Dermatology Flashcards
The skin makes up ?% of the total body weight of a newborn puppy?
24%
The skin makes up ?% of the body weight in an adult animal?
12%
What are the 3 layers of the skin?
- epidermis
- dermis
- hypodermis
What are the differences between Human and Animal Skin?
- humans have more sweat glands
- human skin is thicker
- animals have multiple hairs on 1 follicle
What is the Epidermis?
most superficial layer that contains cells, but not blood vessels
What is the Dermis?
- middle layer
- composed of: blood and lymph vessels, nerve fibers and the accessory organs of skin such as glands and hair follicles
What is the Hypodermis?
- subcutaneous
- deepest layer that is composed of connective tissue (fat)
What does the Skin protect the animal from?
- environment
- physical, chemical and mircobial injury
What do the sensory organs in the Skin allow the animal to do?
feel pain, heat, cold, touch and pressure
What is the Skin the “storage depot” for?
- electrolytes
- water
- protein
- fats
- carbohydrates
What does the Hypodermis store?
- fat for insulation
- energy reserves
What are the functions of the Skin?
- enclosing barrier
- environmental protection
- temperature regulation
- sensory perception
- motion and body shape
- antimicrobial
- blood pressure control
- secretion
- adnexa
- storage
- pigmentation
- excretion
- Vitamin D production
Enclosing Barrier
protects the internal environment of the body from water and electrolyte loss
Environmental Protection
protects the internal environment from the external environment
Temperature Regulation
maintains the animal’s coat and regulates the blood supply to the cutaneous tissues, which regulate heat dissipation and retention
Sensory Perception
contains sense organs for touch, temperature and pain
Motion and Shape
allows for motion and provides a definition to the body
Antimicrobial
contains antimicrobial and antifungal properties
Blood Pressure Control
the peripheral vascular beds within the skin help to control blood pressure
Secretion
contains both apocrin and sebaceous glands
Adnexa
produces hair, nails, hooves and horny layers of the epidermis
Storage
stores electrolytes, water vitamins,fats, proteins, carbs and other substances
Pigmentation
process within the skin (melanin formation) helping to determine coat and skin color and provide solar protection
Excretion
the animal’s skin has a limited excretory function
Vitamin D Production
the skin is essential for solar energy activation, which is necessary for normal calcium absorption
What is Dermatology?
study of disease of the skin
What is Dermatosis?
skin disease
What is Alopecia?
hair loss
What is Seborrhea?
excessive secretion of sebum (oily secretion of the sebaceous glands composed of fat and epithelial debris)
What is Scale?
flakes of stratum corneum on the skin surface or hair coat
comes in various colors
What is Erythema?
increased redness
What is Collarette?
circular arrangement of scale with central area of hyperpigmentation
What is Crust?
accumulation of dead cells and exudate on skin surface
What are Ectoparasites?
external parasites
What is Skin Scraping?
method of examining skin for parasites
What is Dermatophyte?
fungi that grow on the skin
What is Dermatomycosis (ringworm)?
a skin infection with keratinophilic fungi (Microsporum, Trichophyton, Epidermophyton)
What is Pyoderma?
bacterial infection of skin (superficial, deep)
When is a Fungal Culture?
lab test used to grow dermatophytes for identification
used for ringworms
What is Bacterial Culture and Sensitivity?
lab test used to grow and identify bacteria from lesions and determine antibiotic sensitivity
What is Impetigo?
superficial bacteria skin infection seen in young dogs “puppy pyoderma” (staph)
What is Acne?
pores clogged with oil forming “blackheads”, especially chin
What is a Lesion?
area of altered skin
What is a Rash?
wide spread eruption of lesions
What is Hyperpigmentation?
increased pigmentation (melanin) of skin (epidermis/dermis)
What is Lichenification?
thickening and hardening of skin characterized by exaggerated superficial skin markings
What is a Cyst?
fluctant nodule, walled off, fluid filled
What is a Macule?
a focal, circuscribed, nonpalpable change in color <1 cm (when its larger, termed a patch)
What is a Papule?
small, circumscribed, solid elevated lesion of the skin
1 cm
What is a Wheal?
a sharply circumscribed, raised, edematous lesion that appears and disappears within minutes to hours
What is a Pustule?
a small, elevated, circumscribed, pus containing lesion of the skin within the epidermis
What is an Abscess?
localized collection of pus
larger than a pustule
What is Cellulitis?
swollen, tender area of skin with bacterial infection
can develop into an abscess
What is Granulation Tissue?
new tissue in a healing wound
consists of connective tissue and capillaries
What is an Erosion?
loss of skin surface
shallow, moist, crusted
doesn’t penetrate basement membrane
What is an Ulcer?
loss of epidermis resulting in exposure of dermis
What is a Comedone?
dilated hair follicle blocked with sebum and other cellular debris
What is Seborrhea?
abnormal flaking or scaling of the epidermis and may be accompanied by increased oil production (seborrhea oleasa) or not (seborrhea sicca)
What is the normal skin cell turnover time?
~3weeks
What is the Primary cause of Seborrhea?
hereditary as in American Cocker Spaniel, English Springer Spaniel, Westies, Basset Hounds
What are the Secondary causes of Seborrhea?
disease/injury to skin from other causes
allergies, parasites, nutritonal disorders, immune mediated, endocrine disorders (hypothyroidism)
What are the 2 types of Seborrhea?
- seborrhea sicca: dry, only scaliness
- seborrhea oleosa: oily + scales
What do Keratolytics do?
- remove excess keratin and promote loosening of the outer layers of the epiderms
- break down protein structure of kerating layer, permitting easier removal of material
Where are Keratolytics found?
medicated shampoos
What Medicated Shampoos are used for Seborrhea Sicca?
- sulfur (keratolytic, antipuritic, antibacterial, antifungal, antiparasitic)
- salicyclic acid (KL, AP, AB)
What Medicated Shampoos are used for Seborrhea Oleaso?
- coal tar (degreaser, keratolytic)
- benzoyl peroxide (also for moist dermatitis, pyoderma, stud tail)
What is the treatment for Seborrhea?
- clip hair so shampoo can penetrate
- if secondary, treat underlying cause (antifungal and/or antibacterial meds)
- Omega 3 fatty acid supplements (anti inflammatory, antipuritic properties)
What are the causes of Seborrheic Fungal Dermatitis?
- Malassezia species
- some commensal on skin (normal)
How do you diagnose Seborrhic Fungal Dermatits?
cytology
skin impressions
How do you treat Seborrheic Fungal Dermatits?
- 2% miconazole/ 2% chlorhexidine shampoo
- selenium sulphide
- other antifungals(ketoconazole, clotrimazole, miconazole)
- oral ketoconazole X 3+ weeks (not for dogs and cats)
What are Pyodermas?
bacterial infections that involve the skin
may be primary or secondary, superficial or deep
Pyodermas occur when:
- skin surface broken
- skin maccerated by chronic exposure to moisture
- normal bacteria altered
- circulation impaired
- immunosuppression
What are Superficial Pyodermas?
- involve only superficial epidermis
- healing occuring without scarring
- short duration
- rarely systemically ill
- skin around lesions remain normal
- affected portions may be ulcerated or traumatized by animal
What is the cause of Pyodermas in dogs?
staph intermedius
What is the cause of Pyodermas in cats?
pasteurella multocida
What are the causes of Deep Pyodermas?
gram negative organisms (e. coli, proteus sp., pseudomonas sp.)
Wh:at are the risk factors of Pyodermas?
- allergies
- fungal infections
- endocrine diseases
- immune incompetence
- seborrhea
- conformation ex: skin folds
- trauma
- foreign bodies
Where do Superficial Pyodermas commonly affect?
trunk
Where do deep Pyodermas commonly affect?
chin, nose, pressure points, feet, generalized skin folds
What are the most common Superficial Pyodermas?
- acute moist dermatitis (hot spots)
- impetigo
- acne
What are the clinical signs of “Hot Spots”?
red, moist, painful areas that ooze
hair loss, very pruitic
develops very fast
What is the signalmant for “Hot Spots”?
heavy coated, water loving, breeds (golden retrievers, lab retrievers, newfoundlands, german shepherds, st. bernards)
hot, moist summer months
How do you diagnose “Hot Spots”?
visual inspection
How do you treat “Hot Spots”?
- clip hair from lesions to expose edges
- clean skin with medicated shampoo
- topical antibiotics/steroid creams or sprays
- treat original disease
- systemic steriods/antiibiotics
What is the client info for “Hot Spots”?
- clean area on daily basis to speed healing
- wash hands after treating to prevent contaimination
- e collar might be needed
What is the signalment for Impetigo?
young dogs
secondary infection : malnourishment, debilitation, poor hygiene
What are occasionaly seen in cultrues from Impetigo?
strep
staph
What are clinical signs of Impetigo?
seen on abdomen
lesions (pustules that rupture to form honey colored crusts)
nonpuritic
nonpainful
How do you diagnose Impetigo?
physical appearence in young animals
culture and sensitvity
How do you treat Impetigo?
systemic antibiotics
antibiotic creams
What is some client info for Impetigo?
not contagious
continue treatment for atleast 2 weeks after lesions disappear
What is the signalment for Acne?
dogs (3-12 months of age, short coats)
cats (can be chronic)
What clinical signs of Acne?
swollen and painful chin
“dark spots” on chin
large blackheads on chin
febrile
How do you diagnose Acne?
appearance
r/o bite would abscesses
How do you treat Acne?
clip hair on chin antibacterial soap large blackheads may require removal clean with human acne product (stridex) systemic antibiotics
What is client info for Acne?
may become chronic
clean chin daily
What is the signalment for Skin-Fold Pyoderma?
spaniesl and setter (lip fold)
pekinegeses and pugs (facial fold)
boston terriers and pugs (tail fold)
obese dogs of any breed (tail and vulvar folds)
How do you diagnose Skin-Fold Pyoderma?
affected area will be moist, red and ulcerated
How do you treat Skin-Fold Pyoderma?
clip and clean area dry lesions. drying agents may be used (corstarch) antibiotic ointments surgical removal of excess skin weight reduction
What is client info for Skin-Fold Pyodermas?
require long term treatment
affected areas need to be kept clean and dry
weight reductions
keep hair away from eyes
What are clinical signs for Deep Pyodermas?
papules and pustules with crusting
febrile
draining fistule tracts
How do you diagnose Deep Pyodermas?
clinical signs
culture and sensitivity
biopsy
How do you treat Deep Pyodermas?
daily cleaning
antibiotic creams
antibiotics
What is client info for Deep Pyodermas?
organism responsible is usually drug resistant
treatment may be prolonged and expensive in large breeds
may lead to diabetes mellitus and cushings
some may never recover
What is the cause of Ear Mites?
otodectes cynotis
live on surface of skin in external ear canal, feeding on epidermal debris
What are clinical signs of Ear Mites?
ear canals filled with brown-black crusty exudate
animal scratching ears
scrapes on side of face
How do you diagnose Ear Mites?
otoscope
adult mites and eggs visible on microscopic exam of smears
How do you treat Ear Mites?
ear meds (otomite, mitaclear, topical ivermectin, revolution, tresaderm)
What is client info for Ear Mites?
life cycle is 3 weeks, eggs hatch every 10 days. treatment must be continuted for atleast 30 days
highly contagious
not zoonotic
What is the life span of the adult flea?
6-12 months
What is the female production rate of egg?
20-28 eggs/day (up to 50)
What is the incubation period of flea eggs?
2-12 days
What happens during the Larval Stage of the Flea?
(needs humidity)
feed on organic material and flea waste
2 molts
larva pupates (spins cocoon)
How long is the Larval Stage of the Flea?
14-21 days
What happens during the Pupal Stage of the Flea?
most resistance
lasts days to months depedent on environmental factors
What is the flea the intermediate host for?
dog tapeworm (dipylidium caninum)
What are clinical signs of fleas?
scratching/biting at skin
commonly affected areas :tail head area, inner thigh
areas may be red, inflammed and scabbed
small, pepper like granules found on skin and hair coat
How do you diagnose fleas?
finding fleas
finding flea dirt
finding lesions
How do you treat fleas?
sprays, dips, powders, shampoos advantage program frontline sentinel revolution
What is client info for Fleas?
treat environment and animal
can be zoonotic
all animals must be treated
skin damage/dermatitis can occur
What is the scientific name for the Brown Dog Tick?
Rhipicephalus sanguineus
What is the primary host of the Brown Dog Tick?
dog
What are clinical signs for Ticks?
- tick or “lump” attached to animal
- weakness or pale mucus membranes
- ascending, flaccid paralysis
- arthritis like symptoms of lameness, joint and muscle pain, fever (Lyme disease)
How do you diagnose Ticks?
- -finding a tick on animal
- history of exposure to grassy, wooded areas known to have tick infestations
How do you treat Ticks?
- manual removal of ticks
- topical treatments
- collars
- topical systemic treatments
- advantix
- revolution
- environmental treatments
- removing brush, limiting rodent populations and keeping grassy areas cut
What is client info for Ticks?
- check all animals for ticks
- prevalent during spring and summer
- do not use gasoline, kerosene or lighted cigarettes to remove ticks
- do not use bare hands
- ticks aren’t species specific
What are the 3 primary diseases called “mange”?
- demodectic mange
- sarcoptic mange
- notoedric mange
Where do Mites spend their entire life cycle?
on the host
What are the 2 types of Demodectic Mange?
localized
generalized
What are the clinical signs of Localized Demodectic Mange?
- almost always a young dog (3 months - 1 year)-
- alopecia (face, eyes, mouth, ears, forelegs, trunk)
- erythema (redness), sometimes red and crusty (red mange)
What are clinical signs of Generalized Demodectic Mange?
- febrile
- entire body surface involved
- secondary bacterial skin infections with pustules
How do you diagnose Demodectic Mange?
skin scrapings (deep) culture and sensitivity test
How do you treat Localized Demodectic Mange?
- rotenone (goodwinol ointment) topical daily
- Mupiricin (Bactroban)
How do you treat Generalized Demodectic Mange?
- Mitaban dips
- ivermectin
- interceptor
- oral antibiotics
What is client info for Demodectic Mange?
- will outgrow mange as they age
- not contagious to humans or other animals
- treament will never completely remove mites
- don’t breed previously infected animals
- treatment may be prolonged in some animals
- generalized form may be fatal
What are clinical signs for Sacroptic Mange?
- red, crusty lesions on ears, elboys and elsewhere on trunk
- intenslely pruritic
- secondary bacterial skin infections
- progressively becomes more severe
How do you diagnose Sarcoptic Mange?
- skin scrapings (deep)
- skin biopsies
How do you treat Sarcoptic Mange?
- dips are frequently used
- paramite dip
- ivermectin
- paramite dust
What is client info for Sarcoptic Mange?
- highly contagious among dogs
- not very zoonotic
- mites don’t remain on humans longer than a few hours
- similar disease seen in cats, not same mite
- dog mite rarely affects cats
What is the signalment for Cheyletiellosis?
dogs
cats
rabbits
humans
How is Cheyletiellosis transmitted?
direct contact
fomites
What are clinical signs of Cheyletiellosis?
pruritis
dry scales along entire body
patchy hair loss from scratching
How do diagnose Cheyletiellosis?
collect scales with clear tape
flea comb
skin scraping
ID with microscope
How do you treat Cheyletiellosis?
weekly baths with flea control products containing pyrethrins or permethrin and/or lime sulfur dip
How do you diagnose “Warbles”?
usually seen in young puppies, kittens and rabbits
large swelling behind ears, neck, or face
in rabbits: lesion may be in nasal cavity
swelling has an opening (fistula) which larva can be seen through
How do you treat “Warbles”?
fistula opening can be incised to remove larva
wound should be flushed with diluted Betadine
oral or topical antibiotics to combat skin infections
How do you diagnose Myiasis (Maggots)?
matted hair, bad odor, painful reaction when petted in specific area
found on PE
How do you treat Myiasis (Maggots)?
clip hair from lesions flush area with water to remove larva manually remove larva oral antibiotics keep pet indoors
What is client info for Myiasis (Maggots)?
- its a disease of neglect
- heavy coated animals should be clipped during hot summer months
- avoid using toxic dips
- keep pet areas clean to avoid attracting flies
How do you diagnose Lice?
pet may become ill tempered and agitated
intense itching
anemia can develop
presence of lice or nits on hair coat
How do you treat Lice?
treat all animals in the house with insecticide dip
clip all hair
bathe with good shampoo
all bedding and grooming tools must be washed thoroughly
ivermectin can be given orally
What is Dermatophytosis?
superficial cutaneous infection
What are the 3 primary Dermatomycoses?
- microsporum gypseum
- trichophyton mentagrophytes
- microsporum canis
How is Dermatophytosis transmitted?
- direct contact
- contact with infected hair and scale
- fomites
What are clinical signs of Dermatophytosis?
- rapidly growing circular patches of alopecia
- some areas may be red, raised and crusty
- lesions are most common on face and head
- hairs in lesion may be broken
- owners may notice similar lesions on themselves
How do you diagnose Dermatophytosis?
- woods light exam
- fungal culture (definitive)
How do you treat Dermatophytosis?
clip affected areas
topical
systemic
environmental
What is Atopy (Atopic Dermatitis)?
allergy to inhaled environmental substances and manifested through irritation of skin and ears, usually starting at 1-2 years of age
What allergens cause Atopy?
- dust mites
- pollen
- feathers
- mold
- animal and human dander
- tobacco smoke
What are clinical signs of Atopy?
- pruritis
- self trauma to skin +/- secondary bacterial infections
- staining of hair from saliva
- licking/chewing feet
- alopecia, scaling, hyperpigmentation
How do you diagnose Atopy?
- accurate history is critical
- rule out food allergies, flea allergies, sarcoptic mange, contact dermatitis, before diagnosis of atopy can be made
How do you treat Atopy?
-no cure
-id and eliminate cause
-treat any bacterial or fungal infections
medication and allergy shots
-omega 3 fatty acids
-antihistamines
How do you diagnose Food Allergies?
- elimination diets
- if improves, reintroduce original protein to see if symptoms recur
What are clinical signs of Otitis Externa?
- head rubbing or shaking
- ear scratching
- head tilt, with affected ear down
- brownish, greenish-yellow discharge)
- lichenification, hyperpigmentation, crusts, erythema, excoriations
- aural hematoma
What are predisposing factors of Otitis Externa?
- conformation(heavy, pendulous ears, stenotic ear canals, ear hair)
- excessive moisture
- hypersensitivities
How do you diagnose Otitis Externa?
- otoscopic exam
- clinical signs
- cytology, ear smear
How do you treat Otitis Externa?
- always treat underlying condition first
- topical meds instilled daily
- surgical intervention may be required
What is an Impaction?
when the anal sacs overfill, water can be reabsorbed and material dries out
What are clinical signs of an Impaction?
- scooting rear end
- painful defecation
- tail chasing
- perianal erythema
- swelling
How do you diagnose Impactions?
palpation
clinical signs
How do you treat Impactions?
express contents flush sac instill antibiotic ointment oral antibiotics, anti inflammatories surgery
What is a Tumor?
new growth of tissue characterized by progressive, uncontrolled proliferation of cells
What is a Histiocytoma?
small, button like tumors that are usually pink, hairless and raised
rapidly growing
How do you diagnose Hisitocytoma?
appearance
biopsy
What are the Benign Tumors of the skin?
histiocytoma
lipoma
papillomas
sebaceous gland cysts
What are the Malignant Tumors of the skin?
feline vaccine induced fibrosarcoma
mast cell tumors
melanoma
How do you treat Histiocytoma?
surgery
What is Lipoma?
tumor of the subcutaneous adipocytes (fat cells) that are typically freely moveable and well circumscribed
How do you diagnose Lipoma?
biopsy
fine needle aspirate
How do you treat Lipoma?
surgical excision
What are Papillomas?
wart like growths that develop as smooth, white/pink/pigmented, elevated lesions in the oral cavity (oral paillomatosis) or on the skin (cutaneous papillomas)
How do you diagnose Papillomas?
appearance
biopsy
How do you treat Papillomas?
spontaneous regression
autogenous vaccine
What are Sebaceous Gland Cysts?
slow growing, encapsulated, round and exude a gray, cheeselike material. caused by degenerative changes in the glandular area surrounding the follicle
What breed are Sebaceous Gland Cysts common in?
cocker spaniels
How do you diagnose Sebaceous Gland Cysts?
contents of the cyst
histology
How do you treat Sebacous Gland Cysts?
surgical removal
What are Feline Vaccine Induced Fibrosarcomas?
rapidly, developing highly invasive, malignant tumors that occur at the site of vaccination
4-6 weeks later
What vaccines are most common with FVIF?
those with adjuvants
How do you diagnose FVIF?
- biopsy of fine needle aspirate
- physcial exam findings: swelling in area of recent vaccinations, rapidly growing firm elongated mass
How do you treat FVIF?
radical surgical excision which may involve limb amputation
What are Mast Cell Tumors?
firm nodules on the skin that may be ulcerated or edematous
contain histamine and heparin
How do you treat Mast Cell Tumors?
chemotherapy
radiation therapy
benadryl
H2 blockers to treat gastric ulcers and irritation
What is Melanoma (Benign)?
small, slow growing, hairless, pigmented
What is Melanoma (Malignant)?
large, dome shaped sessile +/- pigmentation
How do you treat Malignant Skin Tumors?
surgical removal
possible treatment with the vaccine
What are the Immune Mediated Conditions?
pemphigus foliaceus pemphigus erythematosus pemphigus vulgaris bullos pemphigoid lupus erythematosus alopecia areata pseudopelade