Simini Boards Cast

Chapter 99 - Part C: Sneezing Isn’t a Diagnosis: The Diagnostic Approach

Simini Podcasts Season 1 Episode 131

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0:00 | 17:09

In this BoardsCast episode, we continue Tobias Chapter 99 — Nasal Planum, Nasal Cavity, and Sinuses with the most important diagnostic framework in upper airway medicine:

Sneezing isn’t a diagnosis. It’s an alarm.

This episode builds the board-safe model that stops symptom-chasing and starts winning cases:

Nasal disease is solved by localization first, diagnosis second.

You’ll learn:

  • Why nasal signs are “shared alarms” across wildly different diseases
  • The 3 regions to localize: nasal cavity / nasopharynx / sinuses
  • Pattern rules: unilateral = focal, bilateral = diffuse (with the “advanced tumor breaks the septum” caveat)
  • Why epistaxis raises suspicion for destructive disease (fungus/neoplasia)
  • Why stertor points to obstruction (often nasopharynx in cats)
  • Why CT + scope + biopsy are the real workup (and why cultures often mislead)

Key takeaway: Stop naming the disease from the symptom. Use the symptom to find the location.

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