CLINIC EXAM PART 2 Flashcards

1
Q

breeds predisposed to “Nauubo every exercise”

A

Thoroughbreds
- Racing horses

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2
Q

(Most used) imagine technique for awkward breathing during exercise

A

endoscopy

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3
Q

meaning of LLH

A

Left laryngeal hemiplegia

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4
Q

what are the aka of LLH

A

RLN (recurrent laryngeal
neuropathy), laryngeal paralysis, “roaring”

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5
Q

what nerve is affected in LLH if it is not from genetics

A

Left recurrent larnygeal nerve

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6
Q

which is more predisposed to LLH, left or right nerve

A

left, 95%

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7
Q

Presents as roaring

A

LLH

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8
Q

what grade? Full abduction of the arytenoid cartilages
during inspiration

A

1

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9
Q

Partial abduction of the affected arytenoid cartilage (b/w full and the resting position)
slightly affected abduction, slighlty curved

A

2

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10
Q

abduction Held at the resting position

A

3

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11
Q

Collapse into the contralateral half of the
rma glottidis during inspiration

A

4

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12
Q

tx for LLH

A

Laryngoplasty
Ventriculocordectomy
Sabay
Nerve implantation

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13
Q

easiest to do for tx for LLH; what are disadvantages

A

Laryngoplasty; Downside - prone to dumi, irritants, problematic particles

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14
Q

what grade gagawin ang laryngoplasty

A

3 or 4

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15
Q

this is a tieback method for LLH

A

Laryngoplasty

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16
Q

called “Hobday” operation”

A

Ventriculocordectomy

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17
Q

Removal or cut away of laryngeal
ventricle and vocal cord

A

Ventriculocordectomy

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18
Q

when can sabay 1 and 2 for LLH done

A

fully anesthetized

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19
Q

Laryngeal reinnervation of the CAD (cricoarytenoideus dorsalis) muscle (move one of the nerves from right to left)

A

Nerve implantation

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20
Q

what muscle is reinnervated for LLH

A

CAD (cricoarytenoideus dorsalis) muscle

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21
Q

EE

A

Epiglottic entrapment

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22
Q

presented as inflamed, broken down larynx

A

LLH

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23
Q

Loose aryepiglottic folds & mucosa
displace dorsally

A

EE: Epiglottic entrapment

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24
Q

“Wrapping” over the epiglottis, like a glove
Aryepiglottic fold wraps around the epiglottis

A

EE

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25
Q

breeds predisposed to EE

A

throughbreds/racehorses

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26
Q

top 2 meds used for EE

A

Flunixin Phenylbutazone

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27
Q

Surgical transection for EE

A

Laryngotomy
bistoury transection

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28
Q

best tx for ee

A

surgical transection

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29
Q

Remove the entire entrapping tissue for EE

A

Complete excision

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30
Q

DDSP

A

Dorsal displacement of the soft palate

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31
Q

Soft palate displaces dorsally; Airway obstruction!

A

DDSP

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32
Q

produces gurgling noise

A

DDSP

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33
Q

DDSP pero no sound, just signs

A

silent displacers; 10-20%

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34
Q

predisposed breeds for DDSP

A

racehorses

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35
Q

Bulging yung epiglottis under the soft palate

A

DDSP

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36
Q

tx for DDSP

A

Antinflamm
Surgical transection (best)
Larnygeal tie-forwards

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37
Q

bbest tx for DDSP

A

Surgical transection
- Staphylectomy
- laser/cautery assisted

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38
Q

Surgical repositioning of the larynx for DDSP

A

Larnygeal tie-forwards
- Opposite of tie back
- 2-4 inches removed muscle

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39
Q

conservative tx for DDSP

A

tongue tie; not all the time works

40
Q

Getting arterial blood sample (Ancillary diagnostic test). what artery for ddsp

A

temporal artery: Perpendicular to the face

41
Q

Mucoid persistent nasal discharge

A

bastard strangles

42
Q

“Namamaga mukha”/General swelling and inflam
around head

A

bastard strangles

43
Q

Predisposed breeds to bad cold or virus/bastard strangles

A

Young horses
- easier to get sick
Clustered horses

44
Q

LN for bastard strangles

A

Submandibular
Retropharyngeal

45
Q

Gold standard for bastard strangles

A

endoscopy

46
Q

tests for bastard strangles

A

Endoscopy
Radiography
Thoracic usg
Pulmonary fxn test

47
Q

bacteria for bastard strangles

A

Streptococcus equi

48
Q

Self limiting, lasting immunity on
recovery
High morbidity, Low mortality

A

bastard strangles

49
Q

tx for bastard strangles

A

Supportive therapy #1
nsaids
antibiotics

50
Q

what type of equine influenza

A

Viral: influenza A&B

51
Q

where does eq influenza spread?

A

lungs: Pleuropneumonia

52
Q

secondary infection is the reason why horses are killed due to eq influenza

A

true

53
Q

clinical signs of equine influenza

A
  • Cough
  • Watery nasal discharge
  • Elevated temp 103-106F
54
Q

prevention for eq influe

A

vaxx

55
Q

disease unique to Unique to horses
- Interact and in close proximity with the
pharynx

A

Guttural Pouch Infection

56
Q

Inflammation or infection in the upper resp system

A

Guttural Pouch Infection

57
Q

history of guttural pouch infectiionn

A

Empyema
mycosis

Sinisipon or a cold
b. Change in environment or feed
c. Nasal discharge
d. Facial inflammation
e. Dyspnea

58
Q

PE: GPI

A

Abscessation in the lymph nodes
- Accumulation of pus, bacteria, fungi in the
pouches , and passageways for air
- Differentiate from strangles
- GP infexn can happen before or after
strangles

59
Q

what to use to see GPI

A

endoscope: bactera liquid, fungi solid

60
Q

tx for GPI

A

Clearing the guttural pouch/flushing
antifungals - ketoconazole (NO LONG TERM)
antibiotics

61
Q

arytenoids, epiglottis, phrayngeal ___

A

check pic

62
Q

Equine form of asthma?

A

heaves

63
Q

heaves is inflammatory condition of ___

A

lower respiratory tract

64
Q

age predisposed heaves

A

the higher the age the higher the incidence
rare inn less than 7

65
Q

where is it seen, heaves

A

Interaction to thermophilic molds?
- Seen in temperate countries

66
Q

sea/eas in heaves?

A

SEVERE equine asthma,
equine asthma syndrome

67
Q

rao in horses. what is rao and what is seenn

A

Recurrent airway syndrome
Thickening of the bronchi
Due to accumulation of mucus because of intense sneezing and coughing

68
Q

what is seen in severe snneezing?

A

heavesline: Coursing along mid to caudal part of horse’s thorax & abdomen
Emaciated , bones start showing, poorer muscle tone

69
Q

heaves what is inflammed leads to?

A

Inflamed lower respiratory tract = hypoxemia

70
Q

tx of heaves

A
  1. Control inflammation - prednisolone more preferred
  2. Decrease obstruction a. Bronchodilators

Control inflammation
Corticosteroids
i. Dexamethasone - 0.05 mg/kg
1. alternating
ii. Predinisolone - 1-4 mg/kg
1. Alternating e.o.d but efficacy less than dexa
2. More preferred in horses; poorly
absorbed in horse in
GIT
iii. Beclomethasone
diprioponate - 2000 ug/500 kg

iv: Fluticasone propionate - 3000ug/500 kg

71
Q

tx of heaves: decrease obstruction

A

Bronchodilators
i. Clenbutarol - 0.8-3.2 ug/kg + MC escalator
ii. Ipratropium bromide - 0.4-1 ug/kg
iii. Albuterol (salbutamol): 1-2 ug/kg
Inhaled
● Nebulizers
● Salbutamol + GCC

72
Q

disease that shows Pulmonary capillary membrane is broken due to intense pressure and exercise

A

Exercise-induced Pulmonary Hemorrhage

73
Q

grades for EIPH:

A

g1: flecks or narrow streams
g2: long streams < 1/3 circ
g3: multiple streams > 1/3 circ
g4: multiple streams > 90% tracheal surface

74
Q

gold standard for respiratory: EIPH

A

endoscopy

75
Q

eiph: Content of exudate missed by endoscope

A

Bronchial lavage

76
Q

tx for EIPH

A

Tranexamic acid: 5-25 mg/kg PO
10mg/kg IV if ongoing or more to effect
i. Inflamma rxn or disease: NSAIDs or corticosteroids that is injectable
ii. + 2 IV lines direct sa jugular for rehydration
iii. Cold packs on nose or body
iv. Energy supplementation

77
Q

prevention for EIPH

A

Furosemide: 0.5-1 mg/kg IV , 4hrs pre-exercise
i. Prevents EIPH by reducing overall bp in horse
ii. Given pre-race
iii. Given 3-4 hrs pre-exercise

78
Q

antibiotics for equines

A

Bacteriostatic
“ECSTaTiC for Bacteriostatic”

erythromycin (macrolines)
clindamycin
sulphonamides
trimethoprim
tetracyclines
chloramphenicol

Bactericidal
“Very Proficient For Complete Cell Murder”

Vancomycin
Penicillin
Fluoroquinolones
Cephalosporins
Carbapenems
Metronidazole

79
Q

most used antibiotics for equines

A

penicillins

80
Q

backup drug for equines

A

Ceftiofur
- Very strong drug
- Allergy test first because some
horse can have allergy - Doxycycline
- Anaerobic coverage
- Broad spectrum
- DO NOT GIVE IV - FATAL
- Enrofloxacin
- Metronidazole
- GIT infections
- Excellent anaerobic activity
- 25 mg/kg q12h PO
- Aminoglycosides
- Eye drops
- Mild topical skin infections
- Avoid large does or nephrotoxic

81
Q

Measure how air goes in and out
and around the lungs, bronchi,
trachea after compressing the area

A

FOM: forced oscillatory mechanics

82
Q

measure amount of air going in and out

A

Open Plethysmography

83
Q

getting sample if bacterial or viral (resp dz)

A

Transtracheal washes

84
Q

2 samples of GPI

A

empyema (bacteria) and mycosis (fungi)

85
Q

anong muscle and di nnag aabduct properly kaya may ganntong dz

A

arytenoid mm - LLH

86
Q

slits 1 and 11 oclock

A

Guttural Pouch Ostia

87
Q

C gitna

A

pharyngeal recess

88
Q

thickened walls and interstitia in lungs

A

Lung fibrosis:

89
Q

Check contents of exudate missed by
endoscope

A

Bronchoalveolar lavage

90
Q

Flexed or club footed hors

A

buckled hoof

91
Q

what is the problem in buckled hoof

A

ddf

92
Q

Foals with bands over their body

A

Umbilical hernia

93
Q

Bite onto a surface and wind suck

A

cribbing

94
Q

Aladdin shoes syndrome

A

Hoof overgrowth

95
Q

Coffin bone sinking

A

laminitis

96
Q

Cut DDFT : laminitis

A

Deep flexor tenotomy