SAM I- Final Flashcards
Cat is prsents with upper respiratory disease with Punctuate/dendritic ulcers. . DDx?
Herpes
Dog presented for lamness and pneumonia, Has ulcers on his nose, tongue, hard palate. DDx?
Calici
Kitty presents with Conjunctivitis and chemosis. Dx?
Chlamydophila felis
T/F Calici & chlamydophila can shed without distress
True
You perscribe topical decongestants and supportive treatment(humidifier) to a herepes positive kitten. Why did the Senior vet laugh/be-disappointed-in-you and say the kitten will be back soon?
You did not prescribe systemic antibiotics
Which nerve provides lifelong latency for herpes?
Trigemnial ganglia
What are the three main complications of recurrent Herpes?
- Chronic rhinitis/sinusitis (turbinate damage predisposes to secondary bacterial infections of the nasal cavity) 2. Chronic conjunctivitis 3 Fibrosis of the lacrimal ducts= epiphora
Kathy has a kitty with herpes. How do you make the kitty better?
Ocular: Topical antivrals Oral lysine Supportive- fluids, antibiotics
“But I gave my kitty a vaccination for Herpes” and you reply with “…
1) does not protect from infection 2) does not reduce severity Intranasal; only useful for outbreaks
Can comes with with ulcers around nose and tounge with pneuonia. “my other Vet vaccinated against Calici”. What’s the probable Dx?
Calici…. still High mutation rate, no cross protection from vaccines or strains.
Which is more common. FCV with Pneumonia or Herpes with Pneumonia?
FCV w/ pneumonia
What should/can you look out for in an animal that has Calici?
GI signs Lameness
A kitten comes in with lamness and ulcers on his paws w/ sore joints. Dx?
FCV- Calici Limping kitten syndrome; one of the two
Clients cat is diagnosed with FCV- VIrulent hemorrhagic systemic syndrome. What’s the prognosis? (mortality rate?)
40-60% mortality rate FCV- Virulent hemorrhagic systemic syndrome.
What’s the difference in treatment between FCV and Herpes?
There is none; supportive, Interferon may be effective, Sequealae
Cat walks in with Conjunctivits and chemosis. Dx?
FUCKING CHLAMYDOPHILA FELIS
Kitty is congested with Upper respiratory signs. How do you treat?
Topical decongestants; Phenylephrine keep warm & hydrated
The new vet struts in to the break room after diagnosing her first case upper respiratory problems. “what was it?” everyone asks. Her answer “Bacterial rhinitis”. What causes the others vets insecurity and possible to call the patient back in?
Bacterial rhinitis is rarely a primary disease; dig for other possibilities
A long nosed dog presents with snot. Your physical exam reveals Nasal ulceration and depigmentation. What should be your next diagnostic step?
Imaging [nasal aspergillosis] Rhinoscopy white plaques Radiographs- not very helpful CT/MRI
Doggy diagnosed with Nasal Aspergillus; what du?
Debride Infuse; Clotrimazole, enilconazole Repeat if sings persist after 2 weeks
Unilateral discharge in a dog. Plaque on rhinoscopy. Dx?
Aspergillosis
Cat has upper respiratory signs and you suspect Cryptococcosis. What is a reliable way to test?
Serum titer test is very reliable for Cryptococcus.
How do you treat an Upper respiratory cat with cryptococcosis?
systemic Conazoles
Dog presents with sneeze and reverse sneezing. Dx?
Pneumonyssus caninum Parasitic; nasal mites
A dog ‘Nosey’ presents with recurrent inflammatory rhinitis and reverse sneezing. A accompanying vet suggests a biopsy (histopathologcal diagnosis); what is she/he thinking?
Lymphoplasmacytic Rhinitis (LPR) (common in dogs with long noses)
A dog is shown to have destruction of the nasal septum. Which DDx is thrown out?
LPR- does not usually cause damage to the nasal septum, frontal sinus, cribiform plate
On rhinoscopy of a dog you notice; Red, edematous mucosa, bleeds easily, turbinate atrophy and destruction. What do you need before you can make a Dx?
Radiography to ensure cruciform plate is enact Biopsy and histopathology Can differentiate between neoplasia and fungal rhinitis
How do you treat LPR?
Nothing proven can; nasal steroids, long term doxycycline (or azithromycin) with NSAIDS –flushes –maropitant (cerenia)
MoA of Cerenia
Blocks substance P
Dog who has presented in the pass with nasal problems is brought in again, This time with dysphagia. On physical exam you notice one nostril does not have airflow. Dx?
Nasal cancer
“Doctor, My fluffy has been diagnosed with nasal carcinoma. How long does it have to live?”
Well my sultry minx. 12-16 months with debridment/radiation 3-6 without treatment
which tumors provide better survival times?
Adenocarcinomas and Sarcomas
Which tumors provide poor-er surival times?
Undifferentiated carcinomas and squamos cell carcinoma
Who lives longer with radiation therapy? Dogs/cats
Cats- because fuck cats
You find a neoplasia in the nose. It is most likely what? (malignant or non)
Most are Malignant
which neoplasias are more common in cats?
Lymphomas and adenocarcinomas
Dog presents with Bronchitis, has presented with bronchopneumonia in the past and shows signs of a developing Respiratory tract infection. Top DDx?
PCD (Primary ciliary dyskinesia)
What is Kartageners syndrome?
Bronchiectasis, complete transposition of viscera (situs invertus) and CHRONIC RHINOSINUSISiTS
You suspect PCD, What is the most reliable way to confirm it?
Culturing ciliated cells from biopsy samples
Hey Doc, What type of disease is PCD?
Inherited autosomal recessive Ciliary dysfunction
Dog presents with a non productive cough and retching/gaging. Top DDx?
Tracheal & Bronchial disease
T/F Kennel cough is only associated with one organism
False: Kennel cough often includes secondary bacterial invaders Think: Viruses and bacteria
An owner is confident that FiFi doesn’t have to be checked in on because it’s been two days since the Kennel cough outbreak at the dog show. Why do you tell her she’s wrong? (in nice words of corse)
Kennel cough incubation time is 3-7 days. Tell her to look for Cough
Do presents happy and alter with a dry-cough on tracheal palpation. Also has serous oculonasal discharge. Top DDx?
Uncomplicated Kennel Cough
What to agents can lead Kennel cough to show sever signs?
Mycoplasma & Bordetella
What two agents can lead to kennel cough showing mild signs?
Parainfluenza and Canine adenovirus 2 (also Mycoplasma and bordetella but they are known for sever signs as well)
T/F Complicated Kennel cough will only show with lower airway symptoms
False: Complicated is both UPPER and LOWER problems
What will you see on the work up for a Kennel Cough Dog; Hemogram-? thoracic rads-? PCR-?
Kennel Cough: Hemogram- Leukocytosis with left shift Thoracic rads- bronchopneumonia Positive PCR
Do presents with Complicated Kennel cough; How do you treat?
Gentamycin x2 weeks. NOT Penicillin Cough suppressants (if unproductive)
A cat presents acutely with mucosal edema, excessive mucus production and neutrophilic inflammation and chronically with a cough. Dx?
Chronic bronchitis
What happens in untreated feline astma?
Permanent changes- fibrosis and emphysema
A dog is presented for bumping into things. IOP is 26. DDx?
Hypertension &; Retinal detachment
What topical anesthetic is used in the eye exam?
proparacaine- topical anesthetic
A dog presents with 10 mm/min schirmer test. Is this abnormal?
Yes, it is under-production Dogs >15 mm/min
A dog walks in with Glaucoma. What do you do?
You DON’T perform anything that needs mydriasis
Where is the tapetum on the indirect examination?
It is reflected dorsally
Cat presents with hyperemia and blepharospasm. This cat had also been to see another vet to have topical antibiotics for an eye ulceration. Dx?
cats have been shown to have hypersensitivity to topical tetracyclines