occur along the spine?




Why is this so?

Most likely to occur at the thoracic/lumbar area due to the smallest space between the cord and canal

What are the things that protect the spinal cord from injury?




Why is T2-T10 less likely to have vertebral disc extrusion?

Vertebral bodies


Intervertebral discs


Vertebral ligaments


Fat


Meninges


CSF




T2-T10 have intercapital ligaments making them stronger

What are the two ways that acute spinal cord compresion happen?




Chronic?

Acute- Physical force from direct tearing/shearing or hypoxia




Chronic- Slowly forming direct physical injury to spinal cord or low-grade hypoxia due to blood vessel compression

Compare the lesions seen with acute v. chronic spinal cord compression

Acute- hemorrhage/necrosis of the GREY matter




Chronic- MYELIN/AXON degeneration of the WHITE matter.

What may acute spinal cord compression progress to?




What is the pathogenesis of this?

Hematomyelia




Nervous tissue damage -> lipid peroxidation -> release of free radicals -> more tissue damage




So you get necrosis cranial and caudal to the lesion

Compare a hansen type 1 disc extrusion with a hansen type 2 disc extrusion

Type 1- acute injury, the nucleus pulposis extrudes into the canal. This is common in chondrodystrophic breeds where the degeneration happens less than a year of age and replaces it with fibrosis




Type 2- Chronic compression, you get the bulging of discs in non chondrodystrophic breeds, you get the degeneration of nucleus fibrosis at 8-10 years of age

What is cervical vertebral stenotic myopathy?




What pathogenic factors are at play?

"Wobblers Syndrome"




Genetic, conformational and nutritional all come into play




In horses, you get both a developmental form (in young horses) and a acquired form (in older horses)

What are the three common causes of CNS hemorrhage?

Trauma


Vasculitis- bacterial/viral infections, pececchia/ecchymoses


Parasite migration

What are some of the gross lesions associated with brain edema?

What are some of the gross lesions associated with brain edema?

Flattened gyri/shallow sulci


Clear watery fluid in leptomeninges


Posterior shifting of brain

What are the two mechanisms of brain edema?




What are their causes? How do they lead to edema?

Vasogenic (most common)- physical breakdown of tight junctions leading to EXTRAcellular accumulation of fluids. Caused by inflammation or trauma




Cytotoxic (2nd most common)- Impairment of the Na/K pump leading to altered cellular mechanism and INTRAcellular accumulation. Caused by hypoxia or toxin/metabolic causes

Why is infarction uncommon in our animal species?

There is abundant arteries supplying the brain




Primary vasculature disease is rare in animals

Feline Ischemic encephalopathy is an infarction of what central nervous system structure?




What is it's etiology?

Infarction of cerebrum/brainstem in cats




Uncertain etiology, maybe liked to cuterebra?

Ischemic Myelopathy is an infarction of what central nervous system structure?

Spinal cord, in dogs

Fibrocartilagenous emboli are infarctions of what central nervous system structure?

What is it's etiology?

Fibrocartilagenous emboli are infarctions of what central nervous system structure?




What is it's etiology?

leptomeningeal blood vessels




Possibly intervertebral disc origin but pathogenesis is controversial

What are the 4 general features of neuronal degeneration and necrosis?

Slowly progressive clinical signs


Lack of inflammatory response


Primary effects on neurons


No gross lesions

Define Myelomalacia

Softening/necrosis of the spinal cord

What are the causes of neurodegenerative diseases?

Toxicants


Metabolic Disturbances


Nutritional deficiencies/excesses


Inherited/suspected inherited


Infectious agents

Hyperammonemic encephalopathy is most commonly a disease of what system?




What category of neurodenerative disease is it?

Liver disease (most commonly)


Can also be renal, or intestinal (in horses)




Metabolic disturbances

Thiamine-responsive polioencephalmalacia is most commonly a disease of what species under what circumstances?




What gross lesions are seen with this disease?




What category of neurodenerative disease is it?

Ruminants with increased concentrate diets




Edema of the cerebrum, yellow discoloration of the grey matter




Nutritional deficiencies/excess

Age related/degenerative myelopathy of some dog breeds is an example of what category of neurodegenerative disease?

Inherited/suspected inherited

How is a prion disease suspected to work in the brain?




What clinical signs are associated with them?




Wat is the pathologic lesions seen in the brain?

The prion has a PrPSPc gene that serves as a template to change the genes made by the host




Affects only a few species


Slow, progressive deterioration, long incubation period, usually fatal




Noninflamatory, lesions in the brain, vacuolation of neurons

What are some of the specific prion diseases we deal with in animals?

Scrapie- seen in seep, suffolk sheep mostly


BSE- Great Britain, from feeding meat/bone meal concentrate


vCJD- consumption of BSE and cattle meat


CWD of deer

Define




Encephalitis


Myelitis


Meningitis

Encephalitis- inflammation of the brain


Myelitis- of the spinal cord


Meningitis- of the meninges (leptomeningitis is inflammation of the leptomeninges)

Define




Astrocytosis


Astrogliosis

Astrocytosis- increased number of astrocytes in inflammation




Astrogliosis- increased cytoplasmic processes

How does the immune system play a role in the diseases of the nervous system?

Low level of CMI and low levels of immunoglobulins mean that when an infection can get in, it can spread rapidly and tends to persist for a long time

What are all of the routes of CNS infection?

Via peripheral nerves


Direct implantation from traumatic injuries


Spread from surrounding tissues


Hematogenous *most common

What are the lesions of a bacterial CNS infection

Usually systemic




Suppurative/fibrinopurulent meningitis or abscesses

What are the lesions of a viral CNS infection?

Usually part of a systemic infection
Some viruses have specific tropisms for CNS

No gross lesions
Nonsuppurative inflammation
Demyelination, Viral inclusion bodies

Usually part of a systemic infection


Some viruses have specific tropisms for CNS




No gross lesions


Nonsuppurative inflammation


Demyelination, Viral inclusion bodies

What are the lesions of a fungal/mycotic linfection?

Localization from a systemic infection, extension from surrounding tissues




Lesion- granulomatous, pyogranulomatous inflammation

What are the lesions of a protozoal infection of the CNS?

Some protozoa want to be in the nervous system, others come from a systemic infection




Lesion- granulomatous, pyogranulomatous inflammation




Ex. sarcocystic neurona (in horses)

What are the lesions of a parasitic/helminth infection of the CNS?

Natural life cycle of some parasites involve the tracking throught he CNS




Signs most likely to be worse in an aberrant host, rather than in the natural host




Lesions- granulomatous/eosinophilic

What is an example of an unknown cause but a suspected immune-mediated pathogenesis disease of the CNS?




Unknown cause and unknown pathogenesis?

Cauda Equina Neuritis, in horses




Granulomatous meningoencephalitis in dogs (GME)

Primary neoplasms of the brain are really only found in what species?




What are the clinical signs of these attributed to?




What is the one site of metastasis that could occur in the nervous system?

Dogs and cats




Compression/infiltration effects on a space-occupying mass




brain- due to large blood flow

The most common brain tumor in a dog is a ?




Are these benign or malignant?




What are the two types?

Glial cell tumor




Malignant




Astrocytoma (grey matter), Oligodendrioma (white matter)

The most common brain tumor in a cat is a ?




Are these benign or malignant?

Meningioma


Most are benign- they would be easily cut out with surgery if you would want to perform that surgery

Meningioma




Most are benign- they would be easily cut out with surgery if you would want to perform that surgery

Pituitary adenomas are neosplasms of what?




Associated with what disease?

Pars intermedia




Associated with Cushing's

PPID is a neoplasm of what species?

PPID is a neoplasm of what species?

Pars intermedia dysfunction




Seen in older horses

Choleastoma are non-neoplastic findings in what species?

Incidental findings in old horses

Incidental findings in old horses

Peripheral nerve sheath tumors are of what cell origin?

Are they benign or malignant?

Most common in what species?

Peripheral nerve sheath tumors are of what cell origin?




Are they benign or malignant?




Most common in what species?

Shwann cells origin




Can be benign and malignant




Most common in dogs