Respiratory Disease 8th Edition By Terry Des Jardins; George
G. Burton 9780323553698 Chapter 1-45 Complete Guide
which of the following is NOT a CS of nasal/paranasal disorders?
A) nasal discharge (serous, mucopurulent, epistaxis)
B) stridor
C) facial deformity
D) sneezing - ANSWER: B) stridor--> should be sterdor
what are 3 common manifestations can we see with all nasal disease? - ANSWER: - mucosal edema
- inflammation
- 2ndry bacterial infections (from mucosal damage)
what 3 common pathologies of the nose can cause mucosal damage and secondary bacterial
infections? - ANSWER: FB, tumors, Fungi
what initial diagnostics will we run in small animals with nasal disease? - ANSWER: - Arterial BP
- funduscopic exam
- thoracic rads (in cases of neoplasia for mets)
what other initial diagnostics will we run in dogs with nasal disease? - ANSWER: - aspergillosis titer
- nasal swab cytology
what other initial diagnostics will we run in cats with nasal disease? - ANSWER: - nasal swab cytology
- cryptococcal antigen titer
- viral testing
if nasal pathology presents with hemmorhage what initial diagnostics are ran? - ANSWER: 1) CBC
2) plt count
3) coag panel
4) BMBT
NOTE: in dogs we may also run tick borne dz panel and VWF assay
what advanced diagnostic for nasal disease allows for biopsy and deep nasal cultures? - ANSWER:
rhinoscopy
what are the common bacterial and viral agents that can cause feline Upper respiratory infections? -
ANSWER: viral--> herpes, calicivirus
bacterial--> bordetella, chlamydophilia, mycoplasma
upper respiratory infections in cats are more commonly seen in what environment? - ANSWER:
shelters
NOTE: minimize spread via smaller communal rooms, bigger cages, and less movement
how does FHV affect nasal passages? - ANSWER: causes inflammation and hypertrophy of nasal
turbinates
what is required/recommended when dealing with outbreaks of upper respiratory infection in a
cattery? - ANSWER: specific testing for etiology:
- IFA/PCR of biopsy for virus
- bacterial culture
, respiratory signs and ulceration of the oral cavity in cats indicates what etiology? - ANSWER:
calicivirus
respiratory signs and ocular pathology in cats indicates what etiology? - ANSWER: herpesvirus
what is the main problem when providing supportive care in cases of cats with upper respiratory
infections? - ANSWER: lack of appetitie--> give really potent smelly food to entice
chronic conjunctivitis and Upper respiratory signs in cats can be due to what? - ANSWER:
chlamydophila felis
what supportive tx is given to cats with upper respiratory tract infections? - ANSWER: -
hydration/nutrition
- nebulization
- AMs for 2ndry bacterial infxn (penicillin +/- clavulanic acid
if bordetella, chlamydiophilia or mycoplasma is the suspected etiology for upper respiratory tract
infections in cats what AB can be given for tx? - ANSWER: doxy--> BEWARE of strictures if not given
with bolus water or syrup
T or F
vaccination for FHV and FCV is recommended to prevent infections - ANSWER: FALSE--> will only
protect against disease severity
what is the most common fungal infection seen in cats nasal cavity? - ANSWER: cryptococcus
T or F
Cryptococcosis infections in cats can be diagnosed and monitored with Antibody tests - ANSWER:
False--> antigen tests used to diagnose and monitor
NOTE: cytology may aslo be used to help diagnose
how id cryptococcus treated? - ANSWER: itraconazole or fluconazole
NOTE: add Amp B if systemic signs occur
what fungal pathogen is commonly seen in dogs noses? - ANSWER: aspergillosis
a dog presents to your clinic with facial pain, and mucoid to hemorrhagic nasal discharge. upon PE you
notice depigmentation of the nose and masticatory muscle atrophy. what is the likely cause? -
ANSWER: aspergillosis
what is the TOC for nasal aspergillosis? - ANSWER: topical clotrimazole--> vlog all holes of the head
and administer topical in nasal cavity
NOTE: 85% of dogs will be cured w/ 1 tx
what nasal mite can cause violent sneezing, head shaking and pawing as well as chronic nasal
discharge and epistaxis in dogs? how is it tx/ - ANSWER: pneumonyssoides caninum--> milbemycin
oxime & Ivermectin
what parasite is commonly seen burrowing into the head and neck areas of cats? - ANSWER:
cuterebra
what pathology is a benign growth of the eustachian tube and can grow to protrude into either the
external/middle ear or pharynx and nasal cavity? - ANSWER: nasopharyngeal polyps