Approach to Dermatology Patient Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

DAMNITV

A

Degenerative
Anomalous
Metabolic
Nutritional/neoplasia
Iatrogenic/Immune-mediated/Infectious
Toxic/Traumatic
Vascular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Most common DAMNITV categories for skin disease

A

Metabolic
Neoplastic
Immune-mediated
Infectious
Traumatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Overview of clinical approach to dermatology patient

A
  1. Signalment
  2. History
  3. Clinical exam
  4. Differential diagnosis
  5. Initial diagnostic tests
  6. Diagnosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  1. Signalment
A

Age
Breed
Sex
Species

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Age

A

Age at onset vs age now
Immature animals - immunologically immature
□ Demodicosis
□ Dermatophytosis
□ Viral papillomas
Young adult
□ Environmental atopy
Older animal
□ Endocrinopathies
Hypothyroidism
Hyperadrenocorticism
□ Other systemic diseases
□ Neoplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Sex

A

○ Entire male
Endocrine changes from testicular neoplasia
○ Entire female
Post-whelping bitch can suffer temporary generalised alopecia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Breed dispositions

A

Welsh ponies – Culicoides hypersensitivity
Feathered horses/ponies – Chorioptic mange
Persian cats, Yorkshire terriers – dermatophytosis
Staffordshire Bull Terriers, Shar Peis, Bullogs – demodicosis
Shar Peis, French/English bulldogs, Labradors (+ others!) – environmental atopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  1. History
A

General health history
Lifestyle/management
Dermatological history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

General health history

A

○ Underlying systemic disease
PUPD in hyperadrenocorticism
○ Systemic disease that may affect diagnostic or treatment plan
Concurrent cardiac failure
○ Drug history
Cutaneous drug reaction/intolerance
Iatrogenic effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Lifestyle/management

A

○ Housed/stabled
Lice, dermatophytosis more common in housed farm animals/horses
Chorioptes more common in stabled horses
Culicoides hypersensitivity more common if out at grass at dawn/dusk
○ Nature of environment
Dermatophilosis (rain scald/mud fever) more common in wet conditions
○ Recent introductions to group
○ Contact with other species
○ Hunting terriers
More prone to trichophyton dermatophyte infections
○ Hunting cats
Risk of cowpox

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Dermatological history

A

○ Details of in-contact animals
Skin problems?
○ Lesions on in-contact people?
○ Past dermatological history
Age of onset of initial episode
○ Onset of current problem
When?
Nature of lesions?
Areas of body affected by lesions/pruritus?
Progression?
Seasonality?
○ How long owned?
○ Treatments given and response
○ Travelled abroad?
○ Ectoparasite control? What and when?
○ Exposure to potential sources of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  1. Clinical Examination
A

General health exam
Dermatological exam
Record findings accurately for clinical notes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

General health exam

A

○ Signs of systemic disease
□ Underlie dermatological disease
□ Affect diagnostic approach
□ Affect treatment of skin
○ Signs associated with dermatological disease
□ Lymphadenopathy (reactive) secondary to demodicosis, severe inflammation
□ Lymphadenopathy from metastasis of skin neoplasm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Dermatological exam

A

○ Adequate restraint and good lighting
○ Be systematic
Do not just look at areas noticed by owners!
Remember
□ Areas that are harder to access – e.g. under tail, inguinum
□ Mucocutaneous junctions
□ All feet, including undersides
□ Ears
○ Feet and smell coat too
○ Look at skin beneath hair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly