Lecture: Otitis externa/media dogs/cats Flashcards

1
Q

middle ear

A

bulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Otodectes cynotis

A
  • aka ear mite
  • non-burrowing obligatory parasite
  • feed on lymph and blood
  • more common in animals < 1 yr old
  • 50% OE in cats
  • 5-10% OE in dogs
  • Coffee ground serumen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Eutrombicula alfreddugesi

A
  • aka chiggers
  • usually more common on outside of ears
  • reddish color
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

otodemodicosis

A
  • more common in cats (D. cati)
  • ceruminous otitis externa
  • suspect immunosuppresion
    • FeLV, FIV, diabetes, neplasia
  • evident on ear swab (don’t scrape)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

sarcoptes scabiei var. canis

A
  • aka canine scabies
    • usually ear tips, can be OE
  • severe pruritus
  • female burrows in epidermis and lays eggs
  • thick yellow crusts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Notoedres catis

A
  • feline scabies, same as dogs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Foreign body

Causes

CS

TX

A
  • causes
    • plant awns (barley)
    • insect
    • sand
    • dry meds
  • CS
    • acute/chronic unilateral otitis
  • Tx
    • removal and topical antibiotic
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

nasopharyngeal polyp

A
  • etiology
    • congenital
    • bacterial
    • calicivirus
  • CS
    • chronic uni/bilateral otitis
    • mass in ear canal
    • head tilt
  • Tx
    • sx

*cats: orginate from bulla

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

secondary factors of OE

A
  • infection
    • bacteria: staphylococcus
    • yeast: malassezia
      • can be normal flora
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Summary

Patient history

A
  • age of onset
  • breet
  • duration
  • seasonality
  • unilateral vs. bilateral
  • previous medications
  • environmental factors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

clinical signs OE

A
  • odor
  • head shaking
  • discharge
  • pruritus
  • aural hematoma
  • head tilt
  • pain
  • erythema
  • edema
  • lichenification
  • hyperpigmentation
  • exoriations
  • mineralization
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Causes of otitis media

A
  • extension of otitis externa
  • Ascending infection via Eustachian tube
  • Hematogenous spread
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

DX Otitis media

A

Can be very difficult

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Otitis media

Neuro signs

A
  • facial nerve paralysis
  • KCS
  • Horner’s syndrome
    • miosis
    • ptosis
    • protrusion 3rd eyelid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Otitis media

Peripheral vestibular disease

A
  • head tild, nystagmus
  • same side as otitis
  • ataxia
  • alert, normal mentation
  • +/- nausea

*think inner ear problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Diagnostic tools

A
  • ear cytology
  • video-otoscopy
    • deap ear flushing and myringotomy
  • diagnostic imaging
    • xray vs CT vs MRI
  • Biopsy
  • Culture and sensitivity
17
Q

Ear cytology

A

Fundamental

Easy

Extremely informative

18
Q

Miringotomy

A
  • surgical rupture of TM
  • DIagnostic
    • collection of material
      • Culture
      • PCR
  • Therapeutic
    • flushing of the bulla
    • permanent opening
  • instill antibiotics and steroids
19
Q

Culture more useful in …

A

otitis media

20
Q

Med management

Otitis externa

A
  • topicals
    • cleansers
    • antimicrobials
  • systemic drugs
    • antimicrobials
    • anti-inflammatory
21
Q

Medical management

Otitis media

A
  • Topicals
  • Systemic drugs
22
Q

Ear cleansers that inhibit microorganisms

A
  • Tris-EDTA
  • Chlorhexidine
  • Ketoconazole
  • Acetic Acid
23
Q

Ear cleansers

Ceruminolytic

A

Squalene

propylene glycol

24
Q

Always treat with topical treatments +/- systemic….

A

otitis fucking media I think

25
Q

Duration of Tx for OM

A

miminum of 6-8 weeks

26
Q

Therapy for OM staph

antibiotics for MSSP

A
  • 99% pseudintermedius
    • cephalexin
    • simplicef
    • clavamox
    • clindamycin
27
Q

Therapy for OM

Rod-shaped bacteria

A
  • pathogens
    • Pseudomonas
    • corynebacterium
    • e. coli
    • p. mirabilis
  • systemic therapy
    • enrofloxacin
    • ciprofloxicin
    • marbofloxicin

*choice should be based on C and S

28
Q

therapy for OM

Malassezia

A
  • systemic
    • ketoconazole
    • Itraconazole
    • Fluconazole
29
Q

Follow up for OM

A
  • Recheck every 2 weeks
    • look for constant improvement
30
Q

Summary OM

A
  • Otitis is NOT a disease
  • treat secondary factors
  • Look for and treat primary factors
  • Reduce perpectuating factors
  • DX not easy
  • Culture when necessary