Addressing Skin Disease in Community Medicine Flashcards
who should you check for ear mites in?
cats»>dogs
black, dry debris
extremely itchy, positive pinnal/pedal reflex
what is an impression smear best for?
moist/exudative lesions
what are you looking for in a wood’s lamp exam?
apple green fluorescence of hair shafts
who should you treat fleas in?
every itchy pet
what can you use for acute itch relief?
steroids
oclacitinib
lokivetmab
bathing
who can you use antihistamines in?
dogs
cats
what are corticosteroids helpful in?
short-term flares/significant inflammation
what is oclacitinib/apoquel?
very effective anti-pruritic drug
janus kinase inhibitor- decreased cytokine activity
who can you use oclacitinib/apoquel in?
labeled in dogs
can be used in cats off-label
what is cytopoint/lokivetmab?
very effective anti-pruritic
monoclonal anti interleukin-31 antibody
what is cyclosporine/atopica?
calcineurin inhibitor- T cell activation
immunosuppressive and anti-inflammatory
effective long-term allergy management
what should you biopsy?
autoimmune
cancer
miscellaneous uncommon skin diseases
which slides should you consider?
skin cytology
ear cytology
skin scrape- mites
the same diseases that make pets itchy also predispose to __________
otitis
which slide should you not stain?
skin scrape
what is a good alternative to the skin scrape slide for places that are hard to scrape?
trichogram
when should you do a wood’s lamp exam?
cats
juvenile animals
high density settings
when should you think allergy?
if still itchy after treated for infection/fleas/mites
are environmental or food allergies more common?
environmental
food a bit more common in cats than dogs
what is lesion distribution like with demodex?
goggles
patchy, multifocal
what is the most common ingredient for bathing/topicals?
chlorhexidine
in whom are essential fatty acids safe?
dogs and cats
best source fish oil
what do antihistamines do?
H1 receptor blockers
mild itch or multi-modal treatment
what are corticosteroids useful in?
short-term flares or significant inflammation
what are the contraindications for apoquel/oclacitinib?
<1 year old
demodex
severe infection
who can you use cytopoint/lokivetmab in?
dogs only
is cytopoint/lokivetmab anti-itch and anti-inflammatory?
no- only anti-itch
how long does cytopoint/lokivetmab last?
4-8 weeks
who can you use atopica/cyclosporine in?
dogs and cats
only on-label option for cats