Midterm Flashcards
What are the hair cycle growth phases?
anagen - growth
catagen - transition
telogen - resting
shedding - mosaic pattern
What can anagen:telogen ratio help diagnose?
cause of alopecia
Term for small solid elevation of the skin.
papule
Term for solid elevation of skin with a flattened top less than 1 cm
plaque
Term for a circumscribed flat spot with change in color of the skin
macule
Term for sharply circumscribed elevation of the skin filled with serum/blood
vesicle/bulla
How is skin scraping done for sarcoptes and notedres mites?
scrape area of active crusts
How is skin scraping done for demodex mites?
squeeze skin while scraping
What are the 3 dermatophytes seen on KOH preperations and what do they look like?
M. gypseum - sparse chaings 5-8 m
M. canis - dense masses 5-8 m
T. metagrophytes - dense chains 3-7m
What do the 3 dermatophyes look like with india ink?
M canis - macroconidia w/ thick walls more than 6 cells, asymmetric
M. gypseum - thin walled, less than 6
T. mentagrophytes - cigar/club shaped with thin smooth walls
What is epidermal turnover for dogs and humans?
dogs - 22 days
humans - 28 days
What 3 ingredients in shampoos are humectants?
propylene glycol, urea, glycerin
What does chlorohexidine do to the skin?
binds to stratum corneum
What is the first line of antibiotics for skin infections?
narrow gram + : lincomycin, erythromycin, clindamycin
Which shampoo ingredient is synergistic with sulfur?
salicylic acid
What shampoo ingredient is the most effective antifungal?
miconazole
What shampoo ingredient is keratolytic, antibacterial and anti yeast and can be irritating?
selenium
What shampoo ingredient binds antigens and has anti cyclooxegenase activity?
colloidal oatmeal
What shampoo ingredient is a topical anesthetic?
pramoxine
What is the pH of dog, cat, and human skin?
dog - 7.5
cat - 6-7
human - 5.5
What is the number of epidermal layers of dog, cat, and human skin?
dog and cat - 3 to 5
human - 10-15
What shampoo ingredients are topical calcineurin inhibitors and block T cell function?
tracolimus and picrolimus
What ointment ingredient blocks activity of isoleucyl-tRNA synthetase thereby blocking protein synthesis?
mupiracin
How is mupiracin given to eliminate/reduce carraige of MRSA?
intranasally
How do retinoid creams work?
decrease sebaceous gland secretions, anti inflammatory, activity against some cutaneous tumors
What are the actions of zinc gluconate cream?
normalization of keratinization
down regulates sebum production
synergistic with vit B6
What group of shampoo ingredients decreases bacterial colonization and is antiinflammatory?
oligosaccharides
prevents binding of lectin with exogenous carbs?
Which shampoo ingredient raises pruritic threshold?
menthol
What shampoo contains oligosacchardies?
allermyl shampoo
What shampoo ingredient forms a protective film and acts as a moisturizing agent?
chitosanide
What are the actions of phytosphingosine?
does everything, repair of epidermal permeability barrier, anti seborrheic, anti inflamm, anti microb
(pro ceramide)
What shampoo ingredient repairs split ends by binding to hair keratin?
hydrolyzed proteins
What shampoo ingredient is best at follicle flushing?
benzoyl peroxide
What shampoo ingredient is most potent keratoplastic agent?
tar??????
What 2 shampoo ingredients are toxic to cats?
hexachlorophene and tar
What is the difference between humectants and emollients?
emollients - smooth skin, decrease water evaporation
humectants - attract and bind water
What is the most common skin dz of dogs?
recurrent superficial staphylococcal pyoderma
What antibiotics are used in mixed/deep skin infections?
fluoroquinolones
When should systemic antibiotics be given to a patient with pyotraumatic dermatitis?
satellite lesions or folliculitis
What is the term for superficial pustular dermatitis, usually seen in young dogs in the groin area?
impetigo
What bacteria in involved in superficial pyoderma in dogs?
staph pseudintermedius
What is the treatment for nasal pyodermas?
dry off, systemic antibiotics
What 2 skin infections are just surface pyodermas?
acute moist dermatitis fold pyoderma (intertrigo)
What is another name for fold pyoderma?
intertrigo
What 2 skin infections are superficial pyodermas?
impetigo
recurrent superficial staph pyoderma
What is the treatment for puppy strangles?
systemic antibiotics and systemic corticosteroids
How is callus pyoderma treated?
prevent trauma, systemic antibiotics
How long should deep pyodermas be treated?
2 weeks beyond clinical cure
What is the most common dermatophyte in dogs and especially cats?
microsporum canis
What dermatophyte is found on rodents?
Trichophyton mentagrophytes
How do dermatophyte infections look in the dog? cat?
dog - peripherally expanding crusts/alopecia
cat - generalized alopecia/folliculitis
What is the most reliable test for dermatophytes?
fungal culture, then examine under microscope for ID
What technique is used to screen cats that are asymptomatic for dermatophytes?
mackenzie collection technique
Where do dermatophytes grow in the skin?
migrate down shaft of hair into keratogenous zone
Which antifungal works by inhibiting the cell wall of dermatophytes?
griseofulvin
What antifungals work by inhibiting p450?
Itraconazole and ketoconazole
What antifungal inhibits ergosterol synthesis in dermatophytes?
terbinafine
What dermatophyte drugs should the patient be monitored for liver enzymes?
itraconazole, ketoconazole, terbinafine
What should be monitored in a patient given griseofulvin?
CBC - bone marrow suppression
What is the treatment for a cattery infected with dermatophytes?
topical and systemic therapy for + cats
topical for neg cats
treat until all cats culture neg 3 times
What are the lesions seen with crypto?
cutaneous lesions, pulmonary dz, ocular, neurologic involvement
How is crypto diagnosed?
cytology, biopsy, serology, culture
What is the drug of choice for treating crypto?
itraconazole, treat 1 month past titer negative
What drugs are used if crypto has neurological involvement?
fluconazole
flucytosine + ampho B
What breed of dogs is predisposed to infection with pythium (swamp cancer, oomyces)?
GSD
How is pythium infection treated?
aggressive sx, itraconazole + terbinafine
What is the signalment for dogs at risk of blastomycosis?
young male dogs of large/sporting breed
For which deep mycosis infections is culture not recommended?
histoplasmosis, coccidiomycosis
Which deep fungal infections are zoonotic?
crypto and histo?
How is malessezia disease transmitted?
opportunist, normal flora
How does a wood’s lamp work?
reacts with tryptophan in hairs
Term for ingrown claw.
onchyocryptosis
What is the length of HPA suppression for cortisone and hydrocortisone?
8-12 hours