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Respiratory Midterm
Drost/Bednarski/Stromberg
41
Veterinary Medicine
Professional
10/27/2010

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Cards

Term
Pulmonary Mets
Definition
Non-cavitated, structured interstitial
Mets more common than primary tumors
Various sizes, middle to peripheral aspect of lung
Term
Fungal Pneumonia
Definition
Non-cavitated, structured interstitial
Distributed through lung
Nodules all same size
Tracheal lymphadenopathy frequently seen
Term
Primary Lung Tumor
Definition
Non-cavitated, structured interstitial
Solitary, usually in periphery, can be cavitated if communicates with a bronchus
Term
Pulmonary Abscess
Definition
Cavitated, structured interstitial pattern
Focal
Thick, irregularly margined wall
Term
Paragonimiasis
Definition
Cavitated, structured interstitial
Well-defined, central lucency
Term
Pulmonary Bulla
Definition
Cavitated structured interstitial pattern
Spherical radiolucent pattern
Smooth, thin walls
Traumatic, congenital, infectious causes
Rupture leads to pneumothorax or pneumomediastinum
Term
Geriatic Thorax
Definition
Unstructured interstitial/alveolar
Interstitial Fibrosis
Older animals
Term
Cardiogenic Pulmonary Edema
Definition
Unstructured interstitial, alveolar if severe
secondary to L HF
Hilar and perihilar regions
Most common cause of pulmonary edema
Looks like anything in a cat
Term
Non-cardiogenic Pulmonary Edema
Definition
Unstructured interstitial, alveolar
Neurologic, allergic rxn, drowning, radiation damage, etc
Generalized, often peripheral distribution
Heart and veins usually WNL
Term
Atelectasis
Definition
Unstructured interstitial, alveolar
Film made during expiration, prolonged recumbancy, internal blockage, external compression, pneumothorax, pleural effusion
Term
Pulmonary Hemorrahge/Contusion
Definition
Unstructured interstitial/alveolar
Trauma - rib fractures, pleural effusion, pneumothorax, diaphragmatic hernia
Coagulopathy
Term
Bacterial Pneumonia
Definition
Unstructured Interstitial/Alveolar
Focal or multi-focal distribution
Bronchial (usually lobar)
Hematogenous (patchy, multi-focal)
Term
Aspiration Pneumonia
Definition
Unstructured Interstitial/Alveolar
Inhaling regurgitated or vomited materials
Megaesophagus - R middle lobe
Cranial lobes - passive aspiration
Caudal lobes - forceful aspiration
Term
Pulmonary Embolism
Definition
Unstructured interstitial/alveolar
Blockage of pulmonary artery
Radiographs fairly insensitive
Term
Lung Lobe Torsion
Definition
Unstructured interstitial/alveolar
Deep chested dogs
Lung lobe twists on axis
Pleural effusion - venous supply obstructed with arterials continue
R middle lobe most commonly affected
Consolidated lobe, sometimes multiple gas bubbles within
Term
Allergic Bronchitis
Definition
Bronchial
Feline asthma
Severe - interstitial edema
Chronic - interstitial fibrosis
Term
Viral Bronchitis
Definition
Bronchial
Dogs - tracheobronchitis
Cats - URI
Bronchial changes not seen unless complicated by secondary bacterial infection
Term
Bronchiectasis
Definition
Bronchial
Loss of normal bronchial tapering - expanded
Changes in epithelium, mucus characteristics, ciliary function
Predisposes for chronic bacterial infections
Accumulated exudate = interstitial/alveolar pattern
Term
Hypovolemia
Definition
Hyperlucent Lungs (too black)
Pulmonary vessels very small
lack of vascular markings
Microcardia
Term
Diffuse Mineralization
Definition
Pulmonary mineralization
Cushing's, hyper-PT
Term
Acute Respiratory Acidosis
Definition
Low pH
High PaCO2
High HCO3
N/C BE
Term
Acute Respiratory Acidosis
Definition
Low pH
High PaCO2
High HCO3
N/C BE
Term
Chronic Respiratory Acidosis
Definition
Low pH
High PaCO2
High HCO3
High BE
Term
Acute Respiratory Alkalosis
Definition
High pH
Low PaCo2
Low HCO3
N/C BE
Term
Chronic Respiratory Alkalosis
Definition
High pH
Low PaCO2
Low HCO3
Low BE
Term
Acute Metabolic Acidosis
Definition
Low pH
Normal PaCO2
Low HCO3
Low BE
Term
Chronic Metabolic Acidosis
Definition
Low pH
Low PaCO2
Low HCO3
Low BE
Term
Acute Metabolic Alkalosis
Definition
High pH
Normal PaCO2
High HCO3
High BE
Term
Chronic Metabolic Alkalosis
Definition
High pH
High PaCO2
HIgh HCO3
High BE
Term
Anatomic Geometry of Nasopharynx
Definition
Small functional V, moderate SA in turbinates (=high SA/V ratio)
Auxillary air flow (obstruction not life-threatening)
Inflammation important in turbinates
Damage predisposes to lower resp dx
Term
Diseases of Nasopharynx
Definition
Developmental - brachycephaly, stenotic nares
Inflammation - viral, bacterial, bot flies, fungal, immune-mediated, secondary extension (dental)
Space Occupying - neoplasms, polyps, granulomas/abscesses
Term
Consequences of Nasopharynx Dz
Definition
Loss of filtration and air modification --> increased particulates, decreased temp of air, decreased humidity --> lower resp dz
Term
Properties of Larynx
Definition
Protect lower resp during deglutition
High SA/V ratio - easily obstructed, life-threatening
Focal lesions important
Air conduction, filtration, clearance
Term
Diseases of Larynx
Definition
Developmental - elongated soft palate, hypoplasia of epiglottis
Laryngeal Hemiplegia (Eq) - L recurrent laryngeal n.
Inflammation (laryngitis) - viral, bacterial, trauma
Neoplasms - rare
Rabies, White muscle dz - m. paralysis, failure to close during deglutition
Term
Properties of Trachea and Bronchi
Definition
Air conduction, filtration, clearance (mucociliary escalator)
SA/V ratio low
Obstructive dz potentially serious depending on size of pt
Decreased clearance most important - predispose to lower resp dz
Term
Diseases of Trachea and Bronchi
Definition
Developmental - collapsed trachea
Inflammation - exudate obstructs airway - viral, parasites
Immune-mediated (asthma)
Bronchiectasis - decreased filtration, dilatation of bronchi --> accumulation of particles
Ciliary dyskinesis - decreased clearance
Term
Properties of Bronchioles
Definition
Air conduction - V dependent
Clearance - SA dependent
Small individual V, very large total V
Rapid decrease in velocity --> deposition of particles, common site of impact
Focal insult not important
SA/V very high, easily obstructed
Term
Bronchiolitis
Definition
Most important process in bronchioles - exudate accumulates --> inhibits airflow and clearance, spreads to alveoli (pneumonia), chronic inflammation leads to mucus secretion and obstruction
Term
Diseases of Bronchioles
Definition
Inflammation - viral, bacterial, parasites, fungi, immune-mediated (asthma, COPD), toxins. Leads to bronchiolitis.
Term
Properties of Alveoli
Definition
Gas exchange
Total SA and V very large - toxic substances, byproducts absorbed well
Focal not important
Inflammatory dz
Term
Diseases of Alveoli
Definition
Bronchopneumonia - aerogenous, anterior/ventral pattern
Interstitial - vascular portal, hilar to diffuse
Atelectasis
Emphysema
Edema
Hemorrhage, embolism, infarction, masses
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