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Exam 3
Oral/Facial Masses
57
Veterinary Medicine
Professional
03/02/2017

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Term
What are some common etiologies behind facial masses in cows?
Definition
-lumpy jaw
-abscessed tooth
-mandibular fracture callus
-wooden tongue
-lymphadenopathy
-neoplasia
-cellulitis: puncture, snakebite
-edema (bottle jaw)
Term
Which etiologies behind bovine facial masses causes bone?
Definition
-lumpy jaw
-abscessed tooth
-mandibular fracture callus
Term
Which etiologies behind bovine facial masses that are focal/multifocal soft tissue?
Definition
-Wooden tongue
-lymphadenopathy
-neoplasia
Term
Which etiologies behind bovine facial masses that are diffuse soft tissue?
Definition
-cellulitis: puncture, snakebite
-edema: bottle jaw
Term
What is the etiology of Lumpy Jaw? Affected species?
Definition
-Actinomyces bovis
-cattle >> sheep and pis (mastitis)
Term
What usually leads to Lumpy Jaw?
Definition
-oral abrasion allows entry
-ex: coarse feed, loss of deciduous teeth, oral FB/trauma
-necrosis => anaerobiasis
-periodontitis/periostitis
-osteomyelitis: mandible >> maxila
-lesions develop slowly
-cycle of drain, heal, drain
Term
What clinical findings do we see w/ Lumpy Jaw in cattle?
Definition
-hard mass immovable
-+/- draining tracts: yellow nonodorous pus w/ sand-liek sulfur granules
-dysphagia/dropping cuds
-anorexia, wt loss
-no lymph node involvement
Term
How do we diagnose lumpy jaw?
Definition
-gram stain exudate: filamentous gram +
-usually dx off of PE
Term
How do we treat lumpy jaw in cattle?
Definition
-salvage is often best choice
-goal = stop progression (difficult to cure & recurrence in common)
-early/non-fistulous: medical may be enough
-chronic/fistulous: surgical + medical
Term
How do we medically manage lumpy jaw in cattle?
Definition
-Abx: penicillin
-isoniazid
-iodinization(sodium iodide): parenteral, oral
Term
How do we surgically manage lumpy jaw in cattle?
Definition
-general anesthesai
-debride/curettage lesion: remove involved teeth, pack w/ iodine gauze
Term
What are some complications commonly seen w/ surgical management of bovine lumpy jaw?
Definition
-blood loss: be quick
-iatrogenic fracture
Term
How do we control bovine lumpy jaw?
Definition
-avoid offending forages
-early tx of cases
-salvage before $$ loss
Term
How common are abscessed teeth in ruminants?
Definition
-umcommon
-seen more in calmelids
Term
What do we see on PE w/ abscessed teeth?
Definition
-hard boney swelling
-open and draining
-no sulfur granules
0smells bad
Term
What do you see on PE w/ fracture?
Definition
-weak jaw
-displacement
-fetid odor if draining
-commonly symphyseal in young animals
Term
What is the etiology of Wooden Tongue?
Definition
-Actinobacillus ligniereii
-gram - cococbacillus
Term
Describe the epidemiology of Wooden Tongue. Affected species?
Definition
-sporacid cases
-assoc w/ problem feeds
-cattle >> pigs/sheep
Term
Describe the pathognesis of Wooden Tongue.
Definition
-puncture > invasion: granulomatous inflammation
-strictly soft tissues: LN
-interfere w/ prehension/mastication/eructation
Term
What do we see on PE w/ Wooden Tongue?
Definition
-pyogranulomatous lesions: head, neck, tongue
-firm but not hard
-+/- draining tracts
-regional lymphadenopathy
-lingual lesions cause dysphagia, ptyalism, dehydration, wt loss
-retropharyngeal lesiosn cause dyspnea, bloat, aspiration pneumonia
Term
How do we treat Wooden Tongue?
Definition
-sodium iodide: affects inflamamtion
-Abx: extended spectrum penicillin or ATC
-don't need isoniazid
-early tx = good prognosis
Term
How do we differentiate pure edema and inflammatory edema?
Definition
-pure edema: symmetrical, cool, not painful
-inflamm edema: warm, pitted, painful
Term
What are some causes of pharyngeal trauma in cattle?
Definition
-oversealous oral tx
-balling/pilling gun
-dose syringes
-stomach tubes
-poor facilities/restraint
Term
What do we see w/ pharyngeal dysfunction?
Definition
-altered deglutition
-altered eructation
-altered laryngeal closure
Term
What do we see on PE w/ pharyngeal trauma?
Definition
-pain > anorexia/dehydration
-salivary loss / met acidosis
-migrate / mediastinum
-feedstuffs in nares
-halitosis
-mild bloat
-evidence of penumonia
Term
How do we manage pharyngeal trauma bovine cases?
Definition
-establish drainage
-systemic abx: BS, anaerobes
-supportive: fluids & feed
-analgesics: NSAID
Term
What is the etiology behind contagious echtyma? Common names?
Definition
-Parapoxvirus
-Orf, Soremouth
Term
Which species are affected by contagious echyma?
Definition
-sheep > goats-
-ZOONOTIC
Term
Which animals are most commonly affected by contagious ecthyma?
Definition
-most in lambs and kids < 6m b/c immunity develops
-naive flock introductions
Term
Describe orf lesions.
Definition
-3-5d incubation
-proliferative
-coalesce
-course lasts 5-6w
-on lips & gums > nares > eyelids
-coronet/interdigital
-dam's teats
Term
Why do animals lose wt w/ orf?
Definition
-pain = reluctance to nurse
-premature weaing
-lameness: dec foraging
Term
Describe orf vaccine.
Definition
-virulent live virus: wear gloves!
-use only in endemic flocks
-must do annually once begun
Term
What are some chemical causes of oral vesicles, erosion & ulceration? Traumatic? Metabolic?
Definition
-chemical: grass awns
-trauma: tubing, pilling, grazing, pica
-metabolic: uremia, photosensitization
Term
What do you do w/ oral vesicles?
Definition
-call state vet
Term
What are some infectious etiologies that cause oral vesicels w/ diarrhea?
Definition
-BVD
-MCF
Term
What are some infectious etiologies that cause oral vesicles without diarrhea?
Definition
-BPS
-BTV
-VS (FMD)
-necrotic stomatitis
-actinobacillosis
-actinomycosis
Term
What is the etiology behind Bovine Papular Stomatitis?
Definition
-parapoxvirus w/ Orf
Term
What do we see w/ BPS?
Definition
-usually asymptomatic
-raised umbilicated papules in nares, mouth, esophagus, rumen
Term
What is the etiology behind Bluetongue? Who is most commonly affected?
Definition
-reovirus
-sheep, deer
Term
What is the seasonality of bluetongue?
Definition
-mid summer to fall
Term
How is bluetongue transmitted?
Definition
-Culicoides variipennis
-can be transmitted via semen during viremia & also transplacentally
Term
What are the pathological effects of bluetongue?
Definition
-vasculitis syndrome: widespread epi necrosis, endothelial damage=edema
-repro: abortion/embryonic death, teratogenesis
Term
What are the clinical signs of bluetongue?
Definition
-fever for about a week
-edema of face, lips, ears
-crusted muzzle
-excessive salivation
-hyperemic oral mucosa
-erosion & ulceration
-cyanosis of tongue
-hyperpnea/dyspnea: pulmonary edema
-lameness/stiffness: coronitis & myopathy
-wool breaks in 2-3 ww: may lose entire fleece
-diarrhea
Term
What are the congenital defects due to bluetongue when infected during first half of gestation?
Definition
-proencephaly/anencephaly
-arthrogryposis
-growth retardation
-stillbirths/weak
Term
How do we treat bluetongue?
Definition
-supportive care: hydrate, force feed
-prevent secondary bacterial infection: BS abx
-keep out of sunlight
Term
What do we find on necropsy due to bluetongue?
Definition
-widespread hemorrhages: pulmonary artery, serosal surfaces
-GI: hyperemia/erosions
-pulmonary edema
-myopathy: necrosis/edema
Term
How do we diagnose bluetongue?
Definition
-PCR
-virus isolation
-serology: acute & convalescent, high rate of sero+ in cattle
Term
How do we control bluetongue?
Definition
-dec exposure to vectors: pen indoors at night, don't graze wetlands, eliminate fly breeding areas
-Cz: MLV, little cross protection
Term
What do we see w/ BTV in cattle?
Definition
-fever, crusted muzzle, oral erosions
-most survive
-usually adults, calves are fine
Term
What are some ddx for BTV in cattle?
Definition
-vesicualr stomatitis
-BVDV
-MCF
-IBR
-BPS
Term
What is EHD?
Definition
-epizootic hemorrhagic dz
-primarily in WTD and highly fatal
Term
What is the etiology behind vesicualr stomatitis? Which species are affected?
Definition
-rhadovirus
-cattle, swine, horses, ZOONOTIC
Term
What do we see on PE w/ Vesicular stomatitis?
Definition
-vesicles on mouth, teats, interdigital spaces
-high mobridity, low mortality
-REPORTABLE
Term
Why is FMD important?
Definition
-foreign animal dz
-cattle & pigs >> sheep & goats
Term
What is the etiology behind necrotic stomatitis?
Definition
-Fusobacterium necrophorum
Term
What do we see clinically w/ necrotic stomatitis?
Definition
-oral abrasiosn w/ deep ulcers
-pain, naorexia, ptyalism
Term
How do we treat necrotic stomatitis?
Definition
-debridement + LA-200
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