test 4: 75 guttural pouch

Question 1

what is the guttural pouch

Answer 1

expansion of eustasian tube

goes over stylohyoid and runs close to internal and external carotid, CN 910,12

Question 2

why examine guttural pouch

Answer 2

discharge
neuro disease
respiratory difficult/swelling

Question 3

tympany

Answer 3

turns into one way valve- gutteral pouch fills with air

happens in foals

Question 4

how to fix tympany

Answer 4

make small hole to allow air to come out

Question 5

what is empyema

Answer 5

infection/pus in gutteral pouch

Question 6

what are chondroids

Answer 6

chronic empyema/infection will clump together and form hardened balls

Question 7

Answer 7

temporohyoid osteopathy

swelling of stylohyoid bone messes with facial nerve

Question 8

temporohyoid osteopathy can cause

Answer 8

neuro signs
ataxia
nystagmus

caused by swelling of stylohyoid bone pressing on facial nerve

Question 9

how to treat temporohyoid osteopathy

Answer 9

break connection, stop movement of stylohoid and hopefully stop proliferation of bone

Question 10

guttural pouch mycosis can cause

Answer 10

rupture of internal or external carotid → massive bleed

mycosis= fungal infection (aspergillious)

Question 11

if mycosis effects nerves in gutteral pouch the horse can present with

Answer 11

choke

difficulty eating/swallowing
food in nose

Question 12

treatment for mycosis in guttural pouch

Answer 12

if bleeding need to block retrograde and normograde flow- ligation, intraluminal occlusion

salpingophyngeal fistula- make hole into pouch to mess up environement so fungi can’t grow

meds

esophagostomy