LEC 13 - Thorax II Flashcards

1
Q

What are the five major radiological signs of pneumothorax?

A
Increased lucency of outside of lung 
Increased opacity to lung 
See distinct outer border of lung 
Retraction of lung border 
Elevation of heart
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2
Q

What is important to note about the mediastinum when considering air or fluid in the chest?

A

Some animals have complete and some have incomplete mediatinums
Incomplete only need to tap one side of the chest

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3
Q

What animal has a complete mediastinum?

A

Cows

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4
Q

What is a traumatic bullae?

A

Happens with pneumothorax

Weak point of lungs where air is escaping

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5
Q

What are three things that can look like pneumothorax but are not?

A

Dehydration
Hemorrhage
Shock

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6
Q

What is seen on a x-ray of a patient with tension pneumothorax?

A

Mediastinal shift away form side with air
Severe atelectasis
Positive pressure in hemithorax

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7
Q

What makes a tension pneumothorax an emergency?

A

1-way valve effect

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8
Q

What is the one-way valve effect?

A

Breathing in valve open air can come in

Breathing out pressure closes valve, air becomes trapped and builds extreme pressure

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9
Q

What is seen on x-ray with pleural effusion?

A

increased opacity outside of lungs
Border effacement
Retraction of lung borders
Pleural fissure lines

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10
Q

What are look alikes for pleural effusion?

A

Cat asthma
– and –
Obesity

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11
Q

How do you know it is pleural effusion and not cat asthma?

A

No fluid with asthma just lung collapse

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12
Q

How do you know it is pleural effusion and not obesity?

A

No other signs

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13
Q

How do you know it is pleural effusion and not an aging animal?

A

No retraction of borders just fissure lines

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14
Q

What are two causes of fibrosing pleuritis?

A

Chronic chylothorax
– and –
Pyothorax

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15
Q

What causing the pathology of fibrosing pleuritis?

A

Fibrin coat viscera

When it matures restricts lungs

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16
Q

What is important to remember about treating fibrosisn pleuritis?

A

DO NOT REMOVE FLUID

17
Q

What happens when you remove fluid in fibrosing pleuritis?

A

Air takes its place since lung can’t expand and you end up with pneumothorax

18
Q

What is a radiographic sign taht there is fibrosing pleuritis ?

A

Caudal border of lung is normally sharp, with pleuritis it becomes very rounded

19
Q

What are five examples of mediastinal disease?

A
Pneumomediastinum 
Lymphadenopathy 
Thyoma 
Mediastinal cysts 
Megaesophagus
20
Q

How can air enter the mediastinum to cause pneumomediatinum?

A
Esophagus 
Trachea 
Neck 
Retriperitoneum 
Lungs 
Infection
21
Q

What do you know if there is a air in mediastinum and thorax?

A

it started in mediastinum

doesn’t go the other way

22
Q

What is the radiographic presentation of megaesophagus?

A

Widened mediastinum
Fluid/Gas filled
Ventral displacement of trachea – ONLY ONE THAT DOES THIS

23
Q

What is a clincal sign in dogs with megaesophagus?

A

Regurgitating undigested food

24
Q

When is megaesophagus surgical?

A

When it is due to ligamentum arterosis

25
Q

What are radiographic signs of a mediastinal mass?

A

Widened mediastinal border

Dorsal displacement of trachea

26
Q

What are other disease that can look like a mediastinal mass?

A

Obesity
– and –
Pleural effusion

27
Q

What are the lymph nodes present in the chest?

A

Sternal
Mediastinal
Tracheobronchial - left + right + middle

28
Q

What are two neoplasias that can occur in the mediastinum?

A

Thyoma
– and –
Lymphadenopathy

29
Q

What does the sternal lymph node drain?

A

Abdomen: Cranial organs
Liver + Pancreas + Stomach + Spleen
Ventral chest wall: Mammary chain

30
Q

What does it mean when the mediastinum is pulled in a direction?

A

Empty lung

31
Q

What does it mean when the mediastinum is pushed in a direction?

A

Mass