Dyspnoea Flashcards
Pneumothorax:
causes (3)
Diagnosis (2)
Treatment (3)
causes:
- traumatic
- secondary to cysts/necrosis
- iatrogenic
diagnosis:
- increased resonance on ausculation
- heart raised of sternum on x ray
Treatment:
- none
- drain
- surgery (lobectomy/pleurodesis)
Pleural Effusion: kinds and causes
transudate: hypoalbumaemia
modified transudate:
- CHF
- neoplasia
- lung lobe torsion
- ruptured diaphragm
haemorrhare: trauma/clotting disorder
pyothorax/ exudative pleurisy cause
Intrapleural bacterial infection
Pyothorax/exudative pleurisy CS
- dyspnoea ± lethargy, inappetence, pyrexia, anorexia
- ventral thorax dullness
- ± leucocytosis
- ± anaemia
Pyothorax/exudative pleurisy causes (5)
causes:
- pneumonia
- penetrating wound
- haematogenous/lymphatic
- FB
- iatrogenic
Pyothorax/exudative pleurisy treatment (4)
- thoracic drainage
- systemic ± local ABs
- pleural lavage
- thoracotomy
Pyothorax/exudative pleurisy bacteria
cats: bacteroides, fusobacterium, clostridia, pasteurella, step, staph
dogs: actinomyces, norcardia, bacterioides
Chylous affusion causes (5)
- neoplasia
- trauma
- congenital
- congestive HF in cats
- idiopathic
Chylous affusion treatment (5)
- drain
- put on low fat diet
- diuretics (especially CHF)
- rutin (aids fluid absorption
- surgery: thoracic duct ligation and peridectemy
Diagnosis of Pleural disease
radiographs: lose cardiac silhoette & irregular lung loves US CT/MRI pleural fluidology and culture biopsy
Mediastinal masses: physical effects (6)
- venous obstruction
- dyspnoea (plerual effusion/airway compression/space occupying/laryngeal paralysis)
- dysphagia
- horners syndrome
- hypertropic osteopathy
- myestenia gravis
Causes of dyspnoea
- general (7)
- pulmonary (7)
- pneumonthorax
- pleural effusions
- mediastinal masses
- megaoesophagous
- pneumomediastinum
- mediastinitis
- mediastinal haemorrhage
pulmonary:
- neoplasia
- fibrosis
- pneumonia
- paraquat
- oedema
- haemorrhage
- PTE
Pulmonary Fibrosis disease
middle-old aged dogs
gradual onset with progressive deteriorisation
can be secondary
Pulmonary Fibrosis CS (5)
- dyspnoea
- tachypnoea
- exercise intollerance
- cough
- crackles on auscultation
Pulmonary Fibrosis Treatment (2)
Anti inflammatory (glucocortiocids/cyclophosphamide) bronchodilators