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Epistaxis

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nasogastric tubing, ethmoid hematoma
2 most common causes of bilateral epistaxis
guttural pouch mycosis
most common cause of unilateral epistaxis
ethmoid hematoma
which cause of epistaxis is most likely to be malodorous?
ozena
term that we use for the malodorous discharge from the nose of a horse with an ethmoid hematoma
guttural pouch mycosis
horse has intermittent, unilateral epistaxis over the past few months. suddenly it has a very voluminous bilateral epistaxis. what is most likely the cause?
50
what percent of horses with GPM will experience a fatal bleed?
ethmoid hematoma
with which of the causes of epistaxis can you see facial deformity?
intralesional formalin
what is the medical way to treat an ethmoid hematoma?
laser ablation
what is the surgical way to treat an ethmoid hematoma?
younger
is GPM usually found in younger or older horses?
no
on a lateral radiograph of the head of a horse, will you see a fluid line in the guttural pouch if that horse has a GPM?
medial
in which compartment of the guttural pouch do you see the fungal plaques associated with GPM?
caudodorsal
where in the medial compartment of the guttural pouch do you see the fungal plaques?
internal carotid artery
which blood vessel do the fungal plaques grow around in the guttural pouch?
dysphagia
the most common clinical sign of GPM is epistaxis. what is the second most common clinical sign?
dorsal displacement of the soft palate
what is the sequel of GPM that results in the dysphagia seen in these horses?
pharyngeal branch of the vagus
what nervous structure runs through the guttural pouch that can be damaged by the fungal plaques, resulting in the DDSP?
obliteration of internal carotid artery
if a horse is diagnosed with GPM and has experienced episodes of epistaxis in the past, what is the main goal of your treatment?
detachable self-sealing latex balloon, transarterial coil embolisation
2 most common methods of vessel obliteration with GPM
topical antifungals
if a horse is diagnosed with GPM and has NOT experienced any episodes of epistaxis, what is the main course of treatment?
ethmoid hematoma
are you more likely to see purulent discharge with a GPM or an ethmoid hematoma?
nasal passage
where are you if through the endoscope all you see are straight flat walls on either side of the scope?
pulmonary arterial, intrathoracic
in the capillary stress theory as a possible cause of EIPH, what 2 pressures are increased that leads to the rupture of the capillaries?
epistaxis, exercise intolerance
horses with EIPH rarely show clinical signs, but if they do, what are the 2 most common clinical signs?
caudodorsal
when using radiographs to aid in the diagnosis of EIPH, where would you be most likely to opacification in the lungs?
transtracheal wash, bronchoalveolar lavage
other than endoscopy and radiography, what are the other 2 ways to diagnose EIPH?
hemosiderophages
what is the main thing you're looking for in a TTW or BAL from an EIPH horse?
furosemide
main treatment used for EIPH