Internal Medicine: Nook
Nook, a five-year old neutered male Siberian Husky, presented to the Internal Medicine Service as an emergent referral in February, 2006. Earlier, Nook had been scheduled for further evaluation of a six-month history of chronic unilateral right-sided nasal discharge and facial pain. In the two weeks prior to referral, Nook suffered several episodes of unilateral right-sided epistaxis and increasing nasal discharge resulting in a rapidly dropping hematocrit, hence his referral status was upgraded to emergent. His medical history did not indicate prior health issues, particularly bleeding problems or coagulopathy.
In September 2005, Nook developed thick unilateral right-sided nasal discharge, which, at that point, was not bloody. In October, his family veterinarian arranged for a nasal CT scan, rhinoscopy and nasal biopsy which were performed locally. At that time, the abnormalities noted on nasal CT by the consulting Radiologist consisted of increased soft tissue/fluid surrounding his nasal turbinates … Continue reading “Rounds”