Respiratory Chronic Bronchitis Flashcards

1
Q

Explain the pathophysiology of chronic bronchitis (CB) in dogs.

A

Chronic bronchitis in dogs involves chronic inflammation of the bronchial mucosa without an identifiable underlying cause. The inflammation leads to mucus production and thickening of the bronchial walls, which narrows the airways. Over time, the walls may weaken and collapse, perpetuating a cycle of coughing and further inflammation.

Example sentence: Chronic bronchitis can lead to long-term respiratory issues in dogs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe the expected history and clinical signs in dogs with chronic bronchitis.

A

Dogs with chronic bronchitis typically present with a chronic cough lasting over a month. The cough is often described as harsh, hacking, or deep and may produce mucus or ‘white foam.’ Terminal retching, gagging, or choking and paroxysms of coughing are common.

Additional information: Chronic bronchitis can be challenging to diagnose due to overlapping clinical signs with other respiratory conditions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What potential exam findings might you see in dogs with chronic bronchitis?

A

Potential exam findings include increased breath sounds, crackles, wheezes, expiratory dyspnea (abdominal push), tachypnea, excessive panting, cyanosis, and murmurs associated with pulmonary hypertension or mitral regurgitation.

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe the potential radiographic findings in dogs with chronic bronchitis.

A

Radiographs may show diffuse bronchial or bronchointerstitial markings. Advanced cases may exhibit bronchiectasis or bronchomalacia, although some radiographs may appear normal.

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

List other common causes of chronic cough in dogs.

A

Other common causes of chronic cough in dogs include tracheal collapse, pulmonary fibrosis, eosinophilic bronchopneumopathy, parasitic lung diseases, neoplasia, laryngeal disease, aerodigestive disorders, and significant cardiomegaly or large-volume pericardial effusion (‘cardiac cough’).

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

List the five components of chronic bronchitis treatment in dogs.

A

The five components of treatment include reducing inflammation, minimizing coughing, improving exercise tolerance, avoiding potential allergens, and managing obesity and periodontal disease.

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

List and define the potential complications of chronic bronchitis in dogs.

A

Potential complications include bronchiectasis (permanent dilation of the bronchi), bronchomalacia (weakening of the bronchial walls), secondary respiratory infections, and pulmonary hypertension.

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Explain the pathophysiologic difference between feline bronchitis and asthma.

A

Feline bronchitis involves chronic inflammation of the airways, similar to chronic bronchitis in dogs, whereas feline asthma is characterized by reversible bronchoconstriction and airway hyperresponsiveness. Both conditions can present with similar clinical signs, but asthma includes a component of acute airway constriction that bronchitis does not.

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe the expected history, clinical signs, and potential exam findings in cats with bronchitis or asthma.

A

Cats with bronchitis or asthma often present with a history of coughing and may exhibit signs such as wheezing, dyspnea, and tachypnea. Physical examination may reveal increased breath sounds, crackles, or wheezes, and in severe cases, cyanosis and respiratory distress.

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Explain why heartworm-associated respiratory disease (HARD) and heartworm disease (HWD) can cause clinical signs and radiographic abnormalities similar to feline asthma or bronchitis.

A

HARD and HWD cause inflammation and damage to the pulmonary arteries and lung parenchyma, leading to clinical signs such as coughing and dyspnea. Radiographically, these diseases can show interstitial or bronchointerstitial patterns, which are also seen in feline asthma and bronchitis.

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

List the acute and chronic treatments for feline asthma/bronchitis.

A

Acute treatments include minimizing stress, providing supplemental oxygen, and administering rapid-acting corticosteroids and/or bronchodilators. Chronic treatments involve oral corticosteroids, inhaled corticosteroids, bronchodilators for acute episodes, weight management, and reducing exposure to inhaled pollutants and allergens.

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Define eosinophilic bronchopneumopathy (EBP) and list breeds predisposed to EBP.

A

Eosinophilic bronchopneumopathy (EBP) is an immunological condition characterized by eosinophilic infiltration of the bronchial walls. Breeds predisposed to EBP include Siberian Huskies, Alaskan Malamutes, and other Nordic breeds.

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is chronic bronchitis in dogs?

A

Chronic inflammation of the bronchial mucosa with no identifiable underlying cause.

Example sentence: Chronic bronchitis in dogs is characterized by persistent coughing.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

List some proposed etiologies of chronic bronchitis in dogs.

A

Allergens (pollen, dust, dander), airway pollution (smoke), previous airway infection (Bordetella), gastroesophageal reflux.

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are some potential risk factors for chronic bronchitis in dogs?

A

Obesity and periodontal disease.

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe the pathophysiology of chronic bronchitis in dogs.

A

Bronchial inflammation and mucus cause coughing, bronchial walls become thickened, narrowing the airways, and walls weaken, leading to collapse and more coughing.

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the typical signalment for chronic bronchitis in dogs?

A

Middle-age to older, often small breed and overweight dogs.

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Describe the common presenting complaint and history of dogs with chronic bronchitis.

A

Chronic (1+ month) cough, often described as “harsh,” “hacking,” or “deep,” may produce mucus or “white foam,” terminal retch or “gag.”

No additional information.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are some potential abnormal exam findings in dogs with chronic bronchitis?

A

Increased breath sounds, crackles, wheezes, expiratory dyspnea, tachypnea, cyanosis, murmurs if pulmonary hypertension is present, obesity, periodontal disease.

No additional information.

20
Q

What is a diagnosis of exclusion in the context of chronic bronchitis?

A

Chronic bronchitis must be diagnosed by ruling out other causes of chronic cough.

No additional information.

21
Q

What are some differential diagnoses for chronic cough in dogs?

A

Tracheal collapse, pulmonary fibrosis, eosinophilic bronchopneumopathy, parasitic lung diseases, neoplasia, laryngeal disease, aerodigestive disorders, cardiac cough.

No additional information.

22
Q

What diagnostics are used for chronic bronchitis in dogs?

A

Minimum database (MDB), heartworm antigen test, fecal analysis, thoracic radiographs, advanced respiratory diagnostics like fluoroscopy, bronchoscopy, BAL, CT.

No additional information.

23
Q

What are the goals of treatment for chronic bronchitis in dogs?

A

Reduce inflammation, minimize coughing, improve exercise tolerance.

No additional information.

24
Q

What are some components of chronic bronchitis treatment in dogs?

A

Avoid potential allergens, corticosteroid therapy, weight loss, eliminate periodontal disease, eliminate secondary respiratory infection.

No additional information.

25
Q

Describe corticosteroid therapy for chronic bronchitis in dogs.

A

Oral prednisone or prednisolone 0.5-1 mg/kg PO BID, taper to minimum effective dose; inhalation fluticasone 110-220 µg/actuation 1-2 puffs B-TID.

No additional information.

26
Q

What are some potential complications of chronic bronchitis in dogs?

A

Bronchiectasis, bronchomalacia, COPD, pulmonary hypertension.

No additional information.

27
Q

Which breeds are predisposed to eosinophilic bronchopneumopathy?

A

Siberian Husky and Malamute.

No additional information.

28
Q

What is the treatment for eosinophilic bronchopneumopathy in dogs?

A

Corticosteroid therapy, similar to chronic bronchitis.

No additional information.

29
Q

What is primary ciliary dyskinesia (PCD) in dogs?

A

Defective ciliary motility resulting in mucus accumulation, inflammation, and recurrent bacterial infections. Situs inversus
Upper and lower airways affected

30
Q

Which breed has a known genetic mutation causing primary ciliary dyskinesia?

A

Old English Sheepdog

Example sentence: The Old English Sheepdog is predisposed to primary ciliary dyskinesia.

31
Q

What are some clinical manifestations of primary ciliary dyskinesia?

A

Rhinosinusitis, bronchitis, bronchopneumonia, bronchiectasis, recurrent bilateral nasal discharge

Additional information: These are common clinical signs seen in patients with primary ciliary dyskinesia.

32
Q

What is feline asthma?

A

Chronic inflammation leading to thickening of the bronchial mucosa, hypertrophy of smooth muscle, mucus production, and bronchospasm

Additional information: Feline asthma is a common respiratory condition in cats.

33
Q

How is feline asthma diagnosed? What would you see on rads, CT and CBC? What about HWT/fecal?

A

Rads: bronchial or bronchointerstitial pattern, diffuse
Hyperinflation, Right middle lung lobe atelectasis

CT: determines severity but needs to be paired with rads

CBC: eosinophilia (20%)

HWT/fecal: similar CS to HARD

34
Q

What is the acute treatment for a cat in respiratory distress due to asthma?

A

Minimize stress, supplemental O2, rapid-acting corticosteroid (dex), and/or bronchodilator (terbutaline)

Additional information: Immediate treatment is crucial for cats experiencing respiratory distress.

35
Q

What is the chronic treatment for feline asthma?

A

Oral corticosteroid therapy, inhaled steroid, bronchodilator therapy, reduce inhaled pollutants, weight loss

Additional information: Long-term management of feline asthma involves various treatment modalities.

36
Q

List the 5 advanced respiratory diagnostics and what each evaluates

A

Fluoroscopy- airway collapse

Bronchoscope- neoplasia, FB, parasites, bronchitis, bronchiectasis, bronchi malaria

BAL- infectious/neoplasticism causes

Laryngeal exam- laryngeal paralysis

37
Q

What are characteristic findings of a bronchoscopy?

A

Hyperemic & irregular mucosa, excessive mucus, bronchomalacia, BAL with non degenerate neutrophils

38
Q

What are the three most effective cough suppressants used in canine chronic bronchitis?

A

Butorphanol, Hydrocodone, Tramadol

39
Q

What would you see on rads and BAL for EBP?

A

Diffuse bronchointerstitial pattern pattern in rads

Thickened & irregular mucosa, yellow green mucus, eosinophilia inflammation

40
Q

How would you diagnose and treat PCD?

A

Dx: functional and structural analysis of cilia
Tx: antibiotics, hydration, coupage, close monitoring

41
Q

What happens pathophysiologically to the airways of asthmatic cats?

A

Further narrowed by reversible smooth muscle constriction (eosinophils release proteins to cause hyper-reactive smooth muscle)

42
Q

What is the signalment of asthmatic cats?

A

Siamese, young to middle aged

43
Q

Considering a cat’s clinical history, what is the difference between bronchitis vs asthma?

A

Bronchitis cats cough every day
Asthmatic cats have intermittent episodic signs

44
Q

In a Bronchoscopy/BAL, what would predominate in cases of asthma vs bronchitis?

A

Eosinophils for asthma
Neutrophils for bronchitis

45
Q

What 2 examples is bronchodilator therapy reserved for?

A

Acute episodes
OR cats whose CS do not improve significantly w/ corticosteroid therapy alone

46
Q

What are the differences between Asthma and CHF? (photo)

A