Nose

Epistaxis (Nosebleed)Picture37

  • Bloody nose
  • May be a nasal laceration
  • Can be life threatening

    • Guttural pouch mycosis
    • Ethmoid hematoma
    • Clotting deficiency

  • May require transfusion or surgery

What You Can Do

  • Keep horse calm
  • Call veterinarian IMMEDIATELY
  • Make arrangements for transport
  • Hold towel to nostril

    • May stem some bleeding

 

Nasal Discharge and Cough

  • Differential diagnoses

    • Upper respiratory tract infection

      • Viral
      • Bacterial

    • Lower respiratory tract infectionPicture38

      • Viral leads to bacterial

    • Inflammatory Airway Disease/Heaves

 

  • Determine whether it is infectious vs allergic

    • Infectious

      • Antibiotics
      • Anti-inflammatories
      • Consider biosecurity!

    • Allergic/Inflammatory

      • Anti-inflammatories
      • Bronchodilators

 

NeurologicPicture39

  • Clinical signs

    • Altered mentation
    • Ataxia: incoordination, stumbling, down
    • Cranial nerve defects

      • Ear or eye droop
      • Dysphagia: inability to swallow
      • Nasal deviation

 

What You Can Do

  • BE SAFE!
  • Keep horse confined

    • May injure itself or You!

  • Remove food if having trouble eating

What the Vet Can Do

  • Localize the lesion

    • Forebrain
    • Brainstem
    • Spinal cord

  • Collect samples (blood, nasal swab, CSF)
  • Anti-inflammatories

    • Banamine and Dexamethasone

  • Anti-oxidents

 

  • April 2018
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