Feline Medicine Q&A 19 - Revision history

Ggaitskell at 11:41, 25 August 2011

2011-08-25T11:41:57Z

HelenD at 08:05, 14 August 2011

2011-08-14T08:05:26Z

HelenD: Created page with "{{Template:Manson Sparkes}} 500px
'''This intra-oral nasal radiograph is from an 11-year-old neutered male DSH cat.'''

2011-08-09T15:49:36Z

Created page with "{{Template:Manson Sparkes}} [[Image:|centre|500px]] <br /> '''This intra-oral nasal radiograph is from an 11-year-old neutered male DSH cat.''' <br /> <FlashCard questions="..."

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'''This intra-oral nasal radiograph is from an 11-year-old neutered male DSH cat.'''

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<FlashCard questions="3">
|q1=What abnormalities can be seen radiographically?
|a1=
The radiograph demonstrates a relatively normal appearance to the left nasal chamber with the turbinate structure still being visible. There appears to be a mild increase in soft-tissue density on the left side, particularly rostrally, and the external
nares are not clearly visible suggesting some nasal discharge in and from this side. The right nasal cavity has a marked diffuse increase in soft tissue density along with loss of most of the normally visible turbinate structures. This is consistent with turbinate destruction and an expansive soft tissue mass which is most likely to be neoplastic. Granulomatous fungal rhinitis or destructive rhinitis with inspissated fluid/pus would also be possible but less likely.
|l1=
|q2=What is the likely diagnosis and how would this be confirmed?
|a2=
The likely diagnosis in this case is nasal neoplasia, primarily affecting the right nasal cavity, with possible extension to, or reaction in, the left nasal chamber. The diagnosis would be best confirmed by nasal biopsy (guided via rhinoscopy or blind) using suction-catheter or grab-forceps techniques. The two most common nasal tumours in cats are lymphoma and adenocarcinoma. Radiotherapy may be an option for both tumours (lymphoma generally responding very well) and chemotherapy would also be an option for lymphoma.
|l2=
|q3=What clinical signs is the cat likely to be showing?
|a3=
The cat would be likely to be showing progressive signs of inspiratory dyspnoea, stertor, nasal discharge, and sneezing. Severe dyspnoea may cause inappetence and weight loss. Local expansion of a tumour mass may cause facial distortion, and this is
important to assess during clinical examination along with any distortion to the hard palate and enlargement of regional lymph nodes.
|l3=
</FlashCard>

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 |a1=
 The radiograph demonstrates a relatively normal appearance to the left nasal chamber with the turbinate structure still being visible. There appears to be a mild increase in soft-tissue density on the left side, particularly rostrally, and the external
-nares are not clearly visible suggesting some nasal discharge in and from this side. The right nasal cavity has a marked diffuse increase in soft tissue density along with loss of most of the normally visible turbinate structures. This is consistent with turbinate destruction and an expansive soft tissue mass which is most likely to be neoplastic. Granulomatous fungal rhinitis or destructive rhinitis with inspissated fluid/pus would also be possible but less likely.
+nares are not clearly visible suggesting some nasal discharge in and from this side.
 |l1=
 |q2=What is the likely diagnosis and how would this be confirmed?
 |a2=
-The likely diagnosis in this case is nasal neoplasia, primarily affecting the right nasal cavity, with possible extension to, or reaction in, the left nasal chamber. The diagnosis would be best confirmed by nasal biopsy (guided via rhinoscopy or blind) using suction-catheter or grab-forceps techniques. The two most common nasal tumours in cats are lymphoma and adenocarcinoma. Radiotherapy may be an option for both tumours (lymphoma generally responding very well) and chemotherapy would also be an option for lymphoma.
+The likely diagnosis in this case is nasal neoplasia, primarily affecting the right nasal cavity, with possible extension to, or reaction in, the left nasal chamber.
 |l2=
 |q3=What clinical signs is the cat likely to be showing?
 |a3=
-The cat would be likely to be showing progressive signs of inspiratory dyspnoea, stertor, nasal discharge, and sneezing. Severe dyspnoea may cause inappetence and weight loss. Local expansion of a tumour mass may cause facial distortion, and this is
+The cat would be likely to be showing progressive signs of inspiratory dyspnoea, stertor, nasal discharge, and sneezing.
 important to assess during clinical examination along with any distortion to the hard palate and enlargement of regional lymph nodes.
-|l3=
+|l3=Lymphoma#Clinical Signs
 </FlashCard>