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Vet Immunology and Disease
Immunology semester 2
124
Other
Undergraduate 1
02/03/2008

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Cards

Term

 

 

 

 

 

Pathology

Definition
-The study of ds, any alteration from a normal state of health
 
-Pathologist studies ds, accurate dx of ds, dermines etiology of ds (cause)
 
-Necropsy (post mortem exam): evaluate tissue grossly or microscopically - histopathology 
Term

 

 

 

 

 

Inflammation 

Definition
Protective response of the body to fight infection from pathogens (ds causing agents)
 
signs of inflammation:
 
- Heat, redness, swelling, pain, function loss
- Vasodilation increase blook flow: increase temp. and redness
- Swelling: decrease blood flow and edema 
- Pain/loss of function: pressure peripheral nerves 
Term

 

 

 

 

 

Cells of Inflammatory Process 

Definition
-Neutrophils: 1st on site, phagocytosis, release lysosomal enzymes
-Eosinophils: seen if there are parasite/allergic reactions, phagocytosis, release of lysosomal enzymes
-Lymphocytes: humoral antibodies and cellular immunity
-Monocytes: seen circulating, become activated macrophages in tissue (histiocytes) - phagocytosis, release lysosomal enzymes
-Mast cells: produce heparin and histamine 
Term

 

 

 

 

 

Inflammatory Exudates 

Definition
Exudate: visible product of inflammatory process
 
Cellular debris, fluids, deposited cells in tissues and on surfaces
- Serous: fluid, low protein content,eg)blister, seroma
- Fibrinous: fibrin from fibrinogen eg) hardware ds
-Purulent/suppurative: neutrophils, cellular debris eg)abscess
-Hemorrhagic, mucopurulent, eosinophilic, nonsuppurative 
Term

 

 

 

 

 

Vascular Changes 

Definition
-Vasodilation from mast cell histamine
 
-increase vascular permeability: contraction of blood vessel endothelial cells
  
-Proteins pass from blood into site
 
-Influx of WBCs and RBCs into site
 
-Congestion of blood vessel leads to next step 
Term

 

 

 

 

 

Healing and Repair Tissues 

Definition
-Begind with edges of the wound surfaces closing together
 
-Proliferation fibroblasts and endothelial cells from a collangenous matrix
 
-Reepithelialization: wound surface is recovered with epithelium. 
 
-End result fribrosis or scarring 
Term

 

 

 

 

 

Pathogens 

Definition
Infectious organisms causing ds in host
-parasites: adapted to live w/in or on host, deriving all nutrients from host (largest pathogens)
-Bacteria:microscopic, unicellular, gram + or - (stapylococci, streptococci, bacilli, rickettsiae, mycoplamas, chlamydiae)
-Viruses: extremely small, not visible vis microscope, enter body, attach to/invade cell, destroy it
-Fungi: eukaryotic, no chlorophill (has variability)
Many Species, organ system or organ specific 
Term

 

 

 

 

 

Nonpathogens 

Definition
Trauma: physical wound/injury, resulting in tissue necrosis/hemorrhage
-mechanical, sonic, thermal, electrical injuries, temp extremes and irradiation
-wound-physical injury, disruption of normal structures
-Abraision-injury, epithelium removed from tissue surface
- Contusion-bruise/injury, no breaking of the tissue surface
-Laceration-tear or jagged wound
-Concussion-violent shock or jarring of tissue 
Term

 

 

 

 

 

Immune Response: Humoral 

Definition
-Antibodies (Ab) produced against particular pathogen
 
-Natural immunity-exposure to pathogen by natural means, not Vx
   - may have previous illness from infection and             produced antibodies during the ds 
 
-Antibodies (Ab) or Immunoglobulins (Ig)
   -IgG, IgM, IgA, IgE, IgD 
Term

 

 

 

 

 

Immunoglobulins (Ig) 

 

Definition
IgG = gamma (colostrum, immunity to newborn)
 
IgM = mew (activation of compliment)
 
IgA = alpha (mucosal immunity)
 
IgE = epsilon (allergic response)
 
IgD = delta (b-lymphoctye (they are used in humoral immunity and originate in bone marrow) surface antigen) 
Term

 

 

 

 

 

Immune Response: Cell-mediated 

Definition
T-lymphocytes and macrophages
-T-lymphocytes bind pathogen to cell surface
 
-Presents to macrophage-phagocytize and kill
 
-T-lymphocytes may produce specific cytokines (lymphokines, interleukin-1 or -2)
 
-Cytokines stimulate to become more efficient in phagocytosis and pathogen destruction, recruit more T-lymphocytes 
Term

 

 

 

 

 

Hypersensitivity Reactions 

Definition
-Abnormally severe inflammatory response mediated by immune system
 
-Type I : immediate
 
-Type II: cytotoxic
 
-Type III: immune complex
 
-Type IV: delayed 
Term

 

 

 

 

 

Type I Hypersensitivity Reaction: Immediate 

Definition
-occur w/in mins of exposure to Antigen (Ag)
 
-Mediated by IgE on mast cell surface (of mucosa and connective tissue)
  -degranulation:vasodilation, increase vascular             permeability, smooth muscle contraction 
  -severity:location, #mast cells, route of exposure,     amt. of antigen (Ag)
 
 eg)urticaria of hives (mild) to acute anaphylaxis (sever) 
Term

 

 

 

 

 

Type II and Type III Hypersentivity Reaction 

Definition
Type II: cytotoxic, destruction of certain cells by neutrophils and macrophages or activation complement
-eg)blood transfusion reaction
 
Type III: immune complex, from antigen and antibody interaction, macrophages gather in area to destroy complex - inflammation
-eg) rheumatoid arthritis, equine viral arteritis 
Term

 

 

 

 

 

Type IV Hypersensitivity Reaction 

Definition
-Delayed, occur hrs after sensitized animals again exposed to particular anitgen (Ag)
 
-Peak at 24hrs post-exposure
 
-Mediated by sensitized T-lymphocytes
 
eg)tuberculin test in cattle 
Term

 

 

 

 

 

Public Health 

 

Definition
-Community's effor to prevent ds and promote life and health
-Epidemology: study of occurences of ds and risk factors cause ds in population
-Food Hygiene
 - inspection and processing of animals for food
 - Drug residues from medications given
 - Protect animal and plant resources
Term

 

 

 

 

 

Zoonosis 

Definition
- Diseases transmitted bet. animals and people
- monitoring and surveillance, evaluating risk, treatment/ decreased contact with infected animals, breaking cycle of ds
- controle eg)spraying for mosquitos, use of tick repellants, pasteurization of milk, adequate water filtration, proper cooking and handling food
- rabies, hantavirus, ringworm, scabies,larva migrans, anthrax, cat-scratch fever, leptospirosis, salmonellas, tetanus, Lyme Ds, Toxoplasmosis, Giardiasis 
Term

 

 

 

 

 

Immunology 

 

Definition
-Immune system - cells, tissues, organs and organ systems involved in body's defense mechanisms
 
-Passive immunity - maternal antibodies from colostrum, physicochemical barriers (skin, mucous membranes)
 
-Active immunity - developed or acquired, humoral or cell-mediated 
Term

 

 

 

 

 

Immunity 

 

Definition
Humoral immunity mediated by production of antibodies
 
Antigens capable of generating an immune response  (bacteria, viruses, parasites, even body's own tissues)
 
Cell-mediated dependent on cells, especially #1 T-lymphocytes: recognize and help remove antigens, lyse infected/cancerous cells/organism 
Term

 

 

 

 

 

 Defenses

Definition
Natural: components of immune system present continuously (skin, mm, body fluids, cells), physical +/- chemical barrier to invasions by antigens (Ag)
 
Adaptive: involved in reacting to specific Ag (WBCs, biochemicals)
 
Completment system: series of enzymes reacting in steps, to lyse Ag, from Ab (Antibody) 
Term

 

 

 

 

 

Humoral Immune Response 

 

Definition
B-lymphocytes transform into plasma cells, after antigenic stimulation
 
Antibodies (immunoglobulins) produced
 
B-lymphocytes and plasma cells stay in lymphoid tissue, antibodies released into plasma
 
Natural or acquired through Vx 
Term

 

 

 

 

 

Cell-Mediated Immune Response 

Definition
T-lymphocytes transform after antigenic stimulation
Produce cytokines (lymphokines) to stimulate macrophages, attract more T-lymphocytes, enter circulation
 
Macrophages for phagocytosis, pathogen destruction
 
(side note: then lymphokines call/attract macrophages which recruit more T-lymphocytes to transform into cytokine, macrophages destroy invaders)
Term

 

 

 

 

 

Granulocytes 

Definition
Natural and adaptive defenses
 
Eosinophils and basophils release chemicals when Ag invades, activate other aspects of immune system
 
Neutrophils phagocytosis, some can process antigen, present to cells to trigger cascade reactions - antibody formation
 
Respiratory, digestive and urinary systems contain resident neutrophils 
Term

 

 

 

 

 

Agranulocytes 

Definition
Monocytes - tissue macrophages, phagocytosis, antigen processing and presentation
 
Lymphocytes-primary cell antibody production
systems
 - T-lymphocytes:full activation of B-lymphocytes and direct attack on antigen (cellular immunity)
 
 -B-lymphocytes: macrophage or neutrophil presents antigen, sensitized, secretes antibody. Re-encounter antigen, produce antibody quickly = memory (humoral immunity 
Term

 

 

 

 

 

Antibodies (Ab)or Immunoglobulins (Ig) 

Definition
Protein molecules produced by some B-lymphocytes when exposed to substance recognized as foreign (Ag)
 
5 types in most mammals: IgG, IgM, IgA, IgD, IgE, different forms and functions
 
Immunological tests for viral and parasitic ds, immunassays on blood, (urine,feces, saliva): ELISA or ICT 
Term

 

 

 

 

 

Failure of Passive Transfer 

 

Definition
Inadequate absorption of colostrum (first milk) of failure of passive transfer of maternal antibodies - increase susceptibility to infection and sepsis
 
Foals generally born with decreased circulating immunoglobulin, occurs in 25% of all foals
 
Ig must be absorbed by GI cells soon after birth (foals:6hrs), or will be lost 
Term

 

 

 

 

 

Neonatal Isoetrythrolysis 

Definition
Young inherits RBC Ag from sire, not present in dam (Humans: Rh+)
Dam sensitized to foreign RBC Ag (humans: mother is Rh-, produces Ab against Rh+)
Dam's response increases due to transplacental hemorrhage (leakage of fetal blood through placenta) or repeated pregnancies
Newborn suckles, ingests colostrum and increase antibodies to own RBCs
Widespread lysis of newborn RBCs (hemolytic anemia) 
Term

 

 

 

 

 

Immune-Mediated Hemolytic Anemia (IMHA) 

Definition
Accelerated destruction or removal of RBCs due to anti RBC antibody
Pale mucous membranes, anemia, weakness, lethargy, anorexia, dyspnea, tachypnea, vomiting, diarrhea
No genetic basis, isolated families affected (viszula, scottish terriers)
Seen in Dogs, rarely in cats, mean age 5-6yrs and more in females then in males 
Term

 

 

 

 

 

Causes of IMHA 

Definition
Primary:
-Autoimmune, Systemic Lupus Erythematosis (SLE), neonatal isoerythrolysis, dyregulated immune system, infectious agents, drugs, idiopathic
 
Secondary:
-Infectious agents (hemobartonella, Babesia, vasculitis, disseminated intravascular coagulation (DIC), drugs, Type III hypersentitivity reaction 
Term

 

 

 

 

 

Treatment of IMHA 

Definition
-Acute hemolytic crisis 
-IV fluids
-Meds: steroids, cytotoxic drugs  (chemotherapeutic agent)
-Blood Tranfusions
-Splenectomy
-Life-long treatment, recurrence (common), often fatal 
Term

 

 

 

 

 

Vaccine-Associated Sarcoma 

Definition
Sarcoma developing at the site of injection, vaccine or other; onset 2 mos-10yrs after
 
Prevalence 1-10 cases/10000cats
 
Reaction to adjuvant in FeLV and Rabies Vx?
 
Aggressive malignant tumors (often fibrosarcoma) with metastasis
 
Aggressive surgery and radation therapy 
Term

 

 

 

 

 

Vx Associated Sarcoma or Vaxosarcoma 

Definition
"adjuvants are dif bet. manufacturer, no single brand of Vx has been singled out"
Critical aspects of tumor development 
-chronic, low grade inflammatory process (as might be caused by and adjuvanted Vx
-genetic predisposition to form tumors in response to such inflammation
Cat's genetics are right for it, offending injection need not be a Vx
Other injectables generate enough inflammation to generate a sarcoma
-(though no injectable medication generates a comparable amount of inflammation to an adjuvanted Vx)
Term

 

 

 

 

 

Neoplasia 

Definition
Abnormal  and uncontrolled cell growth
-Tumor: a mass of abnormally growing cells that serve no useful function
-Neoplasm, tumor, mass, growth
-Benign: unchecke growth cells, does not destroy surrounding tissues, but can impair function and space-occupy causing dysfunction
-Malignant (CANCER): invades surrounding tissue or spreads to distant sites (metastasis) 
Term

 

 

 

 

 

Oncology 

Definition

The branch of medicine that deals with tumors including their development, diagnosis, treatment and prevention

-FNA, Biopsy, histopathology

-Surgery

-Chemotherapy

-Radiation Therapy

-Palliative Care 

 

Term

 

 

 

 

 

Types of Tumours 

Definition
-Adenocarcinoma
-Hemangioma/Hemangiosarcoma
-Lymphoma
-Mast cell tumour
-Melanoma
-Osteosarcoma
-Squamous cell carcinoma 
Term

 

 

 

 

 

Preventative Medicine 

Definition
Husbandry
-tempurature, light, ventiliation
-housing
-nutrition
-animal id: tag. tattoo, microchip
 
Vaccination + preventative medication (heartworm, deworming)
 
Sanitation 
Term

 

 

 

 

 

Factors Predisposing to Ds 

Definition
-Genetic factors
     -geneder, inherited mutations,                              immunodeficiencies, inbreeding
-Dietary factors 
-Environmental factors 
-Metabolic factors
-Wellness programs
  -wellness exams, diagnostics, client education 
Term

 

 

 

 

 

Vaccination Sites 

Definition
-choosing and recording Vx sites
-mostly SQ or IM. Do NOT give IN (intranasal) by injection 
 
-canine: RH (Rabies), LH, RF, LF, IN, interscapular?
-feline:RH (rabies), LH (FeLV), RF or LF (FVRCP), IN
-equine: R or L neck, R or L hip
-bovine: R or L neck, R or L hip (not in food producing animals - hip) 
Term

 

 

 

 

 

Vaccine Reactions 

Definition
Local
-inflammation (heat, redness, swelling, pain, loss of function), abscess, cellulitis, granuloma, vaxosarcoma
-FNA after 3wks +/- biopsy, excision
Systemic
-pyrexia, general malaise
-salivation, vomiting, diarrhea (not car sickness?)
-pruritis, urticaria, edema (swelling muzzle,face,ears)
-dyspnea, cyanosis 
Term

 

 

 

 

 

Treatment of Vaccine (Hypersensitivity) Reactions 

Definition
-Observe all in clinic 15-30mins post Vx, routinely
-return ASAP if any concerns
-RECORD on file!
-Diphenhydramine (Benadryl), corticosteriods (dexamethazone, prednasone), epinephrine, IV fluids, oxygen, life support
-Next time: pre-treat with benadryl, give monovalent -Vx admit and observe at clinic for day, or dont Vx
-Vx titre: measures humoral not cell-mediated immunity, difficult to interpret levels, challenge? 
Term

 

 

 

 

 

Vaccine Issues 

Definition
-concurrent ds: chronic ds, pyrexia, immunodeficiencies, chemotherapy
 
-pregnancy:before breeding. If necessary, killed Vx 2wk, before due date
 
-Vx protocols
 
-Travel: R Vx schedule, if 1st at 12 wks, repeat at 1 yr. it 1st at 16wks, repeat 1y later (1yr 4 mos) 
Term

 

 

 

 

 

Core Canine Vaccines 

Definition
Distemper                             D
Adenovirus/Hepatitis              A
Parvovirus                             P
 
Rabies                                  R
(Bordetella)                           (Bb or KC) 
 
Preventative medicine program 
Term

 

 

 

 

 

Core Feline Vaccines 

Definition
Feline Viral Rhinotracheitis       FVR
Calicivirus                                C
Panleukopenia                          P
 
Rabies                                     R
(Feline Leukemia Virus)           (FeLV) 
Term

 

 

 

 

 

Core Equine Vaccines 

Definition
Tetanus
Equine encephalitis (Eastern, Western, Venezuelan)
Equine influenza
Rhinopneumonitis
Rabies
 
Preventative medicine program 
Term

 

 

 

 

 

Core Bovine Vaccines 

Definition
Rotavirus
Coronavirus
Clostridal ds
Infectious bovine rhinotracheitis
Parainfluenza-3
Bovine virus diarrhea
Rabies
 
Preventative Medicine program 
Term

 

 

 

 

 

Vaccines available for Dogs 

Definition
Rabies    (R or RV)
Distempter  (D or CD)
Parvovirus  (P)
Canine hepatitis (ICH or CAV-1)/adenovirus (A2 or CAV-2)
Bordetella (Bb or KC:Kennel Cough)
Parainfluenza
Leptospirosis
Coronavirus (C or CCV)
Giardia
Borreliosis or Lyme disease 
Term

 

 

 

 

 

Vaccines available for Cats

 

Definition
Rabies  (R or RV)
Panleukopenia  (P or FPV)
Rhinotracheitis  (FVR or Rh)
Calicivirus  (C)
Chlamydophila  (Ch) - was Chlamydia
Feline Leukemia  (FeLV or FIV)
Feline Infectious Peritonitis   (FIP)
Bordetella bronchiseptica  (Bb or KC: Kennel cough)
Ringworm
Giardia 
Term

 

 

 

 

 

Vaccines available for Horses 

Definition
Rabies (R or RV)
Tetanus
Encephlomyelitis (EEE, WEE, VEE)
Equine Herpesvirus 1 and 4 (EHV or EVR: equine viral rhinopneumonitis
Influenza
Strangles
Equine viral arteritis (EVA)
Botulism
Anthrax
Sarcocytis neurona 
West Nile virus (WNV) 
Term

 

 

 

 

 

Vaccines available for Cattle 

Definition
Rabies (R or RV)
BOVINE RESPIRATORY DS COMPLEX Vx:
-Parainfluenza-3
Infectious Bovine Rhinotracheitis (IBR)
Bovine Viral Diarrhea (BVD)
Bovine respiratory syncytial virus
Manheimia hemolytica (was Pasturella hemolytica) and Pasturella multocida 
Hemophilus somnus 
Clostridial ds
Leptospirosis
Campylobacteriosis
Brucellosis
Trichomoniasis
Anthrax
Anaplasmosis
Enteric Ds (rotavirus, coronavirus, E.coli
Moraxella 
Term

 

 

 

 

 

Gastrointestinal Ds Acute Vomiting 

Definition
-forcful expulsion of gastric contents of short duration
 
-regurgiation is passive retrograde movementof esophageal contents
 
-Nausea: yawning, lip licking, increase salivation, frequent swallowing, retching, hiding
 
-lethargy, appetite loss, diarrhea
 
-duration and frequency of vomiting and contents
 
-ingestion of unusual food or foreign material
 
Term

 

 

 

 

 

Causes of Acute Vomiting 

Definition
Adverse food reactions and indiscretions, food intolerances
 
Drugs (antibiotics, steroids, NSAIDs)
 
GI inflammation: infectious enteritis
 - viruses eg)parvo, distemper, corona
 - bacteria eg) salmonella, campylobacter 
 
GI inflammation: hemorrhagic gastroenteritis (HGE)
 
Gastroduodenal ulcers
 
Gi obstruction (foreign bodies, intussesception, neoplasia, volvulus, ileus, constipation)
 
Systemic ds (renal, hepatic, sepsis, electrolyte imbalance)
 
Abdominal disorders (pancreatitis, peritonitis, pyometra)
 
Endocrine ds (Addison's, DKA - diabetic ketoacidosis)
 
Neurologic ds (vestibular ds, meningitis, encephlitis, CNS trauma)
 
Parasites (tapeworms, whipworms, hookworms, roundwrms, giardia)
 
Toxins (lead, antifreeze, mushrooms, household plants, compost)
 
Other: anaphylaxis, heat stroke, motion sickness, pain, fear
 
PE findings 
 
Dehydration: dry +/- pale mucous membranes, increased skin tent, hypovolemia causing tachycardia, weak pulses
 
Fluid filled bowel loops, excessive gut sounds
 
Abdominal pain (foreign body, intussesception, torsion)
 
Arrythmia if hypokalemic
 
Often diarrhea or melena (blood in the stool)
on thermometer, rectal exam
 
Fever with infectious, inflammatory causes
 
 
 
Term

 

 

 

 

 

Treatment of Acute Vomiting 

Definition
nothing by mouth 12-24hrs
 
offer water, then small amts of bland diet
 
Introduce normal diet slowly aftger 3 days
 
Serious vomiting requires IV fluid, hospitalization, diagnostic (blood work, X-rays)
 
Antiemtics if electrolyte +/- acid-base disturbances or reflux esophagitis
 - phenothiazines: chlorpromazine, metoclopramide
 - H1 or H2 receptor anatgonists: diphenhydramine or ranitidine/femotidine
 - gastric protectant: sucralfate
 
Antibiotics if fever or mucosal injury (hematemesis, melena (blood in the stool) 
 
 
Term

 

 

 

 

 

Causes of Chronic Vomiting  

Definition
-All causes of acute vomiting
-Esophageal ds
-Infectious ds and parasites
-Metabolic ds (renal, hepatic, Addison's, hyperthyroidism, chronic pancreatitis)
-Inflammatory bowel ds (IBD)
-Obstructive GI ds and Neoplasia 
-Neurologic (CNS inflammation, tumour)
-Motility disorders
-Congenital (portosystemic shunt - PSS)
 
In cats: 
 
-obstructive: hairballs
-Inflammatory: cholecystitis and cholangiohepatitis
-Functional: obstipation, megacolon 
Term

 

 

 

 

 

Treatment of Chronic Vomiting

 

Definition
-Spcific tx, eliminate underlying causes, supportive therapy
-NPO (nothing by mouth) for several days
-fluid therapy, correct acid-base +/- electrolyte (K+) imbalances
-enteral or parenteral nutrition
-dietary feeding trial: single-source novel protein for 4-6 weeks
-surgery if uncontrolled hemorrhage, obstruction or perforation 
Term

 

 

 

 

 

Medical Therapy for Chronic Vomiting 

Definition
-anti-ulcer meds if hematemesis, melena
  - H2 receptor blockers/ proton pump inhibitors: rantidine, famotidine/omeprazole
  - gastric protectant: sucralfate
-Antibiotics if Helicobacter associated gastritis, with corticosteriods if IBD, or for SIBO
-Anthelminthics
-Prokinetics (metoclopramide, cisapride)
-Antiemetics if unresponsive to tx of underlying ds or side effect of chemotherapy
 
Term

 

 

 

 

 

Acute Diarrhea 

Definition
Recent onset of abnormally frequent soft or fluid feces or rectal discharge
 
Most frequent in puppies/kittens
 
Usually self limiting
 
Severe if concurrent vomiting, abdominal pain, blood in diarrhea or vomit, severe dehydration and depression 
Term

 

 

 

 

 

Causes of Acute Diarrhea 

 

Definition
Systemic illness
 
Adverse food reactions and indiscretion, food intolerances
 
Metabolic ds
 
Obstruction or Foreign Bodies
 
Infectious: viral, bacterial, parasites
 
Drugs and toxins 
Term

 

 

 

 

 

Treatment of Acute Diarrhea 

Definition
Oral fluids if not vomiting, SQ or IV fluids as required
 
Limit exposure to unusual foods, garbage, foreign bodies
 
Meds
-motility-modifying (loperamide)
-anti-secretory (opiates, anticholinergics, cholorpromazine, salicylates eg)bismuth subsalicylate aka pepto bismal)
-intestinal protectants
-anthelminthics, antiprotozoals, coccidiostatics
-Broad spectrum antibiotics? 
Term

 

 

 

 

 

Chronic Diarrhea in Dogs 

Definition
all causes of acute diarrhea
 
IBD or colitis (more common in dogs)
 
Neoplasia
 
Malabsorption and maldigestion
 
Infection
 
Partial obstruction
 
Dietary
 
Metabolic 
Term

 

 

 

 

 

Causes of Chronic Diarrhea in Cats 

Definition
IBD
Neoplasia
Parasitic
Metabolic disorders
Infectious: bacterial, viral (FeLV, FIV, FIP)
Malabsorption and maldigestion
Dietary 
Term

 

 

 

 

 

Treatment of Chronic Diarrhea 

Definition
Specific tx, eliminate underlying causes, supportive therapy
 
Client education: complete resolution may not be possible despite correct dx and tx
 
Fecal exams often negative with whipworm-infested dogs: intermittent shedding of ova. Tx fenbendazole
 
low-fat, highly digestible (bland) diet 3-4 week.
 
Dietary feeding trial: single source novel protein for 4-6weeks or hypoallergenic diet
 
In cats, empirical tx: dietary management and mentronidazole, some clinical improvement (IBD may predispose to GI neoplasia) 
Term

 

 

 

 

 

Diagnosis of Vomiting/Diarrhea 

Definition
-HISTORY!!
-Physical exam
-fecal exam, sample of vomitus, selected diagnositics, specific/symptomatic therapy
-CBC, Chem, UA (urinalysis)
-Parvovirus test?
-Survey radiographs
-Appropriate specific/supportive therapy 
-ACHT stim, cPLI, bile acids, Lepto serology? Coagulation tests?
-Barium contrast, air contrast gastrogram, BIPS
-Ultrasound, aspirates or biopsy, abdominocentesis
-Flexible GI endoscopy (exam, biopsy, foreign body retreival)
-Laparoscopy (aspirates, intestinal biopsy)
-Exploratory laparotomy 
 
Term

 

 

 

 

Canine, feline, equine, bovine Vx

Rabies (R or RV) 

Definition
fatal zoonotic rhabdovirus infection of all warm-blooded animals, causes neurological signs; transmitted by bite or infected body fluid. RV required by public health agencies for licensure of dogs and recomended for cats, horses and cattle.
Term

 

 

 

 

Canine Vx

Distemper (D or Cd) 

Definition
highly contatgious paramyxovirus infection in canines that is associated with respiratory, digestive, muscular and neurologic signs
Term

 

 

 

 

Canine Vx

Parvovirus (P)

Definition
highly contagious parvovirus infection in canines that is associated with severe diarrhea, vomiting, dehydration and leukopenia (low WBC)
Term

 

 

 

 

Canine Vx

Canine Hepatitis (H, ICH, or CAV-1)/Adenovirus (A2 or CAV-2) 

Definition
highly contagious adenovirus 1 infection associated with occular ("blue eye"), abdominal, and liver signs / adenovirus 2 infection that causes signs of upper respiarotory ds. Vaccination with either offers immunity against both but safer to use CAV-2
Term

 

 

 

 

Canine Vx

Bordetella (Bb or KC: kennel cough) 

Definition
upper respiratory infection caused by the bacterium Bordetella bronchiseptica that produces a severe hacking cough; infectious tracheobronchitis
Term

 

 

 

 

 

Canine Vx

Parainfluenza 

Definition
paramyxovirus infection that contributes to upper respiratory infections and causes subclinical bronchitis
Term

 

 

 

 

 

Canine, Bovine Vx

Leptospirosis 

Definition
Bacterial disease caused by various serotypes of Leptospira; signs include renal failure, jaundice, fever and abortion
Term

 

 

 

 

 

Canine Vx

Coronavirus (C or CCV) 

Definition
coronavirus that causes GI ds in dogs that is usually spread through contaminated feces
Term

 

 

 

 

 

Canine Vx

Giardia 

Definition
enteric infections caused by trophozoit and cyst forms of Giardia Sp. protozoal organism; common in dogs younger then 6mons or immunocompromised dogs; recurrent diarrhea most common sign; may have frequent exposure to Giardia-laden contaminated water
Term

 

 

 

 

 

Canine Vx

Borreliosis or Lyme Ds 

Definition
bacterial ds caused by the bacterium Borrelia burgdorferi, Transporte by a tick vector;associated with fever, anorexia, joint disorders, and occaisionally neurologic signs
Term

 

 

 

 

Feline Vx

Panleukopenia (P or FVP) 

Definition
parvovirus infection that is associated with fever,vomiting, diarrhea, and a decrease in all types of WBC; commonly called feline distemper
Term

 

 

 

 

 

Feline Vx

Rhinotracheitis (FVR or Rh) 

Definition
herpesvirus infection that is associated with upper respiratory and ocular infections; recurrent conjunctivitis or corneal ulcers can occur
Term

 

 

 

 

 

Feline Vx

Calicivirus (C) 

Definition
picornavirus infection that is associated with upper respiratory and ocular infections; oral ulceration (on tongue) can be seen
 
Term

 

 

 

 

 

Feline Vx

Chalmydophila (Ch) - was Clamydia 

Definition
bacterial infection caused by the bacterium Chlamydophila felis (was chlamydia psittaci) that is associated with upper respiratory and ocular infections
Term

 

 

 

 

 

Feline Vx

Feline Leukemia (FeLV or FL) 

Definition
feline retrovirus that that may produce elevated numbers of abnormal leukocytes, immune suppression, cancer and illness associated with immune suppression
Term

 

 

 

 

 

Feline Vx

Feline Immunodeficiency Virus (FIV) 

Definition
lentivirus infection in felines that initially presents with fever and lymphadenopathy that over a long progresses to a wide range of clinical signs such as anemia, lethargy, weight loss and secondary infections
Term

 

 

 

 

Feline Vx

Feline Infectious Peritonitis (FIP) 

Definition
coronavirus infection that is characterized by an insidious onset, fever and weight loss. The wet form has peritoneal or pleural effusions (or both), whereas the dry form had pygranulomas in any location
Term

 

 

 

 

Feline Vx

Ringworm

Definition
contagious, common flaky skin lesions caused by Microsporum canis fungus
Term

 

 

 

 

 

Equine Vx

Tetanus 

Definition

highly fatal bacterial ds caused by the toxin of Clostridium tetani that is associated with hyperesthesia, tetany and convulsions; also called lockjaw

 

Term

 

 

 

 

Equine Vx

Encephalomyelitis (Eastern-EEE, Western-WEE, Venezuelan-VEE) 

Definition
mosquito-transmitted infectious alphaviral disease of horses that is associated with motor irritation, paralysis and altered consciouness; 3 types: EEE,WEE, VEE; also known as sleeping sickness
Term

 

 

 

 

 

Equine Vx

Equine Herpesvirus 1+4 (EHV or EVR:equinw viral rhinopneumonitis) 

Definition
4-types:EHV-1 associated with neurological from of rhinopneumonitis and late-gestation abortions, stillbirths and weak neonatal foals that will fail to survive. EHV-4 most frequently associated with upper respiratory tract ds in young horses and rarely causes abortion. Current Vx contain protect against both strains
Term

 

 

 

 

 

Equine Vx

Influenza 

Definition
myxovirus infection that is associated with mild fever, watery eyes and persistant cough; commonly called flu. Current Vaccines contain inactivated A/1 and A/2 strains
Term

 

 

 

 

 

Equine Vx

Strangles 

Definition
contagious bacterial ds caused by the bacteria Streptococcus equi signs include high fever, nasal discharge, anorexia and swollen and abscessed mandibular lymph nodes. Vaccines may cause postinjection reactions, including purpura hemorrhagica (immune-mediated vasculitis), or abscesses at injection site. Vaccine reserved for immunologically naive high risk horses. IN now available
Term

 

 

 

 

 

Equine Vx

Equine Viral Arteritis (EVA) 

Definition
togavirus infection of horses that is associated with upper respiratory  ds signs, abortion and lesions in small arteries 
Term

 

 

 

 

Equine Vx

Potomac Horse Fever 

 

Definition
rickettsial bacterial ds caused by Ehrlinchia risticii; sign include fever, anorexia, incoordination, diarrhea and edema of the extremities; also called equine ehrlichiosis. Efficacy of vaccine unknown
Term

 

 

 

 

 

Equine Vx

Botulism 

Definition
disease caused by bacterium Clostridium botulinum type B (type C not yet available); vaccination or mares 30 dyas before foaling for prevention of shaker foal syndrome
Term

 

 

 

 

 

Equine, Bovine Vx

Anthrax 

Definition
caused by Bacillus anthracis, characterized by septicemia and sudden death
Term

 

 

 

 

 

Equine Vx

Sarcocytis Neuroma 

Definition
protozoal parasite of opposums, with horses as accidental dead-end host; causes neurologic signs of spinal cord and brain stem
Term

 

 

 

 

 

Equine Vx

West Nile Virus (WNV) 

Definition
mosquito-borne viral encephalitis that entered the US in 1999. Affected horses may exhibit atraxia, paralysis, depression, head pressing, head tilt, seizure and death
 
Term

 

 

 

 

 

Bovine respiratory ds complex vaccines

Parainfluenza-3 

Definition
paramyxovirus infection associated with fever, cough and diarrhea; common in cattle shipped to feedlot: shipping fever
Term

 

 

 

 

 

Bovine respiratory Ds complex Vaccines

Infectious Bovine Rhinotracheitis (IBR) 

Definition
herpesvirus infection associated with fever, hyperemia of the muzzle (red nose), anorexia, tachycardia, and abortions
Term

 

 

 

 

 

Bovine respiratory Ds complex Vaccines

Bovine Viral Diarrhea (BVD) 

Definition
togavirus infection associated with acute stomatitis, gastroenteritis and diarrhea, abortions or birth of malformed calves. Chronic from is mucosal ds
Term

 

 

 

 

 

Bovine respiratory Ds complex Vaccines

Bovine Respiratory Syncytial Virus 

Definition
paramyxovirus infection associated with fatal pneumonia
Term

 

 

 

 

 

Bovine respiratory Ds complex Vaccines

Mannheimia hemolytica (was Pasteurella hemolytica) and Pasteurella multocida 

Definition
bacterial infection with signs such as fever, cough,dyspnea, mucopurulent nasal discharge, depression, anorexia, and death if severe due to primary fibrinous pneumonia or pleuritis
Term

 

 

 

 

 

Bovine respiratory Ds complex Vaccines

Hemophilus somnus 

Definition
second to Mannheimia hemolytica with septicemi, fibrinous pleuritis, pericarditis, polyarthritis or thromboembolic meningoencephalitis (TEME or sleeper's syndrome)
Term

 

 

 

 

 

Bovine Vx

Clostridial Disease 

Definition
group of bacterial infectious conditions caused by various species of Clostridium, which includes blackleg, malignant edema, pulpy kidney and overeating disease
Term

 

 

 

 

 

Bovine Vx

Campylobacteriosis (Vibrosis) 

Definition
Campylobacter fetus venereal bacterial infection associated with infertility and irregular estrous cycles; breeding stock should be vaccinated
Term

 

 

 

 

 

Bovine Vx

Brucellosis 

Definition
caused by Brucella abortus, results in late-term abortion in cows and orchitis and impaired fertility in bulls. Zoonosis, causes undulant fever in humans
Term

 

 

 

 

 

Bovine Vx

Trichomoniasis 

Definition
venereal protozoal disease caused by Tritrichomonas fetus; causes infertility, early abortion or pyometra; no systemic illness. Bull is asymptomatic carrier
Term

 

 

 

 

 

Bovine Vx

Anaplasmosis 

Definition
rickettsial infection by Anaplasma marginale with severe anemia (pale mucous membranes, weakness, depression or aggressive behaviour, increase heart rate and respiration rate) and sudden death
Term

 

 

 

 

 

Bovine Vx

Enteric Disease 

Definition
rotavirus, coronavirus and enterotoxigengic strains of E.coli can all cause severe diarrhea, dehydration and sudden death if severe, especially in newborn calves
Term

 

 

 

 

 

Bovine Vx

Moraxella 

Definition
Moraxella bovis is the main cause of infectious bovine keratoconjunctivitis or pinkeye characterized by epiphora, blephorspasm, photophobia, chemosis and corneal ulcers, edema and perforation
Term

 

 

 

 

 

Small Animal GI Diseases 

Tooth Root Abscess 

Definition
Description: - localized collection of pus cavity formed by disintigrations of tissues
-inflammatory cells at apex of nonvital tooth, usually deciduous or adult canine (#104, 204,304,404) or carnassial ( #108, 208, 309,409)
Etiology: damage to pulp and/or fracture of crown from chewing hard objects, malocclusion, fighting 
Risk factors/Prevention: avoid traumatic injuries, hard chew objects (bones, hooves, rocks, sticks)
-decrease fighting
-check mouth regularly 
 
Term

 

 

 

 

 

Small Animal GI Diseases

Hemorrhagic Gastroenteritis (HGE) 

Definition
Description: -severe hemorrhagic enteritis in dogs
-sudden onset of bloody diarrhea, vomiting, shock
Etiology: peracute loss intestinal mucosal integrity, rapid loss of blood, fluid, electrolyte into gut lumen
-rapid bacterial (Clostridium perfringens) or toxin (E.coli) absorption may lead to septic or endotoxemic shock
Risk factors/Prevention:client education - if immediate, aggressive tx, mortality low; but reoccurance is about 10% chance
-increased incidence small breeds (mini schnauzer and poodle, dachshund, yorkie) dogs; urban environments 
Term

 

 

 

 

 

Small Animal GI Diseases

Gastric Dilation Volvulus (GDV or Bloat) 

Definition
Description: syndrome of large dogs
-stomach dilates and twists on its axis
-causes GI obstruction, gastric damage and ischemia
-decreased cardiac return, splenic torsion, hypovolemic shock and cardiovascular failure, death
Etiology: - pyloric outflow obstruction or decrease gastric emptying
-activity following ingestion or drinking large quantities
-aerophagia 
Risk Factors/Prevention: large,deep chested dog breeds (german shep, great dane, st. bernards, rotties, labs, alaskan malamutes)
-avoid ingestion of excessive amts of food or fluids, feed small amounts more often
-avoid postprandial exercise
-intense activity or stress (hospitilization, surgery)
-post-op complications frequent; Px (prognosis) good after 7days 
Term

 

 

 

 

 

Small Animal GI Diseases

Foreign Bodies 

Definition
Description: -partial or complete obstruction of GI tract caused by ingestion of unusual objects, impacted ingesta, trichobezoars (hairballs)
Etiology: - gastric outflow obstruction (stomach unable to empty)
-small intestinal obstruction - ingesta and fluids accumulate proximal to obstruction
Risk factors/Preventative: -prevent access to foreign bodies (repeat offenders - leash and muzzle dogs outside)
-monitor toys and do not feed bones
-brush and give hairball laxatives 
Term

 

 

 

 

 

Small Animal GI Diseases

Parvovirus 

Definition
Description:CPV-2 (canine parvovirus 2,2a,2b), causes acute systemic illness and hemorrhagic enteritis
Etiology: - require actively dividing cells for growth (lymphatic system, myocardium, intertinal crypt cell)
-ingestion of virus, 2-4days to lymphatic tissues, 3-4 days intestinal (crypt) infection, absorption of bacterial endotoxins from damaged intestinal mucosa, fecal shedding stops by 8-12days
Risk factors/Prevention: breeding kennels, animal shelters, pet stores, puppy mills
-pups less then 4 mos old but can affect any age, isolate pups until 3 mos old?
-rotties, dobies, english springer spaniels hight risk
-vaccinate to boost maternal transfer immunity
-proper, strict isolation procedures for infective cases; diluted bleach, through disinfection and sanitation 
Term

 

 

 

 

 

Small Animal GI Diseases

Intussusception (telescoping GI) 

Definition
Description: prolapse, invagination or telescoping of one portion of the GI tract into lumen of adjoining segment; ileocolic most common location
Etiology: - uncoordinated peristalsis, especially in regions with abrupt changes in diameter
-idiopathic, enteritis (viral,bacterial), intestinal parasites, foreign bodies, previous abdominal surgery, intestinal mass, megaesophagus
Risk factors/Prevention: - German shepherds and siamese cats have a high incidence
-recurrence common (20-30% of the time) with 3 days, if no enteroplication
-routine vaccination, deworming
 
Term

 

 

 

 

 

Small Animal GI Diseases

IBD (Inflammatory Bowel Disease)/Colitis 

Definition
Description: inflammation of the small and large intestine/colon
Eitology: - inflammation of small and large intestine from infectious agents (parasites, protozoa, bacteria), trauma from foreign body and abrasive material, uremia, 2ndary to pancreatitis, food allergy, inflammatory/immune (lymphoplasmcytic, eosinophilic, granulomatous, histiocytic)
-disrupts epithelial cells, stimulates colonic secretion and mucus, alters motility - colon less able to absorb water and store feces, causes frequent diarrhea, often mucus, blood
Risk factors/Prevention:-may require intermittent and long term tx
-doga dna cats, any age
-breed predisposition - Basenji's and lundehunds (immunoproliferative enteropathy), french bulldogs and boxers (histiocytic ulcerative colitis), Irish setter (gluten-sensitive enteropathy)
suspected in Bengals - personal note 
 
Term

 

 

 

 

 Small Animal GI Diseases 

Constipation (Obstipation)/Megacolon

Definition
Description: - constipation-infrequent or difficult defacation with passage of hard, fry feces.
-obstipation-intractable constipation caused by prolonged retention of hard, dry feces; defication impossible
-megacolon-persistent increased large bowel diameter associated with above and low to absent colonic motility
Etiology: -idiopathic megacolon in cats
-acquired in dogs and cats, from mechanical obstruction eg) pelvic fracture, neromuscular ds
Risk factors/ Prevention: - Manx and Maine Coons cats
-anorectal ds or pelvic trauma
-low physical activity and obesity 
Term

 

 

 

 

 

Small Animal GI Diseases

Acute Pancreatitis 

Definition
Description: - inflammation of pancreas
-acute-no permanent damage
-chronic- continuing inflammation, irreversible damage
Etiology: nutritional factors, pancreatic trauma/ischemia, duodenal reflux, drugs/toxins, pancreatic duct obstruction, hypercalcemia, infectious agents (toxoplasmosis, FIP)
Risk factors/ Prevention: - middle age onwards; concurrent ds (DM, Cushing's ds, chronic renal failure, neoplasia, liver ds, GI inflammation)
-dogs-obesity; mini schnauzer and poodle, cocker spaniel; seen more in females then males
-cats-siamese cats, concurrent ds (cholangiohepatits, hepatic lipidosis, IBD)
 
Term

 

 

 

 

 

Small Animal GI Diseases

Exocrine Pancreatic Insuffiency

 

Definition

Description: progressive loss of pancreatic acinar cells, causing failurs of absorption due to inadequate pancreatic digestive enzymes

Etiology:-pancreatic acinar atrophy in young dogs (german shep)

-chronic relapsing pracreatitis, adenocarcinoma or fluke

Risk factors/Prevention: -hereditary in german shepherds

-expense of pancreatic enzymes required for life

-conditions predisposing to chronic pancreatitis 

 

Term

 

 

 

 

 

Small Animal GI Diseases

Liver Disease (end-stage,cirrhosis, fibrosis) 

 

Definition
Description: accumulation of collagen, regenerative nodules, altered architecture; severe if end-stage
Etiology:- hepatic copper toxicosis
-chronic active hepatitis; extrahepatic bile duct occlusion
-chronic IBD; cholangiohepatitis in cats
-drug and toxin induced
-viral, leptospirosis
Risk factors/Prevention:-familial predisposition-dobies (female),cockers (male),labs (female),copper storage hepatopathy of young bedlington terriers; juvenile idiopathic fibrosis of young german sheps and standard poodles; westies, skye blue terriers
-cirrhosis in middle aged to older dogs and cats (chronic cholangiohepatitis) 
Term

 

 

 

 

 

Large Animal GI Tract Diseases 

Choke 

Definition
Description: in horses, the esophagus becomes obstructed with feed; continues to eat, feed builds up until it reaches the mouth; can still breath
Etiology: eating too quickly or not fully chewing feed, especially with competition to eat; hay cubes, unsoaked beet pulp and pelleted grain expand with saliva
Risk factors/Prevention: aspiring pneumonia possible, high risk of reoccurance w/in 72hrs or if esophagus damaged from obstruction or nasogastric tube; prevent by feeding non-pelleted grain or soak beet pulp or hay cubes, or slow eating by adding space occupying bricks/stones or decrease competition by feeding separately
Term

 

 

 

 

 

Large Animal GI Tract Diseases

Ulceration (gastric) 

Definition
Decription: erosion or break in the lining of the esophagus, stomach or small intestines
Etiology: High-grain diet, stress of training and the stress of diseas, medications such as corticosteriods, biile acid reflux
Risk factors/Prevention: more common in foals than adult horses; minimum 50% dry intake of hay or pasture, administer prophylactic antiulcer therapy before hospitilization, dont deprive food for more then 12 hrs.
 
Term

 

 

 

 

Large Animal GI Tract Diseases

Colic 

Definition
Definition: abdominal pain in the horse; condition is medical emergency and major cause of death; other causes but GI ds most common
Etiology: (related to the GI tract: flatulent, gastric dilation, impaction, obstruction, spasmodic, thromboembolic) volvulus, intestinal incarceration, impactions feed material or foreign body, enteroliths, parasitic infections, intestinal displacemtent, IBD, tympany; if inflammation from volvulus or torsion, infarction, edema or ischemia or intestinal wall
Risk factors/Prevention: limit feed, do not feed moldy feed, and exercise after eating, regular deworming, no sudden diet changes 
Term

 

 

 

 

 

Large Animal GI Tract Diseases

Actinobacillosis (Wooden tongue)/Actinomycosis (lumpy jaw) 

Definition
Description: bacterial infection affecting mouth/face and neck areas
Etiology: Actinobacillus and Actinmyces spp., respectively; normal flora of mouth, nose and throat, cause infection after trauma, Sx, infection, forms abscess in tongue or jaw 
Risk Factors/Prevention: Actinobacillosis: poor quality, coarse pastures or feed
Actinomycosis: significant blood loss possible during Sx, can add prophylactic antibiotics to feed
 
Term

 

 

 

 

 

Large Animal GI Tract Diseases

Pharyngeal Trauma and Abscessation 

Definition
Description: Trauma or injury to the pharynx which may result in cellulitis, hematoma formation or abscess.
Etiology: improper use of balling gun, long dose syringe, speculum, paste deworming gun, or a rigid stomach tube may all cause trauma to the Pharynx. This problem may also be caused by a foreign body such as a stick which may then penetrate the pharynx causing damage
Risk factors/ Prevention: This is easily prevented by being extra careful when using any devide in the mouths and throats of cattle and that  necessary restraint and precautions are taken when thes things must be done. 
Term

 

 

 

 

 

Large Animal GI Tract Diseases

Rumen Tympany 

Definition
Description: Frothy bloat (normal eructation or belching occurs but gas cannot be expelled, aka primary tympany), Free gas bloat (failure of eructation or belching, aka secondary tympany)
Etiology: frothy bloat (ingestion of large amts of legumes or grain, results in build up of fermentation gasses in rumen and subsequently froth/foam)
free gas bloat (partial esophageal obstruction ex.FB, interference with rumenoreticular motility ex.vagus indigestion, body position - lateral recumbency, hypocalcemia)
Risk factors/Prevention:nutritional management: feed before seding out to pasture
-maintain pastures: remove grains and legumes from pasture
-give antifoaming agents: in feed, spray cattle, or spray pasture
-frequent examination of cattle 
Term

 

 

 

 

 

Large Animal GI Tract Diseases

Traumatic reticuloperitonits (hardware ds) 

Definition

Description: common GI problem affecting the forestomach of mature dairy cattle: accidental ingestion of foreign materials (wires, nails, steel objects) penetrating reticulum

Etiology: foreign metallic objects in reticulum or rumen; contractions promote penetration of the wall

Risk Factors/Prevention: indiscriminate eating habits of cattle (not small ruminants) and dairy cattle more likely to be fed chopped feed, such as silage or haylage, can lead to accidental ingestion of foreign materials: keep nails, wire, and steel out of reach; cattle over 1 year prophylactic magnet placed in the reticulum 

 

Term

 

 

 

 

 

Large Animal GI Tract Diseases

Abomasal Displacement and Volvulus 

Definition
Description: displacement of abomasums from normal right paramedian position to left (more common) or right (volvulus can occur) paralumbar area
Etiology: dairy cows fed high concentrate, low roughage diet; increased volatile fatty acids lead to decreased rumen pH and atony; becomes gas-filled then displaced left of right (with volvulus)
Risk factors/Prevention: high producing dairy cows on high grain diet, 6 wks post calving; hypocalcemia or concurrent ds such as mastitis, metritis, ketosis or lack or exercise 
Term

 

 

 

 

 

 

Large Animal GI Tract Diseases

Diarrhea 

Definition
Description: loose watery stool 
Etiology: caused by many reasons, coccidiosis, dietary gastroenteritis, acute or chronic salmonellas, acute or chronic BVD, winter dysentry, BLV, chronic liver or renal ds
Risk factors/prevention: may travel rapidly through group of animals, vaccinations important, deworm regularly 
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