Clinical Examination of Repiratory Disease Flashcards

1
Q

Why might you see hypertrophied abdominal muscles in an animal suffering from respiratory disease?

A

Having to use abdominal muscles to aid breathing as struggling to ventilate lungs sufficiently.

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2
Q

What should be noted on examination of the nares and nasal passages?

A

airflow obstruction and discharges

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3
Q

What should you be looking for in clinical examination of the sinuses?

A

Facial symmetry

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4
Q

What should you be looking for when assessing the larynx?

A

Asymmetry of the cricoarytenoideus dorsalis muscle

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5
Q

How helpful are lung sound in assessing respiratory disease in the horse?

A

Not very as horses have a huge reserve volume

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6
Q

When will you hear radiating heart sounds?

A

Pleural effusion

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7
Q

How can slapping horse on withers help in a respiratory exam?

A

Opposing side larengeal muscle should contract

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8
Q

Where is best to hear breath sounds on a horse?

A

2/3 down trachea

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9
Q

What part of the airway is likely to be involved when you can hear crackles?

A

Smaller airways and alveoli

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10
Q

What part of the airway is likely to be involved when you can hear wheezes?

A

upper airway obstruction

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11
Q

What can palpating the apex beat of the heart tell you about respiratory disease?

A

A shift in the apex beat can indicate a space occupying lesion

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12
Q

What can you visualize and exam using endoscopy in the horse?

A

‘nasal passages, gutteral pouch, nasopharynx, soft palate, larynx, trachea and larger bronchi

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13
Q

What are the major strengths of endoscopy?

A

Can detect diseases or major airways and dynamic diseases with relative ease

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14
Q

What are the major weaknesses of endoscopy?

A

Unable to see smaller airway lesions and parenchymal disease

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15
Q

How do you perform a lavage?

A

squirt saline into the area you want to investigate then suck back out again

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16
Q

How do you take a transtracheal aspirate?

A

Remove a sample from the mucocilliary esculator at thoracic inlet. This is representative of the whole lung

17
Q

What is the major weakness of the transtracheal aspirate?

A

It can be contaminated when being pushed down

18
Q

How do you perform a transtracheal aspirate?

A

Local anaesthetic, enter via skin. Perfrom 2/3 way down neck in horse and through cricoid ligament in small animals

19
Q

Where do you perform a thorocentesis in a horse?

A

7th or 8th intercostal space above lateral thoracic vein

20
Q

What are the complications associated with lung biopsy?

A

pneumothorax and haemorrhage