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Exam 1
FA Cardio III
41
Veterinary Medicine
Professional
01/26/2017

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Cards

Term
What is pericarditis?
Definition
-inflammation of the pericardium => dec distensibility of heart
Term
What happens in the body due to pericarditis?
Definition
-inc ventricular end-diastolic P = dec cardiac filling
-dec venous flow & venous return to the hear = dec myocardial perfusion during diastole
-dec contractility of ventricles = dec SV
-dec CP
Term
What compensatory mechanisms do we see with FA pericarditis?
Definition
-vasoconstriction, inc HR, inc Na+ retention
Term
What are the three main causes of septic carditis?
Definition
-trauma
-extension of infection
-hematogenous spread (bacteremia/septicemia)
Term
What are the two types of trauma that cause septic pericarditis?
Definition
-ingested FB: migration from the reticulum
-external wounds
Term
What are the clinical signs of septic pericarditis?
Definition
-tachycardia
-heart sounds: washing machine or ballons touching sound
-congested MM, delayed CRT
-right-sided CHF
Term
What is the significance of radiating heart sounds?
Definition
-pleural fluid
Term
How can you tell if pericarditis is septic or aseptic?
Definition
-washing machine or balloon rubbing sound
Term
What diagnostics do we run on septic pericarditis?
Definition
-CBC/serum chem: inc WBC, globulin, fibrinogen, mild anemia, inc liver enzymes
-rad: rule out metallic foreign body
-ECG: dec amplitude QRS complexes
-pericardiocentesis
Term
What do we see on pericardiocentesis for dx of septic pericarditis?
Definition
-gross appearance: yellow to red > greenish to gray & turbid, foamy, foul smelling
-Fluid analysis: inc cell count, inc total protein, cytology: inc neutrophils + bacteria
-bacterial culture: aerobic and anaerobic
Term
How do we treat septic pericarditis?
Definition
-Abx: broad spectrum, long term
-NSAIDs
-pericardial drainage & labage: chest trocar, left 5th rib resention
Term
What is the major long-term complication that occurs with septic pericarditis?
Definition
-constrictive pericarditis: if the fibrin organizes into fibrous CT
Term
What is the prognosis of septic pericarditis?
Definition
-poor < grave
Term
How do we prevent septic pericarditis?
Definition
-client communication!!!
-pick up nails/wires/scres around the farm
-magnet: one per animal
-control BRD (including vx)
Term
Is idiopathic hemorrhagic pericarditis common in cattle?
Definition
-rare
Term
What are the clinical signs of idiopathic hemorrhagic pericarditis (aseptic)?
Definition
-tachycardia
-muffled heart sounds
-right-sided CHF
-/+ fever
Term
What diagnostics do we run, that are useful, for idiopathic hemorrhagic pericarditis?
Definition
-echocardiography
-pericardiocentesis
Term
What do we see on pericardiocentesis w/ idiopathic hemorrhgaic pericarditis?
Definition
-gross appearance: serosanguinous fluid, no clot formation
-fluid analysis: variable cell count & TP, cytology: RBC & lymph ? non-degen neutrophils
Term
How do we treat idiopathic hemorrhagic pericaditis?
Definition
-drain pericardial fluid (chest tube) once
-corticosteroids: anti-inflamm dose
-antibiotics (3-5d): to prevent infection assoc w/ draining site
Term
What is the prognosis of idiopathic hemorrhagic pericarditis?
Definition
-fair to good w/ treatment
Term
What is the most common form of cattle cardiac lymphocarcoma? What causes it?
Definition
-enzootic lymphosarcoma
-bovine leukemia virus (retrovirus)
Term
What is the most common tumor location of BLV infected cattle?
Definition
-LN: 90%
-others: abomasum (75%), heart RA (50%), urogenital (30%), spinal cord (15%), retrobulbar (10%)
Term
What is the process behind the effusive form of enzootic lymphosarcoma (BLV)?
Definition
-neoplastic pericardial effusion
Term
What are the clinical signs of the effuzive form of enzootic lymphosarcoma (BLV)?
Definition
-tachycardia, muffled heart sounds, +/- arrhythmias
-CHF
Term
What is the process behind the non-effusive form of enzootic lymphosarcoma (BLV)?
Definition
-myocardial infiltration (R heart)
Term
What are the clinical signs of the non-effusive form of enzootic lymphosarcoma (BLV)?
Definition
-tachycardia, cardiac arrhythmias, cardiac murmur
-CHF
Term
What is the primary form of sporadic lymphosarcoma not assoc w/ BLV? Is it common?
Definition
-thymic lymphosarcoma
-uncommon
Term
Which cattle are most often affected by thymic lymphosarcoma? Where in the body does it occur?
Definition
-young cattle < 30m (avg: 6-18m
-thymus & regional LN
Term
What physiological process causes the clinical signs of thymic lymphosarcoma?
Definition
-compression
Term
What are the clinical signs seen with thymic lymphosarcoma?
Definition
-dysphagia or bloat
-CHF
-invariably fatal
Term
What diganostics do we run on cardiac lymphosarcoma?
Definition
-CBC/serum chem: persistent lymphocytosis
-BLV serology (AGID/RID)
-echo
-pericardiocentesis: serosanguinous fluid, inc neoplastic lymphocytes
Term
How do we treat cardiac lymphosarcoma in cattle?
Definition
-non-effective
Term
What is the prognosis of cardiac lymphosarcoma?
Definition
-grave
Term
HOw do we prevent/control BLV?
Definition
-prevent neonatal infections: clean, pasteurize colostrum/waste milk
-minimize blood transfer
-control insects
-in utero transmission: precolostral serology, test after 6m
-isolate/test herd additions: isolate & retest in 4-6m
Term
What are the causes of cattle vascular dz?
Definition
-phlebitis/periphlebitis: thrombophlebitis
-arteritis: thromboarteritis
-vasculitis
Term
What are some predisposing factors for phlebitis, periphlebitis, thrombophlebitis?
Definition
-trauma to v during venipuncture/injection
-repeated IV or perivenous infections
-FB: IV catheter
-Hypercoagulable state: endotoxemia, septicemia
-chronic perivenous infection
Term
What are the local clinical signs of phlebitis, periphlebitis, and thrombophlebitis?
Definition
-heat, redness, pain, thickening, edema
Term
What are the systemic clinical signs of phlebitis, periphebitis, and thrombophlebitis?
Definition
-fever, tachycardia
-other signs assoc w/ primary dz
Term
What diagnostics do we run on phlebitis, periphlebitis, thrombophlebitis?
Definition
-U/S: look for wall thickening, perivenous inflammation, intraluminal thrombus
-/+ bacterial culture
Term
How do we treat phlebitis, periphlebitis, thrombophlebitis?
Definition
-stop trauma to the vein
-NSAID
-antibiotics: broad spectrum
-hydrotherapy/warm compresses
-/+ elevate feed
Term
What is the prognosis of phlebitis, periphlebitis, thrombophlebitis?
Definition
-good w/ progressive recanalization
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