Lecture 11 - coughing intro (specht)

Question 1

T/F: coughing is a symptom not a disease

Answer 1

true

Question 2

important question for all patients that come in with coughing

Answer 2

on HW preventative?

Question 3

if hear stridor think

Answer 3

upper resp dz

Question 4

hear wheezes think

Answer 4

lower airway dz

Question 5

goal of PE should be to try to differentiate between __ and __ causes

Answer 5

cardiac and respiratory

Question 6

how can cardiac dz cause coughing

Answer 6

chamber enlargement putting pressure on an airway

congestion or pulmonary edema building up in airways

Question 7

chamber enlargement sufficient to compress an airway is often associated with changes in blood flow and a __

Answer 7

audible murmur

Question 8

T/F: A patient with cough and a murmur is enough to determine it is due to heart dz

Answer 8

false

Question 9

if an animal is coughing because it is in heart failure it should be __

Answer 9

tachycardic

Question 10

do cats in CHF cough?

Answer 10

rarely

Question 11

__ is a high pitched, harsh, virbatory noise caused by partial upper airway obstruction (turbulent airflow)

Answer 11

stridor

Question 12

__ is a continuous whistling sound caused by air moving through narrowed regions of hte airways (lower airway dz)

Answer 12

wheeze

Question 13

__ may indicate bronchoconstriction or air trapping

Answer 13

end-expiratory grunt

Question 14

__ discontinuous bubbling or popping sound heard on inspiration, as air passes through fluid in the lungs OR when the ffort of breathing in forces collapsed airway walls open

Answer 14

crackles/rales

Question 15

cardiac or vascular causes of coughing

Answer 15

CHF
atrial enlargement
pulm hypertension

Question 16

young animals are more likely to have

Answer 16

infectious tracheobronchitis

Question 17

older animals are more likely to have

Answer 17

chronic ronchitis, neoplasia, and cardiac dz

Question 18

older small breed dogs are more likely to have

Answer 18

collapsing airways

Question 19

brachycephalic breeds are more likely to have

Answer 19

congenital lesions

Question 20

cats normally don’t have cough except with cases of

Answer 20

allergic or parasitic airway dz

Question 21

acute cough ddx

Answer 21

viral/bacterial infection
airway FB
CHF
aspiration pneumonia

Question 22

chronic cough ddx

Answer 22

chronic bronchitis 
allergic bronchitis 
collaspsing airways 
LA enlargement 
fungal pneumonia

Question 23

__ should be done on all patients presenting for chronic cough

Answer 23

fecal

common parasites that cause coughing: osleri, eucoleus, paragonimus, dirofilaria

Question 24

cats with chronic cough should be tested for

Answer 24

FeLV/FIV

HWT

Question 25

30% of FIV positive cats are co infected with __

Answer 25

toxoplasma gondii

Question 26

intrathoracic tracheal collapse is more noticable on __ rads and expiraotry tracheal collapse is more noticable on __ rads

Answer 26

expiratory

inspiratory

Question 27

bronchoscopy can be used to facilitate the collection of samples from the __

Answer 27

lower resp tract

Question 28

BAL can be used to evaluate dz affecting the __

Answer 28

small airways and alveoli

Question 29

regardless of the technique used for tracheal wash or BAL, transient __ results

Answer 29

hypoxemia

tx o2 therapy +/- PPV for 10-15mins
crackles may be present hours after BAL and not concern if other resp parameters are WNL