URT conditions in SA - BOAS+

Question 1

Define stertor

Answer 1

Usually indicates BOAS
Snoring noise
Reverberant airflow in the upper airways
Indicates excessive or redundant soft tissue
Noise is worse when excited or sleeping

Question 2

Define Stridor

Answer 2

Usually indicates laryngeal paralysis
Harsh noise on Inspiration
Resolves when sleeping or relaxed
Exacerbated by exercise and excitement
Indicated failure of the Glottis to open

Question 3

Primary components of BOAS

Answer 3

Stenotic nares
Elongated soft palate
Excess pharyngeal mucosa
Aberrant turbinate’s
Hypoplastic trachea

Question 4

Secondary components of BOAS

Answer 4

Everted laryngeal saccules
Laryngeal collapse
Tonsillar hyperplasia and eversion
Regurgitation
Hiatal hernia

Question 5

Consequence of Brachycephalica

Answer 5

Increased respiratory effort
Turbulent airflow
Inflammation and thickening of soft tissues
Stertor

Question 6

T/F Elongated soft palate can be diagnosed without GA

Answer 6

False!

Question 7

What is larygeal collapse

Answer 7

Arytenoid Cartlidge’s collapse in narrowing the glottis
Secondary condition due to increased airway pressures from upper airway disease

Question 8

What is laryngeal Paralysis

Answer 8

Glottis does not abduct on inspiration
Caused by Dorsal Cricoarytenoid muscle failure

Question 9

Treatment for emergency laryngeal Paralysis

Answer 9

Sedate to calm and reduce resp. rate (acepromazine)
Corticosteroids - Dexamethasone
Cool
Supply oxygen
Refer for surgery
Temporary tracheostomy

Question 10

Cause of aspiration pneumonia

Answer 10

Glottis doesn’t close when the patient swallows and food or liquid is aspirated causing an aspiration pneumonia

Question 11

List causes of feline upper respiratory disease

Answer 11

Feline nasopharyngeal polyps
Neoplasia
Boas – (brachycephalic breeds such as Persian)
Laryngeal paralysis
Iatrogenic (post thyroidectomy surgery)
Idiopathic