what are the processes of the arytenoid and identify
1. corniculate 2. cuneiform
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case
* 10 yr MN lab * difficulty breathing * exercise intolerance * stridorous * struggling to breath cant get air in
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laryngeal paralysis
* airway doesnt open * give dopram to stimulate deep breathing * they go into respiratory failure and die
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explain laryngeal paralysis
* idiopathic neuropathy * no certain reason for this * something is happening to the nerves * recurrent laryngeal nerve is very long goes from chest to the neck * innervates almost all of the muscles of the larynx * cricoarytenoideus dorsalis * most important bc it opens larynx * potentially part of a more generalized degenerative poly neuropathy * may be weak on their hindlimbs at the same time
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how do you fix laryngeal paralysis cricoid
* mimic what cricoarytenoideus dorsalis does * you tie aryntenoid cartilage to **cricoid** or thyroid so that it permanently stays open one side * mostly thyroid
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what risk does a dog have when they get a procedure to fix laryngeal paraylisis
aspiration ammonia bc airway doesnt close
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CASE
* 3yr MN french bulldog * chronic snoring * stertorous breathing * upper airway breathing * inspiratory dyspnea at times * trouble breathing
brachycephalic upper airway syndrome
* stenotic nares * smaller weak openings * air difficult to get in * enlongated soft palate * bigger and pushed into the airway * hypoplastic trachea
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what is the secondary effect for brachycephalic upper airway
* everted laryngeal saccules * vocal chords get inflammed
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how do you help bulldogs breathe better
cut part of alar fold to let airway in
rhinoplasty
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how to fix brachycephalic upper airway
cutting the soft palate to be shorter
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explain everted laryngeal saccules
* chronic increased respiratory effort can evert the soft tissue between the vocal folds * can obstruct the airways * you just cut them out
* place thumb and index finger on each side of the trachea and swept downwards from the larynx to the sternum * palpation of a freely moveable, subcutaneous nodule or a “blip” that slips under the fingertips determines the presence of an enlarged thyroid gland * you shouldnt be able to feel anything * should be done routinely
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what diagnostic tool should you use check if cat has hyperthyroidism
nuclear scintigraphy
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what thyroid tumors do cats get
thyroid adenoma
easier to treat than what a dog would have
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what thyroid tumors do dogs get
thyroid carcinoma
maglinent tumor
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whats in the cartoid sheath
vagosympathetic trunk and common carotid artery
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CASE
* 6yr old MN Boxer * 1 week of persistent drooling with some blood present * acutely swollen left side of face * FNA of mass large volume of viscous clear fluid