Respiratory Medicine

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Upper airway diseases/obstruction are relatively common causes of respiratory distress in dogs and cats. However, because lung parenchymal diseases are more frequently observed, upper airway problems may be overlooked. In order to fully appreciate upper airway disease, it is essential to be familiar with the structure, function, and common abnormalities.

Herpesvirus 1 (rhinotracheitis; FHV-1) and calicivirus (FCV) are the most common viral causes of sneezing and nasal discharge in the cat. If oral ulcers are present, calicivirus is most likely. If corneal ulcers are present, herpesvirus 1 is most likely. FHV-1 has now also been associated with chronic stomatitis, facial dermatitis, and endogenous uveitis. Viral rhinitis with or without secondary bacterial infection can be recurrent.

The history of canine influenza virus began with the identification of infections in racing greyhounds, directing research that defined canine influenza virus (CIV), a variant of equine influenza virus with a unique genetic signature capable of being transmitted from dog to dog.

Feline bronchopulmonary disease (FBPD), often referred to as "feline asthma" actually encompasses a group of common, but poorly understood, airway diseases. It is estimated that bronchopulmonary disease affects 1% of the general cat population and > 5% of the Siamese breed. Cats of any age can be affected and there is no clear gender predisposition.

Cats who cannot breathe are the most fragile patients we treat each day. Cats tend to be more compromised on presentation as they hide their breathing issues better from their owners. It is important to balance diagnostic procedures with therapeutic intervention so that these cats can be quickly stabilized and effectively treated.

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If the cat is presented for labored breathing questions should be directed to assist in differentiating upper from lower respiratory disease as some owners perceive stertorous breathing in a cat with upper respiratory disease as a form of labored breathing. This could be misleading to a clinician.

Feline upper respiratory infection (URI) is perhaps the most frustrating illness facing shelter veterinarians, managers and staff. Many cats enter shelters already silently carrying the viruses that lead to illness; vaccines are partially effective at best; and specific treatments are limited.

Recognizing that thoracic radiography is the first diagnostic imaging step for dogs and cats with thoracic disease, there is a lot more to thoracic imaging than radiographs. In specific circumstances additional modalities which may be considered include ultrasound, computed tomography (CT), fluoroscopy and nuclear scintigraphy.

Canine respiratory disease complex arises out of an interaction between an assortment of viral and bacterial pathogens; the animal's immune response; and a host of environmental factors. No single strategy will be sufficient for prevention, treatment or control. The good news is we do have many options to reduce the level of environmental contamination and support animals' ability to ward off infection.