Pulmonary disease (Yr4) Flashcards

1
Q

where are audible breathing noises (heard without a stethoscope) localised to?

A

upper respiratory tract

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2
Q

what is the general cause of upper airway inspiratory noise?

A

obstruction

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3
Q

what is the general cause of upper airway expiratory noise?

A

dynamic airway collapse or bronchial narrowing (such as asthma)

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4
Q

what are some possible causes of combined (inspiratory/expiratory) dyspnoea?

A

pulmonary oedema, idiopathic pulmonary fibrosis, pleural effusions

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5
Q

is obstructive dyspnoea inspiratory or expiratory?

A

can be either…
expiratory - bronchospasm (asthma)
inspiratory - upper airway obstruction

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6
Q

is restrictive dyspnoea inspiratory or expiratory?

A

usually both due to conditions such as pleural effusion

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7
Q

if a dyspneic patient doesn’t respond well to oxygen, where can the lesion be localised to?

A

heart (CHF) as respiratory cases should respond well to oxygen supplementation

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8
Q

what pathology is increased expiratory duration and effort consistent with?

A

dynamic bronchial collapse (bronchoconstriction)

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9
Q

what might cause paradoxical respiration?

A

(this is when ribs are sucked in during inspiration)… neurological conditions and trauma including rib fractures
can also been seen with dyspneic animals also

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10
Q

what might cause crackles when auscultating the lungs?

A

idiopathic pulmonary fibrosis
pulmonary oedema
increased airway secretions

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11
Q

what is the typical cause of an expiratory wheeze?

A

bronchial narrowing

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12
Q

what is stridor?

A

high pitch musical respiratory noise

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13
Q

what is the typical cause of inspiratory stridor?

A

upper airway obstruction

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14
Q

if there are changes to the vocalisation of the animal, where can the lesion be localised to?

A

larynx

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15
Q

where is a needle inserted for thoracocentesis?

A

7th or 8th intercostal space

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16
Q

what is the underlying cause of pneumocystosis?

A

immune deficiency (patients that are immunosuppressed)

17
Q

what is the causative agent of pneumocystosis?

A

Pneumocystis carinii (fungi)

18
Q

how is pneumocytosis treated?

A

trimethoprine potentiated sulphonamides

19
Q

what lungworm is commonly found across Europe?

A

Angiostrongylus vasorum

20
Q

what is done to diagnose Angiostrongylus vasorum?

A

baermans tests (larvae in faeces)
SNAP test for antigens

21
Q

how is Angiostrongylus vasorum treated?

A

fenbendazole
milbemycin
moxidectin

22
Q

how can Angiostrongylus vasorum be prevented in traveling dogs?

A

moxidectin
milbemycin (every 4 weeks)

23
Q

what breeds are predisposed to idiopathic pulmonary fibrosis?

A

terriers (west highland white and cairn)

24
Q

how do patients with idiopathic pulmonary fibrosis typically present?

A

severe dyspnoea and cyanosis
marked abdominal effort (hypertrophy)
widespread inspiratory crackles
(owners don’t typically present them when showing signs such as exercise intolerance)

25
Q

how is idiopathic pulmonary fibrosis treated?

A

no treatment (often only survive weeks)… can give bronchodilators, steroids and oxygen but aren’t curative

26
Q

what herbicide causes severe pneumotnxicity with a hopeless prognosis?

A

paraquat

27
Q

what are some possible causes of pulmonary thrombo-embolism?

A

immune-mediated haemolytic anaemia
hyperadrenocorticism
nephrotic syndrome
sepsis
DIC

28
Q

how is pulmonary thrombo-embolism treated?

A

oxygen and sedation
anticoagulant therapy (heparin)
anti-platelet drugs (aspirin or clopidogrel)
treat underlying cause

29
Q

what is acute respiratory distress syndrome?

A

non-cardiogenic pulmonary oedema secondary to a range of respiratory/systemic insults