14. Dysphagia & oral diseases

Question 1

Dysphagia clinical signs and differentials?

Answer 1

dysphagia = swallowing difficulties

Question 2

Dysphagia diagnostics?

Answer 2

Question 3

Oral ulceration?

Answer 3

Question 4

Masticatory muscle myositis?

Answer 4

Question 5

Salivary gland diseases?

Answer 5

Question 6

Feline eosinophilic granuloma complex?

Answer 6

Question 7

Feline odontoclastic resorptive leisons?

Answer 7

Question 8

Feline chronic gingivitis-stomatititis?

Answer 8

Feline chronic gingivitis-stomatitis:
Pathogenesis:
- Immune mediated, possible calcivirus Infection
Typically, lymphocytic-plasmacytic Inflammation
Clinical signs:
-Clinical signs of dysphagia
- Ulcerations of the gingiva, buccal mucosa, tongue, pharynx
- Diagnostics:
- Biopsy and histopathology
- Virus testing: FIV, FEV, feline callcivirus (PCR)
Treatment:
- Dental prophylaxis
- Medical management:
> Antibiotics:
* Clindamycln 10mg/kg PO SID or
* Metronidazole 10 mg/kg PO BID
> Anti-inflammatories:
Prednisolone 1 mg/kg PO BID
> Pain relief:
Oral tramadol or buprenorphine
- Whole mouth extractions(+/- canines):
> Good success rates with mouth extraction but if calcivirus positive then may not do well:
* Trial anti-viral agents if calicivirus positive
* Trial cyclosporine at 5mg/kg PO SID as chronic immunosuppressive therapy

Question 9

Oral tumours?

Answer 9

Question 10

Epulis?

Answer 10