Ferrets Flashcards

(481 cards)

1
Q

Which organ do ferrets lack?
A) gall bladder
B) cecum
C) appendix
D) b&c

A

D) b&c

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2
Q

Which glands affect behavior in ferrets?

A

anal sacs, proctodeal glands that open into the rectum, preputial glands that release secretions into the preputial skin, and sebaceous glands all over the body.

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3
Q

What color can ferrets see?
A) red
B) blue
C) yellow
D) green

A

A) red - colorblind to blue, yellow, and green

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4
Q

Does the ferret vomeronasal organ change during breeding season?
A) changes in size
B) changes in structure
C) no changes

A

C) no changes
The VMO plays minimal role in breeding behavior of ferrets

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5
Q

When does ferret “imprinting” on food occur?

A

Between 2 and 4 months of age, ferrets establish food preferences and the odors associated with these preferred foods. This critical period occurs concomitantly with morphological changes in the granules of the olfactory bulb.

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6
Q

What age and sex of ferrets are most likely to engage in play behavior?

A

Play is at its maximum level between 6 and 14 weeks and males tend to be more playful than females.

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7
Q

Housing unfamiliar ferrets side by side for 2 weeks prior to introducing them to each other:
A) increases aggression
B) decreases aggression
C) does not change aggressive behavior

A

C) does not change aggressive behavior

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8
Q

Which of the following is associated with ferret play behavior?
A) intermittent neck biting
B) sideways attack
C) screaming

A

A) intermittent neck biting
There are four patterns of behavior that occur during adult aggression that have not been documented during play: the sustained neck bite, sideways attack, the defensive threat, and screaming.

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9
Q

Chemical castration is ____ effective than surgical castration at inhibiting aggressive behavior in ferrets.
A) more
B) less
C) equally

A

A) more

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10
Q

Ferrets engage in a _____ mating system.
A) polyandrous
B) polygynous
C) polydactylous

A

B) polygynous
(Males mate with many females)

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11
Q

At what age are ferrets sexually mature?
A) 3-4 months
B) 4-6 months
C) 8-12 months

A

C) 8-12 months

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12
Q

What is hob mating season and what is Jill mating season?

A

hobs will mate from December to July, while jill breeding season is from March to August.

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13
Q

What is the ferret gestation length and what is the maximum number of litters possible per year?
A) 33 days, 2 litters
B) 42 days, 3 litters
C) 60 days, 2 litters

A

B) 42 days, 3 litters
(Two litters is more common)

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14
Q

When do ferret kits’ eyes and ears open?

A

By 4-5 weeks of age

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15
Q

When do ferret kits begin eating solid food?

A

4-5 weeks, fully weaned by 5-6 weeks

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16
Q

What is the gi transition time of ferrets?

A

On a carnivorous diet, 148–219 minutes.

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17
Q

How much do ferrets need to eat to maintain body weight?

A

Approximately 90–140 kcal per pound of body weight per day

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18
Q

How many meals per day will ferrets eat if given ad libitum access?

A

one study of two adult hobs demonstrated that, given free access to food, they ate 9–10 small meals per day.

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19
Q

How much water should an adult ferret consume per day?

A

1/2 cup of water (~118 ml)

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20
Q

What is the most common behavioral problem(s) reported in ferrets?

A

Nipping and failure to litter train
36% of the ferrets in a retrospective study of ferrets adopted from a teaching hospital had behavioral issues

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21
Q

How many salivary glands do ferrets have?

A

Total of 10 (five paired salivary glands), including the zygomatic, parotid, submandibular, sublingual, and molar glands

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22
Q

What is the gi transit time of ferrets?
A) 2-4 hrs
B) 1-3 hrs
C) 30-90 min

A

A) 2-4 hours

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23
Q

Describe the intestinal anatomy of ferrets?

A

Duodenum, jejunoileum, colon

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24
Q

Which of the following do ferrets have?
A) cecum
B) appendix
C) gallbladder
D) ileocolic junction

A

C) gallbladder

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25
How many teeth do ferrets have?
Ferrets have 28–30 deciduous teeth, as the second mandibular molars may be congenitally absent in some animals. Supernumerary teeth may also be found on occasion between the first and second maxillary incisors.
26
What type of oral tumor is more commonly diagnosed in ferrets?
Squamous cell carcinoma
27
What does the clinical sign of pawing at the mouth indicate in ferrets?
Nausea, possibly foreign body
28
What is the clinical significance of salivary glands microliths in ferrets?
Salivary gland microliths may be seen in the parotid glands of ferrets and are not usually associated with inflammation or ductal obstruction, although focal acinar cell degeneration may be present. Microliths in ferrets are ​less calcified compared with those occurring in cats or humans and may induce less local irritation because of this.
29
Salivary gland mucoceles in ferrets are generally caused by:
Mucoceles are rarely reported and are thought to occur secondary to trauma. They may result in concurrent periorbital swelling, exophthalmos, and prolapse of the third eyelid or soft, fluctuant cervical swellings, depending upon which gland is involved.
30
What is the etiology of mega esophagus in ferrets?
Unknown. More common causes of acquired megaesophagus include myasthenia gravis, intrathoracic esophageal or mediastinal obstruction (e.g., thymoma, mediastinal lymphosarcoma, esophageal foreign body), lead intoxication, tetanus, botulism, and hypoadrenocorticism.
31
What pathological signs may be seen in ferrets with mega esophagus in addition to esophageal dilation?
Stasis of ingesta within the dilated esophagus may induce a mild suppurative esophagitis with focal erosions or ulcerations along the length of the esophagus, and secondary aspiration may occur resulting in a necrosuppurative bronchopneumonia of varying severity.
32
What disease has been confirmed as a cause of tetraparesis and mild megaesophagus in a ferret?
Myasthenia gravis has been documented in a young adult pet ferret presenting with flaccid tetraparesis and mild megaesophagus. The diagnosis was confirmed by the presence of antibodies to acetylcholine receptors.
33
What are some clinical causes of vomiting in ferrets?
Common causes for vomiting include Helicobacter mustelae infection, gastric ulceration from other causes, such as adverse stress ​or nonsteroidal anti-inflammatory drug administration, foreign body ingestion, gastric tumors, hepatic disease, or various enteric conditions, including enteric or systemic coronavirus infection and inflammatory bowel disease.
34
What organism is commonly diagnosed in pet ferrets from the age of 6 weeks and older and is a Gram-negative, microaerophilic and argyrophilic, urease-positive, spiral rod that has multiple sheathed flagellae at both ends?
Helicobacter mustelae
35
Hypersecretion of _______ can occur in Helicobacter mustelae-infected animals, likely a response to chronic gastric inflammation, and this may contribute to duodenal ulceration.
Gastrin
36
What is the most common clinical sign of H. mustelae?
Asymptomatic. Other clinical signs include bruxism, vomiting, melena, pallor, inappetence, abdominal tenderness, and weight loss. Infections may be longstanding but remain undetected until comorbidities, adverse stress, tumors, treatment with ulcerogenic therapeutics, or other conditions induce overt disease.
37
What pathology is seen with H. mustelae?
The pathology associated with Helicobacter infection is variable and dependent on the chronicity of infection, including gastroesophageal reflux, chronic gastritis, gastric and duodenal erosion and ulceration with or without perforation, gastric adenocarcinoma, and gastric mucosa-associated lymphosarcoma (MALT lymphosarcoma).
38
What ddx should be considered in enlarged gastric lymph nodes in ferrets?
H. mustelae with secondary gastric MALT (may be markedly expanded in chronic cases and there may be concurrent hyperplasia and reactivity of the gastric lymph node); primary lymphoma; gi foreign body
39
What type of stain can be used to identify H. mustelae?
Visualization of bacteria within the gastric glands or superficial mucus can be enhanced with a Warthin-Starry stain.
40
What is the most common site of low grade gastric adenocarcinoma in ferrets infected with H. mustelae?
The pylorus is the most common site and masses are characterized by nests of proliferating but well differentiated glandular epithelial cells with mild atypia and few mitoses, and marked dissecting fibrosis within a background of chronic lymphoplasmacytic inflammation. Tumors may extend into the underlying submucosa and bacteria may be present within areas of inflammation.
41
What is an infectious cause of B cell lymphosarcoma in ferrets?
As in humans infected with H. pylori, chronic infection with H. mustelae may result in B-cell lymphosarcomas of the gastric MALT, characterized by clonal expansion of neoplastic lymphocytes within the mucosa and submucosa with marked thickening and replacement of glandular cells and disruption of normal architecture.
42
What three neoplasias may be seen secondary to H. mustelae infection?
Gastric MALT, gastric adenocarcinoma, B-cell lymphosarcoma
43
What microscopic findings are expected for H. Mustelae infection?
Microscopic identification of short argyrophilic rods within gastric pits associated with antral or pyloric lymphoplasmacytic inflammation is highly consistent with H. mustelae infection.
44
Can H. mustelae be cured? If a ferret that is housed with other ferrets is diagnosed with H. mustelae, which treatment is recommended?
While ferrets can be cured of H. mustelae infection, they may become reinfected if exposed to Helicobacter-positive animals. This is particularly true for younger animals. Hence, all animals in a group-housed setting should be treated at the same time to completely eradicate the agent. New ferrets should be quarantined, tested for Helicobacter infection, and treated, if positive, prior to direct contact with a stable Helicobacter-negative group or colony.
45
What syndrome associated with overeating has been documented in black footed ferrets in zoos?
Gastric bloat with sudden death has been reported in black-footed ferrets in zoo settings. The condition is correlated with overeating resulting in secondary Clostridium perfringens type A overgrowth, elaboration of α toxin, and fatal enterotoxemia. Animals presented with marked gastric distension and dyspnea and died peracutely. Microscopic examination of gastric sections indicated ​acute mucosal erosion of the stomach and proximal small intestine with abundant Gram-positive bacilli blanketing the necrotic epithelium.
46
Are gastric ulcers in ferrets always associated with H. mustelae?
Gastric ulcers are also commonly found in ferrets negative for Helicobacter mustelae infection. Ulcers may occur spontaneously in animals experiencing stress secondary to systemic disease, management changes, or other factors.
47
What type of coronavirus is FECV and FSCV?
Group 1 coronavirus
48
What does ferret systemic coronavirus cause
FSCV may be associated with a progressive, fatal, systemic pyogranulomatous peritonitis and perivasculitis in ferrets. This FIP-like syndrome is now recognized as ferret systemic coronavirus-associated disease after positive identification by immunohistochemical labeling of intralesional macrophages for coronaviral particles and sequence analysis of the isolated ​virus. FRSCV-associated disease is typically seen in young adult ferrets and is almost invariably fatal.
49
How common are ferret enteric coronaviruses?
One study from Japan examining the prevalence of virus using PCR analysis of fecal samples from 79 pet ferrets determined that 56% of samples were positive.
50
What is morbidity and mortality of ECE?
ECE is characterized by a foul-smelling, bright green, mucoid diarrhea in association with lethargy, dehydration, and anorexia. ECE infection induces almost 100% morbidity but very low mortality. Clinical signs in juveniles are subclinical to mild, while adults are more severely affected. Despite this, the disease is often self-limiting with supportive care. Chronic malabsorptive clinical signs may persist or develop later in life in rare cases.
51
True or false: FSCV can present with watery green diarrhea
True. Ferrets with FIP-like disease may also present with similar signs of watery green diarrhea that progress to weight loss, severe anorexia and dehydration, depression, and eventually death, despite efforts at supportive care. Large, discrete abdominal masses and splenomegaly may be palpated in affected animals.
52
What is the typical progression of FSCV?
5 days to 2 weeks
53
What disease has the following signs on ferret necropsy? “Multifocal, miliary to 2 cm diameter nodules are seen on the serosa of the gastrointestinal tract, the capsules of other abdominal organs, within the mesentery in association with vasculature, as well as on the pleural surface of the lungs and diaphragm. Depending on the chronicity of infection, marked fibrinous to fibrous adhesions may be present between loops of bowel, hepatic lobes, and mesenteric lymph nodes. The spleen and mesenteric lymph nodes are often markedly enlarged, firm, and pale on cut section.”
Ferret systemic coronavirus
54
What are the two primary differential diagnoses for mesenteric lymphadenopathy in ferrets?
The primary differential diagnosis for mesenteric lymphadenopathy in a ferret is lymphosarcoma or ferret systemic coronavirus
55
What are the clinical pathology findings in ferrets with ferret systemic coronavirus?
Hematologic changes may include nonregenerative anemia, hypergammaglobulinemia, hypoalbuminemia, and thrombocytopenia. Coronavirus antigens can be detected within affected macrophages by immunohistochemistry. RT-PCR assay for specific virus spike proteins is used to differentiate between FRECV and FRSCV variants. Coronaviral particles may also be visualized in feces or affected tissue of infected ferrets by transmission electron microscopy.
56
What are differential diagnoses for hypergammaglobulinemia and/or abdominal masses in ferrets?
Aleutian disease, lymphosarcoma, chronic infection (e.g., proliferative colitis, helicobacteriosis), idiopathic splenomegaly, multiple myeloma, other neoplasms, and inflammatory bowel disease. For lymph nodes alone: also consider mycobacteria.
57
What group of rotaviruses cause disease in juvenile ferrets?
There are seven serogroups of rotavirus (A–G) but only Group C rotavirus has been definitively diagnosed in juvenile ferrets, in association with an outbreak of enteritis in juvenile animals. Affected kits were a week old and were thin and dehydrated, with distended abdomens.
58
What are ddx for neonatal ferrets with diarrhea?
Differential diagnoses for enteritis of young kits include rotavirus, colibacillosis, and coccidiosis
59
What is your top differential for a young ferret with rectal prolapse/tenesmus, chronic mucoid diarrhea, no fever, and normal eating/drinking/behavior? A) Giardia B) Proliferative colitis C) Eosinophilic gastroenteritis
B) Proliferative colitis (Lawsonia intracellularis). Animals with this condition are afebrile and generally maintain normal activity and eating patterns but have a persistent mucoid diarrhea. These ferrets may become dehydrated and lose body condition with time, and repeated tenesmus during defecation may result in rectal prolapse. Upon gross examination, the colon is turgid and thickened with a cobblestone appearance to the mucosa and mesenteric lymph nodes may be enlarged. Full thickness colonic biopsies or tissue sections demonstrate marked mucosal epithelial hyperplasia with extension of convoluted mucosal glands into the submucosa, and a moderate, mixed, predominantly lymphoplasmacytic mucosal and submucosal infiltrate. Abundant short, slightly curved bacterial rods may be seen within the apical epithelial cytoplasm of affected colonic segments and visualization is enhanced with Warthin-Starry staining. Mesenteric lymph nodes are reactive, containing confluent lymphoid follicles and prominent germinal centers. The 16S ribosomal DNA sequence of the bacteria is consistent with Lawsonia intracellularis, which also induces ​proliferative enteropathy in hamsters, rabbits, and pigs. Lawsonia sp. do not appear to be highly contagious, such that only one or a few ferrets in a group or colony may be infected, and other co-factors may be required for infection to occur. The bacterium can only be grown on cell culture under specific conditions and gross and histologic findings are generally sufficient for a diagnosis. Some commercial porcine fecal PCR assays for Lawsonia intracellularis are cross-reactive for infected ferret tissues or feces, affording a definitive diagnosis.
60
A ferret presents for necropsy following gradual weight loss and mucoid diarrhea. The colon is turgid and thickened with a cobblestone appearance to the mucosa and the mesenteric lymph nodes are enlarged. What is your top differential? A) B cell lymphoma B) ferret coronavirus C) Lawsonia intracellularis
C) Lawsonia intracellularis Full thickness colonic biopsies or tissue sections demonstrate marked mucosal epithelial hyperplasia with extension of convoluted mucosal glands into the submucosa, and a moderate, mixed, predominantly lymphoplasmacytic mucosal and submucosal infiltrate.
61
What stain is used to confirm infection with Lawsonia intercellularis? A) gram stain B) acid fast stain C) Warthin-starry stain
Abundant short, slightly curved bacterial rods may be seen within the apical epithelial cytoplasm of affected colonic segments and visualization is enhanced with Warthin-Starry staining.
62
What is the best way to definitively diagnose Lawsonia intracellularis antemortem? A) fecal PCR B) Warthin-starry stain C) biopsy
Some commercial porcine fecal PCR assays for Lawsonia intracellularis are cross-reactive for infected ferret tissues or feces, affording a definitive diagnosis. Warthin-starry stain is a tissue stain and colonic biopsy is more invasive than fecal PCR.
63
True or false: Lawsonia intracellularis is highly contagious?
False. Lawsonia sp. do not appear to be highly contagious, such that only one or a few ferrets in a group or colony may be infected, and other co-factors may be required for infection to occur.
64
What is not differential for a geriatric ferret with chronic intermittent anorexia, vomition, mild diarrhea, weight loss, and palpably enlarged mesenteric lymph nodes? A) ferret coronavirus B) mycobacteriosis C) coccidiosis
C) coccidiosis
65
Which diseases are diagnosed by Warthin-starry stain in ferrets?
Lawsonia intracellularis (colonic mucosa), gastric MALT (gastric mucosa)
66
Which is not a reported clinical sign of disseminated mycobacteriosis in ferrets? A) pyogranulomatous inflammation and fibrosis of the spleen B) asymptomatic C) difficulty swallowing
C) difficulty swallowing
67
What is the potential route of zoonotic exposure in ferrets with mycobacteriosis?
Ferrets carry the organism in their oral cavity and can spread it through biting
68
What are differentials for mycobacteriosis in ferrets?
lymphosarcoma, intestinal foreign body, eosinophilic gastroenteritis, inflammatory bowel disease, and proliferative enteropathy.
69
Which species of coccidia have most commonly been identified as pathologic in ferrets? A) Eimeria furonis B) Isospora (Cystoisospora) laidlawi C) Eimeria ictidea D) a+b E) b+c
D) a+b E. Ictidea has been identified in ferrets but isn’t commonly implicated in disease
70
Two adult ferrets present with lethargy, jaundice and abdominal distension. One of these animals was receiving prednisolone, cyclosporine, and azathioprine to treat a severe, chronic nonregenerative anemia and presented with serum biochemistry results consistent with cholestasis (increased bilirubin, alkaline phosphatase, and gamma glutamyl transferase) 80 days after initiation of this therapy. What is your top differential diagnosis? A) Eimeria furonis B) Helicobacteriosis C) ECE
A) Eimeria furonis Case description word for word from a publication described in the pathology of small mammal pets textbook
71
How is coccidia transmitted in ferrets and what is the morbidity/mortality rates expected?
Transmission is direct and outbreaks of coccidiosis with high morbidity and moderate mortality can be seen in animal shelters or under conditions of intensive ferret housing.
72
What are differential diagnoses for coccidiosis in ferrets? A) rotavirus B) coronavirus C) distemper virus D) a+b E) b+c
D) a+b Differential diagnoses include infection with rotavirus, coronavirus, and various bacteria.
73
What are differentials other than lymphoma for a ferret with rectal mass? A) hemangiosarcoma B) colonic polyps C) adenocarcinoma D) a+b E) a+b+c
E) A+b+c Lymphosarcoma may occur anywhere along the gastrointestinal tract, as well as within mesenteric lymph nodes. Other forms of intestinal neoplasia are uncommon in ferrets. Intestinal and rectal adenocarcinomas have been identified in rare cases, as well as leiomyosarcomas of the large intestine and rectum. Perirectal/perineal hemangiosarcoma has been reported in a 4-year-old ferret. This animal had numerous cutaneous metastases as well as neoplastic masses in the omentum and sacral lymph node. Colonic polyps have also been described.
74
Describe the organism Campylobacter jejuni.
slender, curved, argyrophilic and Gram-negative bacterial rod
75
Describe clinical signs of C. jejuni in ferrets.
self-limiting mucoid or blood-tinged diarrhea in young ferrets. Animals may be persistently infected with lifelong episodic bouts of diarrhea occurring under conditions of stress or with intercurrent disease.
76
Name 3 potential ways to diagnose C. jejuni.
1) Darkfield microscopy identification of characteristic motile rods from fresh feces 2) culture of feces or tissue under selective conditions C) using 16S ribosomal DNA analysis
77
What is the top differential diagnosis for ferrets fed raw diets with bloody diarrhea?
Salmonella typhimurium. Common in ferrets fed raw meat diets that were improperly handled. Microscopic findings include a necrohemorrhagic enteritis with mixed leukocytic mucosal and submucosal infiltrates and multifocal hepatic and splenic necrosis.
78
How likely is it that a ferret in a shelter with Cryptosporidium parvum will cause an outbreak of this disease?
Unlikely as disease is generally asymptomatic and self-limiting. However, an outbreak did occur at the WA state ferret rescue. Transmission occurs by direct consumption of sporulated oocysts and confirmation of infection is made by identifying of characteristic trophozoites within the brush border of enterocytes in tissue sections or within feces.
79
Which parasite is a rare cause of diarrhea in otherwise debilitated animals and typically presents as an asymptomatic infection? What is the likely source of infection for ferrets?
Giardia intestinalis Dogs or cats may act as potential reservoirs.
80
A young ferret presents with vomiting and persistent hemorrhagic enteritis. The affected animal has enlarged mesenteric lymph nodes, and blastospores, pseudomycelia, and mycelia were identified in several tissues, including kidney and heart. What is the likely diagnosis?
The above description is from a ferret with Candida tropicalis infection, described in the pathology of small mammal pets text.
81
How many liver lobes do ferrets have?
There are generally six lobes to the ferret liver (left and right medial and lateral lobes, caudate, and quadrate). The relative liver to body weight ratio of 0.43 for adult ferrets is high compared with other small mammal pets and companion animals.
82
Where can icterus be seen in ferrets?
Because of skin and eye pigmentation, icterus may only be visible within the oral cavity, on the nose plenum or deep within the external ear or nares.
83
What are common clinical signs of hepatic disease in ferrets?
Clinical signs of hepatic disease are nonspecific and include lethargy, anorexia, and intermittent vomiting, and diarrhea with or without pyrexia. Icterus may be seen in severe cases.
84
Which bacterial organism that is otherwise uncommon has been known to cause hepatitis in a ferret colony?
Helicobacter cholecystus has been isolated as an agent of hepatitis in a ferret colony; infection with this agent is otherwise uncommon. Note: Multifocal hepatic necrosis, in addition to cholangiohepatitis, can be seen with almost any bacterial agent inducing septicemia in ferrets, including Salmonella spp., Pseudomonas sp., Mycobacterium spp., Escherichia coli, and Aeromonas sp.
85
What non-bacterial diseases may cause infectious hepatitis in ferrets?
Hepatic coccidiosis, toxoplasmosis, canine distemper virus, influenza virus, Aleutian disease, and coronavirus may induce foci of hepatic necrosis and inflammation.
86
What is the clinical relevance of a novel hepatitis E virus that was isolated by PCR from the feces of pet, breeding, and laboratory ferrets in the United States, the Netherlands, and Japan?
Currently no clinical relevance. This organism has not been correlated with hepatic disease to date. Furthermore, the ferret virus was not transmissible to either rats or monkeys, suggesting that it is unlikely to be zoonotic.
87
What is the most likely cause of copper hepatopathy in ferrets?
A genetic mutation in hepatic copper transport or storage mechanisms is considered the most likely underlying etiology. Chronic hepatopathy, with periportal mononuclear leukocytic infiltrates, generalized fibrosis, scattered hepatocyte ​necrosis, and hepatic cord atrophy, was reported in two adult female ferrets from the same litter. Copper deposition was noted within hepatocytes and macrophages in both animals and one ferret additionally had hemoglobinuric nephrosis, likely secondary to intravascular hemolysis from copper intoxication. The mean liver copper levels in the two affected ferrets were ≥⃒ 200 ppm (normal reference range 7–66 ppm).
88
What neoplasias may affect ferret livers?
nodular hyperplasia, hepatic adenomas, and hepatocellular carcinomas; in one animal, peliosis hepatis was noted in conjunction with hepatocellular carcinoma. Primary hepatic hemangiosarcoma is seen infrequently in adult ferrets whereas lymphosarcoma with hepatic involvement is common.
89
What cystic disorders may affect ferret livers?
Hepatic cysts are common in domestic ferrets while biliary cysts and cystadenomas are common in black-footed ferrets. Cystic mucinous hyperplasia of the gall bladder with consequent hepatomegaly and icterus have been reported in an 8-year-old ferret.
90
Name some non infectious, non-neoplastic ferret hepatic disorders.
Copper intoxication, hepatic torsion, adrenohepatic fusion (common incidental finding), Acetaminophen intoxication, ruptured gall bladder, Intra- and extrahepatic cholelithiasis
91
Why are ferrets prone to acetominophen intoxication?
Glucuronidation of acetaminophen is slow in ferrets, similar to cats No changes in hepatic or adrenal gland function are associated with the condition. Acetaminophen intoxication with resulting hepatic necrosis and death of the animal has been reported anecdotally in a pet ferret.
92
What bacteria is associated with a ruptured gall bladder in a ferret?
Pseudomonas aeruginosa. A ruptured gall bladder was reported in a 6-year-old ferret presenting acutely for a painful abdomen. A cholecystectomy was conducted and a marked chronic lymphocytic cholehepatitis was diagnosed from surgical biopsies of the liver and resected. Pseudomonas aeruginosa was isolated.
93
What can cause pancreatitis in ferrets?
Seen in obese adult ferrets especially with diabetic cases
94
Name some pancreatic cancers other than insulinoma in ferrets that can spread to the liver.
Exocrine pancreatic carcinoma and adenocarcinoma are sporadic, aggressive tumors in ferrets and local seeding of the liver, gastrointestinal tract, or peritoneal cavity as well as pulmonary metastases often results. Animals can present with abdominal effusions as a sequela to carcinomatosis. In several cases, adult ferrets presented with clinical chemistry changes consistent with biliary obstruction (increased total bilirubin and alkaline phosphatase) because of involvement and obstruction of the bile duct papilla in the duodenum. Neoplastic cells contain apical zymogen and may form rosettes.
95
What is a characteristic of neoplastic cells from pancreatic adenocarcinoma in ferrets?
Neoplastic cells contain apical zymogen and may form rosettes.
96
How common are mesotheliomas in ferrets? What are expected clinical signs?
Rare. Mesotheliomas arise from the relatively undifferentiated mesothelial cells that line various body cavities, including the peritoneum, pleura, and pericardium. These tumors are rare in ferrets and present grossly as generalized, small to miliary, soft white nodules scattered throughout the mesentery as well as lining the parietal surface of the coelomic wall.
97
What is the most common cardiomyopathy in ferrets?
Dilated cardiomyopathy
98
Does hypertrophic cardiomyopathy predispose ferrets to thromboembolism?
Thromboembolic disease secondary to cardiomyopathy has not been reported in ferrets.
99
How many adult heartworms must be present in order to cause sudden fatal cardiac insufficiency?
Only one or two adult worms are sufficient to induce sudden fatal cardiac insufficiency, particularly if they are located within the pulmonary artery or right ventricle. Right atrial or ventricular enlargement may occur with chronic infections, as well as ascites and pleural effusions. Microfilaria may be seen microscopically within pulmonary capillaries, in addition to pulmonary endarteritis, calcified adult worms, and generalized pulmonary edema.
100
Name three differentials for non-suppurative myocarditis with localized myocardial necrosis?
Toxoplasmosis, sarcocystosis and Aleutian disease may result in nonsuppurative myocardi​tis with myofiber degeneration, necrosis and localized myocardial necrosis. Characteristic Toxoplasma or Sarcocystis cysts may be found within myofibers of infected animals.
101
True or false: DIM can affect cardiac muscle of ferrets.
True. Idiopathic polymyositis and myofasciitis have been described in ferrets with involvement of cardiac muscle, in addition to skeletal and smooth muscle (see Section 2.5.1). Affected animals present with lethargy, weakness, pain, and fever, and patchy white streaking is seen on the heart and within other muscle tissues at post-mortem. Moderate to severe pyogranulomatous myocarditis can be seen with loss of cross-striations and eventual fibrosis. There is no known cause or treatment and the condition is invariably fatal.
102
Have primary cardiac tumors been identified in ferrets?
Primary cardiac tumors are not reported in ferrets, although thoracic lymphosarcoma is common. Affected animals may be dyspneic and present with pleural effusion.
103
What are some cardiac diseases other than DCM, HCM, and heartworm that have been diagnosed in ferrets?
Mitral or aortic valvular endocardiosis, Nonbacterial thrombotic endocarditis, atrial and ventricular septal defects, patent ductus arteriosus, and tetralogy of Fallot; heart blocks Mitral or aortic valvular endocardiosis is common in ferrets and presents clinically as valvular regurgitation with echocardiography. Nodular thickening of valve leaflets is seen at post-mortem in addition to atrial dilatation. Nonbacterial thrombotic endocarditis has been reported in one 4-year-old ferret with aortic valvular endocardiosis. Although rare in ferrets, congenital heart lesions have been described and include atrial and ventricular septal defects, patent ductus arteriosus, and tetralogy of Fallot (characterized by nonrestrictive ventricular septal defect, overriding aorta, pulmonic stenosis, and secondary right ventricular hypertrophy). Abnormalities may be subclinical and go undetected for a year or more until animals present for surgery or other medical procedures. Common presenting signs include abdominal distension from ascites and muscle wasting.
104
How many mL of urine can a normal ferret bladder hold?
10mL
105
Do female ferrets have separate urethral and vaginal openings?
No. Unlike some other small mammal species, the urethral orifice of female ferrets exits just cranial to the clitoral fossa within the vaginal vestibule, such that there is a single external orifice.
106
Describe anatomic features of ferret reproductive tracts?
The uterine body is very short in the jill, with long horns. Males have an os penis that lies dorsal to the urethra and the distal end is J-shaped, curving dorsally. The only accessory sex gland in male ferrets is the prostate gland, which is inconspicuous in neutered ferrets.
107
How many accessory sex glands do male ferrets have?
One - the prostate
108
Is BUN or creatinine more sensitive as a marker of renal disease in ferrets?
Ferrets with renal disease often exhibit elevated blood urea nitrogen (BUN). Serum creatinine is considered a less sensitive parameter for evaluating renal function in ferrets, compared with cats and dogs, and may show only mild elevations or remain within normal reference values in ferrets with kidney problems.
109
What is the incidence rate of congenital renal tubular cysts in ferrets?
Congenital renal tubular cysts, either singular or multiple, occur in 10–15% of ferrets, and are often incidental in nature, being identified during ultrasound or routine post mortem examination. Cortical cysts may be up to 1 cm in diameter and clinically palpable. They are generally thin-walled, fluid-filled, and bulge from the capsular surface. Microscopically, cysts are lined by simple flattened to cuboidal epithelium, and are usually found within the cortex. Pericyst fibrosis is variable, ranging from none to moderate interstitial fibrosis with nonsuppurative inflammation and scattered tubular degeneration.
110
Is primary cystitis and/or pylonephritis more common in ferrets or rodents?
Rodents Primary cystitis and pyelonephritis are less common in neutered pet ferrets compared with rabbits and rodents. If ferrets develop cystitis, Jills are more susceptible because of their shorter urethra. In sporadic cases, Escherichia coli, Staphylococcus aureus, Pseudomonas sp., or Proteus sp. may be cultured from urine or affected tissue of an animal with cystitis. Bacterial cystitis may also occur secondary to urolithiasis.
111
Are male or female ferrets more likely to develop urolithiasis?
Male ferrets are 2.5 times more likely to develop uroliths than females because of their J-shaped os penis, which leads to narrowing of the distal urethra. “Uroliths occur sporadically and are more common in adult animals chronically fed poor quality diets.” Per the pathology of small mammal pets textbook
112
What is normal urine pH for ferrets?
Ferrets fed a high-quality, high-protein diet will generally have a urine pH of 6.0–6.5.
113
What is a potential sequelae to feeding ferrets a low protein diet?
Feeding ferrets low protein diets will make the urine pH alkaline, increasing their susceptibility to struvite (magnesium ammonium phosphate) crystal precipitation. Calcium oxalate and cystine uroliths can also occur, although they are much less common and the etiopathogenesis for these types of crystals is less clear.
114
Why do cysteine uroliths form in ferrets?
A definitive cause has not been determined but a genetic link and a link to diets high in pea protein have both been proposed. Cystine precipitates in acidic urine, and as in humans and dogs, cystine urolithiasis is often familial. Clinically, animals may present with vocalization during urination, stranguria, urine dribbling and scalding, genital overgrooming, and hematuria. Bladder rupture may occur in cases of complete urethral obstruction. Single or multiple variably-sized calculi can occur anywhere along the urogenital tract, although less commonly in the ureters.
115
What are lesions of CKD in ferrets?
Chronic renal disease is common in middle-aged to aging ferrets. Kidneys may be pitted with capsular adhesions. In some cases, membranoproliferative glomerulonephropathy is seen, consisting of thickening of Bowman's capsule and the mesangial tufts as well as hyalinization of glomerular capillary walls, scattered pyknosis of mesangial cell nuclei, and glomerular sclerosis. Mild lymphoplasmacytic interstitial inflammation and fibrosis with patchy tubular degeneration and regeneration may also be present, and may be accompanied by widespread tubular dilatation with attenuation of the epithelial lining and sloughing of pyknotic renal tubular epithelial cells. Eosinophilic proteinaceous material may be present within tubules, as well as mineralized debris. In other cases, the lesions are predominantly interstitial with mild to moderate lymphoplasmacytic infiltrates and fibrosis.
116
Infection with what virus can cause multi-organ immune complex deposition and chronic membranous glomerulonephropathy in ferrets?
Infection with Aleutian disease virus can result in multi-organ immune complex deposition and chronic membranous glomerulonephropathy. Parvovirus infection should be considered as a potential differential diagnosis for chronic renal disease in adult ferrets. A definitive diagnosis can be made using counter-immunoelectrophoresis to detect viral antibodies or PCR assays of tissues or fecal swabs.
117
Which primary urinary neoplasms have been diagnosed in ferrets?
Primary renal neoplasms are rare in pet ferrets, with only sporadic reports of renal carcinoma and transitional cell tumors of the urinary bladder. Renal tubular cell neoplasms, often with central osseous metaplasia, have been reported as a familial condition in captive black-footed ferrets.
118
What are the most common metastatic renal neoplasias in ferrets?
Renal lymphosarcoma is not uncommon, and hemangiosarcoma has also been reported in the kidney.
119
Name 3 potential causes for hydronephrosis in ferrets.
Hydronephrosis and hydroureter are sporadic entities that may occur secondary to urethral obstruction, prostatic hypertrophy, paraurethral cysts or obstructive urolithiasis.
120
Why do cysts form in ferrets urinary bladders
likely congenital and may have arisen from mesonephric or paramesonephric duct remnants. Large, single or multiple thin-walled cysts filled with clear fluid and adherent to the serosal surface of the urinary bladder and ureters have been found in both male and female adult ferrets. The cysts were palpable clinically as caudal abdominal masses and several animals presented with dysuria and hematuria. Cysts were lined with nonkeratinized flattened to cuboidal epithelium and epithelial erosions, ulceration and nonsuppurative inflammation were noted in the adjacent urinary bladder mucosa of several animals.
121
Name two potential causes of ureteral rupture in ferrets.
Ureteral rupture can be seen in cases of motor vehicle or blunt force trauma to the abdomen.
122
What age do ferrets become sexually mature?
Female ferrets become sexually mature around 7 months of age, whereas males are mature at 8 months of age or older.
123
What is the ferret reproductive cycle characterized by?
Long day seasonal breeders and jills are induced ovulators. Plasma estrogen levels become elevated in jills in estrus resulting in swelling and erythema of the vulva. Failure to ovulate, either by natural mating or mechanical stimulation of the cervix, can result in estrogen-induced bone marrow suppression
124
What is the gestation period of ferrets?
Ferret embryos implant approximately 12 days after successful mating and ovulation and the gestation period lasts for about 42 days.
125
What is expected pre weaning mortality in ferrets?
Preweaning mortality may be as high as 20%, although it is usually less than 7% in well-managed colonies.
126
What percentage of ferret kits show congenital malformations?
Congenital malformations are found in <1% of kits that die before weaning, primarily consisting of cranioschisis, palatoschisis, kinked tail, short tail, open eyes, and splay leg.
127
Name 3 causes of neonatal mortality in ferrets.
agalactia, poor mothering, cannibalism (if the jill is disturbed), diarrhea (induced by bacteria or rotavirus), and umbilical cord entangling. Parturition normally lasts only a few hours and any delays due to dystocia from fetal-maternal size mismatch or malpresentation may result in stillborn kits.
128
What is a common predisposing factor for pyometra in ferrets?
Pseudopregnancy or ovarian remnant. Clinical signs include a foul-smelling red-brown discharge, lethargy, depression, anorexia, and pyrexia. Grossly, the uterus is markedly enlarged, hyperemic, and filled with purulent exudate. Micro​scopically, endometrial glands are dilated and cystic, with sloughing of epithelial cells and moderate to marked neutrophilic infiltrates. Bacterial isolates from affected animals include Escherichia coli, Staphylococcus sp., Streptococcus sp. and Corynebacterium sp. Cystic endometrial hyperplasia and stump pyometras can occur in neutered jills if ovarian remnants are present. These animals are also at risk for developing estrogen-associated bone marrow suppression.
129
What is a predisposing factor in development of hydrometra in ferrets?
Ovariectomy after sexual maturity. Hydrometra is common in jills in parts of Europe in which animals undergo ovariectomy at sexual maturity but the uterus is left intact. The condition is thought to arise from ovarian remnants, estrogen signaling from ovarian-related neoplasms, or hormonal signaling from adrenal gland disease. Animals may present with alopecia and marked abdominal enlargement.
130
What are risk factors for metritis in ferrets?
Metritis may occur after fetal abortion or if placentas are retained postpartum.
131
Are ovarian remnants common in ferrets in North America?
Ovarian remnants occur sporadically in North American ferrets, likely because of the technique used for ovariectomy in 6-week-old ferrets. Ovaries in very young animals may be freed during surgery by tearing the ovarian pedicles instead of clamping, ligating, and sectioning the pedicles, as is done in older animals. The former method may result in small pieces of ovarian tissue remaining in the animal.
132
What is the typical ovariectomy surgical technique utilized in North America that predisposes ferrets to ovarian remnants?
Ovaries in very young animals (6wo) may be freed during surgery by tearing the ovarian pedicles instead of clamping, ligating, and sectioning the pedicles, as is done in older animals. The former method may result in small pieces of ovarian tissue remaining in the animal.
133
Describe the clinical signs and disease risks associated with ovarian remnants in ferrets.
Anemia and other signs of bone marrow suppression/adrenal disease; ovarian tumors including thecoma, leiomyoma, teratoma, and granulosa cell tumor have also been reported. In general, signs of estrus and estrogen-related side effects occur earlier in jills with ovarian remnants (less than 2 years of age) than in jills with adrenal gland disease (more than 2 years of age).
134
When does pregnancy toxemia occur in ferrets?
Pregnancy toxemia can occur during the last quarter of gestation, more frequently in primiparous jills, and is initiated by a period of anorexia due to stress, poor nutritional management, dietary changes, or intercurrent illness.
135
What is the prognosis for pregnancy toxemia in ferrets?
Animals are often in shock when diagnosed, presenting comatose or with severe lethargy and depression, hypothermia, and dehydration. They may also die peracutely. The prognosis for the jill and kits is very poor, even with treatment for acidosis and caesarian section removal of the kits. The pathogenesis of the condition is the same as for ruminants or rabbits, with acidosis and accumulation of ketone bodies secondary to massive fatty acid mobilization. Grossly, the liver may be enlarged, pale, and greasy with marked macrovesiculation of hepatocytes noted microscopically.
136
When does milk fever occur in ferrets?
Post-parturient hypocalcemia (milk fever) can occur in jills within 3–4 weeks after parturition. The condition is initiated by poor nutrition and animals may present with hind end paresis or convulsions. No gross or microscopic lesions may be present.
137
Name two clinical signs that may be associated with prostatic disease in ferrets.
Adrenal gland disease and the resulting chronic increase in circulating sex steroid hormone levels may stimulate proliferation and hypertrophy of prostatic tissue in male ferrets, leading to accumulation of secretions, squamous metaplasia of the gland lining, and keratin production, eventually leading to cyst formation. Sludging of proteinaceous material within cysts can also lead to ascending bacterial infections, prostatitis, abscessation, chronic suppurative inflammation, and stromal fibrosis. As the prostate surrounds the neck of the urinary bladder and proximal urethra in the ferret, prostatic hyperplasia, with or without the development of prostatic cysts, may result in partial or complete urethral obstruction and dysuria or anuria. This is the leading cause of urethral obstruction in North American male ferrets. Affected animals may present with stranguria, urine dribbling, tenesmus, inappropriate genital grooming, and abdominal swelling. Cystic prostatic enlargement can also cause obstipation.
138
What is the leading cause of urethral obstruction in North American male ferrets?
Prostatic hypertrophy secondary to adrenal disease. Affected animals may present with stranguria, urine dribbling, tenesmus, inappropriate genital grooming, and abdominal swelling. Cystic prostatic enlargement can also cause obstipation.
139
Name 3 documented testicular tumors of ferrets.
Testicular tumors are very uncommon, may involve a cryptorchid testicle, and include Sertoli and interstitial cell tumors, as well as seminomas. An intratesticular peripheral nerve sheath tumor has also been noted in a 6-year-old male ferret kept at a zoo.
140
What percentage of ferrets are cryptorchid?
True cryptorchidism is uncommon in male ferrets and reported to be seen in <0.75% of males. Ferret testes normally descend into the scrotum during fetal development, but if not, they should descend by no later than 6 months of age. Occasionally, one testicle may not have descended in a male kit by 6 weeks of age, the time that these kits are usually neutered in North America, and only one testicle will be removed during the surgery. Owners may notice a scrotal “swelling” as these animals become sexually mature, which will usually turn out to be a normal testicle. Sexually intact male ferrets will have a thicker neck and heavier coat than males that are castrated at six weeks of age.
141
There is a report of a cloaca-like clinical malformation in a 2 month old female ferret that lacked _____ and a tail.
Answer: external genitalia A cloaca-like congenital malformation was reported in a 2-month-old female ferret that was lacking external genitalia and a tail. Following euthanasia, a post-mortem examination demonstrated an intrapelvic structure into which the distal colon, uterus and urethra emptied. The right kidney was also misshapen.
142
What are differential diagnoses for sudden onset neurologic signs in ferrets?
systemic infection, hypoglycemia from a pancreatic islet cell tumor, toxin ingestion (e.g., lead or ibuprofen), hepatic or renal failure, cardiac disease and related hypoxia, anemia, trauma, or primary or secondary neoplasia with impingement of the brain or spinal cord.
143
Name potential congenital neurologic abnormalities in ferrets.
Congenital malformations of the neural tube, including inencephaly, which consists of a defect in the back of the skull, a spinal column fissure and cervical retroflexion, have been reported in two litters of ferret kits. Kits had other congenital malformations, including anencephaly. The two litters were sired by the same male to different dams, suggesting a genetic defect in the male. Congenital peripheral vestibular syndrome was reported in a 3 month-old male ferret with a 2-month history of ataxia. The animal presented with a marked head tilt and was noted to have mild, bilateral asymmetry of the inner ear labyrinth and cochlea, based on MRI evaluation, as well as unilateral deafness. The animal was treated supportively and no pathology work-up was undertaken. Coat color-linked bilateral or unilateral congenital sensorineural deafness is reported in pet ferrets at a prevalence of up to 29%. Similar to other species, the condition is usually associated with a white or white-marked coat color (examples of the latter include panda, silver, blaze, and mitt), and prevalence is particularly high in animals with premature graying, although albino animals are usually unaffected. The condition is linked to dysfunction of or failure of neural crest melanocytes to migrate within the stria vascularis of the cochlea and can be tested for under general anesthesia via a brainstem auditory evoked response test. Albino animals are generally unaffected because they have melanocytes in the inner ear but the melanocytes are homozygous negative for the tyrosinase gene. This enzyme catalyzes several important steps needed for melanin synthesis, resulting in albinism. Because albinism is dominant over other coat colors, it can mask underlying white or white-marked coat colors resulting in deafness in sporadic albino ferrets. ​
144
What is the incidence rate of coat linked deafness in ferrets?
Coat color-linked bilateral or unilateral congenital sensorineural deafness is reported in pet ferrets at a prevalence of up to 29%. Similar to other species, the condition is usually associated with a white or white-marked coat color (examples of the latter include panda, silver, blaze, and mitt), and prevalence is particularly high in animals with premature graying, although albino animals are usually unaffected. The condition is linked to dysfunction of or failure of neural crest melanocytes to migrate within the stria vascularis of the cochlea and can be tested for under general anesthesia via a brainstem auditory evoked response test. Albino animals are generally unaffected because they have melanocytes in the inner ear but the melanocytes are homozygous negative for the tyrosinase gene. This enzyme catalyzes several important steps needed for melanin synthesis, resulting in albinism. Because albinism is dominant over other coat colors, it can mask underlying white or white-marked coat colors resulting in deafness in sporadic albino ferrets. ​
145
Name some congenital neural disorders of ferrets.
Inencephaly, anencephaly, peripheral vestibular syndrome, and coat-color linked bilateral or unilateral sensineural deafness. Congenital malformations of the neural tube, including inencephaly, which consists of a defect in the back of the skull, a spinal column fissure and cervical retroflexion, have been reported in two litters of ferret kits. Kits had other congenital malformations, including anencephaly. The two litters were sired by the same male to different dams, suggesting a genetic defect in the male. Congenital peripheral vestibular syndrome was reported in a 3 month-old male ferret with a 2-month history of ataxia. The animal presented with a marked head tilt and was noted to have mild, bilateral asymmetry of the inner ear labyrinth and cochlea, based on MRI evaluation, as well as unilateral deafness. The animal was treated supportively and no pathology work-up was undertaken. Coat color-linked bilateral or unilateral congenital sensorineural deafness is reported in pet ferrets at a prevalence of up to 29%. Similar to other species, the condition is usually associated with a white or white-marked coat color (examples of the latter include panda, silver, blaze, and mitt), and prevalence is particularly high in animals with premature graying, although albino animals are usually unaffected. The condition is linked to dysfunction of or failure of neural crest melanocytes to migrate within the stria vascularis of the cochlea and can be tested for under general anesthesia via a brainstem auditory evoked response test. Albino animals are generally unaffected because they have melanocytes in the inner ear but the melanocytes are homozygous negative for the tyrosinase gene. This enzyme catalyzes several important steps needed for melanin synthesis, resulting in albinism. Because albinism is dominant over other coat colors, it can mask underlying white or white-marked coat colors resulting in deafness in sporadic albino ferrets.
146
What congenital abnormality reported in ferrets causes a defect in the back of the skull, a spinal column fissure, and cervical retroflexion?
Inencephaly, reported in two litters of ferrets with the same sire so a genetic cause suspected
147
What is the reported prevalence of coat color linked sensorineural deafness in pet ferrets? A) 5% B)11% C) 29%
C) 29% Coat color-linked bilateral or unilateral congenital sensorineural deafness is reported in pet ferrets at a prevalence of up to 29%. Similar to other species, the condition is usually associated with a white or white-marked coat color (examples of the latter include panda, silver, blaze, and mitt), and prevalence is particularly high in animals with premature graying, although albino animals are usually unaffected. The condition is linked to dysfunction of or failure of neural crest melanocytes to migrate within the stria vascularis of the cochlea and can be tested for under general anesthesia via a brainstem auditory evoked response test. Albino animals are generally unaffected because they have melanocytes in the inner ear but the melanocytes are homozygous negative for the tyrosinase gene. This enzyme catalyzes several important steps needed for melanin synthesis, resulting in albinism. Because albinism is dominant over other coat colors, it can mask underlying white or white-marked coat colors resulting in deafness in sporadic albino ferrets.
148
Name 3 ferret coat colors that can be linked to congenital deafness.
A white or white-marked coat color (examples of the latter include panda, silver, blaze, and mitt), and prevalence is particularly high in animals with premature graying, although albino animals are usually unaffected. Albino animals are generally unaffected because they have melanocytes in the inner ear but the melanocytes are homozygous negative for the tyrosinase gene. This enzyme catalyzes several important steps needed for melanin synthesis, resulting in albinism. Because albinism is dominant over other coat colors, it can mask underlying white or white-marked coat colors resulting in deafness in sporadic albino ferrets.
149
What causes coat color linked deafness in ferrets?
dysfunction of or failure of neural crest melanocytes to migrate within the stria vascularis of the cochlea. Albino animals are generally unaffected because they have melanocytes in the inner ear but the melanocytes are homozygous negative for the tyrosinase gene. This enzyme catalyzes several important steps needed for melanin synthesis, resulting in albinism. Because albinism is dominant over other coat colors, it can mask underlying white or white-marked coat colors resulting in deafness in sporadic albino ferrets.
150
How can coat color linked deafness be diagnosed in ferrets?
brainstem auditory evoked response test under general anesthesia.
151
Is rabies 100% fatal in ferrets?
No. Some experimentally infected ferrets have recovered from rabies virus infection. Following inoculation with rabies virus, a subset of ferrets survived infection but had lasting paresis.
152
How soon do clinical signs of rabies in a ferret develop after exposure to an infected animal? What are the clinical signs of rabies in ferrets?
Clinical signs occur within one month post-exposure. Clinical signs of rabies in ferrets include ascending paralysis, ataxia, cachexia, bladder atony, pyrexia, hyperactivity, tremors, and paresthesia. Death usually ensues within four to five days after clinical signs of infection appear.
153
What are gross lesions of rabies in ferrets?
None. Histopathology may demonstrate multifocal areas of ​lymphocytic infiltrates with gliosis, perivascular lymphocytic cuffing, edema, and neurodegeneration. Negri bodies (eosinophilic intracytoplasmic inclusion bodies within affected neurons) can sometimes be seen in infected ferrets.
154
How can rabies be diagnosed?
Direct fluorescence immunoassay on fresh or frozen brain is used by state and federal laboratories to confirm infection. Immunohistochemistry, RT-PCR, and virus isolation also may be used for viral detection.
155
Name 5 differential diagnoses for rabies in ferrets.
Head trauma or other agents inducing central nervous system disease, such as canine distemper virus infection, Aleutian disease, lead intoxication, brain abscess, neoplasia, and cryptococcosis (all of which are more common than rabies virus infection in ferrets). A history of exposure to feral or other potentially rabid animals or outdoor housing may increase the diagnostic consideration of rabies.
156
What % of ferrets have anaphylactic reactions to vaccination?
Anaphylactic reactions to vaccination occur in <1% of ferrets receiving rabies vaccine, either alone or in combination with canine distemper virus vaccine. (Per Pathology of small mammal pets)
157
Do neurologic signs develop early or late in presentation of distemper?
Central nervous system signs occur later in the course of infection, and include myoclonus, paresis, muscular tremors, hyperexcitability, convulsions, and coma. Viral inclusions bodies may be seen within neurons and glial cells, as well as within a variety of epithelial tissues.
158
What neurologic signs may be seen with Aleutian disease virus?
Infection with Aleutian disease virus (a parvovirus) may result in tremors, ataxia, paresis, and convulsions. Affected ferrets may also demonstrate generalized lymphadenopathy, chronic wasting, and hypergammaglobulinemia. Brain and spinal cord lesions in infected ferrets are nonspecific and include lymphoplasmacytic meningitis, perivascular lymphoplasmacytic cuffing, and focal cerebral malacia.
159
What brain and spinal cord tumors have been reported in ferrets?
Tumors of the brain and spinal cord are very rare in ferrets with single reports of meningioma, astrocytoma, and glioma. Pituitary adenomas may be found occasionally in adult ferrets with adrenal gland disease and hyperadrenocorticism (these appear to not be gonadotroph adenomas). A large, white, expansile and compressive forebrain mass was noted in a ferret euthanized for seizures that were refractory to treatment. Histologically, the mass was composed of sheets of polygonal cells within a fine fibrovascular stroma and the center of the mass was necrotic. Neoplastic cells were large with a pale, finely granular cytoplasm and had eccentric small nuclei and mitoses were scant. A granular cell tumor was diagnosed based on the histopathology. A 6-year-old ferret presenting with a short history of progressive head tilt and ataxia was diagnosed with an obstructive choroid plexus papilloma arising from the fourth ventricle, which resulted in development of hydrocephalus. Microscopically, the mass consisted of well-differentiated neoplastic epithelial cells arranged in papillary fingers within a fine fibrovascular stroma. Many other nonneuronal neoplasias, including lymphosarcoma, chordoma of the vertebrae, plasma cell myeloma with vertebral erosion, osteoma, teratoma, and fibrosarcoma, may occur within the brain or spinal cord or within the skull or vertebrae of the ferret, resulting in impingement upon and necrosis of neural tissue. Clinical signs will depend upon the location of the neoplastic mass.
160
A ferret on a raw meat diet presents with profound ataxia, paresis, and salivation within 8–12 hours of eating, which progresses to flaccid paralysis and death. Necropsy reveals no gross lesions. What is your top differential diagnosis?
Clostridium botulinum type C endotoxin may induce profound ataxia, paresis, and salivation within 8–12 hours of ingestion, which can progress to flaccid paralysis and death. The cause is related to improper storage and handling of fresh meat diets leading to bacterial reproduction and toxin production and accumulation. There are no characteristic gross or microscopic signs in affected animals.
161
Infection with which influenza variant can lead to subclinical nonsuppurative encephalitis, lymphoplasmacytic perivascular cuffing, and focal cerebral hemorrhages? A) influenza A B) H5N1 C) H1N5
B) H5N1 Subclinical nonsuppurative encephalitis, lymphoplasmacytic perivascular cuffing, and focal cerebral hemorrhages have been reported in asymptomatic ferrets after experimental inoculation with H5N1 influenza virus variants.
162
What idiopathic disorder was diagnosed in a 5-year-old ferret presenting with acute ataxia and convulsions?
Idiopathic neuronal vacuolation. No infectious agent was isolated from the brain of this animal.
163
What anesthetic agent may affect cbc results in ferrets?
isoflurane inhalant anesthesia has been demonstrated to induce splenic sequestration of erythrocytes in ferrets, significantly altering apparent values for red blood cell count, hematocrit, and hemoglobin levels. It has a lesser effect on circulating white blood cell counts.
164
A serologic survey of ferrets in a club of ferret enthusiasts in the UK indicated __% of animals were seropositive for AD antibodies.
8.5% A serologic survey of ferrets in a club of ferret enthusiasts in the UK indicated 8.5% of animals were seropositive for AD antibodies.
165
What clinical signs can be seen with Aleutian disease virus?
AD virus infections in ferrets may be asymptomatic but animals may also show signs of lethargy, depression, anorexia, melena, and chronic weight loss that progress in severity over time. Depending on the body systems affected, posterior paresis with urine soiling, tremors, and convulsions may also be seen. Animals initially mount an ineffective humoral response to the virus and may demonstrate hypergammaglobulinemia.
166
What are classic gross necropsy findings for Aleutian disease virus?
No classic gross findings. Gross necropsy findings are nonspecific and include splenomegaly, hepatomegaly, and generalized lymphadenopathy. Multi-organ lymphoplasmacytic or plasmacytic infiltrates may be seen microscopically, including within the renal interstitium and splenic red pulp, surrounding portal triads in the liver, within the medulla of lymph nodes, and in the bone marrow. Within the brain and spinal cord there may be perivascular lymphoplasmacytic cuffing, focal to locally extensive malacia and astrocytosis, and mild nonsuppurative meningitis. Deposition of immune complexes within tissues can result in membranous glomerulonephropathy and multi-organ vasculitis.
167
What premortem testing may be performed to diagnosed Aleutian disease?
Counter-immunoelectrophoresis is a simple and rapid assay commonly used in suspect cases of AD to determine ferret antibody levels. PCR assays also exist to directly detect viral nucleic acids, however, the routine availability of these assays in diagnostic laboratories is limited.
168
Name 5 differentials for Aleutian disease virus.
There are many other conditions of ferrets that can cause signs of ataxia, anorexia, and incoordination, as well as chronic wasting disease, including gastrointestinal ulcers, proliferative enteritis, cardiomyopathy, bacterial enteritis, lymphosarcoma, multiple myeloma, anemia of any cause, ferret coronavirus infection, and eosinophilic gastroenteritis. Canine distemper virus also results in fatal nonsuppurative encephalitis, however, the disease time course is shorter than typically seen for AD. Posterior paresis with urine soiling may occur with intervertebral disk disease, vertebral fractures, and tumors of the vertebral column or spinal cord.
169
What is the best treatment for Aleutian disease virus?
No treatment or preventative available. AD virus is shed in the saliva, urine, and feces and transmission occurs directly by respiratory droplets. Asymptomatic infected ferrets can shed virus into the environment for many months.
170
Name 5 differentials for anemia in a ferret.
lymphosarcoma, adrenal gland tumors, hyperestrogenism, pancreatic islet cell tumors, gastric ulcers, chronic systemic inflammation or infection, or hepatic or renal disease.
171
Name 3 potential causes for ferrets with hyperestrogenism.
intact jills that experience prolonged estrus, neutered jills with ovarian remnants, and male and female ferrets with adrenal gland disease. Hyperestrogenism or estrogen-induced bone marrow toxicity is an important cause of pancytopenia in these animals. Nonregenerative anemia occurs in these animals because of severe estrogen-induced bone marrow suppression and increased blood loss from thrombocytopenia. Untreated animals may die from hemorrhage. Clinically, ferrets with hyperestrogenism may present with a swollen and erythematous vulva, pallor, alopecia, petechiation, hematuria, and melena. Bone marrow evaluation will demonstrate severe depletion of all cell types.
172
What is pure red cell aplasia caused by in ferrets?
The condition is likely acquired and is thought to be due to antibody-mediated targeting of erythrocytes or their precursors or erythropoietin. Pure red cell aplasia should be considered as a potential differential diagnosis for aplastic anemia, when more common causes have been ruled out.
173
Name 3 differentials for splenomegaly in a ferret.
Extramedullary hematopoiesis, lymphosarcoma and other neoplasias such as hemangiosarcoma, chronic infections, and cardiomyopathy. In the vast majority of cases, splenic enlargement is caused by increased extramedullary hematopoiesis, which results in diffuse enlargement of the spleen and marked expansion of the red pulp, with high mitotic rates and proliferation of all cell types, including erythroid, myeloid, and platelet precursors. There are no accompanying changes in peripheral blood cell counts. Nodular splenic enlargement can occur with chronic mycotic infections and neoplasias, and other lymph nodes may be enlarged with these conditions. Enlarged spleens are friable and prone to rupture, and rarely, torsion. Affected animals may present with hemoabdomen and microscopically, multifocal areas of coagulation necrosis surrounded by neutrophilic infiltrates and granulation tissue may be present in the spleen.
174
_______ is the most common neoplasm seen in ferrets of any age and accounts for up to __% of all neoplasms seen in ferrets.
Lymphosarcoma; 15% Per pathology of small mammal pets (Other textbooks argue insulinoma and adrenal disease are more common at 20-25% each) All texts agree it is in the top 3
175
Can lymphosarcoma spread horizontally in ferrets?
Traditionally, lymphoid tumors have been supposed to arise spontaneously in ferrets, however, clusters of lymphosarcoma in multiferret households and experimental horizontal transmission of lymphosarcoma in ferrets have suggested that an infectious agent, possibly a type C retrovirus, may be responsible for tumor initiation.
176
A 5 year old spayed female ferret presents for weight loss and decreased appetite. Physical exam revealed mild splenomegaly. CBC showed anemia, thrombocytopenia, and elevated serum calcium levels. What is your top differential diagnosis? A) pituitary tumor B) lymphosarcoma C) hyperparathyroidism
B) lymphosarcoma Clinical signs of lymphosarcoma include anorexia, chronic weight loss, splenomegaly, and internal and peripheral lymphadenopathy. A marked lymphocytosis may be seen on the complete blood count and differential, and anemia and thrombocytopenia may also be present. Elevated serum calcium levels can be seen in some ferrets with lymphosarcoma, similar to hypercalcemia of malignancy seen in other species.
177
The juvenile form of lymphosarcoma in ferrets carries a ____ prognosis, with an expected lifespan of_____.
Poor, <2 months. Juvenile lymphosarcoma in ferrets has an acute onset and is rapidly progressive with a mean survival time of less than two months. It is multicentric and lymphoblastic in nature, and may involve the kidneys, spleen, liver, lung, and thymus, leading to dyspnea and pleural effusion, which may be misdiagnosed as respiratory or cardiac disease. In rare cases, only the spleen may be involved. Microscopically, there is effacement of the normal architecture of affected tissues by a monomorphic population of large lymphocytes with both cleaved and noncleaved nuclei. Nuclei are round to oval, cytoplasmic borders are distinct and the mitotic rate is high (>6–8/high power field). Smaller numbers of well differentiated lymphocytes may be present within infiltrates. Immunophenotyping with anti-human CD3 polyclonal antibodies indicates that the majority of these tumors are of T cell origin. Animals in terminal stages of the disease may have a lymphocytic leukemia.
178
The adult form of lymphosarcoma is usually: A) acute B) chronic C) rapidly progressive
B) chronic The adult form is usually chronic in nature, affecting animals older than 3 years of age and clinical signs may wax and wane over the course of months. These animals often are lymphopenic and anemic, and present with peripheral lymphadenopathy with later spread to visceral organs (Figure 2.33). Involvement of vertebral bone marrow may result in paresis following bony fracture and extension into the vertebral canal. Microscopically, infiltrates consist of well-differentiated neoplastic lymphocytes with noncleaved nuclei and modest mitotic rates.
179
Other than juvenile/acute and adult/chronic forms of lymphosarcoma, what other forms of lymphoma have been diagnosed in ferrets?
Epitheliotropic lymphoma, retroorbital lymphoma, immunoblastic polymorphous lymphoma, and gastric MALT lymphoma are also seen in ferrets. Ferrets with immunoblastic polymorphous lymphoma are older than 2 years of age and small to large polymorphic lymphocytes are present, many with bizarre nuclei. Epitheliotropic lymphoma is of T cell origin and presents as single or multiple, sometimes hairless, pruritic cutaneous plaques anywhere on the body, including the prepuce and toes. Retroorbital lymphoma may present in adult ferrets as exophthalmos and exposure keratitis in addition to the presence of peripheral lymphadenopathy. Rare cases of gastric MALT lymphosarcoma have been correlated with chronic Helicobacter mustelae infection in ferrets. In these animals, only the gastric wall and one or two local lymph nodes are involved.
180
True or false: There is good correlation between classification of lymphosarcomas diagnosed by fine needle aspirate versus histopathology.
False: There is poor correlation between classification of lymphosarcomas diagnosed by fine needle aspirate versus histopathology, and surgical biopsy is the preferred diagnostic method.
181
A 5 yo ferret presents with dyspnea, coughing, reduced exercise tolerance, and episodic vomiting, and a radiographically visible mediastinal mass is present. What are your top differential diagnoses?
Lymphosarcoma or thymoma.
182
Which Cryptococcus species have been diagnosed in ferrets?
Both C. gattii and C. neoformans have been associated with chronic lymphadenopathy and multi-organ granulomas in pet ferrets.
183
What type of climate is Cryptococcus more likely to be found in? A) cold and dry B) hot and humid C) hot and arid
C) hot and arid Cryptococcus spp. is a dimorphic fungus found in the environment, more commonly in hot, arid climates.
184
How is Cryptococcus usually spread to people and animals?
infection of humans and animals is typically acquired through inhalation of yeast-like forms.
185
What do Cryptococcus lesions look like in ferrets?
Granulomatous lesions within the spleen and lymph node may demonstrate numerous macrophages and multinucleated giant cells, and lesser numbers of neutrophils, lymphocytes and plasma cells. Within the granulomas, numerous fungal organisms (5 to 10 um in diameter) are present with a PAS-positive thick capsule that appears as a clear halo around the organism in hematoxylin and eosin-stained tissue sections.
186
How can Cryptococcus be identified?
Histopath: numerous fungal organisms (5 to 10 um in diameter) are present with a PAS-positive thick capsule that appears as a clear halo around the organism in hematoxylin and eosin-stained tissue sections. A latex cryptococcal antigen agglutination assay can also be used to detect polysaccharide capsular antigen.
187
What does latex cryptococcal antigen agglutination assay test for?
To detect polysaccharide capsular antigen.
188
What species of Mycobacterium has been diagnosed as a cause of chronic splenitis in several pet ferrets presenting with chronic weight loss and malaise?
Mycobacterium celatum has been diagnosed as a cause of chronic splenitis in several pet ferrets presenting with chronic weight loss and malaise. Numerous Ziehl-Neelsen-positive bacilli were visualized within macrophages and granulomatous lesions within the spleen. Definitive diagnosis requires 16S rDNA sequence analysis. The source of mycobacterial exposure remained obscure in all cases. This agent is zoonotic to humans and has been diagnosed in people with overt immunosuppression.
189
How can Mycobacteria celatum be diagnosed definitively in ferrets?
Definitive diagnosis requires 16S rDNA sequence analysis. Numerous Ziehl-Neelsen-positive bacilli were visualized within macrophages and granulomatous lesions within the spleen.
190
What toxicity has been documented in ferrets associated with intubation, and what syndrome does it cause?
Benzocaine-induced methemoglobinemia occurred in ferrets treated topically within the oral cavity to facilitate endotracheal intubation. P-aminobenzoic acid, a benzocaine metabolite, induces the oxidation of hemoglobin to methemoglobin. If methemoglobin is present in significant concentrations, the oxygen-carrying capacity of erythrocytes is reduced. Lidocaine is not associated with methemoglobinemia in clinically relevant doses.
191
What is splenosis and what is it usually a sequelae to?
Splenosis is an acquired condition in which splenic tissue embeds within the abdominal cavity, usually following splenic rupture. It is often asymptomatic but in one case, presented as a large torsed abdominal mass in a young adult ferret with acute abdominal pain and ambulatory weakness.
192
Why do accessory spleens form?
Accessory spleens are congenital lesions arising from incomplete fusion of the splenic anlage during embryogenesis. These may be found on the tail of the pancreas, splenic hilum, and within the mesentery.
193
How many nasolacrimal ducts do ferrets have? A) 1 B) 2 C) 3
Ferrets have two lacrimal glands, one located dorsolaterally and the other within the nictitating membrane.
194
True or false: ferrets have a well developed retrobulbar venous plexus
True. Ferrets have a holangiotic retinal vascular pattern and a well-developed retrobulbar venous plexus, which can bleed extensively during enucleation surgery.
195
What bacteria may be normal ophthalmic flora in ferrets?
Staphylococcus sp. and Corynebacterium sp. have been isolated from the lid margins and conjunctival sacs of healthy ferrets and may be part of the normal eye flora.
196
What enzyme do albino ferrets lack and how does it affect their vision?
Albino ferrets lack tyrosinase, which is critical for melanin synthesis in the retinal pigmented epithelium. Lack of melanin within the retina leads to alterations in fetal retinal development and function with the end result being that these ferrets have motion detection defects compared with pigmented ferrets, and may also have hearing deficits.
197
What are common ophthalmic lesions in ferrets?
Other than cataracts and corneal ulcers, ocular lesions are not commonly reported in ferrets.
198
What causes neonatal conjunctivitis in ferrets?
Neonatal conjunctivitis can be seen in kits up to three weeks of age. Kits present with an accumulation of purulent material within the conjunctival sac, which presents as bulging eyelids, since the eyes are still closed at that time. Several different bacterial agents have been cultured from affected kits, including E. coli originating from a dam with mastitis. The etiopathogenesis of this condition is unknown but thought to be due to environmental exposure and contamination.
199
What are differentials for conjunctivitis in adult ferrets?
Conjunctivitis in older ferrets can be caused by a number of different infectious agents, including canine distemper virus, influenza virus, Mycobacterium spp., and Salmonella spp. Other systemic signs of disease and accompanying pathology should be used to assist with the diagnosis in these cases.
200
What neoplastic disorders have been reported in the eyelids of ferrets?
There is a single report of squamous cell carcinoma in the eyelids of a ferret.
201
What congenital corneal disorder found in dogs has also been documented in ferrets?
Congenital corneal dermoid is seen sporadically in young ferrets and is microscopically similar to the same condition in dogs.
202
What ocular presentation of systemic coronavirus has been reported in ferrets?
Pyogranulomatous panophthmalitis has been reported in a young adult ferret with a systemic coronavirus infection. In addition to depression and behavioral changes, a unilateral corneal opacity was detected at presentation, which was later correlated to marked infiltrates of macrophages, neutrophils, lymphocytes, and plasma cells within the ciliary body and cornea. Virus presence was confirmed with immunohistochemistry.
203
What eye disease occurs sporadically in ferrets and results from retention of hyaloid vessels, leading to proliferation of fibrovascular tissue within the posterior chamber, and eventual formation of cataracts, +/- osseous metaplasia, retinal detachment, microphthalmia, and/or progressive retinal degeneration?
Persistent hyperplastic primary vitreous (persistent fetal ocular circulation). This condition is due to an autosomal dominant genetic mutation.
204
What infectious disease can cause uveitis and chorioretinitis in ferrets?
systemic infection with Cryptococcus sp.
205
What non-infectious, non-traumatic disorders are documented to cause exophthalmos/exposure keratitis in ferrets?
lymphosarcoma, “other retrobulbar tumors”, zygomatic salivary gland mucocele.
206
What is the mean survival time for ferrets with insulinoma receiving: 1) medical management only 2) nodulectomy only 3) nodulectomy and partial pancreatectomy
1) 186 days 2) 456 days 3) 668 days
207
What % body weight is the ferret liver, and how does it compare to a dog liver in relative body weight ratio?
4.3% BW; larger % than dogs (dogs are 3.1% BW)
208
How many lobes do ferret livers have? Which is the largest lobe?
6; L. Lateral Largest
209
Where is the ferret gallbladder located?
Between the quadrate and R medial liver lobes
210
How many major hepatic ducts do ferrets have?
3 - the right, central, and left; these join the gallbladder duct to form the common bile duct
211
What vessels supply the ferret liver?
Portal vein and hepatic artery
212
How much volume of fluid can a ferret stomach hold?
100 mL
213
What is the GI transit time of the ferret?
4 hours
214
Which lymph nodes are unusually large in ferrets?
Pyloric and jejunal
215
Why do ferrets have a jejunoileum?
Jejunum and ileum cannot be differentiated grossly
216
Do ferrets have a cecum?
No
217
Where does the pancreatic duct join the duodenum in ferrets?
3 cm aboard to the pylorus
218
How big is a normal ferret kidney?
2.5-3cm long
219
What is the max volume the ferret urinary bladder can hold?
10 ml
220
Which suture pattern is not recommended by Bennett due to increased risk of bruising in ferrets?
Intradermal
221
What is the incidence rate of adrenal tumors in ferrets?
10.6-21.9% per Bennett
222
Which vessels must be ligated to remove the left adrenal gland in ferrets?
The adrenolumbar vessels medially and laterally to the gland
223
What ligament must be transected prior to removing the right adrenal gland of ferrets?
The hepatorenal ligament connecting the caudate lobe to the cranial pole of the right kidney
224
What clamps can be used to hold off the cvc during R adrenalectomy in ferrets?
Neonatal satinsky or Cooley clamps
225
What size suture should be used to close any rents in the CVC?
5-0 to 7-0 suture
226
How much of the CVC can be removed in a CVC R&A?
2 cm
227
If you ligate the CVC during R adrenalectomy in ferrets, what % of ferrets will develop fatal complications?
30% will develop renal failure if acutely ligate due to acute caval hypertension If you use an ameroid constrictor, second surgery often has lots of granulation tissue so still has a 25% mortality rate.
228
What technique is no longer recommended for adrenal surgery?
Cryosurgery - studies show increase in mortality
229
What % of ferrets have bilateral adrenal disease?
15%
230
If you perform a bilateral adrenolectomy in a ferret, what % develop cushings disease postop?
14.3% - symptoms resolved with medical management
231
What is the most common ferret tumor, and what is its metastasis rate?
Insulinoma (21.9% of population) - 7% metastasis rate
232
What is the MST for ferrets with insulinoma that are managed medically, with nodulectomy, or with partial pancreatectomy?
186 days, 456 days, and 668 days (respectively) Basically ~6-24mo survival time post diagnosis, with longer survival time linked to surgical interventions
233
What is the holding layer of the ferret stomach?
Gastric submucosa
234
What is the most common salivary gland to develop a mucocele in ferrets and why do these mucoceles usually develop?
Zygomatic, secondary to trauma
235
What is the preferred surgical management of prostatic cysts?
Drainage and omentalization following sample collection of fluid for culture/analysis
236
Where should a urethrostomy ideally be performed in a ferret?
1 cm central to the anus as it is wide and superficial in this location
237
Where are the anal sacs located in ferrets?
At the 4oclock and 8oclock locations on the anus
238
How are pacemakers implanted in ferrets?
Abdominal approach - incise through diaphragm, insert leads into the pericardial sac, anchor lines to muscles of diaphragm/body wall, and leave the pacemaker free floating in abdomen
239
Where can vascular access ports be placed in ferrets?
In the jugular vein using 4F catheter (prone to clot obstruction)
240
What is the reported survival rate of ferrets treated surgically for adrenal disease?
70% survival rate for at least 5 years (I call bull, but reported in Bennett, referenced Swiderski et Al 2008)
241
What margins of excision are recommended for mast cell tumors in ferrets?
5-10mm margins
242
Which skin tumor of ferrets commonly develops on the head and neck?
Basal cell tumors; surgical excision is generally curative
243
What is the most common musculoskeletal tumor of ferrets?
Chordoma
244
What is the normal heart rate of conscious ferrets?
230-350 bpm (higher in females than males)
245
What is normal blood pressure for ferrets?
140-164mmHg systolic (under anesthesia)
246
What percentage of normal ferrets have sinus arrhythmia?
10%
247
What is the tidal volume of ferrets?
~6mL
248
What is the gi transit of ferrets?
3h
249
What is different about ferret kidney morphology compared to other species?
Ectopic glomeruli Intrarenal artery walls are thicker than other lab animals Innervates by a single nerve (the direct renal nerve)
250
How long after birth does it take for ferret eyes to open?
28-34 days
251
What is different about ferret creatinine levels?
Normal range is lower than other carnivores, range of normal values is narrower, and may not increase as quickly/significantly as BUN
252
What is normal usg for ferrets?
1.042-1.051 Higher for males than females
253
How do you calculate vertebral heart score for ferrets?
Thoracic width at the 8th thoracic vertebra should be approximately 1.9x greater than the short axis width of the heart on the DV view. If the ratio is lower, this indicates an enlarged heart, and if higher, indicates a smaller heart (or dilated thoracic cavity)
254
Do healthy ferrets have protein in their urine?
Yes
255
How long does transmucosal uptake of IgG occur in ferrets?
First 30 days of its life
256
What is normal systolic pressure in ferrets?
133-161mmHg (conscious)
257
What is normal blood volume of ferrets?
40-60 mL (males more than females)
258
When do ferret ears open?
32 days
259
What is normal respiratory rate of ferrets?
33-36 bpm
260
What is normal IOP for ferrets?
11-17mmHg
261
What is normal Schirmer tear test in ferrets?
5.31 +/- 1.32 mm/min
262
What is the mortality rate of ferret kits infected with rotavirus at less than a week old?
Exceeding 90%
263
Which of the following is least susceptible to rotavirus infection? A) kits from primiparous jills B) kits from specific pathogen free ferrets C) kits from multiparous jills
C) - dams develop strong immunity that protect subsequent litters
264
Which coccidia affects ferrets?
Eimeria furonis
265
What is the treatment of choice for ophthalmia neonatorum?
Incise the natural suture line between the eyelids and flush exudate from the eye with sterile saline followed by treatment with broad spectrum ophthalmic antibiotic ointments
266
What is the rate of congenital malformations in ferret kits?
1-3%
267
What is the 24 hr neonatal mortality rate for ferrets?
7%
268
What is the mortality rate from birth to weaning for ferret kits?
20%
269
What can be mixed with cow milk to provide an adequate milk replacer for ferrets 10-50 days of age?
Either 20% chicken egg yolk or 20% puréed strained beef liver
270
What percentage of the day do ferrets spend sleeping?
60-70%
271
What percentage of ferrets have periodontal disease according to one study (Eroshin et Al)?
65%
272
What percentage of ferrets have dental malocclusions according to Eroshin et Al?
95% had malocclusion of the mandibular second incisor
273
What percentage of ferrets have tooth fractures and what tooth is most likely to fracture?
32%, canines; 60% with pulp exposure
274
What is the normal size of a ferret kidney?
2.3-3cm x 1.2-1.35cmx1.1-1.35 cm (lxwxh)
275
What percentage of ferrets evaluated by Malakoff et Al had second or third degree av blocks?
40%
276
What percentage of ferrets develop vaccine reactions?
277
What is a potential risk of vaccination in ferrets besides anaphylaxis?
Vaccine site fibrosarcomas (8 reports)
278
What size iv catheter is recommended for ferret transfusions?
22g to avoid hemolysis
279
What is the formula used to determine blood donor volume?
BV donor (mL) = BV recipient (mL) x pcv(post)-pcv(pre)/pcv(donor)
280
What clinical signs are associated with blood transfusion reactions?
Hemolysis, hypotension, fever, urticaria, or vomiting
281
How can bone marrow be collected from ferrets?
Shave skin over the coxofemoral joint, aseptic prep, then stab incision over the greater trochanter with a #15 blade; insert 20g 1.5” spinal needle is inserted and advanced, then a 10mL syringe is used to vigorously aspirate a bone marrow sample. Alternatively can obtain a core sample using an 18g needle
282
Why are benzocaine containing anesthetic sprays not recommended in ferrets?
A 1 second spray produced methemoglobinemia in multiple ferrets. Lidocaine containing gels or sprays are ok.
283
How can a tracheal wash be performed in a ferret?
8f catheter passed down the ER tube, flush 2ml sterile saline, then aspirate out
284
What enzyme must be present for H. Mustelae to colonize the gastric mucosa of ferrets, and what is the clinical relevance?
Urease Ferrets can be screened for H. Mustelae infection with a urea breath test (no clinical relevance, only for lab animals)
285
What size of urinary catheter can be used to catheterize ferrets?
3.5F red rubber or 3F slippery Sam
286
Where can csf be collected from ferrets?
Cerebellomedullary cistern (cisterna magna) or L5/L6 space using a 25g spinal needle. Cisterna magna produces higher volume
287
How long does gastric emptying take in a healthy ferret?
1.5-2.5 hrs
288
What are the landmarks for an epidural in a ferret?
Sternal recumbency, hind legs in hip flexion; line drawn between the two cranial-most extremities of the iliac wings and another drawn along midline. A 22g spinal needle or 25g hypodermic needle is inserted at the intersection just caudal to the caudalmost lumbar vertebrae.
289
What is the incidence rate of endocrine tumors in ferrets?
39.7-53%
290
What are the most common endocrine tumors of ferrets?
Insulinoma (21.7-25%) and adrenal disease (up to 25%)
291
Following surgical treatment of insulinomas, what percentage of ferrets still need medical management?
>50% Only 14-15% are cured long term with surgery
292
What is the sensitivity of abdominal ultrasound at detecting adrenal lesions in ferrets?
84% sensitivity
293
What percentage of ferrets have unilateral adrenal disease?
85%
294
Ferrets <1 yo often develop ____ lymphoma, which is of ____ cell phenotype.
Mediastinal, T
295
Ferrets between 1-3 yo with lymphoma often present with _____ or, alternatively, with ________ +/- involvement of solid tissue masses.
Mediastinal lymphoma, T cell leukemia
296
Ferrets >3 yo that develop lymphoma most commonly show signs of ______.
Nonspecific wasting disease and indolent progression, although there are many variable presentations possible.
297
What concurrent disorders are ferrets with lymphoma susceptible to?
Opportunistic infections, and neoplasms of other types
298
What is the most common clinical pathology sign of lymphoma in ferrets?
Mild anemia (found in 2/3 of cases)
299
A ferret shows evidence of lymphoblastic leukemia, confirmed on a bone marrow biopsy, despite a lack of clinical signs. What stage of lymphoma is the patient in?
Stage 5a.
300
A ferret is showing signs of anorexia and weight loss. Radiographs show a markedly enlarged spleen and right kidney, along with a mediastinal mass that are diagnosed as lymphoma on FNA cytology. What stage of lymphoma is this?
Stage 4b.
301
A ferret is showing signs of anorexia and weight loss. Radiographs show a mediastinal mass, and ultrasound reveals enlarged abdominal lymph nodes that are diagnosed as lymphoma on FNA cytology. What stage of lymphoma is this?
Stage 3b.
302
A ferret has a single enlarged peripheral lymph node with no other clinical signs. FNA is suggestive of lymphoma. Radiographs and ultrasound do not identify any other masses. What stage of lymphoma is this?
Stage 1a.
303
A ferret has an enlarged spleen with no other clinical signs. FNA is suggestive of lymphoma. Radiographs and ultrasound do not identify any other masses. What stage of lymphoma is this?
Stage 2a.
304
When should splenectomy be recommended in ferrets?
When the spleen takes up more than 50% of the abdominal cavity, or it FNA is suggestive of lymphoma
305
What is the top differential for myeloma in ferrets?
Aleutian disease (parvovirus) AD does not affect bone marrow or bone which helps differentiate the two
306
What is the most common erythroid disorder of ferrets?
Anemia
307
When should a blood transfusion be considered in ferrets?
If the hematocrit drops suddenly below 15% or more gradually below 12%
308
What is the primary differential diagnosis for thymoma in ferrets?
Mediastinal lymphoma
309
How many ferrets with lymphoma have enlarged spleens?
2/3rds
310
What disease causes tan, enlarged spleens in ferrets?
Myofasciitis
311
What is the term for cytopenia that reverses after splenectomy?
Hypersplenism
312
What clinical pathology finding can help determine prognosis of ferrets in prolonged estrus?
If pcv is <15% prognosis is guarded to poor and multiple blood transfusions will be required
313
What bacteria is most commonly implicated in acute ferret mastitis cases?
E. Coli
314
What is the best treatment for E. Coli mastitis in ferrets?
Clavamox or chloramphenicol or enrofloxacin (Note: should avoid chloramphenicol or enrofloxacin if at all possible if kits are continuing to nurse)
315
What bacteria is most commonly implicated in cases of chronic mastitis in ferrets?
Staphylococcus species
316
What should not happen to the kits if a diagnosis of chronic mastitis is made in the ferret dam?
They should not be fostered to another nursing ferret as they can spread mastitis to the other ferret. Must be hand fed.
317
What characteristic postmortem lesion(s) may be seen in ferrets with pregnancy toxemia?
Exceedingly fatty, pale tan, or yellow liver with no body fat, +/- helicobacter gastritis and ulcers with melena
318
What are potential clinical signs of hyperestrogenism in female ferrets?
Pancytopenia, enlarged vulva, purpuric hemorrhages, and melena (In males, add urinary obstruction/prostatomegaly/prostatic cysts)
319
What reproductive disorder is associated with adrenal disease in intact female ferrets?
Pyometra
320
If a pregnant Jill is anorectic, lethargic, dehydrated, and anemic, with melena and a profusely shedding coat, as well as hypoglycemia and BUN >150, what is the likely cause and appropriate treatment?
Eclampsia (pregnancy toxemia) Treatment includes c-section (if possible, although kits won’t survive if less than 40 days’ gestation), IVF with glucose supplementation, and dietary support with a high protein, high caloric diet. Consider labor induction with prostaglandin and oxytocin only if within 24h of due date and only mildly affected.
321
What is the most common cause of vaginitis in ferrets?
Foreign body in vagina (usually bedding related - hay, straw, or wood bedding predisposes)
322
When does milk fever affect primiparous jills?
3-4 weeks postpartum
323
What are known causes of pseudo pregnancy in ferrets?
Reduced light intensity 1 month prior to breeding leading to hormonal imbalance, or using immature males <6 months of age
324
What are potential causes of prostatic cysts in ferrets?
Congenital, or secondary to inflammation/hyperplasia/neoplasia Estrogen/androgen secretion from adrenals is a predisposing factor for both hyperplasia and neoplasia of the prostate and can also cause periprostatic or paraprostatic cysts.
325
Where do paraprostatic cysts usually develop in ferrets?
On dorsal urinary bladder and/or proximal urethra Can also affect females, likely due to mesonephric or paramesonephric remnants
326
What is the expected result of a cystogram in ferrets with prostatic cysts?
Both the cyst and urinary bladder fill with contrast medium, but only the cyst retains the media after the bladder voids. This can look like a “triple bladder” if the cyst is bilobed.
327
What is the appropriate initial treatment for urogenital cystic disease in male ferrets?
Relieve urethral obstruction, rehydrate, and prescribe treatment for secondary bacterial infections (also GnRH agonists although these are not discussed in the ferret medicine textbook). Afterwards, plan on potential surgery to drain/remove cystic structures and remove diseased adrenal glands.
328
What bacterial organism has been implicated in cases of pyelonephritis in ferrets?
Hemolytic E. coli
329
What percentage of ferrets have renal cysts?
10-15% on two separate studies. In a 17 year case control retrospective analysis of ferrets from MIT, 69% had renal cysts, and 26% had primary polycystic disease.
330
What clinical signs have been documented associated with polycystic kidney disease in ferrets?
Seizures, weakness, ataxia, and peritoneal effusion (Both ferrets with this reported condition had seizures, and both were 3 yo)
331
Primary polycystic kidney diseases of ferrets are classified into which two groups?
Polycystic kidney disease (tubular origin) and glomerulocystic kidney disease. Most ferrets in the literature have been diagnosed with glomerulocystic kidney disease.
332
Secondary renal cysts are caused by which predisposing conditions? How can you tell the different conditions apart on necropsy?
1) Developmental disorders - this includes dilation of glomeruli/tubules, expansion of interstitial matrix with loss of glomeruli/tubules, or thickening/splitting of glomerular/tubular basement membranes. Closely resembles canine familial nephropathies and polycystic kidney syndrome of New Zealand White rabbits. 2) chronic end stage kidney disease - manifests by pitting of renal capsule, segmental loss of underlying parenchyma, glomerular and tubular fibrosis with dilation and atrophy, protein and waxy tubular cases, and interstitial fibrosis. Cysts associated with CKD rarely exceed 1 mm diameter.
333
A ferret presents with azotemia and multiple cystic lesions within the kidneys that range in size from 5-10mm each. On histopath, the ferret has basement membrane thickening and fibrosis of intact glomeruli. Is this ferret likely to have primary or secondary renal cysts? Is the condition developmental or chronic?
1) secondary (primary cysts don’t have basement membrane thickening or fibrosis, and usually don’t present with azotemia) 2) developmental (chronic cysts are
334
What clinical pathology signs are associated with primary polycystic kidney disease in ferrets?
Lower hematocrit (34%), hypocalcemia (7.8 mg/dL), and hypoalbuminemia (2.2 g/dL) Usually NOT azotemic or hyperphosphatemic
335
What clinical pathology signs are associated with secondary polycystic kidney disease in ferrets?
Azotemia, hyperphosphatemia, hypoalbuminemia, and anemia; may also show decreased appetite and weight loss
336
What is the most common cause of hydronephrosis in ferrets?
Accidental ligation of the ureter during a spay surgery
337
What is the classic presentation of hydronephrosis in a ferret?
<6mo spayed female ferret with progressive distention of the abdomen and no other clinical signs
338
What is the recommended first ingredient in a ferret diet?
Chicken or other poultry; if in a breeding colony, second ingredient should also be meat or fish Reduces risk of bladder stones
339
What is a common cause of urolithiasis in lactating jills? What is the best treatment?
Retained placental membranes and endometritis with secondary ascending cystitis (usually caused by staph or E. coli) Surgery to remove the placental membranes. Can also treat with prostaglandin and antibiotics but if ferret continues to strain may cause uterine prolapse.
340
What percentage of ferrets develop urinary calculi?
5-16% incidence
341
Are male or female ferrets more likely to develop urinary calculi?
Males (54 males compared to 16 females in a retrospective from Minnesota Urolith Center)
342
What is the most common ferret urolith type?
Cysteine stones
343
If a near term pregnant Jill develops urinary calculi and requires a cystotomy, what must happen before the cystotomy is performed?
A c-section, as otherwise they will dehisce with straining to give birth.
344
What clinical signs were reported in a 6 month old ferret diagnosed with an ectopic ureter, and how was it diagnosed? What treatments were provided and what was the outcome?
Urinary incontinence and scalding. Diagnosed on excretory urography. Nephroureterectomy with uneventful recovery; phenylpronanolamine to treat suspected urethral dysfunction. Minor incontinence continued 3 months postoperatively.
345
What is the clinical significance of supernumerary incisors in ferrets?
None other than keeping good breeding records if breeding stock, since this could be a genetic trait.
346
What is a potential treatment for reducing dental calculus in ferrets?
Feeding bones (carries risks of pathogen introduction and dental trauma/foreign bodies), feeding tartar control treats, and dental prophylaxis
347
What percentage of ferrets have been documented to have periodontal disease?
60%
348
What type of bacteria is usually implicated in periodontitis of ferrets?
Gram negative rods and anaerobes
349
What conditions can predispose ferrets to developing periodontal disease?
Immunosuppressive conditions or treatments, diabetes, feeding wet food or kibble
350
What drug causes gingival hyperplasia to develop in ferrets?
Phenytoin, due to a drug induced folic acid deficiency (This is a seizure drug)
351
What is the appropriate treatment for salivary mucoceles?
Surgical excision or marsupialization
352
What ferret salivary gland(s) is/are prone to development of salivary microliths and what is the clinical significance?
Parotid salivary glands (secretions are rich in calcium and glands contain pockets of inefficient secretion); may reduce flow and lead to secondary inflammation/infection
353
How common are parotid salivary microliths in ferrets?
One study found them in 5/7 animals. Often asymptomatic and may be either unilateral or bilateral.
354
What are clinical signs of megaesophagus in ferrets?
Regurgitation, lethargy, dysphagia, esophagitis, and anorexia (+/- aspiration pneumonia and hepatic lipidosis)
355
What is the only confirmed cause of megaesophagus reported in a ferret?
Myasthenia gravis in one case, others were idiopathic
356
In the single ferret treated for myasthenia gravis induced megaesophagus, what treatment was instituted and what was the outcome?
Pyridostigmine bromide 1 mg/kg q8h. Complete remission of clinical signs for 1 month, followed by euthanasia due to declining condition
357
What are the causes of ferret esophageal perforation reported in the literature?
A diet of rat carcasses containing bones; rubber foreign body
358
What are potential complications reported in ferret esophageal perforation cases?
Esophageal stricture postop the initial repair, necessitating esophageal resection and anastomosis (successful recovery noted)
359
What microorganism has been found in all reported cases of gastric bloat in ferrets?
Clostridial perfringens type A Koch’s postulates not confirmed, may be a secondary issue
360
What is the predisposing cause of bloat in ferrets?
Rapid dietary change or ad lib consumption of excess food (specifically after prolonged fasting of >24h)
361
What are potential infectious causes of hepatobiliary inflammation in ferrets?
Helicobacter and Campylobacter
362
What is the cause of extrahepatic cholestasis in ferrets?
Unknown Choledochoduodenostomy and cholecsytotomy with removal of blockage have been reported as successful treatments
363
What is the reported cause of cystic mucinous hyperplasia (gallbladder mucocele) in a ferret?
Trichobezoar that was partially blocking the ampulla of Vater
364
What are the most common foreign bodies in ferrets?
Young: rubber and foam Adult: trichobezoar
365
How common is copper toxicosis in ferrets?
Potentially rare; single report in sibling ferrets in the same household However, another study in 2022 found 64% of ferrets both with and without hepatobiliary disease displayed a propensity for centrilobular hepatic copper accumulation; uncertain clinical importance (could not confirm copper was the cause of clinical signs). Another study in 2022 found considerable variation in copper content of commercially available ferret diets which may be predisposing.
366
What must be completely ruled out before making a diagnosis of IBD in ferrets?
Helicobacter gastritis and GI lymphoma
367
What are classic clinical signs of IBD inflammation ferrets?
Loose/grainy Diarrhea, vomiting, and weight loss
368
What is the treatment of choice for IBD in ferrets?
Dietary elimination and anti-inflammatory meds (prednisone, azathioprine)
369
What are clinical signs of eosinophilic gastroenteritis in ferrets?
Weight loss, anorexia, and green diarrhea +/- eosinophilia
370
What is the treatment of choice for eosinophilic gastroenteritis in ferrets?
Fluids, antibiotics, supportive care, and prednisolone 1.5mg/kg once daily for a week, followed by a taper to low dose therapy of 0.8 mg/kg once per day Dietary change does not seem to help (but is poorly understood in ferrets). Treatment with ivermectin resulted in clinical sign remission in one case. In another case, surgical removal of enlarged mesenteric lymph node resulted in remission of EGE.
371
In the first case series of ferrets with urogenital cysts, how many were female?
1/3 (two out of six ferrets) No other reports of cystic urogenital structures in female ferrets
372
In a retrospective study of six male ferrets with cystic prostatic disease, how many had either adrenocortical lesions or previous adrenal disease?
All of them (one did not have a definitive diagnosis of adrenal associated endocrinopathy but it had an adrenal previously removed)
373
What percentage of unilateral adrenalectomy ferrets develop disease in the remaining adrenal gland?
17-38% usually within 3-18 months (average of 11 months)
374
What percentage of ferrets undergoing subtotal bilateral adrenalectomy have recurrence of adrenal disease within 7-22 months after surgery?
15%
375
How does melatonin work pharmacologically?
Exact mechanism unknown but likely regulates GnRH and prolactin secretion from the pituitary
376
How long does Lupron take to resolve clinical signs of disease in ferrets with adrenal disease?
Most resolved within 2 weeks, with hair regrowth by 1 month Duration of effect averaged 3.7 months (range 1.5-8 months) Dose is 100-250ug/kg IM q4-8w
377
How long does deslorelin take to become effective in ferrets?
Most clinical signs resolved within 2 weeks, with alopecia resolving by 4-6 weeks. Clinical signs recurred after 17.6 +/- 5 months.
378
What is a potential dietary factor impacting development of insulinoma in ferrets?
High carbohydrate in diet may sensitize islet cells to produce more insulin over time, leading to neoplastic transformation
379
What is Whipples triad?
1) hypoglycemia (<60 mg/dL fasting) 2) concurrent neurologic signs 3) resolution of neurologic signs with glucose administration Must ALSO eliminate severe hepatic disease, sepsis, starvation, and addison’s as cause of signs.
380
What percentage of ferrets with insulinoma were able to be diagnosed with preoperative ultrasound in a study of 23 ferrets?
22% (5/23)
381
What percentage of ferrets with insulinoma have high plasma insulin on a radioimmunoassay validated for ferrets?
83%
382
What type of insulin is most commonly used to manage diabetes in ferrets?
Glargine insulin 0.005mL SQ
383
What tumor of the pancreas causes gastric acid secretion, promotes GI motility and gastric emptying, and limits pancreatic exocrine secretions?
Pancreatic polypeptidoma (Increases secretion of pancreatic polypeptide) Clinical signs include depression, diarrhea, melena, and weight loss
384
What is the reported treatment for primary pseudohypoparathyroidism in a ferret?
Oral dihydrotachysterol and calcium carbonate
385
Heart murmurs are ____ with DCM and valvular insufficiency but ______ in HCM of ferrets.
Common, uncommon
386
What is the most common cardiomyopathy of middle aged/geriatric ferrets?
DCM
387
Does DCM or HCM carry a better prognosis in ferrets?
DCM; prognosis is 1+ years post diagnosis, while HCM prognosis is only a few months post diagnosis
388
What treatments are recommended for HCM in ferrets?
Beta blockers (slow heart rate), calcium channel blockers (reduce after load and vasodilator coronary arteries), diuretics and ACE-inhibitors as needed to manage CHF. No need for aspirin or heparin therapy; ferrets do not commonly develop arterial thromboemboli.
389
What is the top differential for chronic valvular heart disease in ferrets?
DCM
390
What are oral treatments for high degree 2nd and 3rd degree AV block in ferrets?
Propanetheline, pseudoephedrine, metaproterenol, terbutaline, isoproterenol, aminophylline, and/or theophylline Most minimally effective Best treatment is pacemaker
391
Why is ELISA testing ineffective for ferret heartworms?
A positive reaction requires the presence of at least 2 sexually mature female heartworms, and as few as two heartworms can induce fatal CHF.
392
What clinical signs does aberrant Dirofilaria immitis larval migration cause in ferrets?
Neurologic signs
393
Which radio graphic view is preferred to detect and measure cardiac enlargement in ferrets?
Right lateral VHS= number of vertebral bodies caudal to T5 that are included in the sum of the length and width of the heart (estimated to the nearest 1/4 vertebrae) Normal VHS for ferrets is 3.75-4.0 vertebrae.
394
Is vertebral heart score used to diagnose cardiac disease?
No, used to identify cardiomegaly
395
What is the normal intercostal space score for ferrets?
In right lateral, the short axis measurement of the heart should be ~2.3 rib spaces.
396
What condition can lead to the erroneous diagnosis of cardiomyopathy in ferrets?
Dehydration - will cause increased diastolic left interventricular septum and free wall thickness exceeding normal limits on echocardiogram
397
What is the standard positioning for ECG recording in a ferret?
Right lateral
398
Which ECG lead can often be used by itself to diagnose and characterize a ferret arrhythmia?
Lead II
399
What level of bradyarrhythmia in ferrets must be addressed medically or with a pacemaker to prevent progression to CHF?
Heart rates of 50-80 bpm need intervention. Heart rates of 100-160 bpm may be compensating adequately and not require medical intervention.
400
How do you determine appropriate cuff size for indirect blood pressure measurement?
Cuff should be 40% the circumference of the tarsus, carpus, tibia, or base of tail
401
If an indirect blood pressure cuff is too large, will it overestimate or underestimate blood pressure?
Underestimate
402
What are survival rates for ferrets with heartworm treated with melarsamine? Thiacetarsamide?
40% 66% TOC is currently ivermectin + melarsamine (along with worm retrieval if possible)
403
How long can ferrets survive after experimental infection with rabies before showing clinical signs?
Up to 81 days before showing clinical signs (hind limb paralysis), and 181 days post challenge prior to death
404
What cns sign on histopath is consistent with of a diagnosis of distemper virus?
Nonsuppurative encephalomyelitis with intracytoplasmic neuronal inclusion bodies (Negri bodies)
405
In a study examining 73 ferrets 11-12 months old with slit lamp biomicroscopy, what percentage had lens opacities?
47% 18 weeks later, 70/73 of the ferrets had lenticular opacities.
406
What are characteristic lesions of disseminated idiopathic myofasciitis?
Pyogranulomatous to suppurative inflammation of the cardiac and skeletal muscle in young adult (11 weeks-4 years) ferrets of either sex. May see white mottling and dilation of the esophagus and white streaks in the heart, diaphragm, and intercostal muscles. May see tongue atrophy.
407
In cases of DIM, what happens to the AST and CK levels of the patient?
They are normal - there is comparatively minimal necrosis of muscle bundles.
408
What is the proposed treatment for DIM?
Cyclophosphamide, prednisolone, and chloramphenicol (may have as long as a 3.5 year survival rate)
409
410
What percentage of ferrets that ingested ibuprofen developed neurologic signs?
Over 93% Depression, tremors, weakness, recumbency, coma Over half also had GI signs In 13/43 cases, clinical signs developed within 4 hrs of ingestion; in 6/43 cases, clinical signs developed in 5-8 hrs of ingestion. Longest period before onset of signs was 48 hrs. Out of 43 cases, 4 ferrets died. The lowest dose associated with death was 220 mg/kg. Treat with misoprostol, Sucralfate, omeprazole, and famotidine and diurese with IVF for 24-36 hrs.
411
What are clinical signs of acetominophen toxicity in ferrets?
Methemoglobinemia and hepatic damage May need blood transfusion
412
Where do lesions associated with zinc toxicity develop in ferrets?
Primarily the kidneys - kidneys are enlarged, pale, and soft, with small depressions on the capsular surface. Livers are orange, and the stomach has erosions with hemorrhage in the gastric pits
413
What are the envelope glycoproteins of canine distemper virus?
Hemagglutinin (attachment) and fusion proteins
414
Can canine distemper virus be transmitted transplacentally?
Yes in dogs, not documented in ferrets
415
What age of ferret is most susceptible to distemper virus?
Young animals 3-6 months old following loss of maternal antibodies
416
What is the incubation period of distemper?
4-10 days
417
What is the mortality timeline of distemper?
5-28 days after onset of clinical signs, close to 100% mortality
418
What are the first clinical signs of distemper in ferrets?
Anorexia, Pyrexia, photophobia, and serous nasal discharge
419
What systems does distemper virus affect?
Cutaneous, ocular, respiratory, CNS, and GI
420
What is the diagnostic test of choice for canine distemper in ferrets?
IFA of conjunctival, tonsilar, and respiratory epithelium or secretions Alternatively, RT-PCR of conjunctival smears or respiratory secretions
421
What treatments are indicated in cases of distemper virus?
Antibiotics to treat secondary bronchopneumonia, vitamin A at 50,000 IU IM SID x 2 treatments, vitamin C IV SID x 3 treatments, 1 mL IV of hyperimmune serum from a vaccinated ferret, nutritional support, antihistamines or steroids to treat pruritis, vaccination of exposed animals a few hours after exposure (ineffective after 48 hours post exposure), euthanasia if signs progress as they usually do.
422
How long are distemper vaccines effective for in ferrets?
Potentially up to 6 years if given after 18 weeks of age
423
What percentage of ferrets have adverse vaccine reactions?
1-5% in the US More likely to occur in older animals that have been repeatedly vaccinated
424
What age of ferret is most susceptible to ferret systemic coronavirus?
<18 months old
425
What are the pathognomonic clinical signs for ferret enteric coronavirus or ferret systemic coronavirus?
There are none.
426
What is the seroprevalence of Aleutian disease virus?
6-60% in the US depending on the study, despite the fact that clinical reports are rare
427
What age of ferret is most susceptible to Aleutian disease virus?
2-4 years old
428
What treatments are most effective for Aleutian disease?
Supportive care Cyclophosphamide 10 mg/kg IP, 3x weekly x 13 weeks Or, prednisolone at immunosuppressive doses +/- melatonin implants
429
Which virus is most resistant to degradation/disinfection? A) coronavirus B) distemper virus C) Aleutian disease virus
C) Aleutian disease virus - it is a parvovirus and is very resistant to disinfectants and environmental degradation. Inactivated by 2% sodium hydroxide for 30 minutes, dilute bleach (1:30) for a 10 min minimum exposure, as well as steam cleaning, boiling, formaldehyde, glutaraldehyde, and chlorine solutions.
430
What are the 3 clinical stages of rabies?
Prodromal stage (1-3 days of behavior changes) Excitative stage (3-4 days of “furious”, hypersensitive and attack/bite anything; drooling, hydrophobia, etc. Paralytic stage (dumb rabies - in coordination, paralysis, drooling, difficulty swallowing)
431
What presentation of rabies do ferrets usually show?
Paralytic stage May show hyperactivity with intermittent lethargy, hypothermia, bladder atony, constipation, inappetence, abnormal/frequent vocalizations, sneezing, ptyalidm, excessive grooming, photophobia, ataxia, tremors, seizures, hind limb weakness, paralysis or spasms of the mandible, and posterior or ascending paralysis. Only 10% show aggressive behavior in experimental infections
432
What is the efficacy of rabies vaccines in ferrets?
90% effective (Contrast with 94% mortality in unvaccinated ferrets)
433
What is the mortality rate of botulism in mink associated with ingestion of type C toxin and type A toxin?
90%
434
What is a potential sequelae of Campylobacter jejuni infection in pregnant jills?
Abortion and placentitis
435
What is “triple therapy” for Helicobacter mustelae?
Amoxicillin 30mg/kg, metronidazole 20mg/kg, and bismuth subsalicylate 17.5mg/kg PO q8h x 3-4 weeks
436
What adrenal tumor types have been diagnosed in ferrets?
Adrenocortical adenomas or carcinomas, adrenocortical spindle cell tumors, pheochromocytomas, and teratomas
437
Are thyroid gland neoplasms common in ferrets?
Rare, but 3 cases reported No cases of hypothyroidism or hyperthyroidism in ferrets reported
438
What is the 3rd most common system for neoplasms to develop in ferrets?
Skin (After endocrine and hemolymphatic)
439
What is the most common skin neoplasia of ferrets?
Basal cell tumors, up to 60% of skin tumors Overwhelmingly benign, surgical excision is curative
440
Are there any reports of metastasis of mast cell tumors in ferrets?
No
441
What is the 3rd most common skin tumor of ferrets?
Apocrine sweat gland tumor (prepucial gland tumors are in this category) Usually aggressive and malignant (3rd most common After basal cell tumors and mast cell tumors)
442
What is the most common neoplasm of the oral cavity of ferrets?
Squamous cell carcinoma
443
How common are hepatic neoplasms in ferrets?
4.5% of total neoplasms in one large retrospective study
444
What is the most common neoplasm of the ferret uterus?
Leiomyomas and leiomyosarcomas
445
What is the most common musculoskeletal neoplasm of ferrets?
Chordoma
446
What is the most common neoplasm of the ferret nervous system?
Metastatic lymphoma Other types are rare, <0.5% of neoplasms in a large retrospective study
447
What type of neoplasm has “Verocay bodies”?
Peripheral nerve sheath tumors (found in skin and adrenal gland) Verocay bodies are cells whose nuclei palisade in one plane.
448
Does thymoma cause myasthenia gravis in ferrets?
No association in any reports of either disease in ferrets
449
What is the prognosis for ferrets with first degree and low grade second degree AV block?
Excellent
450
What is the prognosis for ferrets with high grade second degree AV block or 3rd degree AV block?
Guarded to poor without pacemaker implantation
451
What drug should be used to treat acetominophen toxicity in ferrets?
N-acetylcysteine
452
What anti androgen agents may be used as adjunct to GnRH agonists and surgery as management of prostatic disease of ferrets?
Flutamide, bicalutimide, and finasteride
453
What hypersensitivity reactions are seen with vaccine reactions in ferrets?
Type 1 (anaphylaxis)
454
What emerging zoonotic disease of ferrets causes respiratory disease and abscess formation and has been reported in Europe, Australia, and the US?
Pseudomonas luteola
455
How is Pseudomonas luteola spread in ferrets?
SQ, respiratory, or oral route of infection Does not require immunosuppression to develop infections
456
What clinical signs are associated with infection with Pseudomonas luteola in ferrets?
SQ swelling (inguinal or cranial cervical), respiratory signs, fever, dehydration, lethargy, anorexia, ptyalism, and head tilt
457
What cytologic findings are supportive of a diagnosis of Pseudomonas luteola?
On FNA of masses, Rod shaped microorganism with a clear to basophilic halo surrounded by pyogranulomatous inflammation
458
Which antibiotics should be chosen while waiting for culture results of suspected Pseudomonas luteola infections in ferrets?
3rd generation cephalosporins, aminoglycosides, and fluoroquinolones - IV administration!
459
What prognosis does Pseudomonas luteola infections in ferrets carry?
Grave - only 2/12 have survived confirmed infections
460
If a ferret has SQ masses from Pseudomonas luteola, what location of the masses may carry a better prognosis and what treatment should be performed?
Cranial cervical masses that are surgically removed carry a better prognosis (only case from this location that was treated surgically survived); inguinal masses had one survivor out of a total of 3 cases that were managed surgically.
461
Is Pseudomonas luteola a high zoonotic risk?
Only for immunosuppressed humans
462
How is hepatitis E virus transmitted to ferrets?
Fecal oral route (Not shed in urine)
463
Is infection with hepatitis E virus a bigger concern for humans or ferrets?
Humans - causes acute hepatitis and can cause liver failure in pregnant women in their 3rd trimester. Transmitted through contaminated food and water in humans. Ferrets are often asymptomatic but virus can cause liver damage. - can have subclinical infection (22-44%), acute hepatitis (44-67%), or persistent infection (8-11%). Ferrets have not been documented to transmit the virus to people.
464
What three infection patterns do ferrets infected with Hepatitis E demonstrate?
subclinical infection (22-44%), acute hepatitis (44-67%), or persistent infection (8-11%).
465
What clinical findings are expected in ferrets with active Hepatitis E infection?
Increased ALT and hepatomegaly
466
How is hepatitis E diagnosed in ferrets?
RNA detection in feces or serum or serology
467
What is the most common cause of death in ferrets infected with influenza?
Secondary pneumonia
468
Which strains of influenza can ferrets contract? A) H5N1 B) H3N2 C) H7N2 D) a and b E) all of the above
E) all of the above H5N1=avian influenza (high path) H3N2=canine influenza H7N2=avian influenza (low path)
469
What is the age at which ferrets are considered geriatric according to VCNA?
3 years
470
What is the recommended routine diagnostic workup for a geriatric ferret?
PE, dental exam, bloodwork, imaging
471
How often are physical exams recommended in geriatric ferrets?
Twice a year
472
What mite should be visually screened for during routine exam of ferrets?
Otodectes cynotis
473
What is the appropriate fasting duration for a ferret undergoing screening blood glucose?
2-4 hours (2 hrs sufficient if an insulinoma is suspected)
474
What is the normal ferret VHS?
3.75-4.07 vertebrae
475
What are reported clinical signs of heart attacks in ferrets?
Semiconscious, tachypneic, cold extremities, bradycardia or erratic heartbeat
476
What treatments are recommended for treatment of heart attack in a ferret?
IV dobutamine, atropine, and lidocaine
477
What is the diagnostic test for myasthenia gravis?
IV neostigmine methylsulfate - if improves for up to 6 hours, positive diagnosis
478
What is the treatment for myasthenia gravis?
Pyridostigmine and prednisolone
479
Which species have formulas for body surface area?
Rats, mice, ferrets, guinea pigs, rabbits
480
What should be done prior to performing a splenectomy in a ferret?
Bone marrow aspirate to assess rbc production
481
What are the reported causes of chylous ascites in ferrets?
Neoplasia - lymphoma and adrenal carcinoma