Equine Resp 4 + 5 Flashcards

1
Q

Can a clinical exam pick up on low grade airway dysfxn

A

no

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2
Q

is coughing indicative of LR or UR

A

LR
(but not in every LR case)

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3
Q

why is auscultation less sensitive in horses

A

thicker chest wall

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4
Q

what is the sump of the trachea

A

area around thoracic inlet where mucus can accumulate

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5
Q

what about tracheal secretion is associated w poor performance

A

score 2+ 9 (large moderate blobs of mucus in trachea)

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6
Q

does tracheal have complete rings

A

no –> can get tracheal collapse especially in ponies

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7
Q

why isn’t US useful for lung parechyma

A

cannot image past air

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8
Q

what cytology options are there to assess LRT

A

tracheal aspirates
BAL

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9
Q

what would neutrophilia in BALF indicate

A

asthma
bronchopneumonia
lung abscess
pleuropneumonia

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10
Q

what are 3 types of asthma

A

RAO
summer severe equine asthma
mild to moderate equine asthma

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11
Q

what would eosinophilia in BALF indicate

A

lungworm
Idiopathic Pulmonary Eosinophilia

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12
Q

what would erythrocytes in BALF indicate

A

EIPH
trauma during collection
neoplasia, abscess

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13
Q

best method for getting tracheal wash sample

A

percutaneous trans-tracheal appreoach –> agar plugged catheter

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14
Q

Syndrome 1 [neonatal pulmonary disease] Ddx

A

neonatal pneumonia
fractured ribs

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15
Q

signs of neonatal pneumonia

A

pyrexia
tachypnea
crackles and wheezes

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16
Q

how to investigate neonatal pneumonia

A

IgG (bc probably FPT)
C & S
US, endoscopy

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17
Q

tx for neonatal pneumonia

A

IgG transfusion (if fpt)

cephalosporin (broad spectrum)

oxygen

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18
Q

describe neonatal EHV-1

A

get in utero.
born w pneumoina.
die within a day.

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19
Q

Syndrome 2 [bacterial resp dx in older foals/weanlings] - which 2 pathogens?

A

Rhodococcus equi

Strep equi var zooepidemicus

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20
Q

Strep equi var zooepidemicus

A

mild pyrexia, nasal discharge

c.f. strep equi = strangles

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21
Q

signs of Rhodococcus equi? where do they get it from?

A

wasting, pyrexia, resp difficulty

soil dust inhalation

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22
Q

tx for Rhodococcus equi

A

doxy 6-8w [long to get granulomas resolved]

o2

*can self resolve, just monitor abscess size

23
Q

Syndrome 3 [acute infectious resp dx in adults] - what can cause?

A

influenza
EHV 1 and 4
Equine viral arteritis
strangles

24
Q

How does EVA present

A

asymptomatic (have to test for import tho)

25
Q

how does rate of spread and severity compare:
influenza
herpes
strangles

A

Influenza > Strangles > Herpes

26
Q

how to rule out strangles

A

PCR of NP swab, GP wash, pus abscess

27
Q

tx/management for viral resp infection cases

A

isolate
dust free
feed from ground
rest

28
Q

signs of equine viral arteritis

A

asymptomatic –>
oedema, pyrexia, discharge

29
Q

how to dx strangles

A

PCR on abscess, NP swab, GP wash

30
Q

what is bastard strangles

A

bacteria lodge anywhere in body (LN, liver, lungs)

seen in 10% cases

31
Q

possible sequelae to strangles

A

LN abscess,
GP empyema, bastard strangles, vasculitis

32
Q

tx for strangles

A

-isolate, rest
-NSAIDs
-feed from floor
-lance abscess, remove chondroids

33
Q

how to demonstrate freedom from dx after an outbreak?

A

test 30d after clinical signs end.
if + tx and retest in 2 weeks

34
Q

why do we see purpura haemorrhage and organ failure after strangles

A

immune-mediated vasculitis

35
Q

signs of COPD (RAO, severe equine asthma)

A

coughing
discharge
effort
heave line!

36
Q

which feed is best for RAO cases

A

haylage, pellets, or steamed hay

37
Q

what is best bronchodilator rescue IV drug!

A

atropine

38
Q

can clenbuterol be given IV, PO, or inhaled?
salbutamol?

A

IV, PO
inhaled

39
Q

can glucocorticoids be given as rescue drug for RAO cases?

A

no, shows improvement within 24hr

40
Q

which steroid licensed for airway inflammation

A

Ciclesonide
(no systemic absoprtion)

41
Q

how is summer asthma different?

A

more severe, less responsive to tx

42
Q

tx for summer severe equine asthma

A

atropine then b2agonist
steroids

43
Q

factors contributing to Mild to Moderate Equine Asthma MMEA

A

dust
immunosuppression
bacteria/virus

44
Q

how to recognize MMEA

A

cough/ discharge/ trachea mucus/ poor performance

WITH NO CHANGE IN BREATHING

45
Q

should you give AB for MMEA

A

yes

46
Q

Frothy (bloody) nasal discharge + inspiratory crackles =

A

pulmonary edema

47
Q

what can cause pulmonary edema

A

L CHF

volume overload

Acute URT obstruction!

interstitial lung dx

48
Q

tx for pulmonary edema

A

Furosemide IV
Salbutamol inhaled
O2

49
Q

causes of pleural effusions

A

R CHF
penetrating chest wall wounds

50
Q

causes of pneumothorax

A

penetrating chest wall wounds
fractured ribs
SQ emphysema

51
Q

how to percussion and auscultation compare for pneumothorax

A

high percussion dorsally
dull auscultation dorsally

52
Q

what to do for a non-dyspneic pneumothorax? for dyspneic?

A

ND: rest

D: thoracocentesis, O2, analgesia

53
Q

aetiology of Exercise Induced Pulmonary Haemorrhage?

A

capillary hypertension and rupture