Dermatological history and skin lesions

Question 1

Describe dermatological history taking. (6)

Answer 1

Take time! Derm apts. can take 1.5 hours.

Sit down!

The animal should be accompanied by the person who takes care of the dog and knows its history.

Previous history absolutely necessary.

Let the owner talk!

Special dermatological questionnaire used.

Question 2

Fipronil indications and safety in which species?

Answer 2

Brandname Frontline

Used in dogs, cats and poultry against fleas, ticks, and chewing lice.

Toxic to rabbits.

Question 3

Answer 3

cuteneous manifestation of epitheliotropic lymphoma

Question 4

diascopy

Answer 4

Diascopy is used to determine whether erythema in a lesion is due to blood within superficial vessels (inflammatory or vascular lesions) or is due to hemorrhage (petechiae or purpura).

A microscope slide is pressed against a lesion (diascopy) to see whether it blanches.

If it blanches - its erythema, if it doesnt blanche - its hemorrhage aka bruising.

Question 5

Main complaint, development points:

Answer 5

Owners complaint
Problem duration
Seasonality
Pruritus
Skin lesions
Localization
Other signs
Nutriotion
Other animals (at home or contact otherwise)
Feline stress
Travel
If humans have symptoms

Question 6

Previous medical history should include:

Answer 6

Previously used drugs
Antiparasitics
Current meds
Pet washing products
Previous analyses

Question 7

Answer 7

epidermal collarette

Question 8

You have patient, 3 years old cat with alopecia. Owner has not seen licking. What is your main differential?

Answer 8

Pruritus

Question 9

You have a pruritic cat, who has been on proper elimination diet for 3 weeks. Cat is as pruritic as in the beginning. There is no erythema or inflammation on the skin. What do you do?

Answer 9

Continue with the diet.

Question 10

You have a 3 years old chronicly pruritic dog, who is living alone in the city. The dog has pruritus in ears, inguinal area and paws. What do you do?

Answer 10

Suspect parasites, and do the treatment trial.

Question 11

You have a 10 years old patient with pruritus, skin inflammation and alopecia, the dog is a bit depressed. You do anti-parasitical treatment and treat inflammation - pruritus and inflammation resolve, but alopecia and scaling persists. What do you do?

Answer 11

Suspect endocrine disease.

Question 12

You have a patient with pruritus in the axilla region and abdomen. You have used fluralaner (Bravecto) for parasites, done elimination diet with a novel protein diet. Pruritus persists. What is your next step?

Answer 12

Choose treatment for atopic dermatitis.

Question 13

You have a patient with pruritus who has been on proper elimination diet for 6 weeks. At the beginning the dog received prednisolone for 2 weeks. There is no relapse in pruritus. What do you do?

Answer 13

Start provocation, to evaluate the possibility of food allergy.

Question 14

You have a dog with pruritus. You have ruled out scabies and flea allergy. Pruritus is medium, there is erythema, alopecia, lichenification, papules, crusts. Owner is motivated. You want to start elimination diet. What do you do?

Answer 14

Start with proper elimination diet and add antipruritic pills (unflavoured) for 2 weeks.