Avian Exam Pt.4 - Respiratory Dz Flashcards

1
Q

Organs included in the URT and LRT

A
  • Upper respiratory = nares, nasal cavity, sinuses, nasopharynx, trachea, syrinx
  • Lower respiratory = primary and secondary bronchi, parabronchi, lungs, air sacs
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2
Q

What structure lies in the upper beak? Anatomy?

A

> Sinus diverticulum of the infraorbital sinus

  • Extends into upper beak
  • Surrounds eye
  • Psittacines = left and right sinuses are connected
  • Passerines, columbidae = left and right sinuses are separated
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3
Q

Where do the sinuses reach in the head?

A
  • Beak
  • Behind the eye
  • Down the neck to the cervical air sac
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4
Q

Etiology for swellings around the eye in birds

A

Not ophthalmic, but RESPIRATORY (infraorbital sinusitis)

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5
Q

True or false - the nasal cavity connects with the oral cavity

A

TRUE - choanae, slit, glands (salivary glands), may see drainage out the mouth from the nasal cavities

  • Can breathe through their nose or mouth
  • Nasal discharge = serious respiratory disease
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6
Q

What is unique about the larynx in birds?

A

> Sits at the base of the tongue

  • Not a true larynx or glottis
  • Not covered by an epiglottis = physiologic resting position of the laryngeal cartilages is closed, needs to be opened if they want to inspire
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7
Q

What does having closed tracheal rings mean for birds?

A

NEVER use a cuffed tube for intubation

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8
Q

Fun anatomic differences in birds

A
  • Cervical trachea = highly mobile
  • Coiled in whooping cranes and trumpeter swans (allows them to vocalize)
  • Penguins = medial septum with compete separation
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9
Q

Location, purpose, and problems with the syrinx

A
  • Location = bifurcation of trachea (at heart base), where primary bronchi start
  • Comprised of modified tracheobronchial cartilages
  • Functions as the “voice box”
  • Vibrating membranes regulated by syringeal musculature = voice on expiration
  • Clavicular air sacs = act as a resonance body
  • Problem = narrowed diameter, prone to OBSTRUCTION
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10
Q

What is an osseous bulla and who has it?

A

Ossified syrinx seen on radiographs with male ducks

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11
Q

Anatomy of avian lungs

A
  • More rigid = don’t collapse
  • No pleural space
  • Primary bronchi run through the whole lung
  • Secondary and parabronchi
  • No alveoli
  • Large lung volume that doesn’t change with respiration = lung air sacs push air through the system
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12
Q

Anatomy of air sacs

A
  • FOR VENTILATION and air movement and storage only
  • Thin, transparent, distensible simple squamous epithelium
  • Poorly perfused = plays no role in gas exchange
  • Cervical, clavicular, 2x cranial and caudal thoracic, 2x abdominal air sacs
  • Pneumatized humerus and femur = diverticula of air sacs
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13
Q

Do birds have a diaphragm?

A

No

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14
Q

What problem does having a long/wide trachea cause?

A

More dead space

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15
Q

True or false - birds have a highly efficient gas exchange system

A

TRUE

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16
Q

Where do these signs localize you to? Sneezing, nasal discharge, nasal swelling, sinus/periocular swelling, head shaking, stridor

A

URT = nasal and sinus

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17
Q

Where do these signs localize you to? Dyspnea, exercise intolerance, voice change, open mouth breathing

A

Trachea and syrinx

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18
Q

Where do these signs localize you to? Tail bobbing, loss or change of voice, dyspnea, exercise intolerance, “coughing”, sounds on auscultation

A

Lower airway tract

19
Q

What non-respiratory structures may cause respiratory like disease?

A
  • Heart failure and pulmonary edema

- Air sac compresssion due to ascites, coelomitis, organomegaly (neoplasia, liver), obesity

20
Q

DDx: nasal discharge, granulomas, rhinoliths (3)

A

1) Hypovitaminosis A
2) Secondary fungal or bacterial infection
3) Choanal atresia and drainage problems

21
Q

DDx: sinusitis, ocular swelling (6)

A

1) Hypovitaminosis A
2) Neoplasia
3) Foreign bodies
4) Drainage problem with choanal atresia
5) Primary and secondary bacterial = Pasteurella and E. coli (poultry), Chlamydophila (+conj), Mycoplasma (finches + conj)
6) Fungal = Aspergillus

22
Q

Diagnostics and treatments for nasal infection

A
  • Dx = nasal flush = upside down to avoid aspiration, rehydrates mucosa = cytology (WBC’s, high bacterial counts), +/- culture (contaminated through mouth)
  • Tx = surgical + medical = best outcome (medical only = isolated infection), can try to repeatedly flush, open up and instill antibiotics
23
Q

Diseases of the trachea

A

1) Obstruction = foreign body (acutely dyspneic), post-intubation stenosis if cuffed (B+G macaws have anatomic tapering)
* Don’t move the ET tube once placed
2) Tracheitis = toxins (NH3), bacterial, fungal, viral = pox, amazon tracheitis virus (herpes)
3) Parasites

24
Q

Dx? Tx? Clicking noise from finch or canary, ADR

A

> Tracheal mite

  • Affects finches and canaries
  • Irritates trachea with excess mucus production
  • Dx = wash (difficult), response to tx
  • Tx = ivermectin
25
Who is the intermediate and accidental/definitive hosts of gapeworms?
- Intermed = earthworm - Host = poultry and waterfowl (zoo, aviary birds) - Tx = REMOVE ACCESS to earthworms, dewormers won't work until then
26
Diseases and prognosis of syrinx (2)
1) Foreign bodies 2) Fungal infection - Often extensive, infection grows towards oxygen and blocks the trachea and other bronchi - POOR prognosis
27
General tx of tracheal and syringeal disease
- Air sac catheter placement = only TEMPORARY (progresses to air saculitis) - Nebulization - Debridement - Topical treatments - Resection and anastamosis (usually successful)
28
Diseases that affect the lungs (5)
- Bacterial and fungal pneumonia - Rare = viral infection - Toxins = teflon and PFTE (acute lesions and dyspnea), smoke - Cardiogenic and pulmonary edema - Allergic - Asthma = to chronic environmental allergens
29
Dx? Cause? Tx? SQ emphysema of the head
> Air sac rupture or hyperinflation - Occurs secondary to trauma, malnutrition, or laparoscopy - Acute trauma cases usually resolve - Tx = aspiration, but usually re-inflates, can try and place stents
30
Why are the air sacs prone to infection?
- Poorly vascularized - Low amounts of WBC delivered to the area - No mucociliary elevator clearance
31
Dx? Weight loss, lethargy, high WBC counts (chronic nature), exercise intolerance, voice change, tachypnea, dyspnea, hyperinflation and consolidation of air sacs on radiographs
Aspergillosis - Acute = high spore number inhalation - Also in immunosuppressed (steroids) or stressed birds = more chronic in nature
32
Common infectious agent with air sacculitis
Fungal = Aspergillosis
33
Which species are highly susceptible to fungal aspergillosis?
- African gray parrots - Pionus parrots - Other = falcon, snowy owl, swans, penguins (cool temps, not usually exposed but infected when you bring them to captivity) > Less = cockatiel, macaw
34
True or false - aspergillosis is contained to the air sac and lungs
False - can spread to the trachea, syrinx, or nasal cavities (diffuse or local)
35
Main diagnostics of Aspergillosis
- Endoscopy = most sensitive - Cytology - Biopsy - Fungal culture - PE and history (signalment) - CBC - Less sensitive = auscultation, radiographs
36
Risk factors for developing Aspergillosis (2)
1) Straw bedding | 2) Peanut ingestion with aflatoxins
37
Tx of aspergillosis
* Depends on if local or diffuse - Systemic antifungals = intracon, terbianfine, voriconazole ($$), ampho B - Nebulization with antifungals or antimicrobials - Topical tx with ampho B and debridement - Antibiotics if you suspect concurrent bacterial infection - Vit-A supplementation = supplement mucosal healing - Nutritional support - Weeks to months of tx - Prognosis = guarded to poor, relapses are common, keep checking WBC's
38
Normal and abnormal avian bacterial flora (GI, respiratory)
- Normal = gram positive - Pathologic = gram negative (E. coli, Pseudomonas, Salmonella, Chlamydophila, etc) - Mycobacterial infections can occur
39
Diagnostics for GI and respiratory bacterial disease
- Non-specific cytology of feces, choana, or crop - C&S of feces, choanal slit, or crop - Direct organ mass aspirate - Blood culture * Anaerobes, Mycobacteria, and Mycoplasma may be difficult to grown --> may try PCR
40
E. coli (colibacillosis) infection - when do we treat?
- Large numbers in fecal culture are usually significant - LOOK AT YOUR CLINICAL PICTURE (diarrhea?) - May lead to chronic granulomatous disease or septicemia - Control = prevent fecal contamination * More of a problem in poultry and wild birds, but can occur in pet birds
41
Dx? Septicemia and polyarthritis in pigeons and chickens (not a problem in psittacines)
Salmonella *Treat based on culture and sensitivity
42
Dx? Opportunistic respiratory infections
Pasteurella Pseudomonas Klebsiella *Treat based on culture and sensitivity
43
True or false - is Chlamydophila gram negative intracellular bacteria
True
44
Transmission and clinical signs of chlamydophila
- Shed in feces and respiratory tract - Cockatiels = classic species, may be asymptomatic carriers + Lethargy, diarrhea, fluffed appearance, conjunctivitis