Introduction to Veterinary Medicine. Health? Disease?

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Introduction to Veterinary Medicine

Transcript of Introduction to Veterinary Medicine. Health? Disease?

Page 1: Introduction to Veterinary Medicine. Health? Disease?

Introduction to Veterinary Medicine

Page 2: Introduction to Veterinary Medicine. Health? Disease?

• Health?

• Disease?

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• Health: physical, physiological and mental well-being of an individual.

• Disease: – Dis= away; ease= comfort. – Any deviation from the normal.

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What is normal ?

• Normal temperature range for the domestic animals?

• Normal respiration rate of domestic animals ?

• Normal pulse rate/heart rate of animals ?

• Normal haemoglobin count in domestic animals?

• ?

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General medicine

• Medicine: the science of treating diseases- the healing art.

• Veterinary medicine: diagnosis, treatment, prevention and general study of animals’ diseases.

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How is the profession different from that of a medical profession?

• Animal patients cannot express its feelings.

• Wrong statement about the animal’s

illness

• Do not cooperate while examination.

• Different structures and functions of

body systems in different species

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Branches of VM

• Preventive veterinary medicine– measures to maintain the health when the disease is

imminent. – Deals with measures to control and prevent animal

diseases.

• Clinical veterinary medicine – bed-side medicine, internal medicine, curative medicine

– making a correct diagnosis, remedial and curative measures against diseases of animals

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General clinical conditions

Conditions which are not confined to any particular diseases or organ/system.

Their manifestation could cut across all the organs/systems.

– Toxaemia – Fever – Anaemia– Oedema – Dehydration

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Toxaemia

• Toxins in the blood– wide spread activation of host defense mechanism– skin, WBCs, mucous membranes, mucous,

secretions, saliva, anotibodies, lymphocytess, neutrophil, etc…

– Diseases due to toxins from plants or insects, or ingested poison- NOT toxaemia

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Etiology

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• Depression, anorexia, and muscular weakness• Tachycardia (increased heart rate) with weak and

rapid pulse• Fever initially but later temperature drops to normal

or subnormal- cool skin and extremities• Congested mucosa with an increased capillary refill

time • Muscular weakness leading to recumbency

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Treatment

• Removal of foci of infection

• Fluid and electrolyte therapy

• Antimicrobials

• NSAIDs

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Recovery?

• Correction of the peripheral vasoconstriction

• Restoration of an acceptable pulse quality

• Return of urine output

• Return of central venous pressure and arterial blood pressure

• Restoration of cardiac output.

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Fever

• Fever?

• Denotes the elevation of body temperature regardless of environmental temperature

• A general reaction of the body to the action of harmful agents or pyrogens.

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Etiology• Microbes- bacteria, viruses• Foreign bodies • Chemicals, and • Immune reaction

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Infections

Release exogenous pyrogens

Release leukocytes

Release endogenous pyrogens

Stumulate anterior hypothalamus

Fever

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Clinical signs

• Dullness- lowering of head, drooping of ear and

disinclination to move.

• Inappetance, increased thirst, constipation

• Erection of hair, dry muzzle, congested mucous

membrane

• Coloured urine, shivering, rapid respiration

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Management of fever

• High calorie diet.• Antipyretics- prostaglandin inhibitors such as

acetyle salicylic acid.– Other antipyretics?

• Antibiotics?• Phenothiazine groups of drugs to sedate

thermoregulatory centre• Fluid therapy • Glucocorticoids

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Anaemia

• Anaemia?

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Anaemia

• Anaemia?

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Types and etiology

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Pathogenesis

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Clinical signs

??

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Clinical signs

• Paleness of mucous membrane• Muscular weakness and lethargy.• Inappetance• Tachycardia• Laboured breathing in later stages• Shock.

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Treatment

• Correction of primary cause.

• Haematinics

• Inj.Vitamin B complex with liver extract.

• Whole blood transfusion or plasma extenders like

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Oedema

• Excessive accumulation of fluid in the tissue space involving a disturbance in the mechanism of fluid exchange in tissues.

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Types of oedema

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Other types of oedema

• Nutritional oedema• Mammary oedema• Allergic oedema• Obstructive oedema• Vitamin A deficiency oedema

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Clinical signs and diagnosis?

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Treatment

• Correction of primary cause• Diuretics - Frusemide inj. @ 0. 4-4.44 mg/kg BW BID• Protein rich diet• Salt free diet• Rest• Amino acids• Corticosteriods

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Dehydration

Body water=water intake + metabolic water = water loss through urine, sweat, faeces and respiration

Water intake dehydration

Water excretion dehydration

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Causes for dehydration

Reduced water intake• Deprivation of water• Decrease thirst• Inability to drink

Increased water excretion• Acute gastro-enteritis• Polyuria due to

nephritis.• Sweating• Skin injury and burns• Purgative/cathartics,

diuretic , corticosteroid therapies

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Clinical signs

• Sunken eyeball• Dry mucous membrane• Loss of skin elasticity• Lethargy• Increased capillary refill time• Twitching of muscles

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Diagnosis

• From clinical signs

• Laboratory examination involves looking at the Blood picture. Increase in Packed Cell Volume (PVC) indicates dehydration.

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Dehydration (%)

Sunken eyes Retention of skin fold (sec)

H/crit value (%)

Fluid required (ml/kg b.wt)

4-8 (Mild ) Not sunken 40-45 15-25

6-8 (Moderate)

Barely visible

2-4 50 30-50

8-10 (severe) Pronounced 6-10 55 50-80

> 10 (Shock) More pronounced

20-45 60 80-100

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Treatment

• Rehydration Therapy:- Inj. Dextrose, Dextrose Normal saline (DNS) - 10-15 ml/ kg b.wt - slow i/v.- Oral administration of fluid.

• Inj. Corticosteriods- i/v or i/m.• Treatment of primary cause.