ATTITUDE IS EVERYTHING

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ATTITUDE IS EVERYTHING

• A bad attitude is like a flat tire, you cant
  get too far until you change it.

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Pyodermas

• PYODERMA Definition Bacterial infection of
  skin, superficial or deep Primary or secondary
• Pyoderma occurs when
• skin surface broken
• skin macerated(thin, soft) by chronic exposure to
  moisture
• Normal bacteria altered
• Circulation impaired
• Immunocompetence impaired (aka immunosuppressed)
• Superficial pyoderma- Lesion usually involve
  superficial epidermis and heals w/o scarring,
  short duration
• Dogs - Staph intermedius
• Cats Pasteurella multocida
• Common locations the trunk

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Pyoderma

• Deep pyodermas gram-negative organisms (E.
  coli, proteus sp, pseudomonas sp)
• Common locations chin, nose, pressure points,
  feet, generalized, skin folds
• Risk factors
• Allergies
• Fungal infections
• Endocrine diseases
• Immune system incompetence
• Seborrhea
• Conformation ex skin folds
• Trauma

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Pyoderma

• Physical Exam may show
• papules
• pustules
• crusts
• epidermal collarettes
• circular erythematous or hyperpigmented spots
• alopecia
• scaling
• lichenification
• abscess, cellulitis, etc..

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PYODERMA
ERYTHEMA, PUSTULES
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Pyoderma
EPIDERMAL COLLARETTES
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Deep Pyoderma
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DEEP PYODERMA
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Deep Pyodermas

• More difficult to treat than Superficial
  Pyodermas
• Often chronic
• Patients are often resistant to treatment or
  immunosuppressed
• Frequently involves Staph intermedius, Proteus,
  Pseudomonas, e. Coli
• Clinical Signs
• Papules and pustules,
• /- fever
• Draining fistulas

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Deep Pyodermas

• Dx clinical signs
• Tx
• Thorough cleaning
• Systemic Antibioics (clavamox, baytril,
  cephalexin)
• Client Info
• Causative organism often drug resistant
• Treatment may be prolonged and expensive in large
  breed dogs
• Some animals will never fully recovery

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CASE 11
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Superficial Pyoderma Hot spot
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Superficial Pyoderma Hot Spot
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Superfical Pyodermas

• Acute Moist Dermatitis, Superficial pyotraumatic
  dermatitis (Hot Spots)
• Clinical Signs
• red, moist, painful areas, oozing
• Common in thick coated dogs (Labs, Newfoundlands,
  Ger. Shepherds, Chows)
• Usually in hot moist summer months
• Hair loss, very pruritic
• Develops very fast

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Superficial Pyodermas

• Dx visual inspection of affected area
• TX
• Clip hair around lesion until skin normal
• Cleanse skin with medicated shampoo
• Topical Antibiotics/steroid creams or sprays
• (ex Betagen Spray)
• Treat original disease (fleas, allergies)
• Systemic steroids, Antibiotics
• Client Info
• Gentle cleansing BID
• Owner should wash hands after treatment
• E-collar may be necessary

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CASE 12
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Superficial Pyodermas

• Impetigo (aka superficial pustular dermatitis)
• Signalment young dogs secondary to
  malnourishment and poor hygiene
• Strep and Staph occasionally cultured from
  lesions
• Clinical Signs non-pruritic, non-painful
  pustules and papules on abdomen
• Diagnosis Physical signs
• Treatment Systemic Antibiotics, medicated
  shampoo
• Client Info Not contagious, usually clears by
  6 months

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WE ARE ALL CONNECTED

• I am, because we are.

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CASE 13
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Skin Fold Pyoderma (aka Intertrigo)

• Occurs in breeds with abundant skin
• Facial folds, vulvar folds, tail folds
• Spaniels, Bulldogs, Pekingese, Pugs, Bostons,
  obese dogs
• Folds trap moisture, heat and bacteria
• Usually chronic
• Dx Affected area moist, red, ulcerated

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Skin Fold Pyoderma

• Treatment Relieve symptoms by cleaning and
  drying lesion
• Sx reduction of skin fold may be only permanent
  solution
• Weight loss in obese patients
• Antibiotics, chlorhexidine-containing pledgets
• Antibacterial and/or benzoyl peroxide shampoos
• Client Info
• Require long term medical management
• Keep area dry and clean
• Keep hair/folds away from eyes

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Skin Fold Pyoderma Vaginal Folds
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Skin Fold Pyoderma Lip Folds
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CASE 14
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Acne

• Common in young short-haired dog breeds and cats
  - can be chronic
• Clinical Signs
• Chin swollen and painful to touch, dark spots gt
  black heads (comedones)
• Dx Appearance, r/o bite wounds, abscesses

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ACNE

• Rx
• clip hair on chin
• clean daily with human acne product (helps with
  follicular flushing)
• systemic antibiotics
• Topical Mupirocin ointment or cream
• Client Info
• May become chronic
• Daily cleaning of chin
• Use only ceramic or stainless steel bowls NO
  PLASTIC