Pulmonary Pathology Quiz
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Questions and Answers

What is pulmonary congestion primarily a result of?

  • Heart failure, specifically left-side heart failure (correct)
  • Active accumulation of blood
  • Traumatic pericarditis
  • Incomplete obstruction of bronchi
  • What is the characteristic histological feature in lungs affected by heart failure?

  • Heart failure cells within the alveoli (correct)
  • Ruptured pulmonary aneurysm
  • Overinflated alveoli
  • Collapsed alveoli
  • Which condition is described as a collapsed state of the previously inflated alveoli?

  • Atelectasis (correct)
  • Pulmonary edema
  • Pulmonary emphysema
  • Hydrothorax
  • What is a key cause of acquired atelectasis?

    <p>Complete airway obstruction</p> Signup and view all the answers

    Which of the following describes the appearance of lungs affected by acquired atelectasis?

    <p>Meaty appearance, red and firm</p> Signup and view all the answers

    In pulmonary emphysema, what is primarily affected?

    <p>The walls of the alveoli</p> Signup and view all the answers

    What can lead to pulmonary emphysema due to impaired expiration?

    <p>Incomplete obstruction of bronchi</p> Signup and view all the answers

    What are heart failure cells phagocytizing in the alveoli?

    <p>Hemosiderin</p> Signup and view all the answers

    Which physical examination finding might indicate pulmonary compression?

    <p>Depressed lung appearance</p> Signup and view all the answers

    Which condition is characterized by the overinflation of alveoli?

    <p>Pulmonary emphysema</p> Signup and view all the answers

    What is the most common etiology of suppurative bronchopneumonia?

    <p>Mycoplasma</p> Signup and view all the answers

    Which of the following best describes the color change in fibrinous bronchopneumonia?

    <p>Red to yellow to grey</p> Signup and view all the answers

    What is a key gross feature of interstitial pneumonia?

    <p>Rib imprints on the lungs</p> Signup and view all the answers

    In granulomatous pneumonia, what is the texture of the lesions?

    <p>Nodular</p> Signup and view all the answers

    What is the primary port of entry for embolic pneumonia?

    <p>Hematogenous</p> Signup and view all the answers

    Which type of pneumonia is often difficult to diagnose grossly?

    <p>Interstitial pneumonia</p> Signup and view all the answers

    What texture is typically associated with suppurative bronchopneumonia?

    <p>Firm</p> Signup and view all the answers

    What color change might be observed in embolic pneumonia as it progresses?

    <p>Red to pale</p> Signup and view all the answers

    Which of the following is a common symptom sequelae of suppurative bronchopneumonia?

    <p>Bronchiectasis</p> Signup and view all the answers

    What is primarily found on the cut surface of fibrinous bronchopneumonia?

    <p>Fibrin and necrosis</p> Signup and view all the answers

    What condition is characterized by the narrowing of the larynx and the presence of roaring noise during inspiration in horses?

    <p>Laryngeal Hemiplegia</p> Signup and view all the answers

    Which pathogen is primarily associated with Necrotic Laryngitis in calves?

    <p>Fusobacterium necrophorum</p> Signup and view all the answers

    Which term describes the dilation of the bronchial lumen?

    <p>Bronchiectasis</p> Signup and view all the answers

    What is the primary cause of Equine COPD (Equine Heaves)?

    <p>Dust and allergens inhalation</p> Signup and view all the answers

    What type of inflammation occurs in the bronchioles, particularly due to parasitic infections in cattle?

    <p>Bronchiolitis</p> Signup and view all the answers

    Study Notes

    Pulmonary Congestion

    • Passive accumulation of blood in pulmonary vessels and capillaries
    • Often a result of heart failure (Left Side)
    • Diffuse red discoloration of all pulmonary lobes, except cranial margins
    • Lung edema
    • HEART FAILURE CELLS within the alveoli (alveolar macrophages filled with hemosiderin)
    • Congested capillaries escape Fluid and erythrocytes into the alveolar space
    • Edema and intra-alveolar hemorrhages occur
    • RBCs lysis and releases hemosiderin
    • Hemosiderin is phagocytized by alveolar macrophages ("Heart failure cells")

    Ruptured Pulmonary Aneurysm

    • Large abscess erodes major pulmonary vessel

    Abnormalties of Inflation

    • Collapsed (Atelectasis)
    • Overinflated (Emphysema)

    Pulmonary Atelectasis

    • Previously inflated alveoli lose their air content
    • Causes:
      • Complete airway obstruction
      • Pulmonary compression
        • Tympany
        • Hydrothorax
        • Traumatic pericarditis
    • Grossly:
      • Lung shows a meaty appearance (red and firm)
      • Depressed in relation to the adjacent normal

    Pulmonary Emphysema

    • Over inflation of alveoli by air with destruction of walls.
    • Causes:
      • Incomplete obstruction of bronchi or bronchiole (foreign body or exudate)
      • Interferes with expiration.
    • Alveolar emphysema is characterized by enlargement and rupture of the alveolar walls.

    Suppurative Bronchopneumonia

    • Typically found in the cranioventral region of the lungs.
    • Has a firm texture.
    • Color changes from red (acute) to grey (chronic).
    • Cut surface reveals purulent exudate within the bronchi.
    • Enters the body through the air (aerogenous).
    • Common causes include bacteria (low-grade pathogenicity), Mycoplasma, and aspiration of bland material.
    • Often leads to cranioventral abscesses and bronchiectasis.

    Fibrinous Bronchopneumonia

    • Found in the cranioventral region.
    • Has a hard texture.
    • Color changes from red to yellow to grey.
    • Fibrin is present on the pleural surface.
    • Cut surface shows fibrin and necrosis.
    • Enters the body through the air (aerogenous).
    • Caused by highly pathogenic bacteria producing exotoxins like Mannheimia haemolytica and Actinobacillus pleuropneumoniae.
    • Can also be caused by harsh aspirated materials.

    Interstitial Pneumonia

    • Found throughout the lungs (diffuse).
    • Has an elastic texture.
    • Cut surface appears meaty.
    • Gross features include rib imprints and lungs that fail to collapse when the thorax is opened.
    • Can enter the body through the air (aerogenous) or the bloodstream (hematogenous).
    • Caused by viruses, toxins, type III hypersensitivity reactions, and toxicants.
    • Damage is centered in the alveolar wall, affecting the endothelium or pneumocytes.
    • Characterized by thickened alveolar walls.
    • Often difficult to diagnose visually.

    Granulomatous Pneumonia

    • Found in multiple areas (multifocal).
    • Has a nodular texture (without pus).
    • Cut surface contains granulomas.
    • Enters the body through the air (aerogenous) or the bloodstream (hematogenous).
    • Caused by Mycobacterium spp., systemic mycoses, parasitic ova, trapped food particles (starch), and dead parasites.

    Embolic Pneumonia

    • Found in multiple areas (multifocal).
    • Has a nodular texture.
    • Enters the body through the bloodstream (hematogenous).
    • Color is red when acute and pale when chronic.
    • Caused by:
      • Rupture of hepatic abscesses into the vena cava in cattle.
      • Vegetative endocarditis (right side of the heart).
      • Jugular thrombosis.
      • Embolic foreign bodies (hair, septic emboli, etc.).

    Laryngeal Hemiplegia

    • The left cricoarytenoid muscle, supplied by the left laryngeal nerve, pulls the arytenoid cartilage away during inspiration
    • Damage to the left laryngeal nerve causes atrophy of the left cricoarytenoid muscle, leading to the cartilage dropping and narrowing the larynx
    • This narrowing causes a noisy inhalation, known as roaring
    • Horses with this condition are called roarers

    Necrotic Laryngitis (Calf Diphtheria)

    • Affects the pharynx, larynx, and oral cavity of calves
    • Caused by Fusobacterium necrophorum, a normal flora bacterium
    • Calves stressed by dust or a virus can develop damage to their laryngeal mucosa
    • Leads to the formation of a fibrinonecrotic membrane (also known as diphtheritic membrane or fibrinous membrane)

    Tracheitis

    • Inflammation of the trachea
    • Common in cattle
    • Can be caused by:
      • IBR (Infectious Bovine Rhinotracheitis)
      • BRSV (Bovine Respiratory Syncytial Virus)
      • PI-3 (Parainfluenza Virus 3)

    Parasitic Bronchitis

    • Most common forms:
      • Dictyocaulus viviparus (in bovines)
      • Dictyocaulus filariae (in ovines)
    • Causes inflammation of the bronchioles, known as bronchiolitis

    Bronchiectasis

    • Dilation of the bronchial lumen

    Equine Heaves

    • Also known as Equine COPD (Chronic Obstructive Pulmonary Disease) or Equine Asthma
    • An allergic disease in horses
    • Caused by inhalation of dust and allergens
    • Results in mild bronchiolar inflammation and severe goblet cell metaplasia, leading to increased mucus production and airway obstruction
    • Grossly:
      • Difficult expiration, leading to compensatory hypertrophy of the abdominal muscles (heave line)
      • Pulmonary emphysema
    • Microscopically:
      • Severe Bronchiolar Goblet Cell Metaplasia
      • Mucus Plugs In The Lumens
      • Presence of Some Inflammatory Cells

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    Description

    Test your knowledge on various pulmonary conditions, including pulmonary congestion, ruptured pulmonary aneurysm, and atelectasis. This quiz covers the causes, effects, and histological features associated with these conditions. Perfect for students studying respiratory pathology.

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