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Exam 1
Idiopathic + neoplastic intestinal dz
45
Veterinary Medicine
Professional
01/27/2017

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Term
What lesions do we see with NSAID toxicity? Which species is most commonly affected?
Definition
-inc risk of gastric ulceration, mucosal ulceration of right dorsal colon too
-horses
Term
What lesions do we see with cantharidin toxicosis? Which species is most commonly affected?
Definition
-ulceration along entire GI tract
-horses
Term
Which species is most commony affected by intestinal protein loss?
Definition
-dogs
Term
What are the clinical signs seen with intestinal protein loss in dogs?
Definition
-chronic diarrhea, weight loss, hypoproteinemia, malabsorption, and secondary ascites
Term
How do we diagnose protein losing enteropathies?
Definition
-intestinal biopsy
Term
What are some of the etiologies behind protein losing enteropathies?
Definition
-lymphangiectasia
-IBD: lymphoplasmactic enteritis, eosinophilic enteritis
-crypt dz
-intestinal lymphoma
-infectious dz
Term
Which species is most commonly affected by lymphangiectasia?
Definition
-dogs
Term
What is the cause behind primary lymphangiectasia?
Definition
-idiopathic
-congenital
Term
What is the case behind secondary lymphangiectasia?
Definition
-mucosal inflammation: IBD
-infectious dz: histo for ex
-neoplasia
Term
What are the clinical signs of intestinal lymphangiectasia?
Definition
-malabsorption and inteestinal protein loss
-diarrhea, steatorrhea, hypoproteinemia, and ascites
Term
What lesions do we see in response to intestinal lymphangictasia?
Definition
-dilation of lacteals in villi and larger lymphatics in deeper layers
-white raised aptched in the intestinal mucosa
Term
Which species are most commonly affected by IBD?
Definition
-dogs and cats
Term
What is the physiology behind IBD?
Definition
-chronic inflamamtion (lymphocytes and plasma cells) in villous lamina propria
-also see erosions or ulcers
Term
What is the most common neoplasm of the intestine in most species?
Definition
-intestinal lymphoma
Term
What kind of distribution does intestinal lymphoma have?
Definition
-primary intestinal tumor or part of multicentric dz
-segmental or diffse, may affect several segments
Term
What lesions do we see due to intestinal lymphoma?
Definition
-soft to firm cream-colored masses in the submucosa
Term
What are the clinical signs of intestinal lymphoma?
Definition
-wt loss, vomiting, diarrhea, anorexia
Term
Is small cell lymphocytic lymphoma high or low grade?
Definition
-low grade
Term
What are the clinical signs seen with small cell lymphoma?
Definition
-slowly-progressive dz with long hx of wt loss, vomiting, diarhea, anorexia
Term
How do we dx small cel lymphoma?
Definition
-endoscopic or full-thickness intestinal bxs
-ileum may be better than duodenum for x
Term
Does small cell lymphoma respond well to therapy?
Definition
-yes, median survival > 2y
Term
Is large cell lymphoblastic lymphoma high grade or low grade?
Definition
-high grade
Term
What are the clinical signs of large cell lymphoblastic lymphoma?
Definition
-sudden onset of wt loss, vomiting, diarrhea, and anorexia
-may find palpable mass in intestine or LN
Term
Does large cell lymphoblastic lymphoma respond well to therapy?
Definition
-50-60% response to therapy w/ median survival of 6-7m
Term
Is canine intestinal lymphoma usually large or small cell?
Definition
-large cell and thus are high grade
Term
What are the clinical signs of canine intestinal lymphoma?
Definition
-vomiting, diarrhea, wt loss, anorexia, and lethargy possible w/ palpable abdominal mass
Term
How does canine intestinal lymphoma respond to therapy?
Definition
-about 55% to chemo
-dogs w/ diarrhea may have worse prognosis
Term
In which species are tumors in the intestinal tract (aside from lymphoma) most common? Are they usually benign or malignant?
Definition
-dogs and cats
-usually malignant
Term
How common are intestinal adenocarcinomas in domestic spp?
Definition
-SI and colonic adenocarcinomas relatively commo in cats
-uncommon in dogs
Term
Describe the physiology behind intestinal neoplasia.
Definition
-invade into intestinal wall and infiltrate through spread in peritoneal cavity
-may incite a marked fibrous response in intestinal wall => stenosis
Term
What are the clinical signs seen with intestinal neoplasia?
Definition
-anorexia, comiting, obstruction, wt loss
-tenesmus and hematochezia with rectal adenocarcinoma
Term
How do we differentiate smooth muscle tumors and GISTs?
Definition
-immunohistochemistry
Term
What clinical signs do we see with mesechymal intestinal tumors?
Definition
-many are asymptomatic and incidental findings
Term
What lesions do we see with mesenchymal itnestinal tumors?
Definition
-nodule or transmural, mass-like thickenings w/in intestinal wal
Term
What is the prognosis with mesenchymal intestinal tumors?
Definition
-prognosis is difficult
-metastasis is possible w/ leiomyosarcomas and GISTs
Term
Where and in whom do colorectal adenomatous hyperplasia, papillary adenomas, or polyps occur?
Definition
-rectum of middle-aged dogs
-usually a single nodule
Term
What clinical signs do we see with colorectal adenomatous hyperplasia, papillary adenomas or polyps?
Definition
-tenesmus, prolapse of th epolyp or rectal bleeding
Term
Describe the lesions seen with colorectal adenomouts hyperplasia, papillary adenomas or polyps?
Definition
-usually sessile or slightly pedunculated masses
-surface often ulcerated
Term
How do we cure colorectal adenomatous hyperplasia, papillary adenomas or polyps?
Definition
-cured by adequate surgical removal
Term
Are most circumanal/perianal (hepatoid) gland tumors benign or malignant? Which animals are most commonly affected?
Definition
-benign
-intact male dogs
Term
Are most apocrine gland (of anal gland) tumors benign or malignant?
Definition
-malignant
-invasive and metastasize to local LN
Term
What are the clinical results of apocrine gland tumors?
Definition
-often cause hypercalcemia of malignancy (pseudohyperparathyroidism)
-pdc PTHrP
Term
What are 3 diseases of significant protein los in the stomach/abomasum?
Definition
-Ostertagia
-Haemonchus
-ulceration
-chronic hypertrophic gastritis
Term
What causes submucosal gastric edema in pigs?
Definition
-enterotoxemic E. coli
Term
What si the mechanism of edema formation due to enterotoxemic E. coli?
Definition
-vascular leakage due to inc perm
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