The dog is an indoor pet that only goes outside while on a leash. Two years ago, the dog had trauma to the left eye; she underwent enucleation and had a prosthetic globe placed.
Two months ago, a mucoid nasal discharge from the right nostril was noted. A 10-day course of antibiotics (amoxicillin/clavulanate, 13.75 mg/kg PO Q 12 H) was prescribed by the local veterinarian and the discharge resolved.
Two weeks ago, the owner noticed that the discharge had recurred and was now hemorrhagic. In the past week, the owners noted 2 episodes of mild epistaxis that resolved without treatment. The owners reported no coughing or sneezing and a normal appetite and activity level.