Guttural Puch Disease Flashcards
What is the cause of Tympany?
1) unknown
2) upper airway infection
3) persistent coughing
4) muscle dysfunction
What are the clinical signs of tympany?
- foals
- nonpainful
- dyspnea
- dysphagia
- inhalation pneumonia
- secondary empyema
What is the conservative treatment for Tympany?
- needle aspiration
- indwelling catheter
What are the 4 surgical approaches to the gutteral pouch?
1) Hyovertebrotomy
2) Viborgs triangle
3) whitehouse
4) Modified WhiteHouse
What are the land marks of the Viborgs triangle?
1) STERNOmandibular muscle
2) lingofacial vein
3) Caudal border of vertical ramus of the mandible
What are the compartments of the gutteral pouch
1) Smaller lateral compartment
2) Larger medial compartment
What separates the lateral and medial compartments fo the gutteral pouch?
Stylohyoid BONE
What is Empyema?
Pus accumulation in the gutteral pouch
What are the causes of Empyema?
1) upper respiratory tract infection
2) abscessation retropharyngeal innervation
3) fracture of stylohoid bone
What are the clinical signs of empyema?
-Bilateral nasal discharge
What diagnostic tool can be used to diagnose empyema?
1) endoscopy
2) radiology
How would you treat empyema?
1) indwelling catheter
2) surgery
What are the clinical signs for Gutteral pouch mycosis?
1) EPISTAXIS!!!!!!!!
2) dysphagia
You have a horse with epistaxis what is top on your differential list?
Gutteral pouch mycosis
What first aid would you provide to a horse iwth gutteral pouch mycosis?
1) blood transfusion
2) IV fluids
You have a horse with chronic intermittent epistaxis. What is top on your differentials?
Gutteral pouch mycosis
What three arteries care in the vicinity of the gutteral pouch and can be affected?
- occipital artery
- internal carotid artery
- external carotid artery
*internal carotid artery most commonly affected
Where does the fungus usually reside in a gutteral pouch mycosis case?
Dorsal aspect of the gutteral pouch
-eats away at the artery
How would you treat Gutteral pouch mycosis?
1) carotid angiogram
2) arterial ligation
- internal carotid **
- external carotid
- ballooon catheter occlusion
What are the complications of gutteral pouch mycosis?
BLINDNESS
What medical treatment can be used for gutteral pouch mycosis?
- catheter (coiled)
- flush pouch with horse in dorsal recumbency
