Changes

:'''2) Surgical removal''' '''using the Modified Whitehouse technique'''. This involves entering the guttural pouches through the floor of the medial compartment following an incision ventral to the linguofacial vein. It requires simultaneous endoscopy. Once all the chondroids have been removed and the GP lavaged, the wound should be left open to heal by second intention. The disadvantages of this procedure are that the lateral compartment is hard to reach, and if the case is chronic them the GP wall may be very thickened and hard to penetrate. As it is an invasive procedure, recovery time is also longer and it is necessary to use good surgical technique to avoid important structures.  

:'''2) Surgical removal''' '''using the Modified Whitehouse technique'''. This involves entering the guttural pouches through the floor of the medial compartment following an incision ventral to the linguofacial vein. It requires simultaneous endoscopy. Once all the chondroids have been removed and the GP lavaged, the wound should be left open to heal by second intention. The disadvantages of this procedure are that the lateral compartment is hard to reach, and if the case is chronic them the GP wall may be very thickened and hard to penetrate. As it is an invasive procedure, recovery time is also longer and it is necessary to use good surgical technique to avoid important structures.  

If the infection is found to be ''Strep equi equi'' then '''penicillin''' beads should be place in the guttural pouches and oral '''trimethoprim sulphate''' should be given to clear the infection. Otherwise antibiotic treatment should not be necessary.

If the infection is found to be ''Strep equi equi'' then '''penicillin''' beads should be place in the guttural pouches. Otherwise antibiotic treatment should not be necessary.

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