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Respiratory Test 1
Tobias Mawby Odunayo UTCVM fall 2014
158
Veterinary Medicine
Graduate
09/06/2014

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Cards

Term
Whats the downfall for non surgical removal of superficial SCC
Definition
no histo so no dx, no margins
Term
what blocks do you do for nasal surgery
Definition
Bilateral Maxillary Nerve
Term
what kind of pattern do you close with on a nasal planectomy in cats
Definition
purse string
Term
After steady traction removal of polyps, what should give nasopharyngeal polyp cat that will prevent reoccurrence on over 90% patients
Definition
Steroids 4 weeks tapered
Term
What are the main complications of ventral bullae osteotomy
Definition
horner's, vestibular, maybe hearing loss, low risk carotid hemorrhage
Term
cleft palates that are in the palatal bone itself
Definition
secondary cleft palate
Term
common example of iatrogenic oronasal fistula
Definition
pulled canine left open
Term
In congenital secondary cleft palates, what age do you wait for before treating
Definition
4 months
Term
Number one thing you see with brachycephalic airway syndrome
Definition
Stenotic nares
Term
What can you do to prevent an elongated palate in a brachycephalic dog?
Definition
Fix nostrils early on
Term
if you have a puppy in for stenotic nares surgery and radiographs show a hypoplastic trachea what do you do?
Definition
Continue on with surgery
Term
What are dogs with brachycephalic syndrome prone to and you can resolve with fixing the airway?
Definition
GI disease
Term
Biggest risk for brachycephalic animals under anesthesia
Definition
aspiration pneumonia
Term
make sure you _______ to brachycephalic dogs when on opioids
Definition
lubricate eyes
Term
Term for removal of elongated soft palate
Definition
stapylectomy
Term
What kind of emergency kit do you need alongside postop care for soft palate shortening?
Definition
Emergency tracheostomy
Term
When doing an alar fold wedge resection use ______ forceps and DONT LET GO
Definition
Brown Adson
Term
what kind of suture to use for Alar wedge resection?
Definition
3-0 asborbable (like Monocryl)
Term
Most practitioners dont know about this" What might be causing ariway obstruction in nasopharynx of brachycephalics?
Definition
Turbinates in the nasopharynx
Term
Two most susceptible species to Bordetella bronchiseptica
Definition
Dog Pig
Term
This virus should be on your radar when thinking of kennel cough. It was first seen in racing greyhounds
Definition
Canine influenza H3N8
Term
OK so kennel cough can have multiple etiologies beyond Bordetella, name one bacteria two main viruses, and a third virus that may play a role.
Definition
Mycoplasma, Canine parainfluenza, Canine adenovirus 2, canine coronavirus
Term
Which adenovirus is in the core vaccine
Definition
Canine adenovirus 2
Term
This virus starts out in the respiratory system before becoming systemic and can initially be confused for kennel cough
Definition
CDV
Term
How long at least do you want to isolate a kennel cough (CIRD) dog
Definition
2 weeks
Term
With canine influenza should you do the swabs really early or later on?
Definition
Early
Term
A progressive condition of toy breeds where cannot breath both on inspiration and expiration
Definition
Tracheal collapse
Term
Tracheal collapse is initially associated with weakening of the_______ muscle because of a cartliladge problem
Definition
trachealis
Term
The number one thing we can do to reduce future clinical signs of tracheal collapse is control:
Definition
Obesity
Term
You have a goos honk when palpate the trachea
Definition
Tracheal collapse
Term
You need to break the _____ cycle in small dogs with tracheal collapse by potential__________ for a few days
Definition
Coughing; sedation
Term
Gold standard for dx tracheal collapse however not safe to perform
Definition
Tracheoscopy
Term
Bronchial collapse will be seen in ____% of dogs dx with tracheal collapse. What can you then do about that?
Definition
83; Nothing
Term
ABs for tracheal collapse dog?
Definition
Yes
Term
Steroids for a tracheal collapse dog?
Definition
Yes
Term
Early medical management can be successful in ___% cases
Definition
71
Term
Postop care priority number one after tracheal stent
Definition
Prevent Coughing
Term
Three main complications with tracheal stent
Definition
mucus, granulation, stent fracture
Term
When making your incision for a tracheostomy tube, palpate the thyroid and cricoid cartilage. The count distally to between rings ___ through ____
Definition
3-5
Term
How do you open airway for tracheostomy tube without much damage to surrounding tissues?
Definition
Stay suture
Term
If the end of you tracheostomy tube is not flush with the skin, it means the tube in the trachea is too (short/long) or cuff is (under/over) inflated
Definition
Long;Over
Term
Kitten with an inward facing sternum will need this surgery
Definition
Pectus excavatum
Term
Most common organ involved in traumatic diaphragmatic hernia
Definition
Liver
Term
What direction film do you take in a really dyspneic animal? DV or VD
Definition
DV
Term
After fixing a diaphragmatic hernia, do you:
Fully re-inflate lungs
Fully empty chest
Let them re-inflate themselves
Definition
Re-inflate themselves
Term
Where do you put chest tube after diaphragmatic hernia?
Definition
Through abdomen
Term
What pattern do you use to close up a diaphragmatic hernia cut
Definition
Simple continuous
Term
What is a congenital hernia?
Definition
Peritonealpericardial diaphragmatic hernia
Term
Which species more likely to get
Definition
Cat
Term
In lung lobectomy for unilateral disease ( like a focal tumor), enter the chest via a _____thoracotomy
Definition
Lateral
Term
In lung lobectomy for bilateral disease ( like a metastatic dz), enter the chest via a ____
Definition
Median sternotomy
Term
With lung lob torsions, this non- deep chested breed is predisposed with a very good (92%) survival rate
Definition
Pug
Term
Problem with cats and chylothorax
Definition
severe fibrosis preventing opening if lung lobes
Term
In surgical correction of chylothorax, what are you tying off?
Definition
Thoracic duct
Term
After suturing up a lateral thoracotomy, why might two ribs look wavy on radiographs a couple weeks later?
Definition
Two are sutured together to close the rib cage and get distorted
Term
With chylothorax in dogs you can get over an 80% success rate if you Thoracic duct ligation and ___ablation
Definition
Cysterna chyli
Term
Where do you want to put in first suture for a pectus escavatum? Why?
Definition
By xiphoid process. To pull sternum away from heart
Term
Airway epithelium includes ciliated__a___ cells and _b___cells. They can respond to stimuli by metaplasia, _c_, and __d_ production
Definition
a. Columnar
b. Goblet
c. Hypertrophy
d. Mucus Production
Term
What is the resp disease: Airways obstruction caused by heightened reactivity of tracheobronchial tree
Definition
Feline Asthma
Term
Two most common etiologies of upper resp tract infection in cats
Definition
Feline rhinotracheitis virus (Herpes)
Feline Calicivirus
Term
Upper resp tratc infection in a cat with oral ulcers- it is most likely:
Definition
Feline Calicivirus
Term
This viral agent of cat resp disease can last 48 hrs on fomites! clean your stethoscope!
Definition
Feline Calicivirus
Term
Big clinical sign for upper resp disease in cats
Definition
Sneezing
Term
This virus causes feline upper resp disease and is not temp restricted so can progress to a pneumonia
Definition
Feline Calicivirus
Term
This upper resp virus can cause a subsequent limping syndrome
Definition
Feline Calicivirus
Term
This upper resp virus can commonly cause ocular changes
Definition
Feline rhinotracheitis virus (Herpes)
Term
How many weeks are kittens sick with feline herpes and felin calici
Definition
2-4
Term
This upper resp virus has mutated a new very virulent strain with 50% mrotality
Definition
Feline Calicivirus
Term
This agent can cause sneezing in cats but more coughing in dogs
Definition
Bordetella bronchiseptica
Term
This agent causing upper resp in cats can present with a chronic mucopyrulent conjunctivitis and can be dx with scraping
Definition
Chlamydophila felis
Term
This agent causing upper resp in kittens can be a problem later on in adult life during stressful events
Definition
Feline rhinotracheitis virus (Herpes)
Term
How long can post recovery Calicivirus cats shed?
Definition
Forever
Term
How can a an acute upper resp progress to chronic?
Definition
damage and secondary bacterial infection
Term
Periodental disease can progress after ______ infection in cats with prev upper resp disease. You might see _______ on gingiva
Definition
Feline Calicivirus; Red line
Term
Why might you bring the sick herpes/calici kitten into the bathroom with you?
Definition
Humidification
Term
How many days max can you use pediatric nasal decongestant drops for URI kittens?
Definition
3
Term
Herpes med thats not so toxic to catsbut not a lot of evidence it works
Definition
Famcyclovir
Term
This drug works against arginine which can be antiviral
Definition
Lysine
Term
What 3 vaccines are in the FRVCP for cats
Definition
FRV (Herpes), Calici, Panleuk
Term
Age for initial vaccine for kitten : ____ weeks old
Definition
9
Term
Most common fungal etiology of URT/Nasal infection in cats
Definition
Cryptococcus
Term
Most common fungal etiology of URT/Nasal infection in dogs
Definition
Aspergillus
Term
This fungal pathogen cause URT disease and is associated with bird poop
Definition
Cryptococcus
Term
Roman nose in a cat. Not a tumor
Definition
Cryptococcus
Term
When thinking about respiratory disease, what other task/system should be on your physical ( other than resp system)
Definition
Fundic Exam
Term
This fungal pathogen has a halo
Definition
Cryptococcus
Term
Which breed has blasto dx as a sure death sentence
Definition
German shepherd
Term
Two main dx tools to dx nasal apsergillosis
Definition
CT/ Rhinoscopy
Term
____ disease can often cause secondary nasal disease
Definition
Dental
Term
Nasal mite of dogs
Definition
Pneumonyssus caninum
Term
When you rule out all infectious causes of canine rhinitis you can lean on this dx with a supporting biopsy:
Definition
Lymphoplasmacytic rhinitis
Term
With lymphoplasmacytic rhinitis, conisder these three drugs:
1. because there might be an aspergillus component:
2. Steroids dont work so try this NSAID
3. Use this antibiotic ( not sure why)
Definition
1. Itraconazole
2. Piroxicam
3. Doxycycline
Term
Nasal cancer more common in this species
Definition
Dog
Term
More common nasal cancer: (Carcinoma/Sarcoma)
Definition
Carcinoma
Term
Epistaxis could mean a lot of things... but this is big sign for :
Definition
Nasal neoplasia
Term
Tx for epistaxis depends on etiology but all of them you will require cage rest and _____ to help
Definition
Epinephrine/phenylephrine
Term
The cough reflex includes afferent impulses to the medulla: What four nerves can play a role
Definition
Vagus, Trigeminal, Phrenic, Glossopharyngeal
Term
Antitussive therapy may be indicated for bronchitis in this species
Definition
Dog
Term
Two species highly susceptible to Bordetella bronchiseptica
Definition
Dog, Pig
Term
We know Bordetella plays a big role in Kennel Cough- Name one other bacteria and two viruses that also play a role in certain cases
Definition
Mycoplasma; Canine Parainfluenza; Canine Adenovirus 2
Term
This virus isn't necessarily part of the kennel cough complex but has similar clinical signs to it. Seen in greyhounds
Definition
Canine Influenza (H3N8)
Term
Virus that can sometimes be part of kennel cough (CIRD) complex but not as commonly
Definition
Canine Coronavirus
Term
This virus should definitely be in your differential when dealing with a potential kennel cough (CIRD)- This virus however is not a primary resp virus but rather systemic
Definition
Canine Distemper
Term
Dry harsh non productive cough in a dog
Definition
Kennel Cough (CIRD)
Term
Kennel cough (CIRD) dogs need isolation from other dogs for at least ____ weeks
Definition
2
Term
With this virus you may see a lymphopenia
Definition
Canine Distemper
Term
Virus shedding for this not very common resp virus is very early in incubation so get a nasal swab asap!
Definition
Canine Influenza (H3N8)
Term
With bite wounds that come in on emergency, its really important to include these drugs________, beyond stabilizing the patient.
Definition
Sedatives
Term
In managements of rib fractures ______ is key
Definition
Pain management
Term
In rib factures surgery is commonly needed (T/F)
Definition
False
Term
______ will cause paradoxical movement with opposite movement during inspiration and expiration of a chest wall segment
Definition
Flail chest
Term
Flail chest is usually easy to dx on physical exam (T/F)
Definition
True
Term
In flail chest you can locally block area ___ rib spaces cranial and caudal to the area
Definition
2
Term
With flail chest, you want to keep animals most of time on lat recumbency with flail section (up/down)
Definition
Down
Term
For open chest wounds and flail chest a PE is usually sufficient to dx, so why do rads?
Definition
Look for other problems!
Term
Open chest wounds commonly need surgery (T/F)
Definition
True
Term
An animal comes in from traumatic event and resp distress... wanna to rule this condition out first!
Definition
Pneumothorax
Term
In this type of pneumothorax, a one valve has been created
Definition
Tension
Term
Quiet lung sounds dorsally indicates a(n):
Definition
Pneumothorax
Term
How many mL/Kg of fluid at least should be in pleural space b4 see signs of resp distress? Exception may be ehmorthorax where that much blood loss theyd be dead prob
Definition
30-60
Term
Diaphragmatic hernias are 85% of time due to:
Definition
Trauma
Term
Pulmonary contusions may get worse first but will prob resolve within ____ days
Definition
3-7
Term
Tx for pulmonary contusion is supportive but you also need to:
Definition
Look for other problems!
Term
Question you can add to annual exam tp pick up acquired laryngeal paralysis
Definition
Hows your dog's bark?
Term
Which nerve innervates most of nerves to larynx?
Is this opening or shutting of larynx?
Definition
Recurrent laryngeal; both
Term
Dog comes in with respiratory stridor and coughing gagging when sleeping and drinking
Definition
Laryngeal paralysis
Term
Dogs with idiopathic laryngeal paralysis also have generalized______ dz
Definition
Neuromuscular
Term
Dog present with cough and muscle wasting
Definition
Laryngeal paralysis
Term
When scoping for laryngeal paralysis do you have:

Full anesthesia
Light anesthesia
No anesthesia
Definition
Light
Term
Give and IV bolus when scoping a potential laryngeal paralysis dog to stim breathing
Definition
Doxapram
Term
You need to avoid these two anesthetic combos when dx laryngeal paralysis b/c they will cause a potential false positive!!!
Definition
Ace/propofol
Ketamine/diazepam
Term
Unilateral arytenoid laterilzation ( laryngeal tie back) has many potential complications but the main one is________ so try and give them a(n) (elevated/lowered) water bowl
Definition
Aspiration pneumonia; Lowered
Term
With laryngeal paralysis, if the one sign is _____ don't got o surgery yet because this is also a complication of the tie back surgery
Definition
Coughing and Gagging
Term
Debarking procedure
Definition
Ventriculocordectomy
Term
Coughin kitty
Definition
Feline Asthma
Term
Favorite drug in respiratory
Definition
Oxygen
Term
What group of drugs are the best choice for bronchodilation in asthmatic cats?
Definition
Beta agonist
Term
Two specific beta agonist used for acute situations in feline asthma
Definition
Terbutaline sulfate
Term
An anti- serotonin drug that MAY help only as an add on to pther therapy fro feline asthma
Definition
Cyproheptadine
Term
Great inhalant for emergency situations in feline asthma howerver long term has paradoxical effect ( racemic mixture)
Definition
Albuterol
Term
For emergency use: Inhlaed steroids or beta agonists?
Definition
Beta agonist
Term
Inhaled corticosteroid for long term management of feline asthma
Definition
Fluticasone
Term
With feline asthma, you can often see the ________ lung lobe collapsed. This one is sually the first to collect a mucous plug because most ventral
Definition
Right Middle
Term
Dyspneic cat: two top differentials
Definition
Feline asthma; Heart failure
Term
Definition: inflammation of the lungs with exudate and consolidation
Definition
Pneumonia
Term
This fungal pathogen CAN commonly cause a gastroenteritis alongside other systemic signs. Can even dx with a rectal scraping!
Definition
Histoplasma
Term
Antigen testing is starting to be the main way to dx systemic fungal pahogens. What is your sample?
Definition
Urine
Term
With Histoplasma, you may have some GI compromise and can bring this drug on board
Definition
Amphotericin B
Term
(Dogs/Cats) don't necessarily present coughing when have a bacterial pneumonia
Definition
Cat
Term
When dx a bacterial pneumonia- you also want to look for
Definition
Underlying Disease!
Term
You can change which lung becomes adelectic in a bacterial pneumonia patient by:
Definition
Frequently turning them over
Term
AVOID these three drugs for tx of bacterial pneumonia
Definition
Steroids, diuretics, Antitussives
Term
T/F Need to lavage an aspiration pneumonia patient ASAP
Definition
False
Term
Tx for a toxoplasma pneumonia
Definition
Clindamycin
Term
Primary PIE is seen in which species
Definition
Dog
Term
Lifetime therapy for a PIE dog:
Definition
Steroids
Term
Which species less likely to get lung neoplasia
Definition
Cat
Term
Can order this on blood work if suspicious of PTE
Definition
D-dimer
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