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86 Cards in this Set

  • Front
  • Back
What is the cause of Feline Bronchial disease/Asthma?
Causes unknown, allergy suspected
What are some signs of Feline Bronchial disease/Asthma?
Coughing,
Wheezing on expiration, Prolonged expiration
Retching or vomiting at end of coughing fit
How do you diagnose Feline asthma diagnosis?
Chest x-rays
CBC
Tracheal wash
Heartworm tests
Fecal test for lungworm
What does the Chest x-rays do?
Bronchial Pattern
What does the CBC measure?
Eosinophilia
What does the tracheal wash do?
Eosinophils
What is the treatment of feline bronchial disease/asthma
Limit stress if possible
Oxygen
Corticosteriods
Bronchodilators
May require long term or intermittent medication to control/prevent episodes
What is the cause of chronic bronchitis?
causes unknown
What breeds are more common to get chronic bronchitis?
Often small breed dog, but both small and large breed dogs affected
What ages are more common to get chronic Bronchitis?
MIddle aged to older and overweight
What does Chronic bronchitis cause?
Chronic cough, otherwise healthy
What do you use to dx Chronic bronchitis?
Chest X-rays to look at the bronchial pattern
How do you manage chronic bronchitis?
Corticosteroids, bronchodilators, antitussives
What kind of disease is pneumonia?
bacterial
How does pneumonia occur?
aspiration, inhaled food or gastric contents.. can occur under anesthesia
What can you see when you try to diagnose pneumonia?
You can see the alveolar pattern in cranial ventral lung fields on thoracic radiographs and neutrophilia on CBC
What is the treatment of pneumonia?
Antibiotics, thoracic coupage
What is pulmonary edema?
Fluid in the lungs
What are the two categories that classify pulmonary edema?
Cardiogenic and non =-cardiogenic
Where do heartworm live?
Pulmonary artery outflow tract
What does Heartworm cause?
cough, ascites, dyspneas, weakness
Is neoplasia of the lung usually metastatic?
yes
What do thoracic radiographs yield when there is neoplasia?
usually nodular interstitial pattern, may be diffuse with some neoplasias
What are pulmonary contusions?
Trauma.. hemorrhage in lungs
What do the thoracic radiographs of pulmonary contusions look like?
alveolar pattern
What is pleural effusion due to?
RCHF
Pyothorax
Chylothorax
Hemothorax
Pneumothorax
FIP in cats
What is Chylothorax?
Leakage of chyle from the thoracic duct..
What is Chyle?
Lympn (water, protein, and lymphocytes) and triclycerides
What is pneumothorax?
Abdominal organs in the pleural space and is secondary to trauma
What is a diaphragmatic hernia?
Abdominal organs in the pleural space and is secondary to trauma
What are diagnostic tests for diseases of the respiratory system?
Thoracic radiographs
TTA- Transtracheal aspiration
Thoracocentesis
Bronchoscopy/Rhinoscopy
Pulso oximetry
CBC
Chemistry Profile
FELV/FIV test
HW test
Fecal
Cardiac testing (echocardiography, ECG)
What are some procedures related to the respiratory tract?
Nasal oxygen administration
Transtracheal aspiration
What are the indications for nasal oxygen administration?
Hypoxia-Good choice if animal too mobile for mask or too large for an oxygen cage
What is the procedure for a nasal oxygen administration?
Tube measured from nostril to level of 4th premolar
Topical anesthetic
Tube advanced to predetermined mark
Suture at nostril and on top of head
What is the purpose of a transtracheal aspiration(TTA)?
Obtains an uncontaminated sputum sample for microbiologic and cytologic studies and to permit instillation of oxygen or drugs into larger lower airways
What are some complications of a transtracheal aspiration?
Tracheal laceration and hemorrhage
Acute dyspnea
Subcutaneous emphysema
Pneumomediastinum
Iatrogenic infection
What equipment is needed for a transtracheal aspiration?
14-18 gauge, 12 inch long, thru-the-needle intravenous catheter
10 ml or 20 ml syringe filled with sterile physiologic saline solution
antiseptic scrub and solution
local anesthetic(lidocaine)
Sterile gloves
How do you restrain and position an animal for transtracheal aspiration?
Physical restraint usually adequate
Transquilization
Local anesthesia
General anesthesia contraindicated- no cough
Sitting or sternal recumbency
What is the procedure for a transtracheal aspiration?
1. Extend neck so nose points to ceiling
2. Clip, steril prep of skin over cricothyroid membrane or trachea, infuse local anesthesia SQ
3. Insert needle into tracheal lumen by puncturing cricotyroid or interannular membrane at 45-degree angle
4. Advance catheter to its full length
5. Rapidly infuse sterile saline through catheter(3-10 ml)
6. While animal si coughing, aspirate secretions of exudates into syringe.
7. Remove catheter and apply pressure to puncture site for 30 sec.
8. Transfer contents of syringe to specimen tubes for cytological and culture/sensitivity examination
9. Observe for dyspnea
what is the procedure for a bronchoscopy?
1. Use a fiber-optic endoscope
2. Visualize large airways
3. Obtain samples for histopathology, cytology, C&S
4. Remove foreign bodies
What are the indications for a thoracocentesis?
Pleural effusion
Diagnosis
Relief of dyspnea
Pneumothorax
What are some complications of a thoracocentesis?
Iatrogenic lung laceration and pneumothorax and exacerbation of dyspnea due to restraint
What equipment do you need to conduct a thoracocentesis?
Butterfly catheter
Three way stopcock
12-20 ml syringe
clippers, sterile prep materials
What restraint and positioning do you need?
Minimal restraint
Sternal recumbency
What are indications of a chest tube placement?
Pneumothorax
Pleural effusion
Post-thoracotomy
What are some complications of a chest tube placement?
Leakage of room air
Puncture of intercostal artery
Laceration of lung
Laceration of heart or great vessels
What is the procedure for a chest tube placement?
1. Sterile prep 5th to 12th intercostal space
2. Premeasure tube from 7th-8th ICS to point of elbow
3. Skin incised at 10th ICS
4. Skin pulled cranially
5. ATube placed at 7th or 8th ICS
6. Superficial tissue incised, then tube placed bluntly with curved hemostats directed cranially
7. Purse-string suture, bandage, abx oint., e-collar
8. 3 way stopcock to seal end; monitor for leaks
What are some portions of the upper airway?
Nasopharynx, larynx, trachea
What are some signs of disease of the upper airway?
Sneezing
Nasal discharge(serous, mucoid, mucopurulent, bloody)
respiratory stertor or stridor
Dyspnea/respiratory distress
cough
conjunctivitis
What is Canine infectious Tracheobronchitis?
Kennel Cough aka Canine parainfluenza virus
What is the bacteria called that causes Kennel cough?
Bordatella bronchiseptica
How long does the Kennel cough vaccine last for?
about 6 months.
How do you treat Kennel cough?
Antibiotics, anti-tussives, +/- anti-inflammatories (Short-term if no pneumonia)
What is the Canine influenza virus?
It is a new virus(no natural immunity)
Highly contagious
What are some of the symptoms of the influenza virus?
Soft, productive cough for 10-30 days
low grade fever
thick nasal dischage
+/- secondary bacteria pneumonia
What is the vx for CIV called?
H3N8 killed virus vx
What is common in Feline Herpes virus?
Severe naso-ocular signs
Corneal ulcers common
Chronic nasal or ocular disease can result
animal can become a life-long, intermittent shedding carrier of disease
What are some signs of the Feline Calicivirus?
Milder naso-ocular signs
Oral ulcerations common
Carrier for months to years, persistent shedding
How contagious is a cat with Feline Calici virus?
Highly contagious(should be treated as an outpatient)
What vx should you use to prevent calicivirus?
FVRCP
What is the Virulent systemic feline calicivirus?
Much more virulent strain of the calicivirus reported since 1998..
What age group does FS-FCV usually affect?
Adult cats rather than kittens
What can the cat have in conjunction with FS-FCV initially?
URTI, Oral ulcers, anorexia, lethargy..
What can the have in conjunction with FS-FCV after the first symptomms?
Develops high fever (>105), facial and limb edema and alopecia, ulcerative dermatitis
How often does a cat shed Virulent systemic feline calicivirus?
shed virus four times a month
Virulent systemic feline calicivirus: ___% mortality in adults
60
T/F FVRCP does protect?
False
What upper respiratory infection is primarily a cause of conjunctivitis?
Chlamydia(Chlamydophila felis)
What are some diseases of the nasal cavity?
Fungal
Tumors
Foreign bodies
Dental disease
Allergy
What are some signs of a collapsed trachea?
Trachea is not rigid
hacking cough
What is the tx of a collapsed trachea?
Cough suppressants
What happens when an animal has Laryngeal paralysis?
Arytenoid cartilages of larynx do not open during inspiration
What animals have Laryngeal paralysis are more likely to have this?
Older, large breed dogs
What are some typical signs of Laryngeal paralysis?
Exercise intolerance, Change in bark, gag/cough when eating
How do you diagnose Laryngeal paralysis?
Signalment
signs
Visualization of larynx
What is the cause of Laryngeal paralysis?
Usually unknown, occasionally secondary to hypothyroidism
What is the tx of laryngeal paralysis?
Surgical correction
What are some symptoms of laryngeal paralysis that occur during warm weather?
Hyperthermic (>105)
Severe respiratory distress and stridor
Cyanotic
Need to cool down, calm down. supply oxygen
Benign polyps in the ears of cats...
Arise in the middle of the ear
May rupture out through ear drum into external ear canal
May migrate down eustachian tube to back of mouth/palate and cause respiratory noise or respiratory distress
What are the indications of a Tracheostomy?
Provide means to deliver air or oxygen past an upper airway obstruction
What is the procedure for a Rhinoscopy?
1. Use of a fiber-optic endoscope
2. Visualize nasal cavity
3. Obtain samples for histopathology, cytology, C&S
4. Remove foreign bodies
5. Anterior-via nares
6. Posterior- via caudal soft palate.
What fungal infection can affect the nose?
aspergillus causes aspergillosis
What foreign bodies can affect the nasal cavity?
Grass, mulch, popcorn, etc
What animals/breeds is brachycephalic airway syndrome common in?
Pugs, bulldogs, persian cats
What is Brachycephalic airway syndrome?
Narrowed nostrils(stenotic nares)
Overlong soft palate
What are animals with Brachycephalic airway syndrome prone to?
Prone to dyspnea with excitement or overheating