Equine cardiology/respiratory Flashcards

1
Q

what are common presenting signs of lower respiratory disease?

A

cough
bilateral nasal discharge
tachypnoea/dyspnoea

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2
Q

what is a heave line?

A

hypertrophy of external abdominal oblique due to increased respiratory effort

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3
Q

where is collapse more likely during inspiration?

A

upper respiratory tract (trachea)

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4
Q

where is collapse more likely during expiration??

A

lower respiratory tract (lungs)

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5
Q

where are lung sounds the loudest in the horse?

A

tracheal bifurcation (turbulence)

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6
Q

what are the three adventitious (abnormal) breath sounds?

A

wheeze
crackles
pleural rubs

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7
Q

what causes a wheeze to be heard when auscultating the lungs?

A

airway narrowing and vibrations (wall thickening, bronchospasm, obstructions…)

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8
Q

what causes monophonic and polyphonic wheezes?

A

monophonic - single location of narrowing

polyphonic - multiple locations of narrowing

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9
Q

what causes crackles to be auscultated?

A

mucus bubbling

popping open of collapsed airways (early inspiration)

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10
Q

what causes pleural friction rubs to be auscultated?

A

inflammation of parietal and visceral pleural membrane rubbing together

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11
Q

what is a rebreathing bag examination?

A

place bag over horse to make it breathe faster and harder to accentuate lung sounds

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12
Q

how can the lower respiratory tract be sampled?

A

tracheal aspirate
bronchoalveolar lavage
thoracocentesis

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13
Q

what is the main disadvantage of using endoscope guided tracheal aspiration?

A

contaminate lower respiratory tract with nasal/upper respiratory tract when passing the tube (not great for bacteriology/culture)

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14
Q

what should be seen grossly on a bronchoalveolar lavage sample?

A

foam - means there is surfactant so has gone right into alveoli

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15
Q

what is the general resting HR of a horse?

A

40bpm

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16
Q

what is the best peripheral pulse to feel in a horse?

A

facial artery

17
Q

how is a pulse of an animal with severe aortic valve regurgitation felt?

A

bounding/hyperdynamic

18
Q

what will cause jugular distention?

A

increase pressure/volume in the right atrium

19
Q

what causes the S1 heart sound?

A

shutting of AV valves (ventricles contract)

20
Q

what causes the S2 heart sound?

A

shutting of semilunar valves (ventricles relax)

21
Q

when is S4 heard?

A

just before S1

22
Q

what causes the S4 heart sound?

A

atrial contraction

23
Q

when is S3 heard?

A

just after S2

24
Q

what causes the S2 heart sound?

A

rapid ventricular filling

25
Q

what biomarker is used for cardiac disease in horses?

A

troponin

26
Q

where are electrodes placed when doing an ECG of a horse?

A

positive below left elbow

negative above right elbow

27
Q

why are exercising ECGs harder to interpret?

A

sekeltal muscles causing deflections/movement