Experts in Feline Medicine, a little help please

RE: Experts in Feline Medicine, a little help please

Evelyn Barbour-Hill — Wed, 19 Dec 2018 12:37:05 GMT

[quote user="Richard Carter"]

think there may be a lucency above canine? (or is this the digital artefact of softer tissue in proximity to bone?)

[/quote]

I honestly think that a straight DV or VD maxillary view is needed – either intra-oral or achieved with a wide-open mouth.

Sorry, Tomas, I'm not criticising you at all and I appreciate you have to work with what you've got, but I can't really be sure with these views.

RE: Experts in Feline Medicine, a little help please

Richard Carter — Wed, 19 Dec 2018 10:20:44 GMT

think there may be a lucency above canine? (or is this the digital artefact of softer tissue in proximity to bone?)

RE: Experts in Feline Medicine, a little help please

Tomas B — Mon, 17 Dec 2018 19:59:15 GMT

I have sedated the cat

Done some bloodwork

Nasogastric tube into each nare just to see the progression, but there was not any obstruction, so, intubated the cat and done some nasal flushing, collected the samples and it went to the lab.

It doesnt appear to me like a rhinitis or foreign body, i was initially thinking about neoplasia but it seems that just the soft tissue is affected. So i did some FNA from the tumefact nasal bridge.

Currently waiting for the results

Here is the xray

Many thanks

RE: Experts in Feline Medicine, a little help please

Evelyn Barbour-Hill — Sat, 15 Dec 2018 17:12:24 GMT

Tomas, I think you need some radiographs, and while you are about it have a look around the pharynx,especially the nasopharynx, and if you can have a look with an endoscope at the choanae. If no endoscope is available, just seeing what a nasal flush produces can be helpful sometimes.

RE: Experts in Feline Medicine, a little help please

Kate Richardson — Sat, 15 Dec 2018 16:53:23 GMT

Re the nasal swelling, take an xray and some fine needle aspirates or a punch biopsy if you're concerned, it may just be the photos but it doesn't look that swollen, however I obviously can't compare to before.

Re the stertor, all possibilities mentioned as above, I'd add being overweight.

RE: Experts in Feline Medicine, a little help please

Rob Loxley — Sat, 15 Dec 2018 14:24:39 GMT

[quote user="Tomás Basto"]You guys think a nasopharyngeal polyp could cause protrusion of the nasal bone like in this case?[/quote]

No, they are much more benign and bony distortion would be unusual

RE: Experts in Feline Medicine, a little help please

Tomas B — Sat, 15 Dec 2018 12:05:16 GMT

You guys think a nasopharyngeal polyp could cause protrusion of the nasal bone like in this case?

RE: Experts in Feline Medicine, a little help please

Rob Davis — Sat, 15 Dec 2018 12:04:39 GMT

I would not expect a nasopharyngeal polyp to cause any externally visible swelling.

RE: Experts in Feline Medicine, a little help please

serena holmes — Sat, 15 Dec 2018 11:41:24 GMT

No, but it could have been growing slowly for a longtime and only now be seen externally.

RE: Experts in Feline Medicine, a little help please

Tomas B — Sat, 15 Dec 2018 11:21:10 GMT

Would a naso-pharyngeal polip and even nasa lymphoma or other neoplasic disease "appear" from one day to the other?[quote user="Sarah Keir"]

DDx - naso-pharangeal foreign body, pharyngeal polyp, nasal lymphoma or other neoplasia. Cats don't really get nasal aspergillosis (though I am sure someone can find some rare cases) and benign things like chronic rhinitis syndrome don't cause nasal swelling.

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RE: Experts in Feline Medicine, a little help please

Tomas B — Sat, 15 Dec 2018 11:18:44 GMT

Oral Cavity is fine :/

RE: Experts in Feline Medicine, a little help please

Rob Davis — Sat, 15 Dec 2018 10:53:01 GMT

[quote user="Richard Carter"]

could check teeth and make sure not involved?

[/quote]

Any damage to upper canines? Canine periapical disease would be a possibility.

RE: Experts in Feline Medicine, a little help please

Richard Carter — Sat, 15 Dec 2018 08:50:25 GMT

as above - unilateral so some sort of infraorbital / nasal sinus mass high on my dd list

could check teeth and make sure not involved?

RE: Experts in Feline Medicine, a little help please

Sarah Keir — Fri, 14 Dec 2018 18:05:16 GMT