Veterinary Clinical Medicine-I (General and Systemic)

TONSILLAR AND LARYNGEAL DISORDERS

Tonsillar and Laryngeal Disorders

Tonsilitis

• Palastine Tonsils, Pharyn, Tonsil
  • Prevent micro organism entry
  • Help formation of lymphocytes
  • Infected tonsils provide nidus for dissemination of infection
  • Tonsillar hyperplasia normal in pups

Acute Tonsillitis

• Etio - Bact. strep. hemolyticus common
• Symp - Hyperplasia to hyperemia
• Necrotic focci to grayish exudate
  • Anorexia, dysphagia, emesis, fever, pain, drooling. lymph N.
• Dx - Clinical signs - Inspec & Palpation, Culture
• Rx - AB, paint with KMNO 4 , 10% AgHO 3 ,
• Iodinated glycerine, Boroglycerine

Chronic Tonsillitis

• Etio - Sequlae to acute, or CD
• More in mature and older dogs
• Signs - Same as acute
• Dx - same as acute
• Rx - Tonsillectomy, medical

Tonsillar Neoplasms

• Etiopath - Epitheliomas, Sq. cell. carc.
• Regional spread to lymph N.
• Signs - Same as in acute tonsillitis size, hemorrhage
• Dx - Inspec. palp. Cytology, Biopsy
• Rx - Surgery, radiation. Chest x-ray

Laryngitis

• Etiopath - Excess barking, irritation, virus
• From surrounding area
• Signs - Change in voice, fever? coughing at deglutation, drooling?
• Dx - MDB, gurgling sound on ausc.
• Rx - Control barking, AB

Laryngeal Edema/Stenosis/Fract.

• Etiopath - Following surgery, brachyceph.
  • Trauma - bite
• Signs - Snoring, Insp. dyspnea, gurgling
• Wheezing as in laryngitis
• Dx - MDS
• Rx - Proper breathing, steroids
• Surgery, Tranquilizers, diuretics, AB

Laryngeal Neoplasia

• Etiopath - Uncommon, polyp. Adenoma
• Adenocarc., mast cell, lymphosarc.
• Signs - Change in voice, cough, wheezing, etc.
• Dx - MDB, cytology, biopsy
• Rx - Surgery