Clinical Approach to Pruritus Flashcards

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1
Q

what triggers acute itch in the brain?

A

histaminergic nerves

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2
Q

what triggers chronic itch in the brain?

A

non-histaminergic nerves

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3
Q

how does pain affect itch?

A

inhibits itch

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4
Q

what infectious diseases cause pruritus in equines?

A

dermatophytosis
bacterial folliculitis
dermatophytosis
coital exanthema

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5
Q

what makes pruritus chronic?

A

> 6 weeks

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6
Q

what triggers chronic itch in the brain?

A

non-histaminergic nerves

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7
Q

what do subcutaneous diseases usually induce?

A

pain
not itch

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8
Q

what is pruritic threshold?

A

particular individual able to withstand a certain level of pruritus without scratching

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9
Q

are pruritic stimuli additive?

A

usually

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10
Q

what happens with time with pruritus?

A

lichenification
hyperpigmentation

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11
Q

what are the clinical manifestations of itch?

A

rubbing
licking, chewing, nibbling
scratching
weight loss, sleep disturbances, lethargy, decreased appetite, decreased performance

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12
Q

what is the order of rule-outs for an itchy dog?

A

rule out/treat ectoparasites
rule out/treat secondary infections
allergies: food trial if nonseasonal

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13
Q

what parasitic diseases can cause pruritus in equines?

A

culicoides
stomoxys- haematobia
chorioptes
lice
oxyuriasis

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14
Q

what can cause facial pruritus in equines?

A

atopic dermatitis
food allergy
black flies

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15
Q

what are the cutaneous reaction patterns in the allergic horse?

A

symmetrical pruritus
urticaria
sterile esoinophilic folliculitis
eosinophilic granuloma
combination

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16
Q

what is dermatographism?

A

urticarial eruption upon scratching the skin

17
Q

how does urticaria respond to pressure?

A

pit on pressure due to dermal edema
transient