Difference between revisions of "Snake Lumps and Bumps"

Revision as of 16:46, 15 March 2010

Examination

Abnormal swellings are one of the commonest presentations in snake. Visible or palpable masses may be either the presenting complaint or they may be found during the physical examination. History will reveal that many lumps such as abscesses and neoplasia will be progressive while others will appear as if they developed overnight. Physical examination will give an indication of aetiology because of position. The differential diagnosis is in part based on the position of the lump in the body.

Diagnosis

The majority of lumps are abscesses but not all are! Radiology may define the aetiology because of the radiographic appearance. Additionally, haematology and biochemistry, fine needle aspiration, contrast radiography, ultrasonography, endoscopy, biopsy and faecal examination may be used. Culture and sensitivity are especially important.

Therapy

Treatment is very varied and dependent on the aetiology but frequently involves surgery to investigate and remove the masses. Treatment of abscesses (one of the most common dermatological problems) involves surgical removal and systemic antibiotics based upon a culture and sensitivity.

Prevention

A preventive medicine program holds the key to a healthy reptile collection. Good husbandry practices produce animals that are not stressed and conditions not conducive to disease. Hygienic conditions decrease contamination of abscess-forming bacteria. Prophylactic treatments decrease parasite numbers before they become a problem. Veterinary involvement allows treatment to be instigated at an early stage.

Differential diagnosis of lumps

The differential diagnosis will depend on the position of the lump in the body so knowledge of the position of organs is important. Abscesses may occur anywhere in the body and must be included in any differential diagnosis. Neoplasia is similar. Some causes:

In the cranial third of the snake - ingested foreign bodies, cardiomyopathies or pericardial effusions, visceral gout and goitre.
In the middle third - ingested foreign bodies, intestinal intussusception, visceral gout, cholecystomegaly due to bile duct obstruction or coccidiosis, ripe or atretic follicles, inflammation of any organs including gastritis caused by Cryptosporidium and Monocercomonas, colitis due to Entamoeba, omphalitis and steatitis.
In the caudal third - ingested foreign bodies, intestinal intussusception, uric acid colonoliths, renal and visceral gout.

@@ Line 1: / Line 1: @@
-{{review}}
+[[Image:Abscess_lump.jpg|200px|thumb|right|'''The majority of lumps in snakes are abscesses''' ©RVC and its licensors, Peer Zwart and Fredric Frye. All rights reserved]]
-[[Image:Abscess_lump.jpg|200px|thumb|right|'''The majority of lumps in snakes are abscesses''' © RVC]]
 ==Examination==
-Abnormal swellings are one of the commonest presentations in snakes. Visible or palpable masses may be either the presenting complaint or they may be found during [[Snake Physical Examination|physical examinations]]. A full [[Lizard and Snake Taking a History|history]] may reveal that many lumps such as abscesses and [[Neoplasia - Pathology|neoplasia]] have been progressivly enlarging while others will appear acutely. A thorough Physical examination may give an indication of aetiology because of the position of the mass; the differential diagnosis is in part based on the position of the lump within the body.
+Abnormal swellings are one of the commonest presentations in snake. Visible or palpable masses may be either the presenting complaint or they may be found during the physical examination. History will reveal that many lumps such as abscesses and neoplasia will be progressive while others will appear as if they developed overnight. Physical examination will give an indication of aetiology because of position. The differential diagnosis is in part based on the position of the lump in the body.
-*'''For information on normal snake anatomy, [[:Category:Snake Anatomy|see here]].'''
-[[Image:Main_screen.jpg|200px|thumb|right|© RVC]]
 ==Diagnosis==
-The majority of lumps are abscesses, but not all are! Radiology may define the aetiology because of the radiographic appearance. Additionally, haematology and biochemistry, fine needle aspiration, contrast radiography, ultrasonography, endoscopy, biopsy and faecal examination may be used. Culture and sensitivity are especially important.
+The majority of lumps are abscesses but not all are! Radiology may define the aetiology because of the radiographic appearance. Additionally, haematology and biochemistry, fine needle aspiration, contrast radiography, ultrasonography, endoscopy, biopsy and faecal examination may be used. Culture and sensitivity are especially important.
-'''Find out more about snake:'''
-*[[Lizard and Snake Specimen Collection and Evaluation|Specimen collection and evaluation]]
-*[[Lizard and Snake Haemotology|Haematology]]
-*[[Lizard and Snake Biochemistry|Biochemistry]]
-*[[Lizard and Snake Imaging|Imaging]]
-[[Image:Snake_op2.jpg|200px|thumb|right|© RVC]]
 ==Therapy==
-Treatment is very varied and dependent on the aetiology but frequently involves [[Lizard and Snake Surgery|surgery]] to investigate and remove the masses. Treatment of abscesses (one of the most common dermatological problems) involves surgical removal and systemic antibiotics based upon a culture and sensitivity.
+Treatment is very varied and dependent on the aetiology but frequently involves surgery to investigate and remove the masses. Treatment of abscesses (one of the most common dermatological problems) involves surgical removal and systemic antibiotics based upon a culture and sensitivity.
-*'''For more information on snake surgery, [[Lizard and Snake Surgery|see here]].'''
 ==Prevention==
-A preventive medicine program, including [[Lizard and Snake Quarantine|quarantine]], holds the key to a healthy reptile collection.  Good [[:Category: Snake Husbandry|husbandry]] practices produce animals that are not stressed and conditions not conducive to disease; [[Lizard and Snake Day to Day Practice|hygienic conditions]] decrease the environmental contamination of abscess-forming [[Bacteria|bacteria]]. Prophylactic treatments decrease parasite numbers before they become a problem (see [[Snake Mites|snake mites]]). Veterinary involvement allows treatment to be instigated at an early stage.
+A preventive medicine program holds the key to a healthy reptile collection.  Good husbandry practices produce animals that are not stressed and conditions not conducive to disease. Hygienic conditions decrease contamination of abscess-forming bacteria. Prophylactic treatments decrease parasite numbers before they become a problem. Veterinary involvement allows treatment to be instigated at an early stage.
-[[Image:Python_3rds.jpg|200px|thumb|right|'''The body can be divided into thirds to aid in a differential diagnosis''' © RVC]]
+[[Image:Python_3rds.jpg|200px|thumb|right|'''The body can be divided into thirds to aid in a differential diagnosis''' ©RVC and its licensors, Peer Zwart and Fredric Frye. All rights reserved]]
 ==Differential diagnosis of lumps==
-The differential diagnosis will depend on the position of the lump in the body so knowledge of the position of organs is important.  For more information on snake anatomy, [[:Category:Snake Anatomy|see here]]. Abscesses may occur anywhere in the body and must be included in any differential diagnosis. [[Neoplasia - Pathology|Neoplasia]] is similar.  Some causes:
+The differential diagnosis will depend on the position of the lump in the body so knowledge of the position of organs is important. Abscesses may occur anywhere in the body and must be included in any differential diagnosis. Neoplasia is similar.  Some causes:
-*In the '''cranial third''' of the snake - ingested foreign bodies, cardiomyopathies or pericardial effusions, visceral gout and goitre (see snake [[Snake Respiratory System|respiratory system]] and [[Snake Cardiovascular System|cardiovascular system]]).
+*In the cranial third of the snake - ingested foreign bodies, cardiomyopathies or pericardial effusions, visceral gout and goitre.
-*In the '''middle third'''  - ingested foreign bodies, intestinal intussusception, visceral gout, cholecystomegaly due to bile duct obstruction or coccidiosis, ripe or atretic follicles, inflammation of any organs including gastritis caused by Cryptosporidium and Monocercomonas, colitis due to Entamoeba, omphalitis and steatitis (see snake [[Snake Digestive System|digestive system)]].
+*In the middle third  - ingested foreign bodies, intestinal intussusception, visceral gout, cholecystomegaly due to bile duct obstruction or coccidiosis, ripe or atretic follicles, inflammation of any organs including gastritis caused by Cryptosporidium and Monocercomonas, colitis due to Entamoeba, omphalitis and steatitis.
-*In the '''caudal third''' - ingested foreign bodies, intestinal intussusception, uric acid colonoliths, renal and visceral gout.  Impacted or abscessed anal glands, or [[Hemipenes|hemipenes]] in a male snake may cause masses at the base of the tail.  See [[Lizard and Snake Renal Disease|renal disease]], [[Lizard and Snake Excretion|excretion]] and [[Lizard and Snake Dystocia|dystocia]].
+*In the caudal third - ingested foreign bodies, intestinal intussusception, uric acid colonoliths, renal and visceral gout.
-[[Category:Snake_Skin_Diseases]]