External and Middle Ear Pathology Flashcards

(38 cards)

1
Q

What is Otitis Externa?

A
  • Inflammation of the external ear pinna- extends to ear canal above the tympanic membrane
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2
Q

What is Otitis Media?

A

Inflammation of the middle ear

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3
Q

What are the clinical signs of otitis externa?

A
  • Reddening of the pinna
  • Swelling or thickening
  • Heat
  • Extreme pain
  • Ear scratching
  • Head shaking
  • Hair loss
  • black waxy/ pus
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4
Q

What bacteria are important?

A
  • Rods but they are not normally expected as commensals
  • have significant AMR properties

culture and sensitivity is always warranted with rods

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5
Q

When are cocci interpreted?

A
  • Numbers
  • Clinical signs
  • Inflammation can be variable
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6
Q

Where would you expect to see dog fleas?

A
  • Expect to see on the tailbase, possibly thighs, flank and other areas
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7
Q

Where would you expect to see cat fleas?

A
  • Cats can develop military dermatitis on the back, neck and face
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8
Q

What is a demodex mite?

A

‘cigar-shaped’ mite
* clinical presentation is often alopecia around eyes and ears but may be more extensive

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9
Q

What is the most common otodectes?

A

otodectes cyanotis

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10
Q

What is Neotrombicula autumnalis

A

»“Harvest mites”
»May cause otic pruritus
»Orange mites
»Generally present in
Henry’s pocket

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11
Q

What are the clinical signs of otitis media?

A
  • Possible facial nerve paralysis
  • constriction of pupil
  • drooping of eyelid
  • sinking of eyeball into the orbital cavity
  • Head tilt
  • Coordination issues
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12
Q

What is guttural pouch tympany?

A

Pouch filled with air

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13
Q

What is a guttural pouch empyema?

A

Pus in a cavity

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14
Q

What are the five cardinal signs of inflamation?

A
  1. Pain
  2. Heat
  3. Reddening
  4. Loss of fuction
  5. Swelling
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15
Q

How could you take an ear swab?

A
  1. Moisten the swab with sterile water
  2. Gently rotate within the ear canal
  3. leave the slide unstained in order to check for ectoparasites
  4. Stain/ Examine for bacteria and Yeast
  5. Swab both ears individually
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16
Q

What may a swab from an ear without active infection contain?

A

squames and keratin debris

17
Q

What are the two main points surrounding sarcoptes scabei?

A
  • Pruritic
  • Zoonotic
18
Q

What mite is more common in cats than sarcoptes scabei?

A

Notoedres cati

19
Q

In what species is otodectes cyanotis most commonly noted?

A

dogs and cats

20
Q

What is otodectes typically accompanied by?

A

brown waxy discharge similiar to coffee grounds

21
Q

Where is otodectes prominantly found?

A

within the ear canal, uncommon to be anywhere else

22
Q

What psoroptes is usually associated with rabbits?

A

psoroptes cuniculi

23
Q

What psoroptes causes widespread lesions noted in other species?

A

psoroptes ovis

24
Q

What are the signs of potential facial nerve paralysis?

A
  • Constriction of pupils
  • Drooping of eyelids
  • Sinking of eyeball into orbital cavity
  • Protrusion of third eyelid
25
What is guttural pouch mycosis?
* Fungi sitting along a carotid artery * Carotid artery erosion * Haemorrhage
26
What does PSPP stand for?
* Primary * Secondary * Perpetuating * Predisposing
27
Give soem examples of primary causes of otitis
* Allergies * Parasites * foreign bodies * Immune-mediated * Pyoderma
28
Give some examples of secondary causes of otitis
* Bacteria * Yeast
29
Give some examples of perpetuating causes of otitis
* Ear canal stenosis * Ulceration * Otitis media * Ear cartilage * Mineralisation
30
Give some examples of predisposing causes of otitis
* Conformation * Humidity * Inaproppriate cleaning * Irritant treatments * Systemic disease
31
How would you take an ear swab?
* Moisten a cotton bud with sterile water * Gently rotate within the ear canal * Roll the swab along the slide to make 'streaks' * Stain and examine for bacteria * Swab both ears individually
32
What is considered to be abnormal on an ear swab?
* Inflammatory cells are abnormal * however not all otitis cytology may yield inflammatory cells * inflammatory cells indicate a pathological disease
33
What is the most common fungus seen in the ear?
Malassezia- broad-based budding
34
What is a lesser common yeast seen in the ear?
Candida= narrow based budding
35
What may you need to collect in order to see mites?
deep skin scrapes with 'capillary ooze' then suspend these scrapes in mineral oil
36
What are neotrombicula autumnalis and where are they generally present?
* Harvest mites (orange) * cause otic puritis * generally present in henrys pocket
37
What else can we test for?
* Haematology/ Biochemistry to identify underlying disorders * Endocrine testing * Mineral levels (zinc) * Allergy levels
38
What is canine leishmaniasis?
* Causes lesions focused around the ears * May be due to a more generalised lesion however