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Exam 3
FA Neuro Pt3
40
Veterinary Medicine
Professional
04/12/2017

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Cards

Term
What is the etiology behind polioencephalomalacia (PEM)?
Definition
-thiamine deficiency
-high dietary sulfur/sulfates
Term
Describe how thiamine deficiency leads to PEM?
Definition
-inc bacterial thiaminases: high carb diet
-dec levels in diet of nursing calves
-competitive antagonist: Amprolium
Term
How do animals get high dietary sulfer leading to PEM?
Definition
-feed additive: gypsum, molasse
-feed/plants: corn gluten, ethanol byprdts, turnips, brassica
Term
Describe the pathophys of how thiamine deficiency induced PEM?
Definition
=cofactor for transketolase: rate limiting for formation of ATP
-dec activity of ATP-dep Na/K pump
-water follows Na into cells = pressure necrosis in grey matter
Term
Describe the pathophys of how sulfer induced PEM.
Definition
-rumen flora converts it to toxic sulfide ion => eructed as H2S & is absorbed in rumen => dec thiamine pdn in rumen
Term
What animals are most commonly affectd by PEM?
Definition
-young livestock 6-12m
Term
What are our CS of PEM w/ thiamine deficiency?
Definition
-cortical blindness
-dorsomedial strabismus
-opisthotonos/seizures
-ataxia, CP deficits, extensor rigidity, muscle fasciculations, head pressing, recumbency, death
Term
How do we diagnose PEM AM w/ thiamine deficiency?
Definition
-CS
-response to tx
Term
How do we diagnose PEM AM w/ sulfur toxicity?
Definition
-CS
-test sulfur content (water > 1000 ppm & feed > 4000ppm)
-rumen gas cap [H2S] > 1000 ppm
-response to tx:thiamine
Term
How do we diagnose PEM PM?
Definition
-cortical swelling
-fluorescence of cerebral cortex under UV light
Term
How do we treat PEM?
Definition
-Thiamine
-Vit B cplx
-transfaunation
-good quality hay/water
-control brain edema & seizures
-IV fluids
Term
What are our tx expectations w/ PEM? What would to response indicate?
Definition
-significant improvements w/in 12-48h
-if no response: wrong diagnosis, brain is too necrotic
Term
How do we work to prevent PEM?
Definition
-calculation of total sulfur intake
-alternate feed or adjust grazing managemet
-slow adaptation to high E diet
-thiamine supplementation or Brewer yeast
Term
What is the prognosis of PEM?
Definition
-guarded to excellent
Term
What is the etiology behind water deprivation?
Definition
-overload of salt or lack of water intake
Term
What are the CS of water deprivation of rums?
Definition
-ataxia, depression
-cortical blindness, aggressiveness
-mucohemorrhagic diarrhea
-hemoglobinuria
-recumbency, death
Term
what are the CS of water deprivation in pigs?
Definition
-sit & spin
-depression
-cortical blindness
-death
Term
How do we dx salt toxicity?
Definition
-hx
-neuro signs + hemoglobinura
-CSF:serum [Na+] ratio > 1
-PM: cerebral edema
-test water for Na levels
Term
How do we treat water deprivation?
Definition
-slow removal of Na from CSF & CNS
-brain edema: mannitol
-adjunct therapy: thiamine
Term
How do we work to control water deprivation?
Definition
-access to water!!
-test water & feed for Na lvls
Term
What is the prognosis of water deprivation?
Definition
-grave to good
-severely affected animals will die
Term
What causes hyperglycemic hypernatremic hyperosmolar sydnrome?
Definition
-secondary to stress & dec water itnake
-poor insulin response to hyperglycemia
Term
What are the CS of hyperglycemic hypernatremic hyperosmolar syndrome?
Definition
-fine head tremors
-ataxia
-base-wide stance
Term
HOw do we diagnose hyperglycemic hypernatremic hyperosmolar syndrome?
Definition
-inc serum or CSF [a]
-inc plasma osmolality
-hyperglycemia
-glucosuria
Term
How do we treat hyperglycemic hypernatremic hyperosmolar syndrome?
Definition
-insulin
-isotonic or hypotonic IV fluids
-get hyperglycemia under control first
Term
What is the etiology of hypomagnesema?
Definition
-dec dietary uptake
-dec Mg absorption by reticulorumen epi
Term
Describe the pathophys behind lead toxicity.
Definition
-absorbed through GI tract => bind irreversibly to RBC protein => inc use of Fe & synth of heme => dec O2 carrying capacity & inc fragility of RBC
-depositedin bone > liver/kidneys
Term
What is the most common form of lead toxicity?
Definition
-encephalopathy: CNS capillary endo affected
Term
What are the acute CS of encephalopathy due to lead toxicity?
Definition
-staggering, ataxia, hyperesthesia
-cortical blindness
-muscle twitching: face
-aggression, convulsion, opisthotonos
-death
Term
What are the subacute to chornic CS of encephalopathy due to lead toxicity?
Definition
-ataxia, cortical blindness
-muscle fasciculations
-anorexia, rumen atony
-fetid diarrhea
Term
HOw do we dx lead toxicity on AM?
Definition
-blood smear: basophilic stippling & nRBCS
-lead levels in blood/liver
Term
How do we treat lead toxicity?
Definition
-remove src
-thiamine
-chelation
-control
Term
What is the prognosis of lead toxicity?
Definition
-fair if treated early & agressively
Term
What is toxic w/ locoweed intoxication?
Definition
-Swaisonine: induced lysosomal storage dz
Term
What are the CS of locoweed intoxication?
Definition
-neuro
-abortion
-arhtrogyposis
Term
What causes Dallis Grass STaggers?
Definition
-infected w/ Claviceps paspali
Term
What are the CS of Dallis GRass Staggers?
Definition
-fine muscular fasciculations, head tremors
-spastic, hypermetric gait, falling
Term
How do we dx Dallis Grass Staggers?
Definition
-fungus on grass
-thin-layer chromatography
Term
What is the common name for delayed OP neurotoxicosis?
Definition
-dying back dz
Term
What is the pathophys behind delayed OP neurotoxicosis?
Definition
-bind irreversibly to AChE
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