Abstract:Results suggested that epistaxis was a common disorder in dogs and frequently regarded as an emergency. Local causes of epistaxis were predominant, but clinical features traditionally thought to be helpful in distinguishing local versus systemic causes could not be reliably used for this purpose.
“…These findings indicate that aetiologies are not necessarily associated with certain discharge qualities, but recurring patterns can be recognised. Although one study reported no correlation between underlying diseases and clinical signs (Meler et al 2008), a frequent association between NNP and mainly haemorrhagic discharge has been described, which is similar to the present findings (Tasker et al 1999, Lefebvre et al 2005, Rassnick et al 2006, Bissett et al 2007, Lobetti 2009, Turek & Lana 2013.…”
Characteristics of nasal discharge and associated clinical signs might aid in planning the diagnostic approach, but a combination of diagnostic techniques is still required to confirm a diagnosis.
“…These findings indicate that aetiologies are not necessarily associated with certain discharge qualities, but recurring patterns can be recognised. Although one study reported no correlation between underlying diseases and clinical signs (Meler et al 2008), a frequent association between NNP and mainly haemorrhagic discharge has been described, which is similar to the present findings (Tasker et al 1999, Lefebvre et al 2005, Rassnick et al 2006, Bissett et al 2007, Lobetti 2009, Turek & Lana 2013.…”
Characteristics of nasal discharge and associated clinical signs might aid in planning the diagnostic approach, but a combination of diagnostic techniques is still required to confirm a diagnosis.
“…Furthermore, cats with secondary hypertension because of other causes (eg, CKD) may die of cardiovascular complications, as frequently is the case in hypertensive people . Epistaxis, because of hypertension‐induced vascular abnormalities, has been associated with systemic hypertension but hypertension rarely is the primary cause of epistaxis in either species . Aortic aneurysm and aortic dissection are rare and serious complications of hypertension reported in both dogs and cats, and typically require a high index of suspicion and advanced imaging to diagnose …”
An update to the 2007 American College of Veterinary Internal Medicine (ACVIM) consensus statement on the identification, evaluation, and management of systemic hypertension in dogs and cats was presented at the 2017 ACVIM Forum in National Harbor, MD. The updated consensus statement is presented here. The consensus statement aims to provide guidance on appropriate diagnosis and treatment of hypertension in dogs and cats.
“…We have identified in our patients seven major risk factors. Very different causes, comorbidities and risk factors are given in the literature [1,3,7,10,12,14,22,27]. This is an indication that the pathogenesis of nosebleed is still not fully resolved.…”
Section: Discussionmentioning
confidence: 92%
“…In the literature, there are only a few studies which take the laterality of epistaxis into account [2,3,11,12,25]. Most studies do not register laterality in their statistical surveys [2,6,7,10,13,15,17,19,22,23,28].…”
Lateralization of primary epistaxis was prospectively studied in 326 patients at Radebeul Elblandklinikum. The male-female-ratio was 1.3:1. A slight dominance of the right side (45% right vs. 39% left) was found in all patients. Further analyzed were the relationship to the localization of bleeding (anterior or posterior), the age and possible causes or risk factors. Nose bleeding from the posterior nasal portion appears to be statistically significantly higher than on both sides of anterior epistaxis. No statistically significant age dependence of laterality of epistaxis was observed in the age groups which we selected. However, nosebleed appears more frequently in women under the age of 50 years in both nostrils. With identified risk factors, idiopathic epistaxis occurs more frequently on the right side than does nosebleed. Mechanical trauma (intranasal sprays or nose picking) is a possible factor explaining the dominance of epistaxis on the right side, especially in idiopathic cases.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.