胃腸疾病大小15.2g等多個(gè)文件-04呼吸系統(tǒng)

NASAL鼻MichaelHerrtageUniversityofCambridge工作狩獵SuddenonsetRightnasaldischargefor3出現(xiàn)右側(cè)鼻孔分泌物，時(shí)長3個(gè)CLINICALSIGNS臨床癥Mucopurulentnasaldischarge,mainlyright主要在右側(cè)鼻腔出現(xiàn)膿 鼻MarkedAirflowthroughbothnostrils,butslightlyreducedonrightsideNASAL鼻部X光鼻部X光 鼻部Acq:1,Image:

Dorsal背 鼻部Acq:1,Image:

Right

右側(cè)縱切

Acq:1,Image:

Leftsagittal左側(cè)縱切NASALMRI鼻部

REMOAREMOALFOREIGNBODYFOREIGNBODYBrackenBrackenDIFFERENTIALDIAGNOSISOFNASALDISEASE鼻病鑒Inflammatoryrhinitis Fungal(destructive)rhinitis真菌性鼻炎Nasalneoplasia Foreign Dental Systemicdiseasee.g.immunodeficiency,bleedingdisorder,hypertension 炎性鼻 細(xì)菌 急 慢INVESTIGATIONOFNASAL鼻Clinicalhistory病史Physicalsigns CLINICALSIGNS臨床癥Nasaldischarge鼻 噴 酣REVERSE倒吸型噴IrregularanddistressingsnortingProducedbyvibrationofthesoftpalateduringforcefulThereisnophysicalobstruction,obstructivedyspnoeaorexerciseintolerance無生理性阻塞，阻塞性呼 或運(yùn)動(dòng)不耐ReassuranceisNASALRADIOGRAPHY鼻部X光NASALRADIOGRAPHY鼻部X光20onoseuporanglebeamNASALRADIOGRAPHY鼻部X光NASAL 鼻部X光

Nasal鼻GeneralanaesthesiaDualphasedarrayT1,T2andprotondensityweightedimages 影MRITransverseplaneNormalnasal02-正常鼻腔MRI掃描圖MORTONLabradorretriever,02-

CambridgeMRE-sc RHINOSCOPY鼻內(nèi)CHRONICHYPERPLASTIC慢性增生性鼻ChronicusuallybilateralmucopurulentdischargeOftenassociatedwithfrontalsinusitis,especiallyincatsEpistaxisisrare少出現(xiàn)鼻AirflowisusuallynormalCHRONICHYPERPLASTIC慢性增生性鼻Patchyincreaseinopacity,usuallybilateralConchalpatternblurredorpartlyobscuredbymucosalthickeningandexudateNoevidenceofbonydestructioninvolvingcaudalconchae,vomerboneorsurroundingfacialbonesNoevidenceofexternalsofttissueCHRONICHYPERPLASTIC慢性增生性鼻Specificantibiotictherapy(4-6有效抗生素治療（4－6周Mucolytic 黏膜溶解治Bromhexine(Bisolvon?)Nasalflushwithsaline生理鹽水沖洗鼻Exploratoryrhinotomy/radical鼻腔探查鼻甲骨IRISHWOLFHOUNDRHINITIS愛爾蘭獵狼犬鼻炎綜合Chronicrhinitis慢性鼻Primaryinherited性遺傳性免疫缺Mayprogresstolowerrespiratorytract可繼發(fā)下呼吸道疾FUNGAL 真菌性鼻MucopurulentnasalIntermittentFacialpain UlcerationanddepigmentationoftherhinariumFUNGALRHINITIS真菌性鼻Fungal 真菌培 學(xué)檢 Endoscopy 內(nèi)窺鏡（±活檢FUNGAL真菌性鼻Areasofdecreased片狀混濁度下Unilateralorbilateralconchal單側(cè)或雙側(cè)鼻甲破 ucenciesmaybeseeninsurroundingMayseepoorlycircumscribedmassincaudalnasalchamberandfrontalsinusesFrontalsinusinvolvementmayoccurwiththickeningorlysisofthefrontalbones到額竇時(shí)，可見額骨增厚或溶FUNGALRHINITIS真菌性鼻真菌性鼻Bordercollie12yM鼻曲霉 FUNGAL真菌性鼻Areasofconchalloss,particularlyintheethmoturbinateregion骨DiscretefungalplaquesonthesurfaceofswollenconchalmucosaFUNGAL 真菌性鼻Areasofconchalloss,particularlyintheethmoturbinateregionDiscretefungalplaquesonthesurfaceofswollenconchalmucosaFUNGALFUNGALUseUseofimidazolesor使用咪唑類或三唑Oral,topical口surgery手術(shù)（可選NASAL 鼻腫Mucopurulentnasaldischarge粘液膿Epistaxis,oftenheavybouts Sneezing噴Stertorornasalobstructivenoise鼾聲Reducedairflow Facialpainand Exophthalmos眼球突鼻腫HomogenoussofttissueopacitywithconchaldestructionUnilateralorDistortionordestructionofthevomer FrontalsinusDestructionofthehardpalateand/oroverlyingfacialbones硬腭（或其上的面骨）ExternalsofttissueNASALretriever10yM拉不拉多，10Carcinomainnasalchamberandfrontalsinus

Englishsetter10yMn英國雪達(dá)

a軟骨肉96-1058DobermanpinscherNasallymphomaRADIOLOGYOFTHENASAL鼻腔X光Normalradiographicappearanceofbothnasalchambersandfrontal兩側(cè)鼻腔和額竇X光片顯示正Areasofincreasedsofttissueopacitysuperimposedoveranormalconchalpattern(Chronicrhinitis) Areasofdecreasedopacityduetoconchaldestructionwithoutpanyingsofttissueopacity(Fungalrhinitis)Areasofincreasedsofttissueopacitysuperimposedoverareasofconchaldestruction(Nasalneoplasia)FELINEFELINENASALFELINENASAL貓的鼻腫LymphomaFELINECHRONIC貓的慢性鼻鼻咽息FOREIGNFOREIGN異Suddenonset Violentsneezing急劇噴嚏Headshaking Noserubbing Pawingatface Latermucopurulent稍後出現(xiàn)FOREIGN 異FOREIGN 異NASALRADIOGRAPHY鼻部X光04-1125Labradorretriever5yr 鼻部X光04-1125Labradorretriever5yr鼻部04-1125Labradorretriever5yrAcq:1,Image:

鼻部Acq:1,Image:

Right

Acq:1,Image:

Left 鼻部04-1125Labradorretriever5yr

FOREIGNFOREIGN異04-112504-1125Labradorretriever5yrALLERGIC 過敏性鼻monSneezing,reversesneezing