Pharyngeal trauma and abscess Flashcards
pharyngeal trauma and abscess - what causes
- balling guns, dose syringes, stomach tubes
- Careful with a balling gun
- Course feed or foreign objects
- Mixed 2° bacterial infections
Signs of pharyngeal trauma and abscess
- INSPIRATORY DYSPNEA
- Head, neck extension
- Stridor
- Painful to palpation
- Ozena
- Retropharyngeal LN abscess
What type of dyspnea with pharyngeal trauma and abscess?
- INSPIRATORY
Dx of pharyngeal trauma
History PE Painful swelling Visual or digital examination of pharynx Endoscopy Radiology
Treatment for pharyngeal trauma or abscess
- Establish drainage
- Systemic antibiotics
- NSAIDs
- Support (fistula, etc.)
Necrotic laryngitis
- Infection of laryngeal mucosa (acute) and/or cartilage (chronic)
Mucosal infection - acute or chronic (necrotic laryngitis)?
- Acute
- Smells like foot rot
Cartilage infection - acute or chronic (necrotic laryngitis)?
Chronic
- White plaque
- may get swelling or impingement of the arytenoids
Clinical signs with necrotic laryngitis?
- Acute onset - moist painful cough
- Anorexia, depression, fever
- Stertorous breathing, inspiratory dyspnea
- Ozena/halitosis
- Palpably and visibly enlarged larynx
- Often aspiration pneumonia and poor doers chronically
Type of dyspnea with necrotic laryngitis?
- Inspiratory
Who gets necrotic laryngitis?
Calves 3-24 mo
Dx of necrotic laryngitis?
- History
- Signalment
- PE
- Visualization of lesion
- Characteristic odor
- necropsy
Ddx for necrotic laryngitis
- Pharyngeal trauma, abscess, neoplasia
Necropsy findings of necrotic laryngitis
- Impacts arytenoids
- Vocal processes
- Mucosa
Treatment of necrotic laryngitis***
- Supportive care
- PPG
- Sulfonamides
- NSAIDs
- Tracheostomy
- Surgery
Pathophysiology of necrotic laryngitis
- Upper respiratory tract infection (viral, H. somnus, etc.)
- Reflex coughing leads to edema, mucosal damage, and ulcers
- Invasion/infection by F. necrophorum
Laryngeal papillomatosis - who gets it?
- Primarmily feedlot cattle
Pathophys of laryngeal papillomatosis?
- Papovavirus enters via contact ulcers
Clinical signs of laryngeal papillomatosis
- Stertorous breathing
- Coughing
Diagnosis of laryngeal papillomatosis
- PE, biopsy, necropsy
Differentials for laryngeal papillomatosis
- Actinobacillosis
- Chronic necrotic laryngitis
- Trauma
- Abscess, tumors, etc.
Laryngeal abscess - where does it occur?
- Arytenoid cartilages
- Peri-laryngeal abscess
What is laryngeal abscess a sequela to?
- Necrotic laryngitis
What is abscessation of arytenoid cartilages caused by (i.e. the etiology)?
- A. pyogenes
- Trueperella
Clinical signs of laryngeal abscess
- Inspiratory dyspnea**
- Stertor localized to larynx
- Extended head and neck
- Cyanosis, coughing, etc.
Etiology of other laryngeal abscesses
- Grass awns, trauma, secondary to necrotic laryngitis, congenital cavitation in cartilage, hereditary
Treatment of laryngeal abscess
- Limited
- Salvage
- Tracheostomy
- Antimicrobials (?)
- NSAIDs
Tracheal edema syndrome - what’s another name?
- Honkers
Who gets acute tracheal edema syndrome?
- Heavy feedlot cattle (latter feeding period)
Theories for tracheal edema syndrome
- Not sure
- Infection
- Trauma
- Passive congestion and edema
- Hypersensitivity reactions
- Mycotoxins
Acute tracheal edema vs chronic tracheal edema: who gets?
Acute: HEAVY feedlot cattle
Chronic: LIGHT feedlot cattle
Acute tracheal edema vs chronic tracheal edema: when?
Acute: Sporadic, in summer***
Chronic: sporadic, not seasonal
Signs of dyspnea in acute tracheal edema syndrome
- Acute, inspiratory, open mouth breathing, cyanosis, death from asphyxia
Primary differentials for tracheal edema syndrome?
- Necrotic laryngitis
Pathophysiology of chronic tracheal edema
- History of upper respiratory viral infections like IBR
Coughing in chronic tracheal edema syndrome
- Frequent, deep, non-productive
- Poor doers
Main dfdx for chronic tracheal edema syndrome
- Chronic pneumonia
Signs of acute tracheal edema
- Edema of the dorsal trachea (up to 2 inches thick)
Signs of chronic tracheal edema
- Hyperemia and exudate in the caudal third of the trachea
Treatment for chronic tracheal edema
- NONE
Treatment for acute tracheal edema
- Antimicrobials, NSAIDs, support, tracheostomy, salvage
Etiology for laryngeal trauma
- ropes, chutes, foreign objects, etc.
Etiology for laryngeal edema
- Anaphylaxis, smoke inhalation
Etiology for laryngeal paralysis
- Recurrent laryngeal nerve
Clinical signs of laryngeal issues in general
- Inspiratory dyspnea, stridor, extended head/neck, sensitivity to palpation, etc.
Treatment for laryngeal issues in general
- Variable
Most often supportive care
Choanal atresia - who gets it?
- Crias
Choanal atresia - cause
- Congenital defect with unknown cause
Choanal atresia - what’s the problem?
- Blockage between nasal and oral pharynx
- Partial or complete
- Soft or osseous
Clinical signs of choanal atresia
- Obligate nasal breathers
- Bilaterally may be puffing cheeks and unable to nurse
Treatment for choanal atresia
- Surgical procedures are attempted but usually not successful
- Consider genetics (sterilization)