BRONCHITIS AND BRONCHIECTASIS
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Bronchitis
Acute Bronchitis
- Etio - Infectious, Non-infectious, Irritative
- Infectious Tracheobronchitis (kennel cough)
- Very imprecise term
- Etio - Virus - CD, CAV -2, CPI (Simian V 5 )
- Signs - Kennel problem in unideal Hygiene
- Transmission through masopharynx.
- cough, dry/moist, hacking paloxysmal
- gagging, expectoration
- Excitement, change in temp, humidity, palpation may elicit cough
- mild cases, runny eyes, tonsilitis
- x-ray - mild Broncho Pneumonia
- Severe form - fever (103 0 - 104 0 ) anorexia
- mild or no cough. Mucoid/MP
- nasal discharge. Tonsilitis,Pneumonia
- Dx - MDB, x-ray, vaccinations, bronchial
- wash - Intranuclear Inclusions
- Rx - Confinement, isolation, antitussive
- ihydrocodainone 5ml/20lb Q.I.D.
- AB against Gram - Ve. Chloramph.
- Cephalosporins, Gentamicin
- Nembulizers. Bronchodilators.
- Isuprel Comp. Elexir 2ml/10lb T.I.D.
- TLC and supportive therapy
Chronic Bronchitis
- Etio - Viral, Bact, Allergy, Mycoses, neoplasia, C.V.
- Signs - More common in > 4 yrs. Persistant Harsh cough with retching
- Productive moist. Moist rales on Ausc.
- Dx - MDB., x-ray, cBC, - "Stress". Bronchoscopy
- Cytology, culture
- Rx - Control/Cure - AB, Bronchodilators, expect.
- Antitussive Prednisilone 0.5 mg/lb/day
- TLC, Humidification, Hembulization.
- Treat the cause
Bronchiectasis
- Persistant abn. dilation of Bronchi/Bronchioles
- Both Saccular and Cylindrical dilations
- Etio - Sequela to Chr. Bronchitis, F.B, Pulmonary.
- Fibrosis, Neoplasia
- Destruction of Wall, collection of Mucous, no collateral ventilation
- Cillia and elastic muscular component destroyed.
- Distortion & Fibrosis of the lumen, dilation, pooling
- Signs - History of persistant tracheo Br. Alg. Br. Pneum.
- Early, dry and non Prod. cough, later prod. Hemoptysis
- Auscultation rales like Chr. Br., Anorexia depression, fever
- Dx - MDB, Br. scopy, Culture, Br. wash, - Inflam. Resp.
- x-ray - fibrosis, peribronchial thickening, atelectasis,
- consolid.
- Absence of N. branching Pattern. doughnets
- Rx - Symp. like chr. Br. Control-yes, cure -no.
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