Today's Veterinary Practice

JUL-AUG 2012

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] '&-*/& 3)*/*5*4 611&3 3&41*3"503: %*4&"4& (eg, endemic areas, typical lesions) exists; however, the diagnosis is achieved immediately with cytology. TREATMENT Treatment of feline URT disease (Table 2) depends on the underlying cause, whether signs or disease is acute or chronic, and extent and severity of systemic illness. Chronic URT disease can be frustrating to treat since there is commonly no cure unless a diagnosis (eg, tooth root absess) is reached.4 iÃÊÀi>Vhi`]ÊVhÀoniVÊÛiÀ>lÊinviVÌionÊ>n`ÉoÀÊVhÀoniVÊi`io- pathic rhinosinusitis is often the default diagnosis. Disease Type Acute Disease Treatment r Intravenous fluid therapy GPS SFIZESBUJPO BOE NBJOUFOBODF JT PGUFO JOEJDBUFE r Provision of nutritional support JT JOEJDBUFE TJODF NPTU BGGFDUFE DBUT BSF QSPGPVOEMZ JOBQ QFUFOU PS BOPSFYJD r Antibiotics BSF XBSSBOUFE JO NBOZ DBTFT GPS TFDPOEBSZ CBDUFSJBM JOGFDUJPO Table 3 r The role of systemic antiviral agents JT BT ZFU VOEFUFSNJOFE 0OF SFDFOU SFQPSU PG DISPOJD ')7 JOGFDUJPO TVHHFTUFE TPNF CFOFGJU PG PSBM GBNDJDMPWJS TFF &WBMVBUJPO; PG 0SBMMZ "ENJO JTUFSFE 'BNDJDMPWJS JO $BUT &YQFSJNFOUBMMZ; *OGFDUFE XJUI 'FMJOF )FSQFTWJSVT 5ZQF +PVSOBM $MVC QBHF r Isolation JT B WFSZ JNQPSUBOU QBSU PG NBOBHFNFOU JO UIF WFUFSJOBSZ IPTQJUBM HJWFO UIF DPO UBHJPVT OBUVSF PG UIFTF EJTFBTFT Chronic Disease r A nasal flush XJUI PS XJUIPVU BOUJCJPUJDT JT POF NFUIPE PG MPOH UFSN NBOBHFNFOU r Long-course, high-dose antibiotics FH DMJOEBNZDJO m NH DBU 10 2 ) GPS m NPOUIT NBZ CF VTFE UP NBOBHF DISPOJD iTOVGGMFST u r Oral prednisone NBZ IFMQ JO DBTFT PG MZNQIPDZUJDmQMBTNBDZUJD JOGMBNNBUJPO r Antihistamines BSF SBSFMZ FGGFDUJWF CVU DBO CF USJFE BT UIFZ BSF VOMJLFMZ UP CF IBSNGVM r Surgical removal of the turbinates IBT CFFO EFTDSJCFE CVU JT B IJHIMZ JOWBTJWF QSPDFEVSF BOE SBSFMZ JOEJDBUFE Conditions FHV Corneal Lesions Nasopharyngeal Polyps Nasopharyngeal Stenosis Nasopharyngeal Foreign Bodies Nasopharyngeal & Laryngeal Neoplasia Treatment r Topical antiviral agents FH USJGMVSJEJOF JEPYVSJEJOF WJEBSBCJOF BOE QBSFOUFSBM - MZTJOF NH 10 2 m ) IBWF CFFO USBEJUJPOBMMZ SFDPNNFOEFE IPXFWFS SFDFOU TUVEJFT RVFTUJPO MZTJOF T FGGJDBDZ r Simple traction JT DPOTJEFSFE GJSTU MJOF USFBUNFOU XJUI BO FTUJNBUFE TVDDFTT PG ó r Ventral bulla osteotomy TIPVME CF DPOTJEFSFE JG DMJOJDBM TJHOT SFDVS r )PSOFS T TZOESPNF JT WFSZ DPNNPOMZ TFFO BGUFS SFNPWBM JU UFOET UP CF USBOTJFOU CVU NBZ CF QFSNBOFOU r Balloon dilation and stent placement BMUIPVHI OPU DVSBUJWF DBO CF QBMMJBUJWF r Anti-inflammatory therapy IBT BMTP CFFO BEWPDBUFE UP SFEVDF BTTPDJBUFE JOGMBNNBUJPO r Nasal flushing PGUFO GPMMPXJOH WJTVBMJ[BUJPO XJUI SFUSPGMFY SIJOPTDPQZ JT NPTU DPNNPOMZ VTFE GPS SFNPWBM PG GPSFJHO CPEJFT r 5SFBUNFOU EFQFOET PO UIF UZQF BOE MPDBUJPO PG UIF OFPQMBTN r Chemotherapy JT PGUFO VTFE GPS MZNQIPNB BMUIPVHI JU T BTTPDJBUFE XJUI TZTUFNJD TJEF FGGFDUT r Palliative radiation therapy JT JOEJDBUFE GPS PUIFS OBTBM UVNPST CFDBVTF UIFZ BSF SBSFMZ TVSHJDBMMZ SFTFDUBCMF r Nonsteroidal anti-inflammatories NBZ CF CFOFGJDJBM BMUIPVHI MFTT TP GPS GFMJOF TRVBNPVT DFMM DBSDJOPNB Laryngeal Inflammation Laryngeal Paralysis r Prednisolone NBZ CF VTFE GPS DPOUSPM PG JEJPQBUIJD MBSZOHFBM JOGMBNNBUJPO r .BZ OPU SFRVJSF UIFSBQFVUJD JOUFSWFOUJPO HJWFO UIF TPNFXIBU TFEFOUBSZ MJGFTUZMF PG DBUT r Arytenoid lateralization JG SFRVJSFE IBT SFQPSUFEMZ IJHIFS DPNQMJDBUJPO SBUFT JO DBUT UIBO EPHT 18 Today's Veterinary Practice July/August 2012 Ê vÊnoÊëiViviVÊ`i>}noÃiÃÊ PROGNOSIS The prognosis for cats with URT signs depends on the nature of the underlying disease. Feline URT infections are generally associated with high morbidity (especially in at-risk populations) but low mortality; with the exception of FHV, infections are typically self-limiting in young adult immunocom- petent cats. UÊ nÊ VonÌÀ>ÃÌ]Ê >Ê }À>ÛiÊ«Ào}noÃiÃÊ iÃÊ >ÃÃoVi>Ìi`ÊÜiÌhÊ moribund kittens and cats with neurologic compli- cations, systemic FCV, viral pneumonia, and con- current infectious disease, such as panleukopenia. Table 2. URT Disease Treatment

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