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26 Cards in this Set
- Front
- Back
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What are effective Malassezia topical therapy
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-Selenium disulfide
-Chlorhexidine -Miconazole -clotrimazole -enilconazole -ketconazole -nystain |
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What does frequency of Malassezia topical therapy depend on
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severity of disease
location of infection owner compliance other therapy |
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What are keys to Malassezia shampoo therapy
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-Se sulfide to reduce greasiness
-antifungal to clear yeast 10 min contact time luke cool water 3x / week sole therapy 1-2x / week adjunct therapy may alternate with anti-bacterial shampoo |
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what is systemic antifungal therapy
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Ketoconazole
itraconazole fluconazole terbinafine |
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when is systemic antifungal therapy indicated
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owner cant manage bathing or topicals
severe infections cutaneous and otic infections topical rxn to shampoo |
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how long do you treat Malassezia infections
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21-30 days
treat until 0-1 findings |
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What are key points of Malassezia treatment
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therapy should never be completely discontinued
maintenance therapy needed look for primary (why) factor |
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How do you Tx bacterial infection
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topical benzoyl peroxide
oral cephalexin |
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How do you manage pyoderma
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-diagnosis
-consider all therapeutic options and best practices -needs to be done PRIOR to adressing underlying factor |
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What do you address in follow up exam
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-History
treatment efficacy current CS -repeat derm stat base -consider next treatment phase -good client ed |
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How do you ID primary factor
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-allergy testing
-dietary trials -endocrine eval -skin biopsy -environmental isolation |
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What are limitations of allergy tests
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-NOT definitive test of allergy presence
-No test is completely sensitive and specific -should not be used as screening test for allergy |
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What DOES allergy testing do
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confirms allergy
give data for hyposensitization |
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What does intradermal skin testing do
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-measure IgE in skin
-requires drug withdrawl -sedation required -can get false (-) -time and inventroy invested |
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What does serologic testing do
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-measure IgE in serum
-drug withdrawl? -no sedation -can get false (+) -minimum time and inventory |
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When should you NOT perform a allergy test
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within 2 mos of vaccination
can result in false (+) |
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You get a (-) allergy test
what does it mean |
DO NOT mean the patient is NOT allergic
only 70% accuracy |
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what can cause false (-) allergy test
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-allergic to something not included in test
-interference (drugs) -Poor technique -allergens out of date |
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What do you do when you suspect false (-) allergy test
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retest at later date: 3-6 mos
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When should you perform biopsy
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tumor
papule pustule masses scaling erythema draining tract ulcer |
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What primary disease can biopsy ID
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sebaceous adenitis
cutaneous lymphoma |
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What can a fecal float detect
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Sarcoptes
Demodex cheyletiella Low sensitivity |
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When is isolation done
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help ID indoor antigens specific to a home
board pet for 7-10 days bath upon entry does go outside no owner visits |
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What are therpeutic options - can be used as diagnostic test
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-Scabicides
-Antibacterials -Glucocorticoids -Hypoallergenic diet -hormone replacement - thyroid |
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What are goal of therapy
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make patient comfortable
ID underlying condition |
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What drug therapy can be used as a diagnostic test
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Glucocorticods
atopy will respond to SID in 5 days if 2ary disease controlled some food adverse pets will too |
