TOA
PAYOH VETS
toapayohvets.com
Date:
16 February, 2012
Focus: Small
animals - dogs, cats, hamsters, guinea pigs, turtles & rabbits
Two cases:
Case 1. 2009.
The dog with recurrent right nasal discharge
Case 2. 2012. The dog with persistent bilateral nasal
discharge
Dr
Sing Kong Yuen, BVMS (Glasgow), MRCVS
16 February, 2012
Case 1.
The dog with recurrent right nasal discharge
The dog jogged with
his master who is a military person. Over the years,
rain or shine. But then he developed a runny nose on his
right side. Vet 1 was consulted and an X-ray was taken.
The owner came to me for a second opinion. He did not
want surgery to open up the back of the nose. Medication
worked when given. He consented to irrigation of the
nose with anti-fungal solution. This report
described how I did it.
Sep 16, 2009
"No gas mask anaesthesia," I stopped my assistant from
using the mask. "The dog may breathe in foreign bodies
lodged in his right nose and get inhalation pneumonia
and then dies."
Zoletil 50 at 0.25ml was given IV. The dog was
recumbent. Saliva flowed out, as this was Zoletil's side
effect. Not profuse salivation compared to IM injection.
I gave atropine 0.5 ml IM. Salivation soon stopped.
Faint blood-tinged
right nasal discharge. Not like some 2 weeks ago.
Profuse red blood from right nose. Had medication and
one nasal flushing via catheter.
5ml of oral antifungal solution were flushed into the
back of the right nose where the foreign bodies were
suspected to be located as seen in the X-ray. The dog
sneezed our violently. On 2x1 cm piece of cartilage -
snow white smooth surface encrusted by soft yellowish
brown tissue presumed pus. Another 4 small pieces of pus
were sneezed out. Little blood sneezed.
These could be fungal infected nasal tissues. The dog
was warded for observation and sent home 3 days later
when there was no discharge.
UPDATE AS AT FEB 16, 2012
The Miniature Schnauzer did not fully recover as his
right nose still gave discharge but in lesser amounts
and frequency. The dog had 3 nasal irrigations under
anaesthesia. Based on the dog's active jogging lifestyle
and his younger age, I suspected nasal foreign body
rather than nasal tumours as contrasted to Case 2 below.
Case 2. The dog with persistent bilateral nasal
discharge
In Feb 2012, I saw another case of persistent nasal
discharge at Toa Payoh Vets in a 12-year-old Sheltie.
An excellent piece of X-ray
by 2 new graduates, like a
piece of good art, is much
appreciated
Original X-ray plate
(non-digital) has been
photographed by me using a
DSLR camera to review at
leisure
Auto-contrast. This facility
is useful for X-rays.
Auto-levels to brighten the
image
Unsharp mask to make the
final image sharper
Another final image but with
"greenness" in it.
The case is still
being treated by Dr Daniel Sing. I hope the X-rays would
be useful for vet students studying hard inside her or
his small room eating instant noodles and memorising
veterinary anatomy of the nose for the examinations.
TOA
PAYOH VETS
