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Flashcards

Equine ID -Respiratory

Alice Butterworth Vet Med 2 English 41 cards

Cards in this deck (41)

  1. 1What is the medical name for strangles?Streptococcus equi var. equi
  2. 2What are the main clinical features of strangles?Pyrexia
    Dull
    Inappetent
    Inflammatory changes on blood sample
    Lymph node abscessation
  3. 3Which lymph nodes are affected?Submandibular
    Retropharyngeal
    Occasionally Prescapular +/ Mesenteric
  4. 4What can happen in severe cases of strangles?Dyspnoea
    Lymph node abscesses burst into guttural pouches ->guttural pouch empyema-> Chondriods
    Bastard strangles
    Purpura haemorrhagica
  5. 5Tx DyspnoeaTracheotomy
  6. 6Tx Guttural pouch empyemaDrain
    If Chondroids have formed need to break down first
  7. 7Tx Purpura haemorrhagicaImmunosupressants
  8. 8Properties of strangles persistent carriersApprox 10% recovered horses become chronic carriers
    Can be carriers upto 5yrs
    Intermittently shed S equipment
    Asymptomatic
    Predominantly guttural pouch chondrites
  9. 9What are the properties of S equi?Gram +ve
    Coccoid
    Lancefield c group
    Catalase-negative
    Facultative aerobic
    Beta-haemolytic
    Lactose fermentation -ve
  10. 10What is the structure of S. equi?Cell wall M protein (Target for vaccines)
    HA capsule
  11. 11How is S equ transmitted ?Direct contact + fomites
  12. 12How long can S equipment survive in the environment ?4 weeks
    Sensitive to desiccation, sunlight, heat, most disinfectants
  13. 13What increases attack rates of strangles?Increasing group size
    Increased movement of horses
    Increased mixing of horses
    Communal feeders and drinkers
    Younger horses
  14. 14Strangles DxCulture (+ve)
    PCR (+ve)
    Serology (+ve Ab)
  15. 15How can you confirm when a horse is free of strangles?Guttural pouch wash
    Nasal swab = 3-ve swabs each wk for 3 wks
  16. 16Strangles Tx Individual horseBiosecurity!
    Symptomatic - Anti-inflammatory , soft feed, tracheotomy
    Antimicrobials ??
  17. 17Tx strangles OutbreakRed area = confirmed case
    Amber = contact w confirmed
    Green = no contact w confirmed
    NO movement on/off yard
    Monitor daily temp of amber/ green - if pyrexic ISOLATE!
    Biosecurity
    Have to declare all horses free of disease before yard opens again
  18. 18Control or prevention -New arrivalsSerology - ELISA
    2 wk quarantine (even if -ve)
    Check temp daily
    Positive ELSA /temp ->Guttural pouch PCR
  19. 19Control and prevention -VaccinationModified live strangles vaccine
    Submucosal Injection
    Reduces signs and complications versus full protection
    CANT differentiate between vaccinated and infected
  20. 20What is the medical name for rattles?Rhodococcus equi
  21. 21What is R. equi?Suppurative bronchopneumonia of foals aged between 1-4 months old
  22. 22Clinical signs of acute rattlesYoung foals affected
    Fever
    Anorexia
    Cough
    Nasal discharge
    Large pulmonary abscess formation
    Occasional diarrhoea
  23. 23Clinical signs of chronic rattlesOlder foals
    Cough
    Dyspnoea
    Weight loss
    Exercise
    Intolerance
    Loud moist crackles on auscultation
    Large pulmonary abscess formation
    Occasional diarrhoea
  24. 24R equi pathogenesisIntracellular - multiplies with alveolar macrophages
    Destroys macrophages
    Continual cycle leads to access formation (Slow progression)
    Destruction of alveoli
    Destruction of peters patches gut
  25. 25What is the incubation period of R equi ?10d - 3 wks
  26. 26R equi possible complicationsPoly arthritis
    Granulomatous ulcerative enterocolitis and mesenteries lymphadenitis
    Corneal oedema and anterior uveitis
  27. 27R. equi propertiesGram +ve
    Pleomorphic rod
    Aerobic soil saprophyte + normal gut flora
  28. 28R equi virulence factorsLipid rich capsule inhibits phagocytosis
    Intracellular pathogen due to inhibitory surface Ag
    Ag encoded by VAP plasmid
  29. 29R equi transmissionInhalation
    Dust aerosols
    lung form common
    Cranial right lung affected first
    Oral route
    Primary ingestion
    Swallowing from airways secretions
  30. 30Rattles DxClinical signs
    Tracheal wash + culture - PCR shows VAP plasmid
    Radiography
    Ultrasonography
    Bloods - fibrinogen
  31. 31Rattles TxSupportive Tx
    Low dust, Warm, Anti-inflammatory
    Long term antimicrobials
  32. 32R equi environment interactionsResistance to disinfectant (Acids/alkali)
    Survives in soil 12-36 months
    Survives in large colon in adult horses
  33. 33Rattles biosecurityQuarantine may work
    Avoid crowding
    Remove foal manure from pasture
    Reduce dust
  34. 34What is Bronchopneumonia / Pluropneumonia ?Bacterial pneumonia and secondary pleural effusion
  35. 35What is bronchopneumonia / pleuropneumonia caused by?Aerobic facultative anaerobes
    Anaerobes (usually in combination)
  36. 36Predisposing factors of bronchopneumonia /pleuropneumonia?Long distance transport - Head elevation + aspiration of dust
    Viral resp disease - damage to epithelium
    Aspiration pneumonia - oesophageal obstruction
    Excerise - Induced pulmonary haemorrhage
    GA/surgery
  37. 37Stages of pleuropneumoniaAcute exudative stage
    Fibrinopurulent stage
    Organisational stage
  38. 38What happens in the acute exudative stage?Inflammation of the lung and pleura - sterile protein rich pleural exudate
  39. 39What happens in the Fibrinopurulent stage?Bacteria invade and multiply in pleural fluid
    Fribrin deposits on pleural surfaces
    Lymphatic obstruction
  40. 40Pleuropneumonia DxClinicalsigns
    Ultrasound
    Thoracocentesis
    TTW and culture
  41. 41Clinical signs of plueronuemoniaPyrexia
    Depression
    Inc HR
    Inc RR

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Vet Med 2 (ID) Flashcards on Equine ID -Respiratory, created by Alice Butterworth on 05/01/2019.
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