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Sm Animal Quiz 4

Lecture 7: Skin and Otic Disorders

QuestionAnswer
pruritus itchy skin
erythema reddening of skin
alopecia hair loss
crusting scabs
collarette lesion 'bullseye' lesion indicating infection
papule red spot on skin
pustule red spot on skin filled with pus
pyoderma infection of skin
dermatitis inflammation of skin
hyperpigmentation darkening of skin indicating chronic inflammation
lichenification thickened skin indicating chronic inflammation
wheals hives
intertrigo infection/inflammation in skin folds
pododermatitis inflammation/infection of skin between toes
Flea Allergy Dermatitis (FAD) allergic reaction to bites of fleas; infestation not necessary, can be a few bites
FAD SYMPTOMS pruritus, crusts, erythemic skin, hair loss, not on flea prevention; 'pants' area affected
FAD PE FINDINGS hair loss over hips/tail base/medial thighs/flanks, fleas/flea dirt in coat, tapeworm segments at rectum
FAD TREATMENT flea prevention/control, need prevention for at least a few weeks, treat all animals in the household, treat underlying infection, control pruritus (steroids, Apoquel, OTC antihistamines)
Atopy/Atopic Dermatitis (AD) allergic skin disease, inherited predisposition, signs appear between 1 and 3 years of age, can be food or environmental allergies
AD SYMPTOMS pruritus, licking, alopecia, erythema, papules, crusting; often face, ears, feet, axilla, groin, flanks
feline AD SYMPTOMS crusting lesions between eyes/ears or periorbital skin; called MILIARY DERMATITIS
AD DIAGNOSIS usually by exclusion, RULE OUT underlying FAD or secondary infection, allergy testing, location of lesions, seasonality
AD TREATMENT control pruritus, treat infection, reduce exposure to allergens, immunotherapy (cytopoint, allergy drops, infections), oral supplements
Otitis Externa (OE) inflammation or infection in ears; bacterial, fungal (yeast), allergic, or parasitic (Otodectes ear mites)
OE SYMPTOMS scratching/rubbing ears, shaking head, odor and/or discharge from ears, head tilt, painful when ears/head handled, seasonal component, swimming
OE PE FINDINGS erythema, crusting, swelling of canals, discharge or debris on swab from canal
OE DIAGNOSIS otic examination, ear cytology
OE TREATMENT treat underlying cause (topical medication), frequent ear flushing, underlying allergic disease (food/environment)
Aural Hematoma swelling of pinna; traumatic rupturing of blood vessel inside pinna, usually underlying infection/allergy
Aural Hematoma SYMPTOMS swollen ear, painful ear, shaking head, scratching at ear
Aural Hematoma PE FINDINGS soft, fluctuant swelling of pinna, may be complete or partial, erythema or debris in ear
Aural Hematoma TREATMENT surgical (drain, cannula, incisional), or medical (treat underlying infection with oral or otic antibiotics/antifungals, control inflammation)
Aural Hematoma PREVENTION treat at first sign of infection, don't let your dog hang it's head out the window
Pyotraumatic Dermatitis 'HOT SPOT'; area of moist, crusting dermatitis caused by a break in the skin in which opportunistic bacteria can cause infection
Pyotraumatic Dermatitis SYMPTOMS/PE FINDINGS most frequently in large breed/long coated dogs (GOLDEN RETRIEVERS); pruritic/crusty patch on skin, face/below or around ears other skin folds, warmer seasons, possible history of allergies, fleas/flea dirt
Pyotraumatic Dermatitis TREATMENT clip/clean/scrub area, topical sprays, oral antibiotics, oral/injectable medication to control pruritus (steroids, Apoquel)
Pyotraumatic Dermatitis PREVENTION dry dogs completely after bathing/swimming, treat underlying atopy, trim hair short, flea preventatives
Impetigo 'puppy pyoderma'; dermatitis of young puppies (<4 mos of age)
Impetigo SYMPTOMS/PE FINDINGS varying degrees of pruritus, papules/collarettes/erythema usually on groin, medial thighs, belly
Impetigo TREATMENT usually self-limiting, topical cleansers, oral antibiotics if severe
Impetigo PREVENTION regular cleansing, drying puppy thoroughly after bathing/swimming
Pyschogenic Overgrooming hair loss caused by overgrooming; usually due to underlying stress/anxiety, usually exclusively in CATS
Psychogenic Overgrooming SYMPTOMS/PE FINDINGS hair loss around groin/belly/lateral limbs, vomiting hairballs, may be skin lesions (crusts, erythema), may be accompanied by inappropriate urinations
Psychogenic Overgrooming DIAGNOSIS by EXCLUSION, treat for FAD and ATOPY first then think psychogenic overgrooming
Psychogenic Overgrooming TREATMENT treat any underlying issues first, control fleas, oral/injectable antibiotics; oral/injectable steroids WITH CAUTION, stress/anxiety management
Acral Lick Granuloma/Dermatitis lesions usually located @ the distal part of one of the limbs, caused or worsened by obsessive licking
ALG/D SYMPTOMS/PE FINDINGS area of swollen, moist, crusting dermatitis on distal limbs (carpus, dorsal paw, tarsus), area may become lichenified/alopecic, history of atopy/anxiety
ALG/D TREATMENT very difficult to resolve 100%, control secondary infection, control pruritus, control anxiety, prevent licking, can try surgical removal but pt may begin licking elsewhere, intralesional injection of steroids/acupuncture/laser therapy
Created by: mkroon26
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