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systemic path 3
systemic path final
240
Veterinary Medicine
Graduate
04/14/2013

Additional Veterinary Medicine Flashcards

 


 

Cards

Term

Which of the following has multiple vessels?

Periportal

Central

midzonal 

Definition
periportal
Term

Hypoxia will affect what area of the liver lobule first?

Definition

Hypoxia will affect centrilobular first. 

Term
what are the 2 general and 4 possible specific causes of hyperbilirubinemia?
Definition

o   Increased production

§  Hemolysis

§  Congenital defect in bilirubin conjugation

o   Decreased excretion

§  Hepatic dysfunction

§  Cholestasis

Term
what are the five possible patterns of liver disease and what is an example of each?
Definition
  • Random pattern-hematogenous bacteria, neoplasia
  • Centrilobular-hypoxia, toxins
  • Midzonal-rare, corticosteroid administration
  • Pericordal-direct hepatotoxins
  • Massive-entire lobule, dog-bluegreen algae, tyler’s disease in horses
Term
which way does bile flow?
Definition

opposite direction to blood

(canaliculi around central vein, portal vein, bile ductules, gall bladder)

Term
give the characteristics of hepatocytes
Definition

contain large amounts of mitochondria

primarily responsible for purifying blood

separated from endothelial cells by space of Disse

 

Term
sinusoids are lined by:
Definition
fenestrated endothelium
Term
what are Kupffer cells?
Definition

fixed macrophages attached to endothelial cells of sinusoids

phagocytic, toxin degradation, iron accumulation

Term
what are Ito cells?
Definition

lipocytes within space of Disse

store vitamin A

produce collagen

important in hepatic fibrosis

Term
describe the periportal region of the lobule including examples of hepatocellular damage
Definition

highest concentraiton of oxygenated blood and nutrients

more resistant to toxic injury and hypoxia

necrosis uncommon

susceptible to direct hepatotoxins that do not require P450 (e.g. ferrous sulfate), ascending GI infections, and feline cholangiohepatitis

 

 

Term
describe the midzonal region of the lobule including examples of hepatocellular damage
Definition

degeneration and necrosis uncommon, though reported in pigs and horses due to aflatoxins

intermediate oxygen and nutrient concentration

susceptible to corticosteroids

Term
describe the centrilobular region of the lobule including examples of hepatocellular damage
Definition

lowest oxygen concentration

most susceptible to hypoxia or toxic injury

area of greatest cytochrome P450 oxidase activity

necrosis more common (e.g. right sided HF, chronic passive congestion)

anemia, hemolysis, congestion

CCl4, chloroform

 

Term
what causes cirrhosis in dogs?
Definition

NOT alcohol or Hepatitis B, C.

Phenobarb, NSAIDS (carprofen in labs)

Term
why are the evidence of clinical signs delayed in hepatic disease? how much of the liver can be removed without significant problems?
Definition

functional reserve only requires 10% of total capacity. 

66%

Term
what are the main functions of the liver?
Definition
  • metab of carbs, fats, ammonia, vitamins, proteins
  • production of albumin, fibrinogen, globulins, factors V, VII, IX, X
  • metab of drugs, toxins, steroids
  • conjugation of bile
Term
what are the major manifestations of liver disease?
Definition
  • jaundice/icterus (due to bilirubin)
  • hepatic encephalopathy (due to ammonia)
  • edema/ascites (due to increased pressure or oncotic pressure)
  • cutaneous lesions (due to failure of chlorophyll breakdown)
  • clotting abnormalities (due to lack of synthesis)
  • abdominal pain
Term
what is the difference between intrahepatic and extrahepatic cholestasis?
Definition
  • intrahepatic- failure of bile secretion due to abnormal conditions in liver due to hepatocellular damage or damage to canaliculi (cirrhosis)
  • extrahepatic- due to bile duct obstruction due to gallstones, neoplasia, pancreatic disease, fibrosis, etc.
Term
what causes nutmeg liver?
Definition
chronic passive congestion results in centrilobular atrophy and fibrosis due to right heart failure or caval syndrome
Term
T or F: hepatic infarctions are common.
Definition

false, due to nature of hepatic blood supply (dual)

cay be due to neoplasia, arteritis, or sepsis

Term
describe PSS
Definition
  • affected animals usually stunted
  • hepatic encephalopathy
  • angiography best method of diagnosis
  • congenital: small liver with sharp edges, lobular atrophy, reduplication of arterioles and small blood vessels, lipogranuloma formation
  • acquired: primary or secondary due to portal hypertension. chronic hepatic injury with secondary fibrosis, many small-caliber venous shunts between portal vein and other intraabdominal veins. large portal veins and larger, more dense muscular arteries. hepatocyte atrophy and lipidosis
  • increased liver ALP, ALT, ammonia, BSP retention, bile acids, decreased BUN and albumin
Term
what is microvascular dysplasia?
Definition
  • portal vein atresia
  • more common in small breed dogs
  • identical to PSS histologically, but no detectible shunt
Term
what is telangiectasia?
Definition
  • dilation of group of sinusoids
  • dark red, irregularly shaped areas in liver
  • unknown etiology
  • in humans, after chronic steroid or contraceptive therapy
Term
why does a cow develop geographic dermatitis?
Definition
photoactive compounds in diet not broken down properly by liver, react with sunlight.
Term
what happens to bilirubin?
Definition
unconjugated--> conjugated in hepatocyte-->excreted in biliary system to small intestine-->bacterial proteases process into urobilinogen-->90% in feces, 10% reabsorbed and excreted by kidneys
Term
what are some intravascular causes of hemolysis?
Definition
  • lepto
  • babesia
  • acetaminophen
  • snake venoms
  • transfusion reaction
  • RBC fragmentation
  • hypoosmolarity
  • phosphofructokinase deficiency
Term
what are some extravascular causes of hemolysis?
Definition
  • cytauxzoon
  • mycoplasma
  • IMHA
  • neoplasia
  • RBC fragmentation
Term
how does pancreatitis cause cholestasis?
Definition
Main bile duct and pancreatic duct come together in common pilla. Inflamed and closes
Term
if a liver looks like bubblewrap, what is it?
Definition
cystic mucosal hyperplasia
Term
what is used to correct an extrahepatic shunt?
Definition
ameroid constrictor
Term
in intrahepatic shunts, what fails to close?
Definition
ductus venosus
Term
what parasite can cause hemolysis?
Definition
Dirofilaria immitis. caval syndrome-->RBC fragmentation-->intra/extravascular hemolysis
Term
where does glycogen accumulate? in what conditions? what are the signs?
Definition

midzonal

Cushing's, iatrogenic steroids

weakness, depression, hepatomegaly, stunted growth

Term
what causes lipidosis in large animals?
Definition
  • late pregnancy, lactation
  • increased synthesis of fatty acids, triglycerides
  • increased lypolysis and uptake of FFA
  • decreased fatty acid oxidation
  • decreased apoprotein synthesis
  • decreased lipoprotein excretion
Term
what causes feline hepatic lipidosis?
Definition

idiopathic

obese cats with recent bouts of anorexia

hepatic failure, icterus, hepatic encephalopathy

consequence of other diseases that may have resolved at time of lipidosis

Term
familial systemic amyloidosis is reported in what animals? how is the liver characterized?
Definition

abyssinian, siamese, oriental shorthair cats

Shar-pei dogs

large and friable with chronic inflammation

Term
massive  hepatocellular damage suggests what?
Definition
blue green algae, Theiler's disease in the horse,
Term
a random distribution of hepatic lesions suggests what?
Definition
hematogenous bacteria (Salmonella), hematogenous cancer, etc.
Term
what is nodular hyperplasia in the liver?
Definition
regenerative responses may be uneven, leading to regional portal hypertension and prolonged regeneration can lead to nodules
Term
what is cirrhosis?
Definition

chronic response of liver defined as bridging fibrosis and nodular regeneration

can cause portal hypertension, leading to ascites and acquired portosystemic shunting and biliary obstruction adn decreased liver function

causes: pyrrolizidine alkaoid toxicosis, chronic NSAIDS and anticonvulsants, or chronic right sided heart disease

Term
how can rumen ulceration lead to liver disease?
Definition

rumenal acidosis (from intake of hi energy feed)

ulceration

rumen to portal vein bacteria dumped in liver

Term
target lesions on a liver are indicative of what?
Definition
leptospirosis
Term
what causes Tyzzer's disease?
Definition
Clostridium piliforme
Term
blue eyes can be indicative of what?
Definition

adenovirus (look for intranuclear inclusions on histo)

corneal edema from vasculitis

Term
how is FIP diagnosed?
Definition
prove by protein content of fluid, need to see virus associated with dz - IHC (feline coronavirus w/ suggestive FIP)
Term
what produces consistent hepatoxicity? and sporadic?
Definition

intrinsic toxins (pyrrolizidine alkaloids, aflatoxins)

idiosyncratic toxins (NSAIDS, anesthetics, anticonvulsants)

Term
what is biotransformation? and bioactivation?
Definition

biotransformation-toxins processed in liver

bioactivation-activation rather than inactivation of toxins in liver

Term
why are palm nuts toxic?
Definition

contain cycasin which is converted to methlazoxymethanol by bacteria in GI tract.

sings: vomiting, weakness, lethargy, liver failure, coagulopathy

Term
which mushroom is hepatotoxic?
Definition
Amanita phalloides (deathcap)
Term
cats with cholangiohepatitis should be evaluated for :
Definition
inflammatory bowel disease and pancreatitis.
Term
what are some bacterial causes of hepatitis?
Definition
Salmonella, Clostridium piliforme (Tyzzer's), Yersinia, Francisella tularensis, Listeria, Fusobacterium necrophorum, Mycobacterium tuberculosis, Nocardia asteroids, Actinobacillus equuli
Term
what are some protozoal causes of hepatitis?
Definition
Toxoplasma gondii, Neospora caninum, Leishmania donovani, coccidiosis, amoebiasis
Term
what are some viral causes of hepatitis and their symptoms?
Definition
  • canine adenovirus type I- acute hepatic necrosis, hepatitis, corneal edema
  • FIP-pyogranulomatous inflammation, vasculitis, icterus, ascites, vomiting, fever
  • canine herpesvirus-neonatal puppies affected. hepatic necrosis
Term

what are the types of injury the following cause? acute or chronic?

 

a. CCl4 and mycotoxins

b.pyrrolizidine alkaoids, aflatoxins

c. steroids

d. nitrofurantoin, copper

e. anticonvulsants, antineoplastic drugs

Definition

a. necrosis (acute)

b. fibrosis/cirrhosis (chronic)

c. degeneration (acute)

d. chronic active hepatitis (chronic)

e. lipidosis (acute)

Term
aflatoxins can cause what?
Definition

fibrosis

cirrhosis

carcinoma

Term
what toxins can cause hepatic neoplasias?
Definition

carcinomas-aflatoxins, nitrosamines

adenomas-many carcinogens

sarcomas-vinyl chloride-induced hemangiosarcoma

Term
how does aflatoxin present in cattle?
Definition
  •  produced by Aspergillus and Penicillium on stored grain and feed
  • B1 is most toxic substance produced
  • anemia, icterus, ecchymotic hemorrhages, ascites
  • chronic, low-level toxicity, with moderate liver damage, poor weight gain, decreased milk production
  • feed analysis best way to diagnose

 

Term
what does xylitol cause?
Definition
  • acute hepatic failure, coagulopathy in dogs
  • clinical within 30 min
  • depression, stumbling, lack of coordination, seizures
  • causes of sudden drop in blood glucose
Term
why do corticosteroids cause hepatic damage?
Definition

enlargement due to glycogen accumulation and hepatocellular damage

increases ALT, GGT

 

Term
describe copper toxicity in Bedlington Terriers
Definition

autosomal recessive gene

hepatocytes accumulate copper, hit threshold, cells rupture, release copper to surrounding cells

Term
hepatic lipidosis looks like:
Definition
lymphosarcoma
Term
what is a hepatoma?
Definition
single solitary mass on liver margin, no infiltration
Term
how can you tell grossly a hemangiosarcoma vs a malignant melanoma of the liver?
Definition
dab a wet paper towel. will come away red if it's a hemangiosarcoma
Term
how can you tell hepatic lipidosis from tension lipidosis?
Definition
tension lipidosis will have clearly demarcated area. hepatic lipidosis will be diffuse
Term
compare hepatocellular carcinomas and biliary carcinomas
Definition

hepatocellular-usually one massively enlarged liver lobe

biliary-multiple nodules scattered throughout liver

Term
describe canine juvenile pancreatic atrophy
Definition
  • German shepherds
  • maldigestion/malabsorption before end of first year of life
  • small numbers of hypoplastic or atrophied exocrine acini
  • steatorrhea
Term
what are three causes of hepatic lipidosis?
Definition

pregnancy

diabetes

starvation

Term
describe acute pancreatitis
Definition
  • usually dogs, female
  • obese, older than 2 years
  • vomiting, abdominal pain, anorexia, lethargy, dehydration
  • occurs after fatty meal
  • trypsinogen activated to trypsin. phospholipase A causes necrosis of fat and elastase and causes vasculitis-->DIC, thrombosis
  • hemorrhage and edema in pancreas, areas of saponification of fat, fibrin adhesions

 

Term
pancreatitis in cats is usually (acute/chronic) and the most sensitive indicator is _______
Definition

chronic

trypsin-like immunoreactivity

Term
what is hepatocutaneous syndrome?
Definition
cutaneous lesions  (look at paws) secondary to glucagon-secreting tumors or hepatic disease
Term
how does carcinomatosis spread?
Definition
seeding liver and omentum
Term
what are three common pancreatic neoplasms?
Definition

nodular hyperplasia and adenomas of pancreatic acini

pancreatic ductal or acinar adenocarcinoma

Term
the basophilic granular material in the cytoplasm of neurons is called:
Definition
Nissl substance
Term

ependymal cells line _________

choroid plexus produces

Definition

ventricles

CSF

Term

Oligodendrocytes form ______ that wraps around axons in CNS. Same as _________ in PNS

Definition

myelin

Schwann cells

Term
astrocytes are star shaped cells that have elaborate cell processes that form________and the two types are:______
Definition

BBB

fibrous (white matter), protoplasmic (grey matter)

Term
what are Gitter cells?
Definition
phagocytic derived from microglia or monocytes
Term
what are the three layers of the meninges?
Definition

pia mater

leptomeninges (arachnoid here)

dura mater

Term
what is the term for degenerative change, in which cells are swollen with central clearing due to dispersion of Nissl substance, and nucleus is peripherally displaced?
Definition
central chromatolysis
Term
what is neuronophagia?
Definition
phagocytes (microglia) gather around a necrotic neuron and phatocytose it to remove debris
Term
what is the term for focal damage to a myelinated axon resulting in degeration of axon segment distal to the site of damage?
Definition
Wallerian degeneration
Term
what are spheroids?
Definition
focal axonal swellings filled with degenerate organelles
Term
liquefactive necrosis is seen with what type of injury?
Definition
ischemic injury to CNS
Term
what is astrocytosis?
Definition

increase in size and number of astrocytes in response to injury

repair after CNS injury is largely the job of astrocytes

Term
reactive astrocytes, plump with eosinophilic cytoplasm are called what?
Definition
gemistocytic astrocytes
Term
what cells are due to hyperammonemia?
Definition
alzheimer's type II astrocytes
Term

what are the 3 types of hydrocephalus?

in what breeds of dog is it common?

Definition

internal-in ventricles

external-in arachnoid space

communicating- in both

 

brachycephalic

Term

______is an abnormally small brain

_________is  the near complete or complete absence of cerebral hemispheres

__________is cystic cavitation of the brain, usually involving cerebral white matter

________is a brain that lacks normal gyri and sulci

Definition

microencephaly

hydranencephaly

porencephaly

lissencephaly

Term

neural tube closure defects are called ______

what is anencephaly?

prosencephalic hypoplasia?

Definition
  • dysraphia
  • absence of the brain
  • absence of the cerebral hemispheres with preservation of the brainstem
Term

what is a meningocele?

what is a meningoencephalocele?

Definition

herniation of meninges

herniation of meninges and brain/spinal cord

Term
what are the 5 viral causes of malformations in the nervous system?
Definition

1.      BVD d100-170 of gestation

2.      Feline panleukopenia

3.      Hog cholera

4.      Canine parvo

5.      Border disease

Term
what can cause cyclopia?
Definition
Veratrum californicum ingestion
Term
storage diseases are usually due to what?
Definition
  • defective catabolism, resulting from a defect in lysosomal enzymes
  • mostly autosomal recessive with neuro signs early in life. typically progressive and fatal
Term
what cells in the nervous system are most sensitive to ischemia? white vs grey?
Definition

neurons and oligodendroglia

grey matter more sensitive than white matter

Term
what is a dummy foal?
Definition

presumed to be due to ischemia and reperfusion during foaling. 

laminar neuronal necrosis, multifocal small hemorrhages

Term
what is malacic disease?
Definition
softening (necrosis) in the CNS
Term
polioencephalomalacia is associated with what? how can it be diagnosed on necropsy?
Definition
  • hi sulfur intake
  • deficiency in thiamine also implicated
  • occasionally seen with water deprivation
  • glows under blacklight
Term
who is susceptible to thiamine deficiency?
Definition

piscivorous  (foxes, cats, mink) (fish contain thiaminase)

horses consuming bracken fern and horsetail

Term
what are the signs of thiamine deficiency?
Definition
  • ataxia, neck ventroflexion, incoordination, mydriasis, convulsions
  • hemorrhage, necrosis, neuropil vacuolation in periventricular grey matter
Term

direct salt poisoning

(ingestion of excessive salt) mainly affects what species, and what are the signs?

Definition

cattle

v/d, paresis, blindness, abdominal pain

congestion of abomasal mucosa, dark watery intestinal contents. no CNS lesions

 

Term
what is indirect salt poisoning?
Definition
  • ingestion of hi salt with restricted water
  • blindness, deafness, head pressing, convulsions
  • cerebral edema, laminar cortical necrosis, nonsuppurative and eosinophilic meningoencephalitis
Term
ingesting yellow star thistle or Russion knapweed will cause what?
Definition
  • in horses
  • neurotoxin: repin-sesquiterpene lactone-->glutathione depletion
  • malacia in globus pallidus and substantia nigra
Term
moldy corn consumption causes what, and what is the toxin?
Definition

leukoencephalomalacis in horses

fumonisin by Fusarium moniliforme

circling, somnolence, visual impairment, weakness, pharyngeal paralysis

necrosis fo cerebral white matter

Term
how do cattle usually get lead poisoning?
Definition
lead paint, batteries, leaded gasoline
Term
what are the signs of lead poisoning?
Definition

staggering, muscle tremors, convulsions, head pressing, blindness, hypersalivation, ruminal atony, recumbency, hyperesthesia, death

Lesions: laminar cerebral cortical necrosis in cattle if the disease has lasted a few days. white matter edema in brain and spinal cord, demyelination in dogs

Term
where do bacterial infections in the nervous system come from?
Definition
  • secondary to septicemia in young animals
  • septic emboli with endocarditis
  • abscesses from hematogenous spread or direct invasion
  • through cribiform plate or from middle ear

 

Term
what is circling disease?
Definition
  • Listeria monocytogenes
  • affects ruminants
  • heavy feeding of silage
  • head tilt, circling, confusion, depression, head pressing, unilateral facial nerve paralysis, masticatory muscle paralysis, purulent endophthalmitis
  • lesions in brainstem
  • spreads up trigeminal nerve
  • microabscesses
Term

what is infectious thrombotic meningoencephalitis? (ITME)

 

Definition
  • Histophilus somni
  • young cattle and sheep
  • normally found in upper GI, resp, urogenital tract
  • septicemia-->cerebral vasculitis with hemorrhage, necrosis, thrombosis

 

Term
describe the appearance of viral infections in the nervous system (5)
Definition
  1. non-suppurative meningoencephalitis (+/-myelitis)
  2. perivascular cuffing
  3. gliosis
  4. +/-viral inclusions
  5. +/-neuronal degeneration/necrosis
Term
who does rabies affect, and where does it exhibit tropism?
Definition

can affect all mammals

skunks, foxes, raccoons, bats

CNS and salivary gland

Term
what is the pathology of rabies? what are the lesions?
Definition
  • virus inoculated, replicates in muscle, spreads to sensory paravertebral ganglia, travels along peripheral nerves to CNS
  • nonsuppurative encephalomyelitis, ganglioneuritis and parotid adenitis
  • Negri bodies in hippocampus in carnivores and Purkinje cells in herbivores
Term
what is mad itch? what are the signs in the various animals affected?
Definition
  • Pseudorabies (porcine herpesvirus 1)
  • can affect all of the common domestic species
  • carnivores infected by consumption of meat
  • spreads up nerves to spinal cord, spreads within CNS and out into other peripheral nerves
  • non-pigs: intense pruritus, hi mortal, fever, neuro signs
  • pigs: mild fever, no pruritus
  • young pigs: prostration, convulsions, twitching
  • sows: abortion, stillbirth, mummified fetuses
Term
what are the lesions associated with arboviruses? (EEE, WEE, SLE)
Definition
  • lymphohistiocytic and neutrophilic polioencephalomyelitis
  • neutrophils may also infiltrate the grey matter
  • gliosis, neuronal degeneration/necrosis, vasculitits, meningitis, and thrombosis
Term
what are the lesions specific to WNV?
Definition
nonsuppurative polioencephalomyelitis
Term
describe caprine arthritis encephalitis virus including signs and lesions
Definition

lentivirus

nervous system signs in kids 2-4 months old

hindlimb ataxia, paresis, paralysis, often death

non-suppurative leukoencephalomyelitis, demyelination

adults: arthritis, mastitis, pneumonia

 

Term
describe visna-maedi virus
Definition
  • affects sheep over 2 years of age
  • hindlimb ataxia, trembling lips, progressive hindlimb paralysis, death due to infection or starvation
  • nonsuppurative meningoencephalitis, most severely affecting white matter, demyelination
  • pneumonia, mastitis, arthritis
Term
describe canine distemper virus
Definition

morbillivirus

affects canids, procyonids, mustelids, some large cats

look at paws

look for inclusions

Term
which is the only fungus with a real predilection for the CNS? who does it affect? how does it spread?
Definition

Cryptococcus neoformans

cats, dogs, horses

enters brain via cribiform plate or hematogenously from pulm infection

Term
what are the lesions of Cryptococcus neoformans?
Definition
  • grey, gelatinous foci in brain, meninges
  • inflammatory response variable
  • non-staining mucopolysaccharide capsule which imparts "soap-bubble" appearance 
Term
describe Sarcocystis neurona
Definition
  • affects horses
  • encephalomyelitis
  • gross lesions: none
  • histo: hemorrhage, necrosis, perivascular cuffs of lymphocytes, macrophages, neutrophils, eosinophils, astrocytosis
Term
why are organisms not seen in most cases of equine protozoal encephalomyelitis?
Definition
most animals treated with EPM (Marquis) prior to euthanasia
Term
who does Toxoplasma gondii affect?
Definition

New world monkeys and australian marsupials

immunosuppressed mammals

Term
what are the lesions associated with Toxoplasmosis?
Definition
  • gross: hemorrhage and necrosis
  • histo: necrosis, hemorrhage, perivascular lymphohistiocytic cuffs, tachyzoites, cysts with bradyzoites
Term

what causes transmissible spongiform encephalopathies? what is the pattern of transmission? 

what are some species affected?

Definition

abnormal isoforms of a normal cellular protein called a prion protein (PrPc)

horizontally via consumption of infected feed material

bovine, ovine, cervids, feline, mink

Term
what are the lesions of spongiform diseases?
Definition
intracytoplasmic neuronal vacuolation, astrocytosis
Term
these tumors are located on the meningeal surface of the CNS and are well-demarcated, encapsulated, expansile masses that are grey-white to red-brown. in what species is it seen?
Definition

meningioma

cats, dogs, horses, cattle, sheep

Term

astrocytomas are reported in what species?

what do they look like? where are they found?

 

Definition
  • dogs (brachycephalic), cats, cattle
  • poorly-demarcated, firm, grey-white masses in white matter and grey matter
  • well-differentiated neoplasms difficult to differentiate from surrounding brain matter
  • pyriform and temporal lobes
Term

oligodendroglioma is found in what species? 

what does it look like and where is it found?

Definition
  • dogs (brachycephalics), cats, cattle
  • grey, pink-red soft to gelatinous in white matter or grey matter of cerebrum and brainstem
Term
describe female bird repro tracts and ova development in birds
Definition

only left side develops

oviduct (shell gland, uterus) creates shell around ova during passage

accelerated passage yields soft shelled eggs

Term
where does FSH, LH, estrogen, progesterone come from?
Definition
  • anterior pituitary
  • anterior pituitary
  • ovary
  • CL ,later by placenta to maintain pregnancy
Term
presence of SRY will determine what?
Definition
SRY positive will be male
Term

what do the following become?

  • paramesonephric ducts
  • mesonephric tubules
  • mesonephric ducts
  • urogenital sinus
  • external genital tubercle
Definition
  • uterine tube/uterus/vagina
  • tiny rete ovary
  • regress
  • vulva/vagina
  • clitoris
Term
what is a true hermaphrodite?
Definition

male and female internal genitalia and gonadal tissue

testis and ovary

ovotestis

Term
what is a pseudohermaphrodite?
Definition

gonads fit gender, but do not match distorted external genitalia or accessory glands

male more common in pigs/goats

Term
what is androgen insensitivity?
Definition
  • testicular feminization
  • male pseudohermaphrodite with female external genitalia and testes that produce testosterone
  • bovine/equine
Term
what is freemartinism? what are the two theories?
Definition
  • 90-95% of female calves with male twin are born with masculinization of internal repro system
  • sterile
  • due to blood exchange between fetuses if placental circulation forms vascular anastamoses
  • hormonal exchange=old theory
  • hematopoietic cell theory (XX/XY chimera)=new theory
Term
what are three female developmental pathologies (other than freemartinism or hermaphrodites)
Definition
  • congenital ovarian hypoplasia (streak hypogonadism)
  • segmental aplasia (paramesonephric system)
  • uterus didelphis (divided uterine fundus, double cervix, two vaginas)
Term
[image]
Definition

A. cat

B. cow

C. horse

D. human

Term
describe the cells of the ovary (9)
Definition
  1.  germ cells (oocytes of follicle)
  2.  granulosa (supporting cells)
  3.  theca cells (supporting cells)
  4.  interstitial cells (cats, endocrine)
  5.  granulosa cells (dogs, tubular),
  6.  outer epithelium
  7. stroma
  8. vessels
  9. nerves

 

Term
what is oophoritis?
Definition

inflammation  of ovary (infectious or sterile)

rare

Term
what is a hydatid cyst of Morgagni?
Definition

 in fimbria adjacent to ovary

common in mares

remnants of paramesonephric ducts

 

Term
what are the 4 primary tumors of the ovary?
Definition

granulosa cell tumor 

dysgerminoma

benign teratoma

serous cystadenoma (rare)

Term

what is the primary epithelial tumor of the ovary?

what is a secondary ovarian tumor?

Definition
  • papillary adenocarcinoma
    • often bilateral, implants into abdomen, causes ascites due to lymphatic blockage
  • lymphosarcoma enlarges ovaries (cat, cow)
Term
in mares, what is the most common ovarian tumor? describe it
Definition
  • granulosa cell tumor (80% of all ovarian tumors)
  • unilateral, polycystic, many centimeters, enlarges ovary
  • benign, surgical removal usually curative 
  • usually produce estrogen--> nymphomania or bull-like behavior
  • secondary cystic endometrial hyperplasia
  • mares, cows, dogs
Term
what germ cell lines are found in teratomas?
Definition
all three: epithelium, mesenchymal, endodermal
Term
which tumor is arranged in cords and papillary structures and is found in lymphatics? how does it spread?
Definition

papillary ovarian carcinoma

seeds abdominal cavity

Term
blockage resulting in fluid accumulation due to inflammations or adhesions in the fallopian tube is called what?
Definition
hydrosalpinx
Term
describe endometritis and the common organisms involved.
Definition
  • bacterial associated with mating, may affect fertility
  • Campylobacter fetus venerealis, Tritrichomonas foetus, Taylorella, Arcanobacter pyogenes 
  • can affect glands (fibrosis) and affect pregnancy
Term
What are the grades in the Repro soundness exam?
Definition

·         Grade I- no lesions, good chance for successful preg

·         Grade II- mild to mod inflammation, minimal glandular nesting or fibrosis, mildly dilated lymphatics (doughy uterus) (a low and b high)

·         Grade III-prominent glandular nesting/fibrosis, dilated lymphatics (implies poor drainage), and inflammation; very poor prognosis for fertility

Term
what is endometrial “milk”? 
Definition
nourishes embryo during period prior to implantation and prior to development of a high quality placenta
Term

A.[image]B. [image] 

C. [image]

Definition

A. grade II (fibrosis and inflammation)

B. grade III (inflammation and fibrosis)

C. grade I

Term
describe canine cystic endometrial hyperplasia complex including sequelae
Definition
  • hyperplasia of mucosa with formation of mucosal cysts
  • followed by pyometra and secondary bacterial infections
  • associated with excess estrogen due to follicular ovarian cysts, granulosa cell tumors, or iatrogenic
Term
what is open pyometra?
Definition
open cervix allows drainage of purulent material
Term
cysts found during routine spays in dogs are often what?
Definition
uterine serosal inclusion cysts or periovarian cysts
Term
describe a uterine prolapse
Definition
  • mucosa of uterus and caruncles are exposed
  • uterus swollen with dependent edema
  • tissue becomes contaminated, dehydrated, traumatized
Term
[image]
Definition

uterine subinvolution of placental sites (dog)

alternating striped pattern with inflammation, fibrin, necrotic debris

Term

what are the placental structures of various animals?

cat

sow

primates

dog

ruminants

Definition
      • cat, dog-zonary, endotheliochorial
      • horse, sow- diffuse, epitheliochorial
      • ruminants-cotyledonary
      • primates-discoid, hemochorial
Term
where is calcium stored for the fetus?
Definition
chorion
Term
what are hippomanes?
Definition
    • amorphous, rubbery mass free in allantoic fluid
    • formed by debris and dead cells
    • incidental finding
Term
[image]
Definition

amorphus globosus

incomplete twin found as round, hard cystic structures next to umbilical cord

Term
[image]
Definition

adventitial placentation of chorion in a cow

red plaques of intercotyledonary placentation

common in older cows

Term
[image]
Definition
  • Endometrial cups, uterus, mare.  
  • plaque‐like structures in the endometrium 
  • trophoblasts invade the endometrium early in pregnancy.  
  • 37-150 days of pregnancy  
  • secrete equine chorionic gonadotropin.
  • chorionic surface opposite each cup is called the chorioallantoic pouch and is avillous.
Term
what is the term for a lack of chorionic villi in the chorioallantois at the cervical star?
Definition
normal.
Term
[image]
Definition

umbilical torsion

more likely if umbilicus is longer than your arm

Term
what are the innate and adaptive defenses in the female repro system?
Definition

Innate defenses

• Vaginal epithelium

• Cervical barrier

• Conformation

• Myometrial tone and contraction

• Drainage ofsecretions

• Neutrophils

• Macrophages

• Complement

• Cytokines

• Microbial recognition molecules

Adaptive defenses

• Humoral immunity including commonmucosal immune system

• Cellularimmunity

Term
what does SMEDI stand for?
Definition
  • stillborn
  • memmy
  • embryonic
  • death
  • infertile
Term
target areas of yellow/white necrosis in fetal livers is characteristic of:
Definition
Campylobacter
Term
mycotic placentitis can cause what?
Definition

fetal skin lesions

thickened, plaque-like

may be systemic

Term
Brucella has an affinity for______ and causes_________ and is harbored in ___________ and is spread by __________
Definition
  •  endometrium and placenta
  • osteomyelitis, pneumonia, fibrinous inflammation of many other organs
  • harbored in lymph nodes
  • infection by ingestion of feed/water contaminated by uterine/placental fluids
Term

what causes prolonged gestation?

what is needed to initiate parturition?

Definition
  • pituitary aplasia-->failure of fetal pituitary-adrenal axis to initiate parturition
  • fetus needs to release fetal adrenal glucocorticosteroids to initiate parturition

 

Term
[image]
Definition

anasarca

generalized fluid accumulation

Term
[image]
Definition

schistosomus reflexus

abdominal fissure and vertebral column retroflexion

mostly ruminants

Term
[image]
Definition

perosomus elumbis

shortened body with loosely attached hind legs due to lack of vertebrae caudal to thoracic region

Term
[image]
Definition

hydrocephalus

cerebral ventricular system fluid accumulation

doming of head

aquaductal stenosis or blockage due to inflammation, hemorrhage, tumor, etc.

Term
what are the neoplasias of the female external genitalia?
Definition

fibropapilloma (bovine)

squamous cell carcinoma

vaginal polyp and fibroleioma

transmissible venereal tumor (canine)

Term
[image]
Definition

uterine leiomyoma. 

can block lumen

Term
what are sertoli cells?
Definition
  • nurse cells for progenitor cells
  • both in seminiferous tubules
  • retained testicles can develop sertoli cell tumors-->estrogen-->feminization-->marrow suppresion, squamous metaplasia of prostate gland
Term
what are interstitial Leydig cells?
Definition

between seminiferous tubules

produce testosterone

Term
what are the 3 processes involved in spermatogenesis?
Definition
  1. proliferation phase for spermatogonia
  2. meiotic division (reduction in chromosome #)
  3. spermatogenesis (haploid cells transform)

 

Term

place the following in the correct order:

spermatocytes

spermatozoa

spermatogonia

spermatids

Definition
spermatogonia-->spermatocytes-->spermatids-->spermatozoa
Term

T or F: various factors affect the length of time for spermatozoal development

 

what are those factors?

Definition
false. temp, nutrition, hormones, photoperiod will affect yield, but not time.
Term
in general, what do male accessory glands do?
Definition
contribute fluids to semen
Term

seminal vesicles are absent in _________

bulbourethral (Cowper's) glands are absent in _________

and prostate glands are present in ________

Definition

dog and cat

dog

all male domestic mammals

Term
what is the function of seminal vesicles, Cowper's glands, and prostate glands? in what order are they contributed to semen?
Definition
    1. seminal vesicles- thick liquid added
    2. prostate-thin alkaline solution to neutralize urine and female system
    3. Cowper's gland-lubrication and flushing or geltinous plug
Term
in severe testicular hypoplasia, what is seen histologically?
Definition
seminiferous tubules are lined by Sertoli cells only, and no sperm production
Term
which is androgen dependent: transabdominal migration or inguinoscrotal descent of testicles?
Definition
inguinoscrotal.
Term
describe testicular degeneration
Definition
  • seminiferous tubules become small with only Sertoli cells remaining
  • thickened basement membrane
  • tubular and interstitial fibrosis
  • inflammation secondary to tubular Ag leakage
Term

[image]

what do both pictures depict?

Definition
  • testicular degeneration
  • interstitial fibrosis
  • arrested spermatocyte stage
  • vacuolated Sertoli cells
  • wavy basement membrane
  • multinucleated spermatids
Term
what is the difference between testicular hypoplasia and degeneration?
Definition
  • hypoplasia
    • regular tubular circumference
    • regular sertoli cell lining
    • thickened, even basal lamina
    • no inflammatory cells
    • absence of lipofuscin
  • degeneration
    • irregular tubular circumferences
    • lack of tubular lining and collapse
    • thickened, wavy basal lamina
    • secondary inflammation of interstitium
    • presence of lipofuscin in tubular cells
Term
what are the two major causes of testicular inflammation?
Definition

trauma

infectious (bacterial)

Term

[image]

what is the lesion, and what is it charcteristic of? what are the histo and gross lesions?

Definition
  • granulomatous interstitial orchitis in ram testis
  • pyogranulomatous inflammation
  • spermatozoal aggregates and mineral typical of Brucella
  • putty or clay-like gross accumulated material in enlarged epididymal tail

 

 

Term
what are the two categories of testicular neoplasia, and what are two examples of each? what is the most common one in dogs, cats, and the bull?
Definition
  • gonadal-stromal
    • Leydig cell
    • Sertoli cell
  • germ cell
    • seminomas
    • teratomas
Term
describe Leydig cell tumors (interstitial cell)
Definition
  • almost always benign
  • most common testicular neoplasm in dog, cat, bull
  • some produce estrogenic compounds
  • grossly spherical, well demarcated, tan to orange
  • microscopically in sheets
  • spindle-shaped cells with vacuolation
  • hemorrhage and necrosis
Term
A[image] B[image]
Definition

A. Sertoli cell tumor

B. Leydig cell tumor

Term
describe a Sertoli cell tumor
Definition
  • well-circumscribed firm white lobulated mass
  • enlarged testis
  • abundant fibrosis
  • intratubular or diffuse pattern with tubular structure or palisading along fibrous strands
  • produce estrogen or inhibin 
Term
describe Seminomas
Definition
  • grossly homogenous, white or pink-gray
  • firm
  • bulges when cut
  • intratubular or diffuse pattern of large round cells
Term
[image]
Definition

Seminoma

(bulging on cut surface)

Term
what do Histophilus agni and Actinobacillus seminis infect  in the repro system in what species?
Definition
starts with head of epididymis in rams
Term
what is the most common prostatic disease in intact older dogs? describe it.
Definition
  • benign prostatic hypertrophy (BPH)
  • secondary to hormonal imbalance
  • symmetrically enlarged 
Term

B[image]C

chronicity of prostatitis?

Definition

B. acute prostatitis

C.  chronic prostatic inflammation with increasing fibrosis 

Term

what neoplasia affects the prostate in the dog?

what is the prognosis? why?

Definition
    • adenocarcinoma/carcinoma (small or enlarged, asymmetric with nodular areas)
    • guarded prognosis
    • aggressive, invasive, destructive
    • locally metastasizes to iliac l.n., lumbar spine, adjacent soft tissues and can block pelvic canal or compress rectum or urethra
    • can metastasize to lungs
Term

A[image]B[image]

prostatic________?

Definition

A: prostatic carcinoma

B: prostatic hyperplasia

Term
[image]
Definition
cystic uterus masculinus
Term
what is seminovesiculitis or adenitis? what causes it?
Definition

in bulls, occurs in combination with inflammation of other repro tissues

Arcanobacter pyogenes, Chlamydiophila, Mycoplasma, Ureaplasma diversum, Histophilus somus, Strep, Staph

Term
what ruptures in a penile hematoma?
Definition

corpus cavernosum

tunica albuginea

(after copulation)

Term
what does habronemiasis cause in males?
Definition

eosinophils and granulomas with larvae in prepuce and penis 

grossly swollen

Term
[image]
Definition
persistent frenulum of bull
Term
[image]
Definition

balanoposthitis due to bovine herpesvirus 1

hyperemia, swelling, vesicles, pustules, ulcers

Term
describe fibropapillomas of the external male repro system
Definition

painful lesion in young, sexually mature bulls

caused by  papilloma virus

Term
describe squamous cell carcinomas of the male external repro system
Definition
  • ulcerated to raised cauliflower mass extending into deeper tissues
  • locally destructive and invasive
  • can spread to regional lymph nodes
Term
[image]
Definition

squamous cell carcinoma 

epithelial sheets wtih keratin forming swirled pearls

Term
describe transmissible venereal tumors including where on the body they are found, gender susceptibility, and genetic abnormality
Definition
  • cauliflower-like soft growths on genitals and face/nasal cavity
  • 59 chromosomes vs normal dog (78)
  • female more susceptible
Term
what are the four layers of the epidermis?
Definition

stratum corneum

stratum granulosum

stratum spinosum

stratum basale

Term

what is acanthosis?

what is acantholysis?

which causes lichenification?

Definition
  • acanthosis: epidermal hyperplasia. causes lichenification
  • acantholysis: loss of cohesion between keratinocytes due to cell to cell attachment breakdown

 

Term
what are the patterns of epidermal hyperplasia?
Definition

regular

irregular

papillated

pseudocarcinomatous

Term

what is hyperkeratosis?

what are the two types?

Definition
  • increased width of stratum corneum
  • Orthokeratotic-normal epidermis, lots of keratin, nuclei are gone in keratinocytes
  • Parakeratotic-keratinocytes have retained their nuclei, so keratin formation is abnormal, often due to hepatic disease.  (superficial necrolytic dermatitis)

 

 

Term
what is dyskeratosis?
Definition

premature keratinization of cells of epidermis

often seen with parakeratosis

Term
A.[image] B. [image]
Definition

A. orthokeratosis

B. parakeratosis

Term
what are the two types of epidermal necrosis?
Definition

full thickness

apoptosis (single or cluster of cells)

Term
serpiginous erosions are characteristic of what?
Definition
erythema multiforme
Term

what is mycosis fungoides?

what is the classic lesion on histology?

Definition

T cell lymphoma

Pautrier's microabscesses

Term
[image]
Definition
cutaneous atrophy
Term
acantholysis is due to what broad causes?
Definition
  • type II hypersensitivity
  • enzymatic destruction
Term
what lesions form as secondary lesions to primary pustules?
Definition
crusts
Term
in epidermal-dermal separation, what is the general cause, and what are the primary and secondary lesions?
Definition

immune mediated

primary=vesicle

secondary=ulcer

Term
hypopigmentation is due to what?
Definition

damage to melanocytes or basement membrane zone

defects in formation of melanin or lack of melanocytes

Term
what is furunculosis?
Definition
wall of follicle is destroytd by infiltrate and contents of hair follicle are in the dermis
Term
what are the three main causes of folliculitis?
Definition
Staph, Dermatophytes, Demodex
Term
[image]
Definition

calcinosis cutis

mineral deposition

Term
what causes vasculitis? (5)
Definition
        1. thrombosis
        2. ischemia
        3. edema
        4. hemorrhage
        5. atrophy
Term

perivascular dermatitis suggests what?

what can also be found? 

Definition

hypersensitivity

 

can have eosinophils, irregular epidermal hyperplasia, ortho or parakeratotic, ulceration

Term
what is interface dermatitis?
Definition
    • Hydropic degeneration/apoptosis in basal layer
    • Band of lymphs, plasma cells, macs at the epidermal/dermal junction
    • Pigmentary incontinence
    • cytotoxic T cell attack on keratinocytes or melanocytes or basement membrane
    • non-immune mediated damage
Term
[image]
Definition
interface dermatitis
Term
what is the difference grossly in testicular hypoplasia vs atrophy?
Definition

in hypoplasia, the epididymis will be proportional to the testis. in atrophy, the testis will be small

 [image]

Term
[image]
Definition

uveodermatologic syndrome

VKH

(akitas)

Term
if vasculitis is multicentric, where will the lesions most likely be?
Definition
tail, footpads, ears
Term
what are the differentials for nodular to diffuse dermatitis?
Definition

zygomycetes

acid fast bacteria

parasites

protozoans

pythium/lagenidium

algae

idiopathic

foreign material 

neoplasms

Term
what are the three levels of vesicules or pustules, and what are some diseases that cause them?
Definition
  • Subcorneal – superficial pyoderma, pemphigus foliaceus
  • Suprabasilar – pemphigus vulgaris
  • Subepidermal – bullous pemphigoid, SLE, TEN, burns, EB
Term
A cat presents with mammary glands surrounded by fibrous tissue. what is the likely cause?  what is the treatment?
Definition

mammary fibroadenomatous hyperplasia

more common than mammary carcinoma in cats. 

spay and it may resolve

Term
what could cause panniculits?
Definition

same agents as nodular to diffuse disease

part of systemic disease like pancreatitis

Term
[image]
Definition
panniculitis
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