Simini Boards Cast

Chapter 99 - Part D: Tumor, Fungus, or Inflammation: The Big Three Causes

Simini Podcasts Season 1 Episode 132

Use Left/Right to seek, Home/End to jump to start or end. Hold shift to jump forward or backward.

0:00 | 21:01

In this BoardsCast episode, we continue Tobias Chapter 99 Nasal Planum, Nasal Cavity, and Sinuses by solving the #1 reason chronic nasal cases drag on forever:

People treat the symptom instead of the category.

Tobias Chapter 99 makes the framework brutally simple: most chronic nasal disease lives in three buckets — and your job is to sort the patient into the right bucket before you chase a microscopic diagnosis.

Tumor. Fungus. Inflammation.

You’ll learn:

  • The core rule: categorize first, diagnose second
  • Why clinical signs overlap (discharge, sneezing, stertor, epistaxis can mean any bucket) 
  • Tumor profile: older dogs, progressive/unilateral signs, locally invasive destruction 
  • Fungus profile: dogs = Aspergillus, cats = Cryptococcus, turbinate destruction + epistaxis 
  • Inflammation profile: lymphoplasmacytic/idiopathic rhinitis is common and often a diagnosis of exclusion 
  • Pattern clues (not diagnoses): unilateral → focal, bilateral → diffuse; facial deformity raises tumor suspicion 
  • The non-negotiables: CT + rhinoscopy + biopsy (cultures alone waste time) 

Bottom line: If you can sort the bucket, you stop wasting months.

🎁 Simini Bonus

Claim your free sample of Simini Protect Lavage (just cover shipping):
https://www.simini.com/evaluation-kit

Listen On: Spotify | Apple Podcasts | Amazon Music