Equine Respiratory Flashcards

1
Q

What causes “rattles” and what age group is it most common in?
What kind of pneumonia does it cause?

A

Rhodococcus equi
Foals (3 weeks - 6months)
Pyogranulomatous pneumonia

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2
Q

What is the treatment for Rattles?

A
Prolonged antimicrobials
(Macrolide and rifampin)
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3
Q

What is the most commonly reported equine bacterial infection?
What is the pathogen called?

A

Strangles

Streptococcus equi var equi

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4
Q

What lymph nodes are commonly infected in Strangles?

A

Submandibular

Retropharyngeal

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5
Q

What are “Bastard Stangles”?

A

Metastatic abscesses

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6
Q

What type of drug should you not use in Strangles?

A

Antibiotics (unless at the onset of pyrexia)

Prevent maturation of abscesses

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7
Q

What is the second most common cause of poor performance in racehorses?
(1st = musculoskeletal)

A

Inflammatory airway disease (IAD)

Mild/moderate equine asthma

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8
Q

What are 3 possible complications of Strangles?

A
  1. Guttural pouch empyema
  2. Purpura haemorrhagica
  3. Bastard strangles
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9
Q

What is “Heaves”?

A

Recurrent Airway Obstruction (RAO)

Severe equine asthma

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10
Q

Which 2 receptors are involved in bronchoconstriction?

What do they do?

A

Muscarinic receptors:
Peribronchiolar smooth muscle contraction
B2 adrenergic receptors:
Reduce bronchodilation

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11
Q

What is the pathology of chronic asthma?

A
Smooth muscle hypertrophy
Bronchoconstriction
Peribronchiolar fibrosis
Epithelial cell hyperplasia
Mucus plugging
 = Airway remodelling
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12
Q

What respiratory sound would you expect with chronic asthma?

A

Expiratory wheeze

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13
Q

What do corticosteroids do in the control of asthma?

A

Reduce bronchoconstriction, reduce vascular changes, reduce cell accumulation + activation

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14
Q

What are atropine and buscopan?

A

Muscarinic antagonists

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15
Q

What are clenbuterol and salbutamol?

A

B-adrenergic agonists

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16
Q

What is EHV-5 associated with?

A

Multinodular pulmonary fibrosis

17
Q

What is Dictyocaulus arnfieldi?

Which species is an asymptomatic reservoir of infection for horses?

A

Equine lungworm

Donkeys

18
Q

What is pleuropneumonia?

What is the treatment?

A

Bacterial pneumonia
+ secondary pleural effusion
Thoracic drainage and antimicrobials (gentamicin + penicillin, +/- metronidazole)

19
Q

What is the problem with the presence of intrapulmonary blood?

A

Provokes pulmonary inflammation
Leads to alveolar septal fibrosis (due to inflammatory cells and chronic macrophage activity)
Reduced pulmonary compliance + permeant alterations to the alveolar blood-air barrier

20
Q

What is an effective treatment for EIPH?

Why is it not used in the UK?

A

Furosemide
BANNED
Due to increasing horses speed

21
Q

What is laryngeal tie-back surgery used to treat?

A

Recurrent laryngeal neuropathy (left)

22
Q

What is your top differential for excessive epistaxis?
What would you see on endoscopy?
What organism is commonly identified?
How can this disease cause fatal epistaxis?

A

Guttural pouch mycosis
Fungal plaques
Aspergillus spp
Erosion of the walls of one of the carotid artery

23
Q

What is DDSP?
What respiratory noise would you expect to hear?
What treatment can it be a side-effect from?

A

Dorsal Displacement of the Soft Palate (the free margin of the soft palate moves dorsally to occlude the epiglottis)
Expiratory gurgling noise
Left laryngeal tie-back surgery

24
Q

What is the conservative treatment and surgical treatment for DDSP?

A

Conservative: NSAIDs, rest, tongue-ties
Surgical: Laryngeal tie-forward

25
Q

What do these clinical signs suggest?Increased radiodensity in paranasal sinus
No nasal discharge
No nasal airflow on that side
Ocular discharge and facial swelling on that side

A

Sinus cyst

(Neoplasia would appear more aggressive e.g. bone necrosis, teeth lesions

26
Q

What disease accompanies the clinical signs of:

Pleurodynia, soft cough, depression, oedema in ventral thorax, and quiet heart sounds/ventral lung sound

A

Pleuropneumonia