NAVLE Respiratory

Canine Nasal Disease Study Guide

Nasal disease represents a common yet diagnostically challenging condition in veterinary practice. The canine nasal cavity is a complex structure lined with highly vascular mucosa and delicate turbinate bones that serve crucial respiratory and...

Overview and Clinical Importance

Nasal disease represents a common yet diagnostically challenging condition in veterinary practice. The canine nasal cavity is a complex structure lined with highly vascular mucosa and delicate turbinate bones that serve crucial respiratory and olfactory functions. Chronic nasal discharge is one of the most frequent presenting complaints, with multiple etiologies including neoplasia, fungal infection (aspergillosis), foreign bodies, inflammatory rhinitis, and dental disease. Understanding the diagnostic approach and key differentiating features of each condition is essential for NAVLE success and clinical practice.

Clinical Sign Clinical Significance
Nasal Discharge Character varies: serous (allergic/viral), mucopurulent (bacterial/chronic), hemorrhagic (neoplasia/fungal/FB). Unilateral suggests local disease; bilateral may indicate systemic or advanced local disease.
Epistaxis Most common causes: nasal neoplasia (35%), trauma (33%), idiopathic rhinitis (20%). Dogs with epistaxis and neoplasia have poorer prognosis (median survival 3 months vs 7.5 months without).
Sneezing Acute paroxysmal sneezing classic for foreign body. Chronic sneezing more consistent with inflammatory or neoplastic disease.
Facial Deformity Highly suggestive of neoplasia or advanced fungal disease. Indicates bone destruction and extension beyond nasal cavity.
Nasal Planum Changes Depigmentation and ulceration characteristic of aspergillosis. Crusting seen with chronic discharge.
Stertor/Stridor Indicates nasal obstruction. Stertor = snoring (nasopharyngeal); Stridor = high-pitched (laryngeal). Reduced nasal airflow on physical exam.

Nasal Anatomy Review

The canine nasal cavity extends from the external nares to the choanae (caudal openings into nasopharynx). The nasal septum divides it into two halves. Key anatomical structures include:

Nasal Turbinates (Conchae)

Dorsal nasal concha: Extends from ethmoid plate to nasal vestibule; longest turbinate

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