Term
What would be the difference b/n nasal discharge due to sinusitis & GP empyema? |
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Definition
-Sinusitis: unilateral or bilateral -GP empyema: bilateral |
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Term
What are some common etiologies that cause epistaxis? |
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Definition
-skull fracture -ethmoid hematoma -nasal fungal granuloma |
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Term
What are some common etiologies that cause facial deformity? |
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Definition
-sinusitis -skull fracture -sinus cyst -neoplasm -ethmoid hematoma |
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Term
What are some common etiologies that cause a fistulous tract? |
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Definition
-sinusitis -skull fracture |
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Term
What common etiologies cause malodorous breath? |
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Definition
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Term
Which sinuses do we percuss on PE? |
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Definition
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Term
Which etiologies indicate sinucentesis? |
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Definition
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Term
Which etiologies indicate biopsy? |
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Definition
-neoplasm -ethmoid hematoma -nasal fungal granuloma |
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Term
Which etiologies indicate CT? |
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Definition
-sinusitis -skull fracture -sinus cyst -neoplasm -nasal septum -ethmoid hematoma |
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Term
What CS do we see w/ sinusitis? |
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Definition
-mucopurulent nasal discharge: usually unilateral +/- favial swelling over maxillary/frontal sinus +/-malodorous breath +/-fistulous tract |
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Term
What is the most common etiology behind primary sinusitis? |
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Definition
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Term
How do we treat primary sinusitis? |
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Definition
-parenteral abx -sinus trephination & lavage |
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Term
What lavage soln do we use for primary sinusitis? |
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Definition
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Term
What are some common etiologies behind secondary sinusitis? |
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Definition
-tooth problem -skull fracture |
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Term
What diagnostics do we run on secondary sinusitis? |
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Definition
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Term
How do we treat secndary sinusitis due to an abscess tooth? |
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Definition
tooth excretion (repulsion) |
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Term
What are the etiologies behind skull fractures? |
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Definition
-horse running into staitonnary object |
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Term
What are the clinical signs of skull fractures? |
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Definition
-epistaxiz -facial depression -SQ emphysema |
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Term
How do we treat skull fractures? |
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Definition
-replacement of depressed fragments |
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Term
What etiology is behind frontomaxillary sinus cyst? |
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Definition
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Term
What do we see on rads w/ frontomaxillary sinus cyst? |
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Definition
-soft tissue density in sinuses |
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Term
What do we see on sinucentesis w/ frontomaxillary sinus cyst? |
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Definition
-amber-mucinous fluid -usually non-septic |
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Term
How do we treat a frontomaxillary sinus cyst? |
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Definition
-extirpation: frontomaxillary bone flap |
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Term
What is the other name for epidermal inclusion cyst? What is it? |
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Definition
-atheroma -located in nasal diverticulum of nostril |
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Term
How do we diagnose epidermal inclusion cyst? |
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Definition
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Term
How do we treat epidermal inclusion cyst? |
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Definition
-surgical extirpation using local anesthesia |
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Term
What is the doctor way to say deviation of the premaxilla? |
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Definition
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Term
How do we diagnose diviation of the premaxilla? |
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Definition
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Term
How do we treat wry nose? |
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Definition
-difficult sx reconstruction |
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Term
What causes nasal septum thickening/deviation? |
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Definition
-trauma -neoplasia -chronic inflammation -congenital |
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Term
What are the CS of nasal septum thickening/deviation? |
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Definition
-resp stridor -exercise intolerance -dyspnea |
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Term
How do we diagnose nasal septum thickening/deviations? |
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Definition
-narrowed nasal passage -difficulty or unagle to pass endoscope*** -rads |
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Term
How do we treat nasal septum thickening/deviation? |
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Definition
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Term
What causes ethmoid hematomas? |
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Definition
-unknown -benign expansile hematogenous mass of ethmoid origin |
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Term
What is the typical signalment of ethmoid hematomas? |
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Definition
-older horses -Arabians & TB's |
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Term
What are the CS of ethmoid hematoma? |
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Definition
-epistaxis -stridor -dyspnea -favial bone distortion |
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Term
How do we diagnose an ethmoid hematoma? |
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Definition
-nasal endoscopy -rads or CT |
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Term
How do we treat ethmoid hematomas? |
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Definition
-extirpation via frontomaxillary sinusotomy -others: formalin injection, laser ablation |
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Term
Describe the epidemiology of neuro equine herpes. |
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Definition
-majority of hroses been exposed -most horses infected bia resp rt in first year of life -majority of horses remain latently infected for life |
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Term
Describe the pathophys of neuro equine herpes. |
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Definition
-incubation period: 2-10d -cliical dz resolve in 1-2w & immunity lasts 4m |
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Term
Describe the seasonality of equine herpes. |
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Definition
-late winter, spring, early summer |
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