Approach to Equine Upper Respiratory

Question 1

What is the pathophysiology of primary sinusitis?

Answer 1

1. URT viral infection
2. Reduced Mucocilliary clearnace
3. accumulation of mucus within the sinus
4. secondary bacterial infection
5. accumulation of purulent material ‘empyema’

Question 2

What is the clinical presentation of sinusitis?

Answer 2

• Serous/ mucoid/ purulent unilateral nasal discharge
• Facial swelling/ distortion
• Nasal airflow obstruction
• Difficulty

Question 3

How would you treat sinusitis?

Answer 3

• Remove infection
• Restoration of normal drainage and mucocilliary clearance
• Prevent recurrence