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SAM Exam 1 > Lecture 12 - coughing diseases (specht) > Flashcards

Lecture 12 - coughing diseases (specht) Flashcards

1
Q

overweight middle age to older toy breed dog with a worsening, loud, NP, “goose honk” , cough

A

collapsing trachea

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2
Q

a dog that had a sudden worsening of collapsing trachea probably has

A

concurrent dz

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3
Q

be very careful about __ with collapsing trachea dogs

A

stress

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4
Q

dx collapsing trachea

A

TXR; lateral inspiratory and expiratory views
fluoroscopy
bronchoscopy

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5
Q

__ collaspe is visible on expiratory films

A

intrathoracic

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6
Q

__ collapse visible on inspiratory films

A

extrathroacic

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7
Q

acute emergency tx for collapsing trachea

A

O2
sedative (diazepam, ace, opioids)
anti-inflamm; steroids
intubation or tracheostomy

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8
Q

medical management of collapsing trachea

A 
weight reduction!!! 
replace collar with harness 
minimize exercise
reduce inhaled irritants (smoke) 
anti-tussives (lomotil) 
short term glucocorts
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9
Q

intreventional management of collapsing trachea

A

salvage procedures when med management has fialed
external prostheses
stents

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10
Q

sudden onset of severe NP or P cough that is easily induced by tracheal palpation and recent hx of contact

A

canine infectious respiratory dz

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11
Q

T/F: there are generally signs of systemic illness with canine infectious resp dz

A

false, NO signs

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12
Q

definitive dx for CIRD

A

PCR

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13
Q

tx for CIRD

A

Avoid strenuous exercise

cough suppressants PRN in NP cough cases (not productive coughs!)

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14
Q

most cases of CIRD don’t require __ bc it is self-limiting and often viral in orgin

A

ab

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15
Q

__ are contraindicated in CIRD

A

steroids, increases viral shedding

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16
Q

dx bacterial pneumonia

A

TTW or BAL or pulmonary FNA; degenerative neutrophilic inflammation +/- bacteria

17
Q

__ is contraindicated in bacterial pneumonia casese

A

antitussives (except if cough is extremely debilitating, want to hack up all the flem)

18
Q

tx for bacterial pneumonia should continue for at least __ beyond resolution of clinical/rad signs

A

2wks

19
Q

young, unvaccinated, highly exposed dog

A

viral pneumonia; distemper and influenze

20
Q

diffuse miliary/nodular interstitial pattern, hilar lymphadenopathy, and coughing

A

fungal pneumonia

21
Q

for fungal pneumonia treat at least __ beyond resolution of CS/Rads

A

1-2mo

22
Q

__ are controversial in treating fungal pneumonia bc may suppress IS futher and limit inflammaotyr response to dying fungi

A

steroids

23
Q

secondary to vomiting, dysphagia, megaesophagus, altered consciousness, force-feeding and incorrect placement of feeding tubes

A

aspiration pneumonitis

24
Q

T/F: many cases of aspiration pneumonitis do not require ab

A

true

25
Q

__ may increase the risk of secondary bacterial pneumonia

A

PPI or H2 blockers (decrease stomach acid = bacteria grow)

26
Q

tx for aspiration pneumonia

A

symptomatic

O2, nebulization, coupage, head lower than chest if recumbent

27
Q

when should you consider using Ab to tx aspiration pneumonia

A

no improvement in 2-3d
inflamm leukogram worsening
fever develops
animal on H2 blockers or PPI

28
Q

most common cause of chronic cough in dogs

A

canine chronic bronchitis

29
Q

idiopathic long-term airway inflammation in middle age overweight dogs

A

canine chronic bronchitis

30
Q

most common CS for canine chronic bronchitis

A

chronic, dry NP cough

31
Q

tx for canine chronic bronchitis

A

damage to airway is mostly irriversible, so must tx CS rather than cure dz

glucocorticoids
bronchodilators
+/- cough suppresants and ab
weight loss

32
Q

mainstay tx/single most effective therapy for canine chronic bronchitis

A

steroids! (prednisone)

33
Q

canine chronic bronchitis case that has exercise intolerance and wheezing may want to add a

A

bronchodilator; relax the bronchial SM

beta agonists (terbutaline, albuterol)

methylxanthines (aminophylline)

34
Q

cough suppressant that can be used in NP cough or severe coughs

A

hydrocondone

SE: drowsiness, constipation

35
Q

CIRD contagious acute dz of dogs caused by which agents

A 
canine parainfluenza virus 
canine adenovirus 2 
bordetella bronchiseptica
canine influenza 
mycoplasma 
canine distemper
36
Q

other ddx for acute coughing include

A 
PTE 
CHF
FB
non-cardiac pulm edema 
eosinophilic bronchopneumopathy
post-nasal drip 
hemorrhage
37
Q

if you stress a patient with __ they can rapidly progress and die

A

tracheal collaspe

38
Q

__ is the permanent dilation of the bronchi and is a complication of chronic respiratory dz; higher risk of infection

A

bronchiectasis

39
Q

__ is a term used to describe a variety of conditions which share eosinophilic infiltration

A

eosinophilic bronchopneumopathy

idiopathic

SAM Exam 1 (15 decks)

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