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Respiratory Pathology - lungs
dse mini test
94
Veterinary Medicine
Undergraduate 3
02/22/2012

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Cards

Term
how common are developmental abnormalities of the lung?
Definition
rare
Term
developmental abnormalities (6)
Definition
1. congenital melanosis in sheep 2. pulmonary hypoplasia 3. pulmonary hamartoma 4. ectopic lung tissue 5. agenesis 6. vascular anomalies
Term
pulmonary melanosis
Definition
black pathches on lung of sheep
Term
pulmonary harmatoma
Definition
xs redundant pulmonary tissue that doesnt communicate with normal bronchi
Term
agenesis
Definition
underedevelopment of one or more lung lobes
Term
vascular anomalie - atresia =
Definition
absence or narrowing or pulmonary a.
Term
primary lung tumours usually =
Definition
tumours of bronchiolar(clara and cuboidal cells) or alveolar(type I and type II pneumocytes) epithelium or the glands.
Term
primary benign lung tumour
Definition
pulmonary adenoma
Term
shape of pulmonary adenoma=
Definition
=papillary or bronchioalveolar pattern
Term
bronchioalveolar shape of pulmonary adenoma implies what is the origin of the tumour?
Definition
clara cells or type II pneumocytes
Term
malignant lung tumour
Definition
pulmonary carcinoma
Term
adenocarcinoma =
Definition
malignant tumour with acinar (glands) or papillary pattern
Term
where do adenocarcinomas tend to metastasize to in cats?
Definition
...digits
Term
bronchioalveolar carcinoma =
Definition
= malignant tumour of clara or type II cells. with bronchioalveolar pattern
Term
common primary malignant lung tumour in sheep
Definition
ovine pulmonary carcinoma
Term
ovine pulmonary carcinoma is caused by...
Definition
...retrovirus (Jaagsiekte - chronic contagious dz of sheep lung that evolves into pulmonary carcinoma)
Term
tumours that frequently metastasise to the lungs =
Definition
=
-mammary tumours
-haemangiosarcomas (espec in R. atrium in dogs)
- osteosarcomas
-thyroid carcinomas in cats
Term
tumours that frequently metastasise to the lungs =
Definition
=
-mammary tumours
-haemangiosarcomas (espec in R. atrium in dogs)
- osteosarcomas
-thyroid carcinomas in cats
Term
atelectasis
Definition
incomplete distension of the lung
Term
emphysema
Definition
XS distension of lung
Term
emphysema
Definition
XS distension of lung
Term
causes of atelectasis
Definition
1. obstruction
2. compression (low grade pneumothorax)
3. massive atelectasis (severe pneumothroax)
4. congenital (incomplete expansion of airways and alveoli at birth -defective surfactant production or problems at parturition eg asphyxiation, aspiration of amniotic fluids or meconium)
Term
vet dz's associated with emphysema
Definition
fog fever in cattle and RAO in horses
Term
causes of emphysema
Definition
1. obstruction (espec on expiration)- trapped air in alveoli
2.agonal change - forced resp. efforts
Term
alveolar emphysema
Definition
trapped air in alveoli = enlarged alveoli, damaged walls
Term
interstital emphysema
Definition
trapped air in interstital tissues, mainly seen in cattle.
Term
bullous emphysema
Definition
contigous empysematous airspaces (airspaces join tohgether =one large air pocket)
Term
pulmonary bleb
Definition
accumulation of air in visceral pleura (air leaks under pleura), often at lung apex-bubbles/blisters sevreal cm's wide.
Term
pulmonary bullae
Definition
air spaces in lung due to destruction of contigous (neighbouring) alveoli walls.
Term
rupture of pulmonary blebs and bullae can cause...
Definition
...pneumothorax
Term
circulatpry disturbances of the lung:(6)
Definition
1. hyperamia
2. congestion
3. pulmonary oedema
4. thrombosis/embolism/infarction
5. haemorrhage
6.pulmonary hypertension
Term
hyperaemia
Definition
active - increased BF into lungs
Term
hyperamia is associated with...
Definition
...acute pulmonary inflam.
Term
congestion
Definition
impaired outflow from lungs (passive action)
Term
causes of congestion =
Definition
=
heart failure
shock
terminal haemodynamic changes =common PM finding
Term
congested lungs
Definition
dark red, heavy lungs with XS exudate when cut surface
Term
hypostatic congestion =
Definition
gravitational pooling of blood, eg in recumbancy
Term
why doesnt alveolar normally become flooded with interstitial fluid?....
Definition
...alveolar epi permeability < capillary endothelium permeability

and alveolar epi has type II and clara cells with a Na pump which pump Na out of alveolar spaces = draws water with it.

Interstitail fluid is drained via lymphatics
Term
causes of pulmonary oedema=
Definition
1. alveolar epi damage
2. increase HP
3. Increased capillary endothelial permeability
4. decreased colloid osmotic pressure
decreased lymphatic drainage

(2 - 4 = XS interstitial fluid = over flows to alveolar space)
Term
most common cells in pulmonary oedema
Definition
eosinophils
Term
if see haemosiderein -laden macrophages in pulmonary oedema =
Definition
= pulmonary oedema due to heart failure
Term
why are lungs fairly resistant to infarction?
Definition
dual vascular supply and extensive collateral circulation
Term
lung lobe torsion=
Definition
=infarction of lung lobe
Term
types of emboli =
Definition
fat
air
tumour cells
parasite/FB
Term
lines of zahn =
Definition
red and white layers on thrombus
red= RBCs
white= platelets and fibrin
Term
6 causes of thrombosis
Definition
1. abnormal BF
2. increased coagulation
3. damage to bv wall
4. angiostrongylus vasorum
5. vasculitis
6. immune mediated haemolytic anaemia
Term
cor-pulmonale
Definition
enlarged R. ventricle
Term
small sterile thromboembolism of healthy lung =*
Definition
* =infarction
intra-alveolar haemorrhage
thrombolysis and resolution in 2-4days :)
Term
small sterile thromboembolism in unhealthy lung (with pre-existing pulmonary congestion and oedema)=*
Definition
*= infarction
haemorrhage and alveolar necrosis
organised healing and scar tissue
Term
septic thromboembolism =
Definition
= haemorrhage
necoriss
vasculitis
aneurysm
spread of infection
embolic pneumonia - can lead to abscess formation
Term
causes of spetic thromboembolism =
Definition
1. liver abscess in cattle 2. endocarditis of R. heart valve 3. joint & umbilical infections 4. infected intravenous catheters
Term
EIPH (excercise induced pumonary haemorrhage)
Definition
in >75% of race horses
1-10% of these = epistaxis upon excercise. at PM get blue grey dorsocaudal lungs(caused by accumulation of haemosiderin)
Term
pulmonary hypertension
Definition
increased pressure in pulmonary bvs
Term
acute fibrinoid necrosis
chronic thickening of bv walls and capillary endothelial hyperplasia
hypertrophy of tunica muscularis
fibrosis
Definition
pulmonary hypertension
Term
healthy lung = a in water

unhealthy lung = b in water
Definition
a = floats
b= sinks
Term
4 types of pneumonia
Definition
1. bronchopneumonia
2. interstitial pneumonia
3. embolic pneumonia
4. granulomatous pneumonia
Term
most common pneumonia=
Definition
= bronchopneuomnia
Term
cranioventral damage of lung =
Definition
bronchopneumonia distribution
Term
diffuse damage of lung =
Definition
= interstitial pneumonia distribution
Term
nodular damage of lung =
Definition
embolic or granulmoatous pneumonia distribution
Term
cause of bronchopneumonia
Definition
-bacteria mainly
-fungi
-impaired defences
-aspiration
Term
entry of agents causing
A) bronchopneumonia
B) interstitial
C) embolic
D) granulmoatous
Definition
A) inhaled
B) inhaled and haematogenous
C) haematogenous
D) inhaled and haematogenous
Term
whyare cattle and pigs right cranial lung more predisposed to pneumonia?
Definition
...they have a tracheal bronchus
Term
gross morphology of bronchopneumonia
Definition
dark red, firm/consolidated cranioventral lung parts. Exudate filled airspaces
Term
severe bronchopneumonia
Definition
get through interlobular septaedue to injury and necrosis of lung parenchyma = infect large areas of the lung = yellow frosted appearance = fibrin exudate onto surface of lung effecting pleura
Term
suppurative bronchopneumonia exudate =
Definition
= purulent/mucopurulent (lots of neutrophils)
Term
fibrinous bronchopneumonia exudate
Definition
fibrin, oedema,neutrophils, necrosis
Term
distribution of suppurative bronchopneumonia
Definition
confined within lobules or confluent/merged lobules
Term
distribution of fibrinous bronchopneumonia
Definition
large areas of lung affected (rapidly spreads between lobules)
Term
example of suppurative bronchopneumonia
Definition
enzootic pneumonia in pigs
Term
example of a fibrinous bronchopneumonia
Definition
bovine mannheimiosis (shipping fever)
Term
enzootic suppurative bronchopneumonia in pigs
Definition
pigs:
-ciliostasis
-hyperplasia of BALT (bronchiolar associated lymhoid tissue) =cuffing pneumonia
-v. common, persists in herds
Term
bovine pneumonic mannhaeimiosis (shipping fever)
Definition
transported weaner claves infected with Mannheimia haemolytica
leukotoxin = lysis of macro and neutro = tissue necrosis due to release if lysosomes
-extensive deposistion of fibrin in interlobular septa
-whole lobes-dark, necrotic, fibrin on surface of lung
- fatal
Term
fibrinopurulent pneumonia
Definition
suppurative and fibrinous bronchopneumonia co-existing
Term
bronchiolitis obliterans
Definition
compression/narrowing of bronchioles due to fibrous/scar tissue or inflammation.
Term
bronchiectasis
Definition
destruction of bronchiole wall (=exudate)
Term
interstitial pneumonia = inflam of...
Definition
...alveolar walls and interlobular septae
Term
causes of interstitial pneumonia =
Definition
usually virus (parainfluenza) or toxin (tryptophan)
Term
gross morphology of interstitial pneumonia =
Definition
= can look pretty normal, lack of exudate, heavy lungs, elastic/rubbery/meaty feel,firm, red lines where lungs pushed against ribs (as failure to collapse on expiration)
Term
histiological morphology of interstitial pneumonia
Definition
-hyaline membrane formation (surfactant +plasma proteins from exudate)
-thick alveolar walls of mainly type II pneumocytes.
Term
signs of fog fever in cattle
Definition
sever interstitial oedema and emphysema (bubbles in septae)
Term
causes of embolic pneumonia
Definition
1. septic emboli 2. hepatic abscess 3. endocarsitis of R. heart valve 4. joint and umbilical infections
Term
gross morphology of embolic pneumonia
Definition

early lesion= cream/grey, firm, nodular foci surrounded by red halo of haemorrhage/congestion

 

foci can then expand = abscessed

Term
abscesses can arise from what types of pneumonia?
Definition
bronchopneumonia and embolic pneumonia
Term
granulomatous pneumonia is caused by
Definition
persistant infections/agents that manage to evade the hosts innate immune response
Term
special type of interstitial pneumonia =
Definition
=granulomatous pneumonia
Term
causes of granulomatous pneumonia (5)
Definition

M. Bovis = TB

 lungworm

 FIP

 fungi

 FB

Term
TB (granulomatous pneumonia)
Definition
large white caseous granulomatous lesions
Term
sequelae of granulomatous pneumonia
Definition
dissemination of agent to other organs
persistant pneumonia
fibrosis
Term
IBR due to infection of
Definition
herpes virus
Term
IBR damages...
Definition
...damages mucociliary esculator
Term
mild IBR
Definition
seromucous discharge and conjunctivitis
Term
severe IBR
Definition
mucopurulent dishcarge, ulcerated mucosa and focal damage
Term
v. severe IBR
Definition
extensive fibrinopurulent exudate
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