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VETERINARY-Bone necrosis and inflammation

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Question
Answer
Name 5 causes of bone necrosis   1)Vascular disruption following fracture 2) Acute inflammation 3) Infiltrating neoplasms 4) Thromboembolism 5) Peripheral vasoconstriction (ergotism)  
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A large fragment of necrotic bone is referred to as what?   A sequestrum  
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Necrotic bone is resorbed by osteoclasts. True or False?   True  
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Why are large fragments of necrosis difficult for osteoclasts to reabsorb?   Large fragments can only be resorbed from the outside margins of the sequestrum  
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Name 3 factors which influence the healing of necrotic bone   1)Volume of dead bone 2)Status of blood supply 3) Presence of infection  
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A layer of granulation tissue and reactive bone, which attempts to wall off the sequestrum, is referred to as what?   An involucrum  
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What is Legg-Calve-Perthes disease?   A syndrome characterised by avascular necrosis of the femoral head (occurs in small dog breeds)  
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What is the pathogenesis of Legg-Calve-Perthes disease?   Blood vessels to femoral head travel along neck before entering bone. In susceptible breeds, the vessels remain superficial and venous drainage may be impaired by increased intra-articular pressure (synovitis). Infarction of femoral head occurs  
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What do osteitis, osteomyelitis, and periostitis refer to?   A general term for bone inflammation, inflammation originating in the medullary cavity, and inflammation originating in the periosteum respectively  
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Tearing of ligamentous insertions can lead to exostoses. True of False?   True-large exostoses may interfere with function such as "splints" on metacarpal bones of horses  
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Are bacterial infections in bones common in horses and production animals?   Yes-usually hematogenous + centered on medullary cavity  
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Can compound fractures lead to bacterial osteomyelitis?   Yes especially dogs and cats  
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What are the predilection sites for bacterial osteomyelitis?   Bacteria most frequently localise at sites of active endochondral ossification in metaphyses + epiphyses of long bones and vertebral bodies  
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What species does "lumpy jaw" or mandibular osteomyelitis usually occur in?   Cattle  
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Which parasite usually causes mandibular osteomyelitis?   Actinomyces bovis  
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What is the pathogenesis of mandibular osteomyelitis?   Oral mucosal injury-Actinomyces bovis gains entry to bone via lymyphatics-induces chronic pyogranulomatous inflammatioin-progressive mandibular enlargment as a response to the inflammation  
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Name 2 fungi that can cause osteomyelitis   Cryptococcus neoformans and Paecilomyces sp  
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What is another name for hypertrophic osteodystrophy   Metaphyseal osteopathy  
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Canine metaphyseal osteopathy is a disease of young, fast growing, large/giant breed dogs of 3-6 months. True or False?   True  
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List characteristics of canine metaphyseal osteopathy   Swelling and pain in metaphyseal regions of long bones (esp radius + ulna), accompanied by fever, anorexia, may have diarrhea  
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What is a likely cause of canine metaphyseal osteopathy?   Most likely bacterial in origin, possibly following a period of neutropenia or impaired neutrophil function. Early infection characterised by suppurative inflammation  
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Craniomandibular osteopathy is what sort of disease?   Hyperostotic diesease  
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What does hyperostosis mean?   Excess new bone formation  
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When is an excess of new bone growth normal?   Trauma, infection, nutritional imbalances, neoplasia  
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What bones are effected in a craniomandibular osteopathy?   Mandible, occipital, and temporal bones are primarily involved  
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What breed of dog is commonly affected by craniomandibular osteopathy?   West Highland white terriers  
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Hypertrophic osteopathy is characterised by diffuse periosteal new bone formation along diaphyses + metaphyses of certain long bones. True of False?   True-Associated with chronic inflammatory or neoplastic disease in the thoracic cavity (occasionally in the abdomen)  
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What range of thoracic lesions may be involved in hypertrophic osteopathy?   1* or 2* neoplasms, granulomatous inflammation of lungs +/- lymph nodes  
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Hypertrophic osteopathy has been associated with bladder tumors in dogs and ovarian tumors in horses. True of False?   True-bone lesions resolve if thoracic lesions are removed  
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What are possible causes of hypertrophic osteopathy?   Possibilities include hypoxia, AV shunting, neurogenic + humeral mechanisms, stimulation of extra-renal volume receptor system  
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