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DISEASES OF
THE BUCCAL
CAVITY AND
ASSOCIATED
ORGANS
1. DISEASES OF MUZZLE
2. DISEASES OF THE SALIVARY GLAND
3. DISEASES OF THE PHARYNX AND ESOPHAGUS
CONTENTS
DISEASES OF MUZZLE
• Stomatitis
4
Stomatitis
• Inflammation of oral mucosa which include glossitis,palatitis and gingivitis
1
2
Key Word
Clinically characterized
Loss of appetite
smacking of lips
profuse salivation, etc..
Etiology
Physical agents
o Trauma
o Laceration of the tongue
o Foreign body injury
o Malocclusion of teeth
o Spines on plants
o Eating frozen feed and drinking hot
water
Chemical agents
o Irritant drugs & substances
(Chloral hydrate, Phenolic compounds)
o Systemic poisoning
(Mercury, Bracken fern)
Infectious agents
oOral necrobacillosis
oActinobacillosis
oRhinosporidiosis
oPapillomatosis
Stomatitis (cont..)
5
• Anorexia ( partial / complete )
• Painful mastication
• Chewing movements
• Smacking of lips
• Frothy or profuse drooling of saliva with
epithelial threads
• Foetid odour
• Enlargement lymphnodes
• Swelling of face
• Toxemia (secondary)
3 Clinical findings
6
4
Stomatitis (cont..)
Treatment
o Affected animals should be isolated, fed and watered from separate utensils
(if infectious agent is suspected)
o Provide specific treatment based on etiology
o Nonspecific treatment- application of a mild antiseptic collutory
( 2% solution of copper sulfate / 2 % borax / 1 % suspn sulfonamide in glycerin)
o Antibiotics
o I/V alimentation
o Cauterization with a silver nitrate stick / tincture iodine
DISEASES OF THE
SALIVARY GLAND
• Parotitis
Parotitis
8
ETIOLOGY
PATHOGENESIS
SYMPTOMS
TREATMENT
Parotitis is inflammation of any of the salivary glands
• Localization of a blood
borne Infection
(Sporadically)
• Irritation
• Salivary calculi
• Avitaminosis
• Penetrating wounds
ETIOLOGY
• Only one gland involved
• No loss of salivary function
• Signs are restricted to
inflammed gland
PATHOGENESIS
• Early stages,
enlargement of gland
• Warmth
• Pain on palpation
• Local edema
SYMPTOMS
• Systemic treatment with
sulfonamides or antibiotics
• Abscesses may require
draining
TREATMENT
DISEASES OF THE PHARYNX
AND ESOPHAGUS
• Pharyngitis
• Pharyngeal obstruction
• Pharyngeal paralysis
• Esophagitis
• Esophageal obstruction
Pharyngitis
10
Inflammation of pharynx
(Coughing, painful swallowing, variable appetite, regurgitation through the nostrils, drooling of saliva)
1. Physlcal :
 Injury during oral medication
 Endotracheal intubation
 Improper administration of reticular magnet
 Accidental ingestion of irritant, hot /cold substances
2. lnfectious:
 Oral necrobacillosis
 Actinobacillosis
 IBR
 Pharyngeal phlegmon
ETIOLOGY
• Inflammation of pharynx led to painful swallowing
and disinclination to eat
• Swelling of mucosa and wall is severe- virtual
obstruction of pharynx (RP lymph node enlarged)
PATHOGENESIS
11
 Refuse to eat or drink
 Manual compression of throat from exterior causes paroxysmal coughing
 Mucopurulent nasal discharge contains blood and spontaneous cough
 Regurgitation of fluid and food through nostrils
 Stand with head extended
 Drool saliva
 Tentative jaw movements
 If local swelling is severe, there may be obstruction of respiration
 Visible swelling of the throat
 Retropharyngeal and parotid lymph nodes enlarged
CLINICAL FINDINGS
Pharyngitis (cont..)
12
Pharyngitis (cont..)
Treatment
Diagnosis
Culture and sensitivity
visual examination of the pharynx
(hyperemia, lymphoid, hyperplasia and erosions)
Palpation of the pharynx
(Presence of accumulated ruminal ingesta in diverticulae on either side of the glottis)
Endoscopy
Ultrasonographic examination
Antibiotics
Fluids
Surgery
Pharyngeal obstruction
13
Accompained by stertorous respiration, coughing and difficult swallowing
Foreign bodies or tissue swellings are the usual causes
ETIOLOGY
Reduction in caliber of the pharyngeal lumen interferes with swallowing and respiration
PATHOGENESIS
CLINICAL FINDINGS
Painful swallowing, snoring respiration (head from outside), Auscultation – inspiratory stertor
DIAGNOSIS
Tuberculin test
14
Pharyngeal obstruction (cont..)
TREATMENT
 Removal of foreign body
 Actinobacillosis - Iodine
 Antibiotics and anti-inflammatory agents
 Surgical treat in abscess condition
Pharyngeal paralysis
15
Inability to swallow, absence of signs of pain and respiratory obstruction
Peripheral nerve injury
o Trauma to the throat region
Secondary to specific diseases
o Rabies and other encephalitides
o Botulism
ETIOLOGY
o Inability to swallow and regurgitation
o Associated laryngeal paralysis - accompanied by 'roaring'
o Cud-dropping - partial pharyngeal paralysis
PATHOGEN ESIS
Pharyngeal paralysis (cont..)
16
CLINICAL FINDINGS
o Dropping of food from mouth
o Coughing
o Regurgitation through the nostrils
o Salivation
o Swallowing cannot be stimulated
o Pneumonia may follow aspiration (gurgling sounds - auscultation)
TREATMENT
o Local application of heat may be attempted
o Feeding by nasal tube
o Intravenous alimentation
Esophagitis
17
ETIOLOGY
Inflammation of the esophagus
o Chemical or physical irritant
o Laceration of mucosa foreign body
o Gastro- esophageal reflex during anaesthesia
o Administration of sustained release anthelmintic boluses
PATHOGENESIS
o Inflammation of the esophagus combined
o Local edema and swelling - functional obstruction – difficulty swallowing
o Traumatic injury – edema – hemorrhage laceration of mucosa
o Perforation of esophagus - periesophageal cellulitis
o Perforation of the thoracic esophagus – pleuritis
o Extensivecellulitis - presence of ingest - severe toxemia
o Dysphagia cause aspiration pneumonia.
18
Esophagitis (cont..)
DIAGNOSIS
o Endoscopy
o Marked neutrophilia
TREATMENT
o Feed should withheld for 2-3 days
o Fluid and electrolyte therapy
o Antimicrobials
o Moistened feed to be fed
CLINICAL FINDINGS
o Salivation
o Attempts to swallow - cause severe pain
o Regurgitation, coughing, pain, retching activities
o Vigorous contractions (cervical and abdominal muscles)
o Local pain and swelling
Esophageal obstruction
19
1 2
Acute Chronic
Inability to swallow, regurgitation of feed and water, continuous drooling of saliva and bloat
ETIOLOGY
Intraluminal
Swallowed material
Solid obstructions
Trichobezoar
Extraluminal
Tuberculous/ neoplastic lymph Nodes (base of lung)
Cervical or mediastinal abscess
Persistent right aortic arch
Thymoma
Esophageal paralysis
Megaesophagus
Esophageal strictures
Carcinoma of stomach
20
Esophageal obstruction (cont..)
PATHOGENESIS
o Physical inability to swallow
o Inability to eructate results bloat
o Complications – rupture, esophagitis, stricture, diverticulum
CLINICAL FINDINGS
Acute obstruction or choke
o Suddenly stops eating
o Shows anxiety and restlessness
o Forceful attempts to swallow
o Regurgitate, salivation, coughing
o Continuous chewing movements
o Bloating occurs ( complete)
o Ruminal movements are continuous and forceful
o Systolic murmur audible on auscultation of heart
Other than bloat will
disappear in few hours
(relaxation of initial
spasm)
21
Esophageal obstruction (cont..)
Chronic obstruction
No acute signs
Earliest sign is chronic bloat
Rumen contractions in normal range
Swallowing movements - usually normal
Dilatation of the esophagus - pronounced swelling - base of neck
Swelling at the stenotic area - when ingest food
Esophageal diverticulum - Projectile expulsion of ingested food
Paralysis of the esophagus, regurgitation does not occur but
esophagus fills, overflows, and saliva drools
Diagnosis
o Symptoms
o Radiographic examination - site of stenosis, diverticulum or dilatation
o Radiographic examination – barium
o Fiberoptic endoscope
o Electromyography
22
Esophageal obstruction (cont..)
Treatment
Conservative approach
Sedation
Acepromazine 0.05 mg/kg BW I/V
Xylazine 0.5-1.0 mg/kg BW I/V
Detomidine 0.01-0.02 mg/kg BW I/V
Romifidine 0.04-0.12 mg/kg I/V
Flunixin meglunin 1.1 mg/kg BW
Phenylbutazone 2.4 mg/kg
Butorphanol 0.02 — 0.1 mg/kg
Pass stomach tube and allow object to move into stomach
Removal by endoscope
Manual removal through oral cavity in cattle
Surgical removal
.
Thank You

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disease of mouth and associated structures.pptx

  • 1. DISEASES OF THE BUCCAL CAVITY AND ASSOCIATED ORGANS
  • 2. 1. DISEASES OF MUZZLE 2. DISEASES OF THE SALIVARY GLAND 3. DISEASES OF THE PHARYNX AND ESOPHAGUS CONTENTS
  • 4. 4 Stomatitis • Inflammation of oral mucosa which include glossitis,palatitis and gingivitis 1 2 Key Word Clinically characterized Loss of appetite smacking of lips profuse salivation, etc.. Etiology Physical agents o Trauma o Laceration of the tongue o Foreign body injury o Malocclusion of teeth o Spines on plants o Eating frozen feed and drinking hot water Chemical agents o Irritant drugs & substances (Chloral hydrate, Phenolic compounds) o Systemic poisoning (Mercury, Bracken fern) Infectious agents oOral necrobacillosis oActinobacillosis oRhinosporidiosis oPapillomatosis
  • 5. Stomatitis (cont..) 5 • Anorexia ( partial / complete ) • Painful mastication • Chewing movements • Smacking of lips • Frothy or profuse drooling of saliva with epithelial threads • Foetid odour • Enlargement lymphnodes • Swelling of face • Toxemia (secondary) 3 Clinical findings
  • 6. 6 4 Stomatitis (cont..) Treatment o Affected animals should be isolated, fed and watered from separate utensils (if infectious agent is suspected) o Provide specific treatment based on etiology o Nonspecific treatment- application of a mild antiseptic collutory ( 2% solution of copper sulfate / 2 % borax / 1 % suspn sulfonamide in glycerin) o Antibiotics o I/V alimentation o Cauterization with a silver nitrate stick / tincture iodine
  • 7. DISEASES OF THE SALIVARY GLAND • Parotitis
  • 8. Parotitis 8 ETIOLOGY PATHOGENESIS SYMPTOMS TREATMENT Parotitis is inflammation of any of the salivary glands • Localization of a blood borne Infection (Sporadically) • Irritation • Salivary calculi • Avitaminosis • Penetrating wounds ETIOLOGY • Only one gland involved • No loss of salivary function • Signs are restricted to inflammed gland PATHOGENESIS • Early stages, enlargement of gland • Warmth • Pain on palpation • Local edema SYMPTOMS • Systemic treatment with sulfonamides or antibiotics • Abscesses may require draining TREATMENT
  • 9. DISEASES OF THE PHARYNX AND ESOPHAGUS • Pharyngitis • Pharyngeal obstruction • Pharyngeal paralysis • Esophagitis • Esophageal obstruction
  • 10. Pharyngitis 10 Inflammation of pharynx (Coughing, painful swallowing, variable appetite, regurgitation through the nostrils, drooling of saliva) 1. Physlcal :  Injury during oral medication  Endotracheal intubation  Improper administration of reticular magnet  Accidental ingestion of irritant, hot /cold substances 2. lnfectious:  Oral necrobacillosis  Actinobacillosis  IBR  Pharyngeal phlegmon ETIOLOGY • Inflammation of pharynx led to painful swallowing and disinclination to eat • Swelling of mucosa and wall is severe- virtual obstruction of pharynx (RP lymph node enlarged) PATHOGENESIS
  • 11. 11  Refuse to eat or drink  Manual compression of throat from exterior causes paroxysmal coughing  Mucopurulent nasal discharge contains blood and spontaneous cough  Regurgitation of fluid and food through nostrils  Stand with head extended  Drool saliva  Tentative jaw movements  If local swelling is severe, there may be obstruction of respiration  Visible swelling of the throat  Retropharyngeal and parotid lymph nodes enlarged CLINICAL FINDINGS Pharyngitis (cont..)
  • 12. 12 Pharyngitis (cont..) Treatment Diagnosis Culture and sensitivity visual examination of the pharynx (hyperemia, lymphoid, hyperplasia and erosions) Palpation of the pharynx (Presence of accumulated ruminal ingesta in diverticulae on either side of the glottis) Endoscopy Ultrasonographic examination Antibiotics Fluids Surgery
  • 13. Pharyngeal obstruction 13 Accompained by stertorous respiration, coughing and difficult swallowing Foreign bodies or tissue swellings are the usual causes ETIOLOGY Reduction in caliber of the pharyngeal lumen interferes with swallowing and respiration PATHOGENESIS CLINICAL FINDINGS Painful swallowing, snoring respiration (head from outside), Auscultation – inspiratory stertor DIAGNOSIS Tuberculin test
  • 14. 14 Pharyngeal obstruction (cont..) TREATMENT  Removal of foreign body  Actinobacillosis - Iodine  Antibiotics and anti-inflammatory agents  Surgical treat in abscess condition
  • 15. Pharyngeal paralysis 15 Inability to swallow, absence of signs of pain and respiratory obstruction Peripheral nerve injury o Trauma to the throat region Secondary to specific diseases o Rabies and other encephalitides o Botulism ETIOLOGY o Inability to swallow and regurgitation o Associated laryngeal paralysis - accompanied by 'roaring' o Cud-dropping - partial pharyngeal paralysis PATHOGEN ESIS
  • 16. Pharyngeal paralysis (cont..) 16 CLINICAL FINDINGS o Dropping of food from mouth o Coughing o Regurgitation through the nostrils o Salivation o Swallowing cannot be stimulated o Pneumonia may follow aspiration (gurgling sounds - auscultation) TREATMENT o Local application of heat may be attempted o Feeding by nasal tube o Intravenous alimentation
  • 17. Esophagitis 17 ETIOLOGY Inflammation of the esophagus o Chemical or physical irritant o Laceration of mucosa foreign body o Gastro- esophageal reflex during anaesthesia o Administration of sustained release anthelmintic boluses PATHOGENESIS o Inflammation of the esophagus combined o Local edema and swelling - functional obstruction – difficulty swallowing o Traumatic injury – edema – hemorrhage laceration of mucosa o Perforation of esophagus - periesophageal cellulitis o Perforation of the thoracic esophagus – pleuritis o Extensivecellulitis - presence of ingest - severe toxemia o Dysphagia cause aspiration pneumonia.
  • 18. 18 Esophagitis (cont..) DIAGNOSIS o Endoscopy o Marked neutrophilia TREATMENT o Feed should withheld for 2-3 days o Fluid and electrolyte therapy o Antimicrobials o Moistened feed to be fed CLINICAL FINDINGS o Salivation o Attempts to swallow - cause severe pain o Regurgitation, coughing, pain, retching activities o Vigorous contractions (cervical and abdominal muscles) o Local pain and swelling
  • 19. Esophageal obstruction 19 1 2 Acute Chronic Inability to swallow, regurgitation of feed and water, continuous drooling of saliva and bloat ETIOLOGY Intraluminal Swallowed material Solid obstructions Trichobezoar Extraluminal Tuberculous/ neoplastic lymph Nodes (base of lung) Cervical or mediastinal abscess Persistent right aortic arch Thymoma Esophageal paralysis Megaesophagus Esophageal strictures Carcinoma of stomach
  • 20. 20 Esophageal obstruction (cont..) PATHOGENESIS o Physical inability to swallow o Inability to eructate results bloat o Complications – rupture, esophagitis, stricture, diverticulum CLINICAL FINDINGS Acute obstruction or choke o Suddenly stops eating o Shows anxiety and restlessness o Forceful attempts to swallow o Regurgitate, salivation, coughing o Continuous chewing movements o Bloating occurs ( complete) o Ruminal movements are continuous and forceful o Systolic murmur audible on auscultation of heart Other than bloat will disappear in few hours (relaxation of initial spasm)
  • 21. 21 Esophageal obstruction (cont..) Chronic obstruction No acute signs Earliest sign is chronic bloat Rumen contractions in normal range Swallowing movements - usually normal Dilatation of the esophagus - pronounced swelling - base of neck Swelling at the stenotic area - when ingest food Esophageal diverticulum - Projectile expulsion of ingested food Paralysis of the esophagus, regurgitation does not occur but esophagus fills, overflows, and saliva drools Diagnosis o Symptoms o Radiographic examination - site of stenosis, diverticulum or dilatation o Radiographic examination – barium o Fiberoptic endoscope o Electromyography
  • 22. 22 Esophageal obstruction (cont..) Treatment Conservative approach Sedation Acepromazine 0.05 mg/kg BW I/V Xylazine 0.5-1.0 mg/kg BW I/V Detomidine 0.01-0.02 mg/kg BW I/V Romifidine 0.04-0.12 mg/kg I/V Flunixin meglunin 1.1 mg/kg BW Phenylbutazone 2.4 mg/kg Butorphanol 0.02 — 0.1 mg/kg Pass stomach tube and allow object to move into stomach Removal by endoscope Manual removal through oral cavity in cattle Surgical removal .