Equine Neuro Ddx

Question 1

Primary or secondary equine sinusitis

Answer 1

• ** unilateral nasal discharge ( especially mucopurulent and odorous )** = common sign
• causes: resp infection, tooth root abscess, neoplasia, cyst, progressive ethmoid hematoma, trauma, or fungal granuloma
• Dx - rads, endoscope/ sinuscope, dental pick and culture of purulent discharge

** fluid lines within the sinus –> indicate accumulation of purulent material

Tx - primary - lavage of sinuses and systemic abs
- secondary - depends on cause ; may need to extract a tooth, flush sinuses, and administer systemic abs