chronic nasal Flashcards
what are your differentials for a chronic nasal discharge animal
tooth root, polyps, foreign body, URI, fungal, neoplasia, IM disease
what does epistaxis put higher on your differential list
aspergillosis in a dog
when do you hear stertor
inspiration
what are differentials for stertor
mass, polyp, stenosis, chronic inflammation/narrowing, neoplasia, BOAS
when you localize respiratory disease to the nasal cavity what should you look for in your exam
nose configuration, pigmentation, erosion, airflow, ocular exam, eye position, nasal pain, otic exam, symmetry
you see epistaxis. how will you differentiate systemic vs primary nasal causes
systemic– look for petechiae, anemia, tachycardia, arrhythmias, CBC/chem, PT/PTT, +- blood pressure.
most common nasal neoplasia in cats?
lymphoma
most common nasal neoplasia in dogs
carcinoma, chrondosarcoma, osteosarc
how are you going to diagnose what is going on in the nose
endoscopy and/or biopsy
how to measure for a nasal biopsy
measure to the medial canthus
violent sneezing points more toward what
foreign body
what is the best treatment for aspergillosis in dogs
trephination and debridement with clotrimazole local therapy. can do fluconazole systemic therapy but not great
what is our treatments for URI bacti infection
doxycycline and fluoroquinolones- enro
chronic nasal signs, sneezing, older large breed dog
likely canine lymphoplasmacytic disease. biopsy can help
treatment for canine lymphoplasmacytic disease
prednisone
what to do with a nasopharyngeal polyp
place in dorsal, retract the soft palate. gentle traction and get the stalk. may return
what can cause feline chronic rhinosinusitis
young cats with herpes virus. causes destruction to the turbinates.
what causes nasopharyngeal stenosis – stertor ddx
URI and inflammation
