Exam 6 - Equine Resp Diseases Flashcards
what is the most sensitive sample to test for Strangles
nasopharyngeal wash
what diagnostic test can be done to detect subclinically infected carrier animals
PCR of endoscopically guided guttural pouch lavage
what diagnostic test can be done to confirm Strangles if lavage PCR is negative
visual detection of inflam of guttural pouch resp epithelium and presence of empyema, chondroids and enlarge retropharyngeal LN
what does an SeM Ab titer > 12,800 indicate
existing S.equi associated purapura hemorrhagica or metastatic abscessation
when can you vaccine an animal for Strangles
titer < 3200
complications of strangles
metastatic “bastard” strangles
immune mediated dz:
purpura hemorrhagica
myositis
myocarditis
treatment for Strangles
majority no treatment
NSAIDs if not dehydrated
Penicillin if needed
if empyema/chondroids - lavage, grasping, surgery
screening technique for Strangles
GP endoscopy + culture + PCR testing
risk factors of R. equi
foal density
large farms
transient mares
host factors
clinical signs of R. equi
young foals < 4 mo
subclinical
respiratory
extrapulmonary - abdominal, bone, joint, non-septic synovitits, other
gold standard diagnostic for R. equi
others?
culture via TTW or endoscopy
PCR, US, rads
treatment for R. equi
adverse effects
macrolide (erythromycin, azithromycin, clarithromycin, gamithromycin) + rifampin
life threatening colitis in mares, mild diarrhea in foals, hyperthermia in foals, resp distress and hematuria
when do you not treat foals with R. equi
subclinical disease, abscess < 10cm bc antimicrobial resistance
do not use prophylatic azithromycin
prevention of R. equi
decrease foal density
remove manure
reduce dust
screen foals starting at 3 weeks of age
no vx but can give hyperimmune plasma on endemic farms
differentials for right laryngeal hemiplegia
chondritis
neuropathy
laryngeal dysplasia (4-BAD)
EPM
how can you assess arytenoid abduction?
swallowing (more sensitive) rather than nasal occlusion
treatment for dorsal displacement of the soft palate
treat primary etiology - palatal/subepiglottic ulcers, pharyngitis or lower airway disease
tongue tie
cornell collar
laryngeal tie forward
disease common in < 3 year old race horses due to local immune response to inhaled antigens
pharyngeal lymphoid hyperplasia/pharyngitis
pink foam from nostrils is a sign of what?
pulmonary edema secondary to upper airway obstruction
treatment of upper airway obstruction causing resp distress
emergent trachetomy +/- furosemide for pulmonary edema
example of intrathoracic obstructive disorders
asthma or heaves
example of intrathoracic restrictive disorders
pneumonia, pleuritis
pneumothorax