Respiratory Pathology Lecture 1 Flashcards
What is included in the anatomic division of upper respiratory tract
Nasal cavity, sinuses, nasopharynx, larynx
What is included in the lower respiratory tract anatomic division
Trachea and lungs
What is included in the conducting functional division of respiratory tract
Nasal cavity, sinuses, nasopharynx, larynx, trachea and bronchi
What is included in the transitional function division of respiratory tract
Bronchioles
What is included in the exchange functional division of respiratory tract
Alveoli
Identify 1-2
- Bone- nasal turbinates
- Cartilage- nasal septum
What epithelium lines the conducting portion
Ciliated pseudostratified columnar epithelium
What physical barriers act as defense systems in conducting portion of respiratory system
- Nasal turbinates
- Bifurcation of trachea and bronchioles
How do the bony nasal turbinates act as defense system
Narrow, convoluted structures that cause turbulent airflow and increase surface area for foreign body debris to get trapped
How does the bifurcation of the trachea act as defense
Cause turbulence in air so traps debris
How does the normal bacteria flora defend the respiratory system
Outcompete the pathogens
What are the mechanisms of clearance
Coughing, sneezing, phagocytosis, mucociliary apparatus
How does the mucociliary apparatus/transport work
Particles get entrapped in mucous and movement up the mucociliary apparatus—> swallowed and coughed out
Cells in nose, trachea, bronchi and bronchioles secrete ___ and mucus entrap/neutralize pathogens to make them less apt to cause disease
Antimicrobial products- lysozyme, antibodies
What is the function of BALT
Antigen presenting cells in region phagocytose and transport particles to BALT- lymphoid structures
what is circled in red
BALT
___ infections are primary infections that predispose to secondary ___infections
Viral, bacterial
What is the most common route of entry into the respiratory tract
Aerogenous (inspired air)
What are the 3 possible routes of entry into the respiratory tract
- Aerogenous
- Hematogenous
- Direct extension
What is palatoschisis
Cleft palate
Palatoschisis is common in what species
Dogs and cattle
What is the gross appearance of palatoschisis
Communication between oral and nasal cavity
What is common sequela of palatoschisis
Aspiration
What is choanal atresia
Lack of nasal turbinates and a bone or membrane obstructing the airflow into the nasopharynx so no breathing through nose
What species is choanal atresia common in
Alpacas/llamas
How is a choana
Opening between the nasal cavity and nasopharynx
What is a common sequela of choanal atresia
Aspiration
What is ciliary dyskinesia
Malformed, poor functioning cilia so not moving properly, mucociliary apparatus not working so problem with clearance
What species is ciliary dyskinesia common in
Dogs
what is wrong
Palatoschisis- cleft palate
What is wrong
Choanal atresia
What are the 4 features of brachycephalic airway syndrome
- Hypoplastic trachea
- Elongated soft palate- occluded larynx
- Everted laryngeal saccules
- Stenotic nares
What are some sequela from brachycephalic airway syndrome
Exercise intolerance, cyanosis, collapse
what is wrong here
Elongated soft palate, over epiglottis, occluding larynx
what wrong here
Everted laryngeal saccules
what is wrong here
Hypoplastic trachea (tongue much bigger than tiny trachea)
Widening of cartilaginous rings
Inflammation of nasal mucosa ___
Rhinitis
Inflammation of guttural pouch
Eustachitis
Bleeding from the nose
Epistaxis
Coughing up blood
Hemoptysis
Accumulation of pus within the guttural pouch
Empyema
How does serous discharge appear and what is it due to
Thin, clear, watery
Mild irritation- hyperactive submucosal glands
Typically d/t allergic reactions and viruses
What is the appearance of catarrhal (mucoid) discharge and what are some causes
Thick but clear, chronic irritation, moderate injury—> goblet cell hyperplasia and submucosal glandular hypersecretion
Viruses or allergic reactions
What is the appearance of Fibrinous discharge and what are some causes
Tan, stringy fibrillary material on mucosa
Severe tissue injury causing fibrinogen to leak from nasal blood vessels
D/t: toxicity, infectious agents, fungal, bacterial
What is the appearance of purulent/suppurative discharge and what are some causes
Thick, yellow, opaque
Infections with pyogenic organisms/bacteria, accumulation of neutrophils
Suppurative bacteria
What is the appearance of granulomatous discharge and causes
Nodular, more space occupying
Chronic inflammation with pathogens that are resistant to phagocytosis—> accumulation of macrophages/ lymphocytes/ plasma cells and fibrous connective tissue
Typically fungal
What kind of discharge, what is primary and secondary causes
Mucopurulent discharge
Cause: viral infection (ex: canine distemper) and secondary bacterial infection
Canine respiratory disease complex often starts with ___infections
Primary viral infections
What is the most common viral infection causing canine respiratory disease complex
Canine distemper virus
Viral rhinitis often become secondarily infected with ___
Bacteria
What are the two common secondary bacterial infections from canine distemper
Bordetella bronchiseptica and pasturella multocida
What is the fungal cause in dogs with canine respiratory disease complex
Aspergillus spp
What are the multifactorial causes of canine infectious tracheobronchitis (kennel cough)
Crowding/mixing of dogs, poor ventilation and environmental/ nutritional stressors
Canine infectious treacheobronchitis (kennel cough) predisposes to infection with ___
Bordetella bronchiseptica
Canine infectious tracheobronchitis results in what
Suppurative to mucopurlent rhinitis—> tracheitis with cough that is exacerbated with exercise—> can progress to bronchopneumonia
What does the cough sound like with canine infectious tracheobronchitis
Goose honk cough
What breeds is aspergillus common in
German shepherds or other dolicheocephalic breeds
What aspergillus spp is most common
Aspergillus fumigatus
What does this show
aspergillus
What are the top viral causes of feline respiratory disease complex/ feline rhinitis and conjunctivitis
- Feline calicivirus
- Feline infectious rhinotrachetitis (feline herpesvirus)
What are the secondary bacterial causes of feline respiratory disease complex
- Mycoplasma felis
- Chlamydophilia felis
What is the fungal cause in feline respiratory disease complex
Cryptococcus spp
what virus in feline respiratory disease complex is this seen in
Feline calicivirus- oral ulceration
T or F: oral ulcers are pathognomonic with feline calicivirus
False
what virus in feline respiratory disease complex is this typical of
Feline herpesvirus 1
Dendritic ulcerations in eye
T or F: dendritic ulcerations are pathognomonic for feline herpesvirus
True
What does this show and what stain is used in right photo
cryptococcus neoformans/C gatti
Stain: Mucicarmine stain
These two signs are typical of what cause in feline respiratory disease complex
Cryptococcus neoformans/ C gatti
What virus likely caused this
infectious bovine rhinotracheitis (bovine herpesvirus 1)
What are the gross lesions associated with IBR
Hyperemia and necrosis
Infectious bovine rhinotracheitis is associated with ___environments
Crowded
IBR is synergistic with ___
Mannheim is haemolytica
What is cause of Atrophic rhinitis
Co infection with Bordetella bronchiseptica and toxigenic strains of pasteurella multocida
What are the clinical signs of atrophic rhinitis
Sneezing, coughing, nasal discharge, epistaxis, nasal deviation
What is the pathogensis of atrophic rhinitis in pigs
Co infection—> inhibits osteoblasts and increased osteoclast activity—> osteopenia, atrophy, and loss of nasal conchae—> septal deviation and facial deformity
What is wrong here
atrophic rhinitis
What parasite invades nasal cavity in sheep
Oestrus Ovid
What parasite infects the nasal cavity and trachea of cats
Cuterebra spp
What is wrong here
parasitic rhinitis via Cuterebra spp
What are some common sequela of rhinitis
Sinusitis, otitis, pharyngitis, lymphadentitis, meningitis, guttural pouch infections
Sinusitis is a sequela to __
Upper respiratory infections
What are some common causes of sinusitis
- Dehorning complication
- Periodontitis/ tooth root abscess
Why do you dehorn young cows vs old to prevent sinusitis
Young cows the horn bud does not communicate with sinuses but adult cows the horn directly communicates with sinuses so can result in sinusitis