Dermatolog Flashcards

1
Q

Treatment of neotrombicula autmalis

A

Harvest mites can be asymptomatic to severely pruritic,

If asymptomatic don’t treat but NO LICENCED treatment. Fipronil off licence

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2
Q

Harvest mite hypersensitive horse.. Which location?

A

Horse eating grass therefore facial pruitis when hypersensitive to harvest mites

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3
Q

Cheyletiellosis clinical signs

A
Scaling 'walking dandruff'
Pruitis
Primarily dorsal trunk
In Dogs/Cats/Rabbits
ZOONOSIS
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4
Q

Treatment of Cheyletiellosis

A

Non licenced by selecmectin for 4 weeks!!

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5
Q

Which dog is especially predisposed to demodicosis

A

Probably inherited predisposition- should not breed from them
STAFFORDSHIRE BULL TERRIER v. predisposed,

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6
Q

Treatment of Demidocosis

A

Expect minimum of 12 weeks of treatment. Repeat plucks reg. 2 negative scapes two weeks apart.
Avoid steroids as it supresses immune system.
Ivermectin- not collies
-Avermectin (doramectin/ milbemycin)
OR TOPICAL Amitraz shampoo

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7
Q

Which skin disorders are steroids contraindicated?

A

Deep pyoderma,

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8
Q

Which species get sarcoptic mange?

A

Intensely pruitis caused by sarcoptese ‘scabes’
Common in dogs
Rare in cats
Very rare in horses (notifable)

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9
Q

What type of mite is Sarcoptes?

A

Burrowing mite hence intense pruitis.

Primary lesion is crusted papules.

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10
Q

Flea bite hypersensitivity

A

Caused by flea saliva (contains anticoagulant)

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11
Q

Define hypersensitivity

A

Objectively reproducible signs

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12
Q

What is Anioedema

A

Marked localised subcutaneous oedema

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13
Q

How to differentiate urticarial from another swelling?

A

Oedema - thumb mark will leave a pit.

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14
Q

Which species are especially predisposed to Urticaria/Angioedema

A

Horses

Acute, recurrent, chronic, seasonal or non-seasonal, may progress to crusting/sloughing.

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15
Q

Effectiveness of food serology

A

Food serology is rubbish and not useful.,

Only way to test for food allergy is to remove from diet.

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16
Q

Atopic dermatitis presentation

A

Typically 6months to 3 years. No sex predis.

Pruitis, rashes, ear infections

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17
Q

Skin lesions for atopic dermatitis

A

No primary lesions.

Erythema or Erythematous maculopapular rash.

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18
Q

Define urticaria

A

Multiple wheals (hives)- circumscribed rasied lesions caused by dermal oedema

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19
Q

How to differentiate oedema from inflamm

A

Oedema = thumb prints leave a pitt

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20
Q

Define angioedema

A

Angioedema is marked localised subcutaneous oedema.

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21
Q

4 Arachnids that cause skin disease

A

Demodecosis, sarcoptic mange, cheyletelssis, tromiculiasis

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22
Q

When are cases of Trombiculiasis generally seen. Laymans term =
Typical presentation

A

Harvest mite. Strictly seasonal. July to Sept/Oct.

Asymptomatic to severely pruitic.

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23
Q

Treatment of Trombiculiasis?

A

No licenced treatment: Fipronil

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24
Q

Cheyletiellosis is seen is which species

A

Cats, dogs, rabbits.

Walking dandruff. Pruitis mild to severe. Primarily dorsal trunk. ZOONOSIS

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25
Q

Treatment of Cheyletiellosis

A
Therapy often difficult > 6 weeks. No licenced treatment. 
Amitraz: dog 
Fipronil
Selamextin
Moxidectin
Ivermectin
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26
Q

What is Demodecosis

A

An inflamm parasitic skin disease characterised by the presence of larger than normal numbers od demodectin mites. Common in dog. V. rare in horse.
Cigar shaped
small numbers ARE NORMAL

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27
Q

Onset of Demodecosis

A
Juvenile onset, localised= recover spontaneously
Juvenile onset, generalised = inherited predisposition
Adult onset (norm >2 yrs) suspect underlying immunosup (drugs, endocrinopathy, neoplasia)
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28
Q

Treatment of Demosecosis

A

Min 12 weeks treatment. Monitor by repeat plucks.
Avoid steroids
Small numbers of Demodex mites are normal!!

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29
Q

Difference between intersitital and interface patterns of dermatitis

A

Interstitial: Interstitial dermatitis is the spreading out of inflamm cells from original perivascular pattern.
Interface: Dermo-epidermal junction is obscured by accumulation of inflamm cells.

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30
Q

Interface dermatitis often reflects

A

Autoimmune disease targetting epidermis or drug reaction

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31
Q

Example of a surface mite and a burrowing mute

A

Surface mite: Cheylietella - walking dandruff (cat, dog, rabbit)
Burrowing mite: Sarcoptes

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32
Q

Age of onset of Flea bite hypersensitivity

A

3-5 years old.

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33
Q

Which species are most commonly affected by urticaria and angioedema?

A

Horses are esp predisposed.

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34
Q

Atopic dermatitis age of onset

A

6mnts to 3 years.

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35
Q

Two pathogens associated with (skin) ear infections

A

Staphlococcus pseudointermedius and Malassezia.

36
Q

How is atopic dermatitis diagnosed?

A

Diagnosis is by ruling out other pruitic Dx e.g. ectoparasitic diease, skin infections.
Also investigate hypersensitivity to food.

37
Q

Difference between Scale and Crusting

A

Scale: Accum of loose cornified fragments of statum corneum
Crust: PResence of a dried exudate

38
Q

Comfortis contains what active ingredient that cannot be given concurrently with ____

A

Comfortis is Spinosad that CANNOY be given concurrently with Ivermectin. Rapid kill at 4 hrs.

39
Q

Activyl

A

Indoxacarb. Sodium channel blocker. Spot-on q 4 weeks.

>90% activity within 8 hrs.

40
Q

Trifelix is

A

Spinosad + Milbemycin (roundworm/heartworm)

41
Q

Mechanism by which comfortis works

A

Comfortis = spinosad. Targets nACH receptor. Tetracyclic macrolide.

42
Q

Mechanism by which Indoxacarb works

A

Indoxacarb; sodium channel blocker. .

Adulticide

43
Q

What is the insect growth regulator that inhibits chitin synthesis

A

Lufenuron= program injection. Insect development inhibitors

44
Q

2 insect growth regulators

A

Juvenile hormones analogues; methoprene and pyriproxyfen OR lufenuron (insect devel inhibitor)

45
Q

Capstar active ingred

A

Nitenpyram:Mdog and cat. Nopersistance

V. quick kill.

46
Q

Active ingred in Advantage

A

Imidacloprid. DOG CAT AND RABBIT.
efficacy reduced by wetting.
Only fleas

47
Q

Fipronil is active against

A

WFleas and ticks.

48
Q

Why is advantage plus dog only

A

Advantage is imidacloprid = fleas only.

Advantage plus / Anvantixis imidacloprid + permethrin = toxic to cats

49
Q

Blue Dobermans are particularly predisposed to what dermapathology?

A

Colour dilution alopecia

50
Q

Basset hounds are particularly predisposed to what dermapathology?

A

Mallassezia

51
Q

An epidermal collerette is an example of a primary or secondary lesion

A

Secondary lesion (remnants / conjoining of a papule)

52
Q

A black head is aka

A

a COMEDO

53
Q

What are follicular casts

A

Accumulation of keratin that adheres to hair shaft

54
Q

What is a macule

A

A circumscribed flat area of change in colour of the skin less than 1 cm in diameter.

55
Q

Difference between Papule and Plaque

A

Papule: Small, solid elevation of the skin less than 1 cm in diameter
Plaque: Larger, flatter elevation of the skin, sometimes caused by coaleasing papules

56
Q

Difference between a papule and a pustule

A

Papule: Small solid elevation less than 1 cm
Pustule: Small ciccumscribed elevation containing pus (norm Staph pyoderma)

57
Q

What is Spaniel Seborrhoea

A

Seborrhea is the flow of sebum ‘greasy exudation’

It is a primary defect in cocker spaniels (ceruminous otitis externa) Treatment. Shampoo or Vit A

58
Q

Clinical signs of Sebaceous adenitis.

What other much more common disease produces similar signs?

A

Follicular casting/ Casting.

Demidocosis products similar signs

59
Q

Aeitology of Sebaceous adenitis

A

Various breeds (st Poodle, akita)
Sebaceous glands destroyed (localised/generalised scaling)
Varying alopecia.
Treatment: Shampoo, vit A (cyclosporin works well off-licence)

60
Q

Breed predisposition for Sebacious ad

A

Poodles, Akitas and Samoyoyds

61
Q

Treatment for Scabies.

A

Amitraz weekly for 6 weeks. Prednisalone for 10 days. Cephalexin if secondary bacteria.
Aim for resolution in 6 weeks.

62
Q

In what species is Ivermectin contraindicated?

A

Ivermectin causes a fatal idiosyncratic reaction in Collies.

63
Q

Clinical signs of Superficial necrolytic dermatitis (aka Diabetic dermatosis)

A

Erosive, crushing ulcerative diease that commonly affects the footpads, extremities and periorificial skin of middle-aged and old dogs.

64
Q

Pathogenesis of Superficial necrolytic dermatitis (aka Dibaetic dermatosis)

A

Seen with hepatic disease/Pancreatic glucogonoma. Pathogenesis is unclear- Hypoaminoacidaemia?

65
Q

What bacteria are involved in Pyoderma?

A

Staph. pseudointermedius.

66
Q

Diagnosis of Pyoderma

A

Look for underlying cause as pyoderma is always secondary.

Clinical signs: Papules, Pustules, Epidermal collarettes

67
Q

Infection in body folds is known as

A

Intertrigo

68
Q

What is the difference between Intertrigo and Impetigo

A

Intertrigo: Infection in body folds
Impetigo: Very common highly infectious cause of superficial pyoderma in puppies.

69
Q

Deep pyoderma is known as

A

Furunculosis.

Also deep pyoderma =- Bacterial granuloma

70
Q

Hot spots are known as

A

Pyotraumatic dermatitis. No satelitte lesions

71
Q

What do sateliite lesions tell you about the skin disease?

A

Satelitte lesions = suspect furnculosis as haemtageous spread. With hot spot aka Pyotraumatic dermatitis no satelitte lesions

72
Q

Treatment of Impetigo

A

Pustules in interfollicular epidermis. Young dogs affected, Ventral abdomen. Often responds to TOPICAL THERAPY ALONE.

73
Q

Progression of normal skin lesion for superficial pyoderma

A

Macule -> Papule –> Pustule –> Epidermal collarette

74
Q

Duration of treatment for Superficial pyoderma and Depp Pyoderma?

A

Superficial pyoderma - 3 weeks or 1 week beyound complete cure.
Deep pyoderma: 4-6 weeks or 2 weeks beyond complete cure

75
Q

Dermatophilosis affects primarily which species

A

D. conglososis. Branching filamentous actinomycete. Affects mainly ruminants and horses (but also humans)
Mud dever in horses
Can occur secondary to tick infestation.

76
Q

The dermal papilla is largest during which stage of hair growth?

A

Anagen (growth). Smallest in Telogen (rest)

77
Q

Which stage of the hair growth cycle is cessation of hair growth

A

Catagen.

78
Q

What stage of the hair growth cycle are hairs shed

A

Telogen (resting phase)

79
Q

Symmetrical alopecia in the cat is most likely…

A

Self inflicted therefore unless proven otherwise work up as SELF TRAUMA = PRUITIS

80
Q

Dermatological signs associated with Cushings

A

Alopecia, thin skin.

Hyperadenocorticism,

81
Q

How to test for Dermatophytosis

A

Woods lamp (green on hairs not skin)
Culture
Direct microscopy

82
Q

Treatment of Dermatophytosis in cats (inc cascade)

A

Intraconzole (oral) - (Intrafungal)

83
Q

Which topical medicine (for the treatment of ringworm) good for dogs/horses kills CATS?

A

Imaverol

84
Q

Treatment of Malazyeszia

A

Topical as only superficial. Malaseb every 3 days for 3 weeks.

85
Q

Which yeast buds on a narrow base?

A

Budding on a narrow base

86
Q

Malassezia bud on a

A

Malassazia pachidermatis bud on a wide base. Basset hounds are espc. predisposed.

87
Q

Mucormycosis causes what in farm animal

A

Gastritis and Rumeinits in calves