Epistaxis, sneezing and nasal discharge

image of Epistaxis, sneezing and nasal discharge
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Disorders of the nose and associated structures often present with similar signs. Epistaxis, sneezing and nasal discharge are three of the most common and consistent signs associated with nasal disease, and all three signs are often present in one condition. This chapter will outline a simple initial approach for a dog presenting with these signs and also how to investigate the more complicated or recurrent case. This chapter deals with emergency treatment of epistaxis, initial approach to nasal disease and common conditions and presentations.

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19.3 Typical appearance of a nasal discharge. This unilateral (right-sided) purulent nasal discharge was associated with nasal aspergillosis.
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19.4 A rostral cleft in the hard palate following a dog fight. There is a circular communication between the oral and nasal cavities and extensive loss of the oral mucosa covering the hard palate.
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19.5 Intraoperative view of nasal polyp removal. This polyp was responsible for a chronic bilateral mucoid nasal discharge that was partially responsive to NSAID therapy. The polyp was identified on palpation of the soft palate (firm object palpated through the soft palate), and retrograde rhinoscopy whilst the dog was anaesthetized.
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19.6 Serous ocular discharge in a 10-year-old neutered Shiba-Inu bitch with seasonal allergic rhinitis. (Courtesy of Emma-Leigh Craig)
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19.8 Radiographic appearance suggestive of infection. There is turbinate destruction, with increased radiolucency within the nasal chambers.
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19.9 In this rhinoscopic image, turbinate destruction has exposed the frontal sinus, and classic white plaques of can be seen within the sinus cavity. (Reproduced from )
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19.10 Adenocarcinoma at the choanae, viewed in air. Opaque irregular pale adenocarcinoma, with swelling and erythema of the surrounding turbinates. Same dog as in (a), showing the appearance under irrigation. The tumour is pale and smooth, giving the appearance of a polyp. (Reproduced from )
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