Lecture 16: Respiratory 1 Flashcards
What are the 3 parts that make up the respiratory system?
Conducting airway
Transitional airway
Exchange airway
What are the notable gross and histologic features of the conducting airway?
It is made up of the trachea and bronchi
Containing stratified squamous epithelium along with respiratory epithelium: pseudostratified columnar epithelium with cilia and goblet cells
Contains olfactory epithelium
What are the notable gross and histologic features of the transitional airway?
Made of bronchioles and respiratory bronchioles
There is decreasing amounts of cartilage and there is no cartilage in the bronchioles
They contain club cells: used for detoxification of xenobiotics via oxidases, they make a protective secretion and make surfactant
What are the notable gross and histologic features of the exchange airway?
Alveoli
type 1 pneumocytes are flat and cover 95% of the alveoli. They cannot do cell division
type 2 pneumocytes are found in the same number as type 1 but they only cover 5% of the area. They are cuboidal cells and make type 1 pneumocytes and surfactant
Contain alveolar macrophages
Compare and contrast the below features in bronchi and bronchioles:
- cartilage
- glands
- goblet cells
- cilia
- mucociliary apparatus
- club cells
Bronchi have cartilage and bronchioles dont
bronchi have glands and bronchioles dont
bronchi have goblet cells and bronchioles don’t
bronchi have cilia and bronchioles don’t really (losing them)
bronchi have the mucociliary apparatus and bronchioles don’t
bronchi don’t have club cells but bronchioles do
What are the important anatomic features of the upper respiratory system
The cochae/nasal turbinates are contained in the nasal cavity
- they function to warm/moisten/slow air
The conchae is the communication between the oropharynx and the nasal cavity
- it is not present in horses (obligate nasal breathers)
Additional structures
- nares
- pharynx
- larynx
- trachea
- nasal sinuses
- pharyngeal diverticulum in pigs
- air sacs/laryngeal ventricles in birds and some mammals
List the functions of the respiratory system:
condition air (warm/cool/moisten/filter)
olfaction
immune defence
vocalization
detoxification via club cells
acid-base balance
blood pressure
hormone and enzyme synthesis
leukotriene metabolism
epinephrine and vasoactive amine uptake
List the barriers that oxygen travels through from the alveoli into the capillary:
surfactant
type 1 pneumocyte
basal lamina/basement membrane of the pneumocyte
interstitial connective tissue
endothelial cell basement membrane
endothelial cell
What are the defence mechanisms of the upper resp system
epithelial layers
mucociliary clearance
normal microflora
phagocytosis
tonsils/BALT/MALT
surfactant and antioxidants
What are some factors that can impair the defence mechanisms of the upper resp system
viral infection
immunodeficiency
stress
dehydration
pulmonary edema
uremia
toxic or irritating gases
What is choanal atresia
It is the lack of an opening between the nasal passages and the oropharynx
It can occur either bilaterally or unilaterally
It is also usually accompanied by other malformations
What species is choanal atresia most common in and what are the clinical signs?
camelids
respiratory distress or aspiration pneumonia
What are the primary congenital conditions associated with brachycephalic airway syndrome
elongated soft palate
stenotic nares
hypoplastic trachea/larynx
What are the secondary effects of brachycephalic airway syndrome
everted laryngeal saccules and tonsils
hypertrophied and folded pharyngeal mucosa
laryngeal edema and collapse/tracheal collapse
What animals does tracheal collapse target most commonly?
middle age small breed dogs
like yorkies
What is the pathologic mechanism of tracheal collapse
It is a cartilage defect
The cartilage forms a shallow D shape - it is arced
It flattens dorsoventrally
What are the clinical signs associated with tracheal collapse
honking cough
exercise intolerance
worsened by heat, exercise, and obesity
What species is hypoplastic epiglottis most common in
horses
What are the clinical signs of hypoplastic epiglottis
dorsal displacement of the soft palate
resulting in increased respiratory noise and reduced performance
due to a small epiglottis
What animals are progressive ethmoid hematoma’s most common in
older thoroughbred horses or arabians
What is the pathogenesis of progressive ethmoid hematomas
unknown
maybe a vasoproliferative response
What animals are nasopharyngeal polyps most common in
cats 1-3 yo
horses (nasal mucosa)
reoccurrence is common
What are the clinical signs of nasopharyngeal polyps and how do they relate to the development of the condition
usually occur in the mid ear or auditory tube
if in nose = sneeze
if in mid ear = ataxia/facial nerve paralysis/ horners syndrome
if in pharynx = gagging / dyspnea / dysphagia
What is the pathogenesis of equine laryngeal paralysis
idiopathic
Usually occurs on the left side but can also be bilateral
- maybe because the left recurrent laryngeal nerve is longer but still unknown
if it is bilateral there is probably a systemic cause
What are the clinical signs of equine laryngeal paralysis
Usually occurs on the left side but can also be bilateral
- maybe because the left recurrent laryngeal nerve is longer but still unknown
degeneration and atrophy of the cricoarethynoid muscle
What type of dog usually gets canine laryngeal paralysis
older male dogs
giant or large breeds
What is the pathogenesis of canine laryngeal paralysis
It is secondary to a systemic problem like a neuromuscular disorder
- myesthenia gravis
- hypothyroidism
- anesthesia
It is due to degeneration of the muscle and nerve damage
How does canine laryngeal paralysis present anatomically
bilaterally symmetrical
Compare equine and canine laryngeal paralysis
Equine
- usually the left side
- unknown pathogenesis
Canine
- usually bilateral
- secondary to neuromuscular disease
Why might laryngeal an/or tracheal edema occur
It is edema inside the tissue
It is secondary to acute inflammation
- anaphylaxis
- cattle with atypical interstitial pneumonia
- edema disease in pigs
What is honkers syndrome and waht is its pathogenesis
tracheal edema and hemorrhage syndrome
It affects the dorsal and distal trachea
It occurs secondary to increased intra-tracheal pressure from coughing. This causes mechanical injury and inflammation resulting in increased irritation breathing
What animals commonly get tracheal edema and hemorrhage syndrome?
cattle
Usually in the feedlot during the summer time or with increased exercise
Define rhinitis
inflammation of the mucus membranes of the nose
Define sinusitis
inflammation of the sinuses