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Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION

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CHAPTER 7<br />

Elastic band<br />

Plastic rectal<br />

glove<br />

Figure 7.7 Rebreathing bag can be used to increase the respiratory rate and to aid auscultation <strong>of</strong> the lung sounds.<br />

cise, excitement) or due to pathological states (e.g.<br />

pyrexia, pneumonia with lung consolidation). Louder<br />

or abnormal sounds are produced by increased<br />

air velocity through narrowed airways. Sound is<br />

transmitted more efficiently by denser material, and<br />

louder breath sounds can be caused by an increase<br />

in the density <strong>of</strong> the tissue through which the<br />

sound is being transmitted. Pneumonia with lung<br />

consolidation and atelectasis are examples.<br />

Abnormal inspiratory sounds These indicate<br />

upper airways abnormalities. In conditions which<br />

cause narrowing <strong>of</strong> the upper airways, such as a<br />

retropharyngeal abscess or laryngeal calf diphtheria,<br />

abnormal respiratory sounds such as stridor may<br />

be heard on inspiration. This noise may radiate<br />

throughout the trachea and the lung fields. It is produced<br />

by an increase in the airflow velocity through<br />

the narrowed upper airway. Narrowing <strong>of</strong> the airway<br />

is most pronounced on inspiration because <strong>of</strong><br />

the lower pressure in the trachea at this stage <strong>of</strong> the<br />

respiratory cycle. During expiration there is a higher<br />

positive pressure in the airway which tends to open<br />

it up.<br />

Abnormal expiratory sounds These indicate lower<br />

airway abnormalities. In conditions which cause<br />

narrowing <strong>of</strong> the lower airways within the thorax,<br />

such as bronchopneumonia, the breath sounds are<br />

louder during expiration and quieter during inspiration.<br />

During inspiration, the diameter <strong>of</strong> lower airways<br />

within the thorax is increased by the outward<br />

movement <strong>of</strong> the chest wall and decreased during<br />

expiration by compression <strong>of</strong> the chest. The airflow<br />

velocity is therefore greatest during expiration.<br />

In cattle with tachypnoea and hyperpnoea there is<br />

an increase in the airflow velocity on both inspiration<br />

and expiration, with an increase in the loudness <strong>of</strong><br />

both sounds.<br />

Decreased loudness <strong>of</strong> breath sounds The reasons<br />

may be physiological (e.g. a very fat animal) or<br />

pathological (e.g. pleural effusion, pneumothorax,<br />

space-occupying lesions). These conditions insulate<br />

72

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