胃肠疾病大小15.2g等多个文件-04呼吸系统

NASAL鼻MichaelHerrtageUniversityofCambridge工作狩獵SuddenonsetRightnasaldischargefor3出現右侧鼻孔分泌物，时长3个CLINICALSIGNS临床症Mucopurulentnasaldischarge,mainlyright主要在右侧鼻腔出現膿 鼻MarkedAirflowthroughbothnostrils,butslightlyreducedonrightsideNASAL鼻部X光鼻部X光 鼻部Acq:1,Image:

Dorsal背 鼻部Acq:1,Image:

Right

右側縱切

Acq:1,Image:

Leftsagittal左側縱切NASALMRI鼻部

REMOAREMOALFOREIGNBODYFOREIGNBODYBrackenBrackenDIFFERENTIALDIAGNOSISOFNASALDISEASE鼻病鉴Inflammatoryrhinitis Fungal(destructive)rhinitis真菌性鼻炎Nasalneoplasia Foreign Dental Systemicdiseasee.g.immunodeficiency,bleedingdisorder,hypertension 炎性鼻 细菌 急 慢INVESTIGATIONOFNASAL鼻Clinicalhistory病史Physicalsigns CLINICALSIGNS临床症Nasaldischarge鼻 喷 酣REVERSE倒吸型喷IrregularanddistressingsnortingProducedbyvibrationofthesoftpalateduringforcefulThereisnophysicalobstruction,obstructivedyspnoeaorexerciseintolerance无生理性阻塞，阻塞性呼 或运动不耐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鼻内CHRONICHYPERPLASTIC慢性增生性鼻ChronicusuallybilateralmucopurulentdischargeOftenassociatedwithfrontalsinusitis,especiallyincatsEpistaxisisrare少出現鼻AirflowisusuallynormalCHRONICHYPERPLASTIC慢性增生性鼻Patchyincreaseinopacity,usuallybilateralConchalpatternblurredorpartlyobscuredbymucosalthickeningandexudateNoevidenceofbonydestructioninvolvingcaudalconchae,vomerboneorsurroundingfacialbonesNoevidenceofexternalsofttissueCHRONICHYPERPLASTIC慢性增生性鼻Specificantibiotictherapy(4-6有效抗生素治疗（4－6周Mucolytic 黏膜溶解治Bromhexine(Bisolvon®)Nasalflushwithsaline生理盐水冲洗鼻Exploratoryrhinotomy/radical鼻腔探查鼻甲骨IRISHWOLFHOUNDRHINITIS爱尔兰獵狼犬鼻炎综合Chronicrhinitis慢性鼻Primaryinherited性遗传性免疫缺Mayprogresstolowerrespiratorytract可繼发下呼吸道疾FUNGAL 真菌性鼻MucopurulentnasalIntermittentFacialpain UlcerationanddepigmentationoftherhinariumFUNGALRHINITIS真菌性鼻Fungal 真菌培 学检 Endoscopy 内窺镜（±活检FUNGAL真菌性鼻Areasofdecreased片状混浊度下Unilateralorbilateralconchal单侧或双侧鼻甲破 ucenciesmaybeseeninsurroundingMayseepoorlycircumscribedmassincaudalnasalchamberandfrontalsinusesFrontalsinusinvolvementmayoccurwiththickeningorlysisofthefrontalbones到额窦時，可見额骨增厚或溶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使用咪唑类或三唑Oral,topical口surgery手术（可选NASAL 鼻肿Mucopurulentnasaldischarge粘液脓Epistaxis,oftenheavybouts Sneezing喷Stertorornasalobstructivenoise鼾声Reducedairflow Facialpainand Exophthalmos眼球突鼻肿HomogenoussofttissueopacitywithconchaldestructionUnilateralorDistortionordestructionofthevomer FrontalsinusDestructionofthehardpalateand/oroverlyingfacialbones硬腭（或其上的面骨）ExternalsofttissueNASALretriever10yM拉不拉多，10Carcinomainnasalchamberandfrontalsinus

Englishsetter10yMn英国雪达

a软骨肉96-1058DobermanpinscherNasallymphomaRADIOLOGYOFTHENASAL鼻腔X光Normalradiographicappearanceofbothnasalchambersandfrontal两侧鼻腔和额窦X光片显示正Areasofincreasedsofttissueopacitysuperimposedoveranormalconchalpattern(Chronicrhinitis) Areasofdecreasedopacityduetoconchaldestructionwithoutpanyingsofttissueopacity(Fungalrhinitis)Areasofincreasedsofttissueopacitysuperimposedoverareasofconchaldestruction(Nasalneoplasia)FELINEFELINENASALFELINENASAL猫的鼻肿LymphomaFELINECHRONIC猫的慢性鼻鼻咽息FOREIGNFOREIGN异Suddenonset Violentsneezing急剧喷嚏Headshaking Noserubbing Pawingatface Latermucopurulent稍後出現FOREIGN 异FOREIGN 异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异04-112504-1125Labradorretriever5yrALLERGIC 过敏性鼻monSneezing,reversesneezing