Equine asthma - overview Flashcards

1
Q

Name the 2 different classifications of equine asthma syndrome

A

Severe Equine Asthma sEA
Mild to moderate asthma mEA

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2
Q

What age does mEA (Mild to moderate asthma ) occur

A

young (any age possible)

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3
Q

what age does sEA occur

A

> 7 yrs

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4
Q

List 4 clinical signs of mEA (Mild to moderate asthma )

A

NO resting dyspnoea (laboured breathing)
occasional cough
clinical signs last >3 weeks
reduced performance

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5
Q

List 4 clinical signs of sEA (Severe Equine Asthma)

A

frequent cough
decreased performance
WITH resting dyspnoea
variable

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6
Q

Describe the progression of mEA

A

spontaneous improvement without treatment
no recurrence

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7
Q

describe the progression of sEA

A

long term treatment/ management
reccurence

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8
Q

decsribe the history associated with mEA

A

stabled

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9
Q

describe the history associated with sEA

A

stabled or on pasture
seasonality
familial history

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10
Q

what will be see with endoscopy with mEA

A

More than normal tracheal mucus +1- +3

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11
Q

what will we see with endoscopy with sEA

A

Tracheal mucus+ 1 –> +5 (a lot more than normal)

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12
Q

what do you see on cytology with sEA

A

A lot of neutrophils- above 25% of nucleated cells

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13
Q

Describe the progression of equine asthma from mild to severe

A

mild= poor performance
moderate= cough, nasal discharge during exercise
severe= signs at rest

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14
Q

describe the aeitiology of equine asthma

A

Strong association with environment & feeding
Inflammation is Central to Syndrome
Mechanisms poorly understood

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15
Q

how big is the breathing zone of a horse

A

30cm around horse’s nose

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16
Q

what size of particles reach the lung

A

<5 um

17
Q

Describe the pathophysiology of equine airway

A

Airway hyperresponsiveness
Bronchospasm
Inflammation
Mucus accumulation
Tissue remodelling

18
Q

List 4 particles that are <5um and can trigger equine asthma

A

Molds & fungi
Pollen
Endotoxin
Chemicals: ammonia, smoke, exhaust fumes..

19
Q

Describe how we diagnose equine asthma

A

history
physical exam
auscultation
endoscopy

20
Q

describe what we hear on auscultation with equine asthma

A

Use rebreathing bag- look for tolerance, cough, recovery
Specially important for mEA
Wheezes, crackles, tracheal ratles

21
Q

describe how endoscopy is used to help diagnose equine asthma

A

Rule out upper airway diseases
Tracheal mucus
1h post-exercise
Carina