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Sm Animal Quiz 5
Lecture 10: Cardiopulmonary Disorders
| Question | Answer |
|---|---|
| auscultation | listening to the heart and lungs with a stethoscope |
| arrhythmia | irregular heart rhythm |
| tachycardia | rapid heart rate |
| tachypnea | rapid respiratory rate |
| cardiomegaly | enlarged heart |
| dyspnea | difficulty breathing |
| dilated cardiomyopathy (DCM) | weakening of heart muscle that causes dilation of LEFT VENTRICLES and an enlarged heart; can cause sudden and acute death or can be slower onset... LINKED TO FEEDING GRAIN-FREE FOOD |
| DCM predisposition | medium and large dog breeds, Boxer, Doberman, Great Dane, Cocker Spaniel, more often male than female |
| DCM SYMPTOMS | exercise intolerance, collapse, increased respiratory rate, restless/not sleeping well, coughing/gagging, history of feeding grain-free food |
| DCM PE FINDINGS | arrhythmia, tachycardia, +/- heart murmur, cardiomegaly on radiographs |
| DCM TREATMENT | anti-arrhythmic medications, ACE inhibitors, diuretics if pulmonary edema, rest |
| DCM PREVENTION | disease has poor prognosis, avoid breeding dogs with disease, DO NOT FEED GRAIN-FREE FOOD |
| mitral valve disease (MVD) | usually associated with heart murmur, congenital or acquired malformation of mitral valve, causes 80% of CONGESTIVE HEART FAILURE in DOGS, usually asymptomatic for CHF |
| MVD: valvular insufficiency leads to | PULMONARY EDEMA, usually fatal |
| MVD SYMPTOMS | cough/gag, exercise intolerance, weight loss, increased respiratory rate, labored breathing |
| MVD PE FINDINGS | murmur (GRADE I-VI), weakened femoral pulses, dusky/blue MM, crackles/wheezing in lung fields, tachypnea or increased resp effort, distended abdomen, enlarged heart/pulmonary edema on radiographs |
| MVD TREATMENT | oxygen therapy for acute crisis, improve overall cardiac function (Pimobendan), diuretics, ACE inhibitors, beta blockers, LOW SALT DIET |
| MVD PREVENTION | do NOT breed dogs with murmurs, monitor dogs with murmurs closely |
| hypertrophic cardiomyopathy (HCM) | thickening of wall of LEFT VENTRICLE, causes DILATION OF LEFT ATRIA, mostly in cats |
| HCM predisposition | Maine Coon, Ragdoll, Sphynx, Persian |
| HCM SYMPTOMS | usually non, but can cause FELINE AORTIC THROMBOEMBOLISM (FATE) -> paralysis in rear limbs) |
| HCM PE FINDINGS | +/- heart murmur, incidental finding on radiographs/echocardiogram, saddle thromboembolism, enlarged L atria on radiographs |
| saddle thromboembolism | no femoral pulses, cold rear extremities, pain/vocalization, open mouth breathing |
| HCM TREATMENT | cardiac support medications (ACE inhibitors, beta blockers) FATE (support -> fluids, pain management, bladder management, 'clot busting' medication -> heparin, aspirin, clopridogrel); usually results in euthanasia |
| HCM PREVENTION | monitor cats with murmur closely, daily aspirin (?) |
| feline asthma | affects 1-5% of all cats, usual onset between 4-5 years of age; allergic reaction to inhaled allergens |
| feline asthma SYMPTOMS | coughing/wheezing, difficult breathing, weight loss, open mouth breathing, vomiting |
| feline asthma PE FINDINGS | crackles/wheezing auscultated in lunch, abdominal beathing/dyspnea, dusky/blue MM, orthopneic stance, TRAMLINES in lungs on radiographs |
| feline asthma TREATMENT | oxygen, anti-inflammatories (steroids), antibiotics (often secondary infections, bronchodilators |
| feline asthma PREVENTION | no smoking, candles, incense, etc; inhaler, weight management, antihistamines |
| tracheal collapse | trachea in dogs made of incomplete cartilaginous rings, weakening at edge of ring, airway collapses with increased RR |
| tracheal collapse predisposition | toy breeds, Pomeranian, Yorkie, Chihuahua, Toy Poodle; middle aged to senior dogs |
| tracheal collapse SYMPTOMS | honking cough usually with excitement/exercise, after drinking/eating, when pulling on collar, hot/humid temperatures |
| tracheal collapse PE FINDINGS | 'goose honk cough with tracheal pressure, collapse seen on radiographs |
| tracheal collapse TREATMENT | slow respiration -> sedatives, decreased inflammation -> steroids, oxygen in acute crisis |
| tracheal collapse PREVENTION | body harness v collar, avoid exercise in hot/humid weather, weight management, avoid smoke/perfumes/incense etc |