Equine 3 Flashcards
Equine herpesvirus myeloencephalopathy. Which statement is true?
It is caused by EHV-2, on immuno-mediated basis, due to type 3 hypersensibilization
It is caused by EHV-1, or sometimes by EHV-4, on an immune-mediated basis, due to type 3 hypersensibilization
The symptoms can be seen in horses vaccinated against EHV because of immuno- complex based vasculitis
In foals neurlogic signs are less frequent
B ?
Which disease most resembles rabies in horses?
Tetanus
Botulismus
Equine Leukoencephalomalacia ELE
Equine Meningoencephalitis THEME caused by Heamophilus somnus
c
Equine laryngeal hemiplegia/diagnosis?
Grade 1: obvious asymmetry at test, no movements
Grade 3: asynchronous movement, no complete opening
Grade 1: asyncrhonicity, tremor, weak movements, complete open with
nasal occlusion
Grade 3: synchronicity, complete closure and opening
B
COPD(RAO)
Allergic disease
Chronic fungal infection
Chronic bacterial infection
Chronic viral infection
A
Guttural pouch mycosis/signs?
Unilateral nasal bleeding, fever, halitosis
Bilateral nasal discharge, fever, cough
Epistaxis, nasal discharge, dysphagia, laryngeal paralysis, Horner syndrome
Swollen parotid region, loss of appetite, weightloss, cough
C
Resp rate of normal adult horse is:
10-18 bpm
20-28
30-38
40-48
A
Which method is suitable for tracheal fluid sampling?
Aspiration via sterile catheter introduced through the endoscope
Induced cough
Aspiration through the accessory channel of the endoscope
Collection of nasal discharge under sedation when the head is lowered
C
A tracheal wash sample is suitable:
Culture
Cytology
Antibody sensitivity test
All three
D
Thoracocentesis possible side effect:
Pneumothorax
Thoracocentesis location
7-8th on left or 6-7th on right midway between shoulder and elbow.
Cranial border of the rib to avoid blood vessels and nerves!
Nose bleed in racehorse
Consequence of competition’s trauma
Consequence of incidence of lung-bleeding
Consequence of dope-using
B
Exercise induced pulmonary haemorrhage (EIPH
– Exhausting competitions
– Racehorses, three-day-eventers, show jumpers…
Nose bleed in racehorse reasons
Trauma, haemorrhagic purpura, pharyngitis
Nasal-tumor, dominant successions, coagulopathy
Trauma, recessive thoroughbred-sick (EIPH), guttural pouch mycosis
C
Rhinitis in horse reasons
Strangles, satratoxicosis, smoke-, dust inhalation
Horse flu, fusariotoxicosis, gasterophilus larvae
Strangles, fumonisin toxicosis, hypoderma larvas
A
Ethmoid haematoma
Haematoma in region of nose or ethmoid, slow progression, nasal stridor, angiomatic tissue growth
Haematoma in sphenoid bone, unilateral nasal discharge, nervous symtoms
Haematoma in sphenoid bone, bilateral purulent nasal discharge, progressing in
weeks
A
Ethmoid hematome
- Extensive angiomatous tissue overgrowth
- Ethmoidal region, frontal and maxillar sinus
- Cause: unknown, in older horses
- Unilateral, bilateral
- Signs: nasal discharge (changing quality, usually unilateral), halitosis, respiratory sounds,
breathing abnormalities, periocular and/or facial swelling, headshaking, coughing
Maxillary sinusitis reasons in horse
Rhinitis, trauma, sedentation of parasitic larvae
Strangles, purulent periodontitis, rhinitis
Infectious artheritis, gasterophilus, strangles
B
Maxillary sinusitis syptoms
Nasal discharge on both sides which is haemorrhagic and purulent, facial deformation/pain, dyspnoe
Haemorrhagic discharge with debris on both sides during lowering of head, maxillary pain, salivation
Single side nasal discharge, region of maxillary pain, deformation
C
Guttural pouch tympany causes
Congenital, a plica salingopharyngea hypertrophy, air-outflow blocked
Hereditary, plica nsopharyngealis immaturity, intense air inflow into guttural
pouches
Tumescence of plica nasopharyngealis, consequence of strangles, hypertrophy of
guttural pouches
A
Guttural pouch tympany symtoms
Ballooning/pain of region of guttural pouches, dyspnea, regurgitation
Ballooning, of region of guttural pouches, tympanic percussion sound, paroxysmal
cough
Ballooning/palpation sensitivity of region of guttural pouches, incomplete dullness percussion sound, dysphagia
C
Nonpainful swelling, palpation, percussion (Viborg-triangle), uni/bilateral - Compression of the nasopharynx, labored breathing, dysphagia
Guttural pouch inflammation causes
Infection through Wilson-duct, -with spread over, caused by anaerob bacteria
Infection through Stenon-tunnel, consequence of strangles, caused by mycotic
disease
Infection through Eustachion tube, or with spread over, caused by bacteria or mycotic disease
C
Guttural pouch inflammation symptoms
During lowering of head purulent nasal discharge, ballooning of region of parotis, complications of nervous system
Consistent, hemorrhagic, purulent nasal discharge, tumescence in the throat, extension of the head, head tilt, proprioceptional disorder
Single side nasal discharge, sore tumescence in the sulcus jugularis, swallowing disorder
A
Purulent nasal discharge, painful, swollen region, labored breathing, dysphagia, extended neck - Chondroids
Dorsal displacement of the soft palate symptoms
Exercise intolerance, sounds during expiration, diagnose in necrotized condition via endoscope
Don’t cause exercise intolerance, sounds during expiration, diagnose in submaximal load via endoscope
Cause exercise intolerance, sounds during expiration, diagnose in submaximal load via endoscope
C
Tracheal collapse
Disease of ponies
Congenital disease
In big horses
A
Tracheal collapse
- Ponies, miniature horses
- Ligamentous part of trachea
- Negative pressure increases, other respiratory disoders in the background
- Circulus viciosus
Laryngeal hemiplegia causes
Idiopathic, common in carthorse, frequent occurrence in paryngo-laryngitis
Hereditary, in rhinopneumonitis, idiopathic distal axonopathy,
Hereditary in Arabian horses, n. vagus nucleus trauma, idiopathic
B
Crycoarytenoideus dorsalis muscle innervatory problem (n. recurrens)
Generalized distal axonopathy
- Causes: mechanical compression, inflammation, vitamin deficiency, paravenous injury, lead
toxicity, organophosphate, toxicity, toxic plants, mycosis, neoplasia
Laryngeal hemiplegia symptoms
During inspiration beep sound-rattle, dyspnea, swallowing disorder
During expiration beep sound-rattle, expiration dyspnea, sore swelling of muscles of
larynx
During inspiration stridor laryngis, fremitus laryngitis, barren larynx
C
Signs: typical inspiratory stridor, poor performance, palpation ‘slap’ test, rest and exercise endoscopy
Laryngeal hemiplegia diagnosis
Endurance test, endoscope, “slap” test
Keeping horse stopped, US exam, endoscope
Endurance test, larynx x-ray, “slap” test
B
Laryngeal oedema causes
Allergy, pneumony, bee-sting
Laryngitis, hemorrhagic purpura, insect-sting
Hemorrhagic purpura, laryngeal paralysis, lead poisoning
B
Purpura hemorrhagica is a noncontagious, immune-mediated vasculitis of horses that is characterized by subcutaneous edema of the head, ventral abdomen, and limbs and by petechial hemorrhages of the mucous membranes
PURPURA
HORSES
HEMORRHAGES
-Fill in the blank answers
Laryngeal oedema treatment
Prednisolone, laryngotomy, metronisazole
Laryngotomy, prednisolone, bromhexine inj
Prednisolone, tracheotomy, antihistamines
C
COPD diagnosis, complementary examination
TTL, atropine test, resp function exam, thorax x-ray
BAL-neutrophil %, atropine test, resp function exam, endoscopy
BAL and TTL-eosinophil %, thorax supersonic wave, lobelin test
B
COPD incidence
In older, stalled horses, giving mouldy hay
In free keeping horses, in hard working horses
In hereditary dispositional foals or horses
A
COPD etiology
Hereditary disposition, bacterial, viral bronchitis, race
Inspiration allergen (Micropolyspora faeni, Aspergillus spore), genetic predisposition
Allergic or bacterial resp disease hyperactivity
B
COPD pathogenesis
Bronchitispneumoniaemphysema pulmonis
Rhinitislaryngitisbronchitisallergen inspirationemphysema pulmonis
Hypersensitivity neutrophils accumulating intraluminal intraluminal fibrosis
emphysema
C
COPD 3rd grade CS
Frequent, light cough, dyspnea, border of lings shifting 1-2 ICS
Humid cough, broken-wind groove, border of lungs shifting 1⁄2 ICS
Paroxysmal cough, doubled expiration, border of lungs shifting 1 ICS
A
COPD 4th grade CS
Frequent paroxysmal cough, severe dyspnea, suffocating enlarged cardiac dullness
Frequent light cough, doubled expiration/broken-wing groove, border of lungs
shifting back 2 ICS
Frequent aching cough, inspirational dyspnea
B
COPD tx with glucocorticoids
Inspiration glucocorticoids dispose to pododermatitis
The best is prednisolone PO
It is contraindicated to give them with bronchodilators
B
Bronchodilators in horse
Clenbuterol, salmeterol, albuterol
Albuterol, atropine, bromhexine
Clenbuterol, acetylcysteine, dembrexine
A
Mucolytics for horses
Atropine, terbutaline, dembrexine
Acetylcysteine, bromhexine, dembrexine
Terbutaline, celbuterol, dexamethasone
B
Acute alveolar pulmonary emphysema causes
Allergic rxn, heavy physical strain, glechoma hederacea (ground ivy) poisoning
Autoimmune rxn, pulmonary aspiration, threadworm larvae
Trichostrongylosis, allergy, aflatoxin poisoning
A
CX:
Extreme work
Allergic reactions
toxicoses
Ground Ivy (Glechomahederacea) plant toxicosis
Acute alveolar pulmonary emphysema signs
Incr resp effort, caudal shift of lung border, dull-tympanic percussion sound
Serious dyspnea, 1-3 rib spaces shift of the lung border, cyanosis
Quick fatigue, epistaxis, tympanic percussion sound
B
Exercise induced pulmonary hemorrhage
Epistaxis in English thoroughbreds, frequently returns, causes anaemia
Pulmonary hemorrhage in racehorses, caseous necrosis of the lung’s lobe, exercise
intolerance
Pulmonary hemorrhage after competition, recidivism, bleeding spontaneously stops
C
ronchitis-pneumonia origin of viral infection
EHV-1, equine influenza virus A, rhinovirus 2
Adenovirus A, equine reovirus A, equine arbovirus 1 and 2
Equine influenza virus 1 and 3, equine adenovirus, PI-B
A
Bacterial bronchitis pneumonia origin
Bordetella pneumoniae equi, Streptococcus pneumoniae equi, Chlamydia bronchiseptica
Streptococcus equi, Rhodococcus equi, Bordetella bronchiseptica
Mycoplasma hyopneumoniae equi, Chlamydophila equi, Corynebacterium pyogenes
B
Bacterial bronchitis pneumonia origin
Bordetella pneumoniae equi, Streptococcus pneumoniae equi, Chlamydia bronchiseptica
Streptococcus equi, Rhodococcus equi, Bordetella bronchiseptica
Mycoplasma hyopneumoniae equi, Chlamydophila equi, Corynebacterium pyogenes
B
Mycotic bronchitis pneumonia origin
Pneumocystic carinii, Aspergillus species, Histoplasma equi
Coccidiodes equi, Pneumocystis carinii, Actinobaculum equi
Histoplasma capsulatum, Rhinosporidium seeberi, Coccidiodes immitis
C
Horses with compromised immune response
– Parasites
Pneumocystis carinii
Parascaris equorum
Dyctiocaulus arnfieldi (donkeys, mules)
– Fungi
Histoplasma capsulatum
Rhinosporidium seeberi
Coccidioides immitis
Aspergillus, Candida, Mucor, Rhizopus sp.
Cryptococcus neoformans
Horses with compromised immune response
– Parasites
Pneumocystis carinii
Parascaris equorum
Dyctiocaulus arnfieldi (donkeys, mules)
– Fungi
Histoplasma capsulatum
Rhinosporidium seeberi
Coccidioides immitis
Aspergillus, Candida, Mucor, Rhizopus sp.
Cryptococcus neoformans
Bronchopneumonia characteristics
Catarrhal style, bacterial origin, lobular extent
Catarrhal-purulent, bacterial origin, interstitial
Effusion, bacterial origin, interstitial
A
Viral pneumonia characteristics
Lobular
interstitial, hepatic character, becoming chronic
Interstitial fibrosis and/or secondary bacterial infection
hypoxia, acidosis
C
Croupous pneumonia stages
Yellow hepatisation grey hepatisation resolution
Fibrinous haemorrhagic hepatisation crisis
Hyperaemia hepatisation resolution
C
Gangrenous pneumonia pathogenesis
Aspiration, putrid bronchitis lung cavities septicaemia
Pneumonia crouposa, exsudate putrid bacteria
Metastasis or transmission; purulent localization in the lungs infection with protease bacteria
A
Purulent pneumonia CS
Languor, serous-purulent nasal discharge, dullness with horizontal upper border by percussion, dyspnea
Weakness, purulent nasal discharge, dyspnea, whistling-wheezing resp sounds
Fever, bloody-frothy nasal discharge, dyspnea, dry cough, wide dullness
B
Croupous pneumonia CS
Peracute, racking cough, by mobbing stronger dyspnea, dullness with horizontal upper border, course within 1w
Course in 2-3w, freq becomes chronic, serous nasal discharge, dullness, catarrhal resp sounds
Acute course: 2w, high fever, serosanguinous nasal discharge, wide dullness, dyspnea/cyanosis
C
High fever, nasal discharge: mucous, yellow or reddish, viscous
– coughing: rare, painful, weak mixed, abnormal
– auscultation: respiratory sounds,
– percussion: atelectasis dullness
Gangrenous pneumonia CS
Within days fast general health decay
death, malodorous-putrid breath, smelly nasal discharge, dyspnea
Course in 1-2wfreq death, bloody-purulent nasal discharge, rapid, often cough, splashing sounds in the dullness area
Typically insp dyspnea, wide dullness, catarrhal resp sounds, long recovery
A
Aspiration pneumonia – localization of the dullness and resp sounds
Lower third of the chest, region of the cardiac basis
Caudal third of lungs, where the ventilation is bad
Craniodorsal part of the lungs
A