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92 Cards in this Set

  • Front
  • Back

Walking dandruff cause?




who does it impact?




contagious?

surface dwelling mite (Cheyleteilla)




puppies, kittens, rabbit, and human




possibly zoonotic, different species-specific

clinical signs of Cheyleteilla?








in humans?

mild pruitis




dorsal midline head, neck, trunk




asymptomatic carriers are possible




forearm, waistband, trunk

diagnosis of walking dandruff

scotch tape- broad surface areas




mineral oil on slide 1st, put tape on 2nd




fecal float

what might you include in your work-up if you suspect Otitis Media or Interna?

cranial nerve exam

how to perform a full cytological evaluation on an ear?

direct impression of pinna




swab of canal




diff quick

you find a small number of cocci and malassezia on an ear cytology- what is your diagnosis?

normal

indications for a culture and Se?

treatment failure


ruptured tympanum


neurological signs

culture and Se- what to remember when interpreting MIC of pathogens in your ear sample?

MIC is for serum level susceptibility


-> topical products have higher concentrations and can likely kill better than indicated on results





what is a myringotomy?




indications?

punture tympanic membrane and flush middle ear




poor therapy response


otitis media


mass or foreign body removal

tx for an ear with servere erythema, pain, glandular hyperplasia, stenosis, purulence

prednisone PO BID


2 weeks moderate cases, 4 weeks severe


taper q24 X7d and then q48 X7d

topical steroids for an intermediate case of otitis?

triamcinolone acetate




Dexamethasone (tresaderm)



otitis: tx agressively or conservatively with antibiotics?




what should you pair antibiotics with?

conservatively- work your way up based on true treatment failure




an ear soln w/ Triz-EDTA- alkaline enviro synergistic, punches hole in bacteria

good antibiotics for cocci?

Iodine (xenodine- dogs only)


neomycin


gentamycin

good antibiotics for rods?

cocci antibiotics+


amikacin


tobramycin


**Polymicxin B




AFTER C/S: flouroquinolones

yeast cleanser compliments

Acetic acid- (but triz ultra if mixed)


chlorhex


refractory: ketokonazole

yeast tx

miconazole


thiabendazole (tresaderm)- not malassezia


terbanafine




nystatin- candida





cleansers:




for cerumen




astringents

klearortic, EpiOtic advanced




MalAcetic, Burrow's solution

otodectes tx

ivermectin, milbemycin (2 wks apart)


revolution (selemectin)

sarcoptes tx




demedex tx

revolution, moxidectin q2wk X3




thiabendazole (tresaderm)

when should you schedule a recheck for otitis?

std: 3-4 wks




complicated: 1-2 weeks

how much liquid should be superscribed per dose per otitis patient?

small: 0.5mL




med: 0.75mL




lg: 1mL

otitis media tx

oral pred




oral antibiotics (wait for C/S) X 6-8wks




oral antifungal X 6-8wks

3 patterns in eosinophilic granulomas

rodent ulcer


plaque


linear granuloma

eosinophilic granuloma is a dx of ________?

exclusion

eosinophilic granuloma possible causes?

allergies and infection

rodent ulcer




R/O?

red-brown


upper lip




SCC

what to test for if you have a rodent ulcer?

herpes, calici PCR




FeLV, FIV, tests, FIP titer

rodent ulcer dx

serum IgE testing




elimination diet



herpes/ calici-assoc eosin gran tx




allery-assoc tx?




all?

lysine granules




flea tx, ASIT, hypoallergenic diet




GCCs (DepoMedrol)

non-responsive rodent ulcer tx

Amoxicillin/Clavulanate




progesterones- Meg. acetate




intralesional Triamcinolone

eosinophilic plaque cause




signs?




dx?

food allergy




abd/medial thighs symmetrical


raised, moist




serum IgE, elim diet

linear granuloma- 3 forms and causes?




dx?

bridge nose/pinnae-> insect bites




caudal/medial thigh-> idiopathic




oral-> food allergy




elim diet trial

sebaceous adentitis long haired breeds- signs

poodles- hair loss


Akitas-severe systemic illness




head, trunk, tail, ears


dull, brittle, straightned hair, scaling


follicular casts


non-pruritic/maloderous (except if secondary pyoderm)

sebaceous adentitis short haired breeds- signs

viszla, wimeriner, dachshund, min pin




head, pinnae, neck


nonpuritic


circumscribed to anular focal areas of alopecia


some scaling


no casts


nodular periadenexal dermal and pannicular dermatits (NPDPD)

sebaceous adentitis tx

anti-sebboreic


propylene glycol


bath oil


+/- FAs, Vit A (or systemic retinoids)




severe: cyclosporine + cerenia

long hair SA histo




short hair?

(pyo) granulomotous infiltrate


chronic- fibrotic loss of sebaceous glands




can extend to apocrine gland and panniculus

nodule- where do they come from?




papules

raised circular lesion into dermis (> 0.5cm)


from neoplastic or inflammatory infiltrate




same but < 0.5cm



does pus indiate inflammation?




can you do a do a cytology on a non-intact nodule?




histo

nope




yep- but not preffered

which cultures to submit for macerated tissue?

aerobic and anaerobic


fungal


mycobacterium

feline atypical mycobacteria panniculitis- source?




signs

in soil/water




fat, young female cats


rapidly growing non tuberculosis

feline atypical mycobacteria panniculitis: 3 syndromes

mycobacteria panniculitis




Disseminated dz




pyogranulomotous lobar pneumonia

mycobacteria panniculitis- cause




dx




tx

cat fight




fistulous wound that won't heal


caudal inguinal lumbar region




Zeihl-Nelson stain


antibiotics

cutaneous sporotrichosis cause and signs- cats

yeast proliferates in tissue




intact male cats


head, tail, limbs


abcess


ulcers drain and crust


find organism in lesion and feces




ZOONOTIC and gloves


wash w/chlorhex too

cutaneous sporotrichosis signs- dogs



firm nodules, ulcerated plaques, alopecia


lymphocutaneous form-> distal limb nodules and chain of lymphatics

cutaneous sporotrichosis dx

FNA: pleiomorphic cigar-shaped yeast




PAS Gm stain




culture

cutaneous sporotrichosis tx

canine: potassium iodide or ketoconazole




feline: itraconazole

k9 reactive histiocytosis- cause




forms?

proliferation of dendritic cells probably




cutaneous and systemic

k9 reactive histiocytosis cutaneous signs




dx


tx





mid- older collie/shetland sheepdog


waxing and waning


nodules, ulcers, alopecia




dx by exclusion




can regress spontaneously


immunosuppression

k9 reactive histiocytosis systemic signs




tx

young bernese mtn dog




nodules, ulcers, alopecia


LN, lung, liver, spleen, BM dissemination


constitutuonal: anorex, wt loss, stertor


can be rapidly progressive




immunosupp- guarded to grave

seasonal crusty pruritus cause


rat tail and wt loss




cause?

culicoides allergy




type 1 hyperSe IgE- mast and plasma cell increases





common allergy dermatitis horse dx



esoninophilic infiltrate
skin scrape to R/O other things

common allergy dermatitis horse tx

fly ctl/ mosquito dunks-thuringienesis israelensis


fans


feed-throughs- manure ctl of larvae


methoprene- growth reg.


diflunemzuron and cryomazine


steroids- pred


if secondary folliculitus, antibiotics

atopic dermatitis cause




signs

IgE response- parasites, ML vaccines, pollutants, mites




young TBs and Arabians


transepidermal water loss


pruritus and urticaria


ventrum and legs


pigmentation change


rub, stomp, tail flick (rare head shaking)

equine atopic dermatitis dx




what would a positive IDT?




will this work for food allergy?

intradermal testing




the patient has Abs- doesn't prove clinical allergy




NO

equine atopic dermatitis tx

none curative


avoid allergens, ectoparasite ctl, baths


secondary infect tx


pred, antihist, pentoxifylline




ASIT if > 4-6 mo unsuccessful tx

equine food hyperSe signs

often younger horses


pruritus/utricaria


face, neck, tail, rump

equine food hyperSe dx

challenge test


diet trial- relapse 12h-7d




NOT IDT/ELISA!!!

Eq dermatophytosis- signs

trichophyton equirum




face, neck, girth


easily epilated hair


non-pruritic



Eq dermatophytosis dx

Wood's lamp


fungal culture




Histo- spores and hyphae

Eq dermatophytosis tx

eniconazole


sun and nutrition




if bad- systemic keta/itraconazole


grisofulvin- not prego though

non-infected pus/skin under crusts
painful

transmitted by flies and ticks

which equine dz?

Dermatophitosis (rain rot)




dermatophilus congolensis

Dermatophitosis dx




tx

orgs, alt bands of para/ortho keratic keratin




dry out and prevent re-infection

muzzle and lip, genitals (imunosuppressed), bilat ears/thighs- headshaking (>2 yrs)


many 1mm papules




equine dz?

papillomatosis (virus)

Eq papillomatosis transmission

needs damaged skin-> direct contact/fomites




lack of humoral immunity prevents new infect





Eq papillomatosis tx

genital: vaccine- only for prevention




ear: aldera

summer sores- cause

habronemiasis
H. muscae, maius, drochia megato

muscid fly transmitted larvae
dies in an existing wound or on mucus membranes

summer sores- signs




dx




tx

seasonal


face/penile wound




impression smears




Ivermectin



oncocerciasis (nuchal ligament worm)- signs




tx?

type 1 and 3 HyperSe


dead microfillaria


pruritus




sx- pull out slowly!


ivermectin, moxidectin, fenbendazole

limb, abd, neck, lips, nose


single lesion


sticky/stringy d/c




horse dx?

pythiosis


pythium insidiosum (aquatic fungi)



pythiosis tx

sx and potassium iodide

central america


weak, depr., fever


large cysts




equine dz?

besnoitoisis

PF horses- histo?




tx?




prognosis?

subcornual pustules, acantholytic cells




immunosuppressives, less sun




better in juveniles

equine sarcoids (benign SC) breeds

Apps, QH, Arabs

equine sarcoids forms?

occult- round alopecia, hyperkaratotic


face


varrucose- wart-like alopecic, scaly


face, body , sheath


noduar- firm, moveable, up to 100s


eye, sheath, groin


fibroblastic- pedunculated, fleshy/ulcerated


sheath, lower leg, groin, eyelid


malignant- mets rare

equine sarcoids tx

5-Flouracil

HERDA

genetic- autosomal reccive- QHs


loose, wrinkly skin

DAWGS


superficial necrolytic dermatis- pathophys

end stage liver dz


hypoaminoacidemia (in all idiopath hepatocell collapse)


huge drop in amino acids

BCAA: AAA indicator of?

hepatic insufficiency ( increased=bad)

causes of liver dz

cirrosis


drug induced


idiopath hepatocell collapse

condns causing low AA (usually via liver dz)

pancreatic adenocarc


diabetes


thymic amyloidosis (Fe)

hyoerkeratosis and fissuring of nose and elbow/ pads callouses


can have lack of systemic signs


secondary infects- staph, pseudo, malass,




name that dz?

superficial necrolytic dermatis

idiopathic hepatocell collapse- signs

liver enzymes normal


hypoalbuinemia


hyperglycemia




small liver, swiss cheese pattern

idiopathic hepatocell collapse- dx

serum AAs- low




direct inmpression- secondary infects




red- parakeratosis


white- edema


blue- hyperplasia

general tx:


staph




cocci/rods




yeast

ceph/cipro/marbo




chlorhex, benzoyl peroxides




chlohex/miconazole

superficial necrolytic dermatistx

S-adenosylmethionine (denamerin))


uradiol (choleretic), marin (hepatoprotectant)


high protein


FAs


Zn


AAs- won't improve feet lesions though

superficial necrolytic dermatis prognosis

guarded-> grave

pastern dermatitis- 3 types

dry (scratches)- alopecia, erythema, scales/crust




moist (greasy)- "" + purulent dx




chronic- granulation tissue

immune form pastern dermatitis- cause?




tx?

phototoxicity-> vasculitis


white lower limb and muzzle


photodermatitis- sun overdose


photoSe- St. John's wort


photocontact




steroids

primary vs. secondary phototoxicity?

primary- contact




secondary- liver damage to prevent excretion of phylloerythrin-> toxic w/ UV light

feline paraneoplastic alopecia- signs




tx?

old cat


pancreatic carcinoma- systemically sick


ventrum/legs/periorb/footpads


erythema/scaling


moist/shiny




partial pancreatectomy

thymoma associated exfoliative dermatitis




cause?




tx?

mid-old cats


autoreactive T-cells in skin


erythema, exfoliation, alopecia




sx excision

symmetrical lupoid onchodystrophy

GSDs




nail sloughing




mascerated tissue culture




underlying dz- vit E, tet/niacinamide