resp 3 lectures Flashcards

1
Q

bronchopneumonia in dogs
- possible presentations

A
  • more diverse presentations than in other species > palapte!
    a) cranioventral
    b) diffusely reddened, lobar consolidation
    c) lobar consolidation
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2
Q

Predisposing causes for bronchopneumonia in dogs

A
  1. Aspiration pneumonia (eg. anesthesia, megaesophagus, laryngeal paralysis, vomiting…)
  2. Contagious bacteria: Bordetella
  3. Predisposing viral infections
  4. Neutropenia > eg. parvo, immunosuppressive drugs
  5. Immunosuppression: therapy, chilling, stress, genetics
  6. Ciliary dyskinesia (rare)
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3
Q

Canine distemper:
1. What is the causative agent?
2. What 3-5 body systems are most commonly affected?
3. How common is the virus & the disease in Ontario?

A
  • canine distermper virus
  • affects resp disease, also neurological, skin (crusted footpads), lymphoid tissue > immunosuppression and secondary infections, enamel hyperplasia
  • not common in Ontario > well vaccinated
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4
Q

the nature of lung tumors in dogs - usually metastatic or what?

A

a large diversity, can be hard to tell

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5
Q

Pulmonary Thromboembolism
* Are pulmonary thromboemboli easy to detect postmortem?
* How to distinguish in situ thrombus vs pulmonary embolus?
* 2 sources of emboli (in any species)?
* 3 predisposing causes for in situ thrombosis?
- where to look for source of embolus?

A
  • need to open up pulmonary artery!
  • in situ are generally microscopic, within venules in the lung, grossly visible is usually embolus (95% of the time)
    > think of hypercoaguable states, glomerular disease with loss of antithrombin, spesis, corticosteroid therapy, pulmonary vascular disease eg. heartworm… all can predispose to thrombosis
    <><><><><>
  • Hypercoagulable state: glomerular disease, IMHA, cancer, glucocorticoids, heartworm, sepsis
  • Local trauma/inflammation
  • Sluggish blood flow
    <><><><>
    where to look for embolus source?
  • look at right heart valves for endocarditis
  • jugular for thrombus
  • liver - for liver abscesses (esp feedlot calves)
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6
Q

Eosinophilic lung diseases in dogs
- how common? treatment?

A

not common - but identification good as they respond well to corticosteroid therapy

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7
Q

blastomycosis
- cause
- lesions
- ddx

A
  • hyphae are found in the soil - infectious to animals and humans > inhalation from environment
    > generally does not spread from one species to another
    > (can innoculate yeast form if you cut yourself during PM)
  • Infection begins in the lung, and may spread to skin, eye, bone, and/or other viscera. (uveitis, osteomyelitis)
  • Infection induces granulomatous inflammation, forming multiple soft white nodules.
  • In older dogs, metastatic neoplasia is a more likely differential diagnosis
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8
Q

pleuritis in dogs - who? cause, presentation, causes and pathogens

A
  • large breed dogs
  • penetrating injury
  • smoldering, slow growing infections usually
  • actinomyces, nocardia
    > migrating pieces of grass awn/ tufts that make their way into the skin and migrate further into tissues
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9
Q

Respiratory viruses of cattle

A
  • bovine resp syncytial virus
  • parainfluenza virus
  • IBR
  • bovine coronavirus
  • BVDV?
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10
Q

In cranioventral lung, the alveoli are collapsed and contain very little air.
* What is this called?
* What are the three general causes of this lesion, and why did it develop in this case?

A

Atelectasis
– airway obstruction (eg by exudates, as in this case), external pressure (pneumothorax, pleural effusion), fetal atelectasis

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11
Q

There are air-filled spaces in the interlobular septa.
* What is this called?
* What are general causes of this lesion, and why did it develop in this case?

A
  • Interlobular emphysema
    > pressures in lung rupture alveoli
  • Distinguish: interlobular emphysema (2ry to respiratory distress) vs alveolar emphysema (rare in animals) vs air trapping (partial bronchiolar obstruction)
    <><><><>
    interlobular emphysema - seen in resp distress in horses cattle pigs > can be incidental finding in cows… if you see this lesin in a cow but feels normal on palpation, look elsewhere for cause of death
    alveolar emphysema - destruction of alveolar septa from proteases… not common in domestic animals
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12
Q

BSRV - group of bovines with resp disease, how do you go about making a diagnosis (if they didnt die) (viral)?

A

sample - PCR
- nasal swabs from multiple animals
- could also do transtracheal wash, bronchoalveolar lavage… but generally pathogen present in nasal cavity which will be easier
- take blood and determine exposure via serology / antibodies (look for a rise over time)

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13
Q
  • Foci with friable crumbly dry material. Which type of necrosis?
  • What species of Mycoplasma causes this lesion in cattle?
  • Characteristic clinical appearance?
A
  • bronchopneumonia with white pale nodules
    > caseous necrosis
  • mycoplasma bovis
  • can also get inner ear infections, joint disease, mastitis
    > either up auditory tube to the ear, or down trachea to lungs…
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14
Q

Bovine -
How to distinguish tracheal ulceration +exudate from expectorated mucus? on PM
- cause?
- possible reasons for death

A
  • if coughed up from the lung, can run your finger across it and it will come off > reveal smooth, shiny mucosa underneath
  • IBR-1: causes ulceration, material is firmly adherent and cannot be scraped away without scraping off the mucosa itself
  • calves may die if they aspirate this material and asphyxiate on it
  • more commonly, die due to secondary bacterial pneumonia > inflammation, suppression of macrophage responses from this virus
  • ubiquitous virus in feedlot cattle even if the disease is not frequently seen
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15
Q

checkerboard pattern in lung - what type of lung disease?
- what will we often see with this?
- cause in cattle?

A
  • generally interstitial
  • will be relatively uniform across the lung
  • will see interlobular emphysema and interlobular edema
    > firmer than normal
  • no one really knows what the cause is… high energy rations? can be related to tryptophan from lush forages in pastured cattle > 3-methyl endol toxicity
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16
Q

acute fibrinous pleuritis in feedlot calf, 30 days, found dead.
lung tissue is reddened, but of normal texture
likely cause?
- other lesions assoc. with this pathogen?
- significance

A
  • histophilus somni most commonly
    (Mannheimia haemolytica or E. coli septicemia could be ok guesses, but would more commonly affect lung)
  • characteristically spares lung tissue
  • Other lesions: brain disease, thromboembolic menigoencephalitis, arthritis, abscess in myocardium / infarct (papillary muscle of left ventricle)
  • more common cause of mortality in beef feedlots
17
Q

bacterial showering of the lung - when will it lead to interstitial vs embolic pattern

A

interstitial - a lot of bacteria very fast
embolic - slower, over longer time
<><><><>
- systemic bacterial infection can cause either

18
Q

DICTYOCAULUS VIVIPARUS
- parasite appearance, where found
- who gets this?
- lesions

A

cattle lungworm
- Adults worms are grossly visible, thread-like, white nematodes in bronchi within caudal lobes
- pastured cattle
- lesions in caudal lung
> calf aspirates eggs and larvae, results in caudal lube areas of inflammation

19
Q

granuloma in cattle lung - important cause we should consider? lesion? significance?
- lesion in deer/ elk?

A
  • mycobacerium bovis
  • look in lymph nodes > more commonly found there than lung!
  • caseous necrotic center, granulomatous inflammation
  • lesions can erode through pleura, or spread through blood…. cause miliary lesions in lung or other tissues
  • reportable!
  • look more like abscesses in deer - consider it
20
Q
  • bronchopneumonia (CV distribution) in cattle, what pathogens to consider?
  • what tells us if it is acute?
A
  • mannhemia haemolyitca
  • histophilus somni
  • pasteurella mulocida
    <><><><>
  • acute case will be evident by:
    > loosely adherent fibrin on surface, very dark hemorrhagic areas of lung
21
Q

Horse:
Ventral surface of skull.
Red arrow= pus in the retropharyngeal lymph node.
* Name the disease & the cause?
* Three fatal sequelae to this disease?

A
  • strangles > strep equi equi
  • rare in ontario, but can happen
  • very contagious bacterium
    <><><><>
    Sequelae:
  • aspiration pneumonia > pus in upper resp tract, inhaled into lungs > bronchopneumonia, lung abscesses from bacterial laden pus
  • bastard strangles > strep equi travel through blood from primary site to lymph nodes elsewhere in the body, form abscesses > can occur anywhere in body
    > often in mesentery
  • purpura hemorrhagica > immune complex mediated (type 3 hypersensitivity) > bacteria remains localized in retropharyngeal LNs > antibody-antigen complexes spread through blood, deposit in vessel walls > vasculitis throughout body
    > edema of forelimbs, petechial hemorrhages of gums, skeletal muscle, etc.
22
Q

guttural pouch
* 3 diseases affecting this structure?
* 2 sequelae to guttural pouch mycosis?

A
  • mycosis > fungal hyphae like to run along blood vessels, can invade carotid > massive hemorrhage into guttural pouch
  • tympnay > air trapped in pouch, non-fatal
  • empyema - pus within the cavity, filled > due to streptococcus or other bacteria
    <><><><>
  • have significant structures adjacent > cranial nerves and carotid arteries
  • guttural pouch disease:
    > cranial nerve deficits
    > fungal erosion of carotid, can be fatal
23
Q

1.What disease causes bronchiolar inflammation in adult horses?
2.Why are the airways obstructed?

A
  • alveoli normal, inflammation surrounding bronchioles, exudate within lumen of bronchiol
    > heaves = severe equine asthma (inflammatory airway disease
    <><><><
  • exudate in lumen
  • inflammation of bronchiolar wall
  • hyperreactivity of airway smooth muscle > bronchoconstriction
24
Q

Exudate in pleural cavity, draining out. Lots of fibrin on PM…. (fibrinous pleuritis)
Of these 4 plausible routes of bacterial infection of pleura, which is most likely in a horse?
a. Hematogenous
b. From lung
c. Penetrating injury
d. Esophageal perforation

A
  • most horses with fibrinous pleuritis, fluid in chest cavity
    > usually extension from underlying pneumonia
    > horses who have been transported with heads elevated > pooling of fluids at thoracic inlet > aspirated, aspiration pneumonia > small lung lesion can extend through pleural tissue into pleural cavity
    <><><><>
  • therefore, from lung!
25
Q

RHODOCOCCUS EQUI
- lung pattern?
- disease progression?
- who is affected?
- other possible manifestations?

A
  • cranioventral pattern of consolidation, and these consolidated lesions contain multifocal pyogranulomas that develop into abscesses
  • always a chronic disease, even if the clinical presentation is acute
    <><><><>
  • facultative intracellular pathogen that survives within macrophages
  • 2-6-month- old foal
  • infection and the lesions are always chronic, but clinical signs may be either acute or chronic
    <><><><>
    can also cause:
  • diarrhea (colonic form) > if ingested from soil rather than inhaled (taken up by colonic lymph nodes)
    > may also be coughed up and swallowed
  • polyarthritis
26
Q

foal:
* The lung is diffusely firm, with a firm rubbery texture throughout.
* What pattern of lung disease is represented? - disease in foals???
* What is the likely cause of the nodular firmer lesions ?

A
  • interstitial pneumonia, acutely fatal, nobody knows the cause in juvenile foals
    <><><>
  • nodules are rhodococcus
27
Q

Interstitial pneumonias in neonatal foals
- possible causes, that we see with some frequency??

A
  • Sepsis (acute diffuse lesions, vs. subacute embolic pneumonia)
  • Equine herpesvirus: diffuse (broncho)interstitial pneumonia
  • Hyaline membrane disease
    > Failure of surfactant production in premature foals
    > Results in increased alveolar surface tension, atelectasis, and injury to type I pneumocytes from high intra-alveolar pressures