199. Approach to immune mediated disease

Otitis media is a middle ear infection and can occur due to many different primary diseases. Ideally, these cases receive advanced imaging with CT or MRI, undergo video-otoscopy with myringotomy, submit a C/S and receive several weeks of appropriate antimicrobial systemic treatment. But, what if an owner can't afford referral? How else can we help these cases? Check out this week's episode of the podcast regarding clinical signs, causes, diagnostics and treatment options for otitis media.TIMESTAMPSIntro 00:00A Quick Refresher On Otitis Media 01:08The Differences In Clinical Signs 03:52What To Do If A Dog Or Cat Has Otitis Media 08:12Treatment For Otitis Media 11:08Outro 16:38

Welcome back, Dr Rachel Venable, DVM, MS, DACVIM (oncology) to the podcast! This week we discuss mast cell tumors!I don't know about you... but I always get confused about current guidelines with MCT. They can be anything from low-grade removal and no sweat... to multiple high-grade panic! How much margin do you really need? When is Stelfonta an option? Check out all this great conversation all about MCTs and how to approach them from a boarded oncologist!TIMESTAMPSIntro 00:00Predispositions To Mast Cell Tumors 01:08Single Mast Cell Tumors 02:25Multiple Mast Cell Tumors 08:30Are Subcutaneous Mast Cell Tumors More Of A Concern? 13:54Staging Mast Cell Tumors 15:18An Overview Of Stelfonta 17:36Outro 20:10

Cutaneous lymphoma can be a tricky disease. It is red, flaky and itchy just like allergies can be. If you see an older dog with these lesions, it should be a differential. But, what do you do if you get back a biopsy of cutaneous lymphoma? What if you can't refer the case to an oncologist?Today's post welcomes Rachel Venable, DVM, MS, DACVIM (oncology) to discuss this disease and what you can do to manage them. She is the founder of Pet Cancer Care Consulting which is a teleconsulting service. Dr. Venable talks about diagnosis, prognosis and various treatment protocols regarding cutaneous lymphoma.TIMESTAMPSIntro 00:00What Oncologists See With Epitheliotropic Lymphoma 02:00The Prognosis Of Epitheliotropic Lymphoma 05:45Does Dr. Venable Do Staging? 09:50The Difference Between B-Cell And T-Cell Lymphoma 11:28Walking Through Different Scenarios 12:58The Concern Of Apoquel Neoplasia 19:00Outro 21:44

How can you take your exam and history and "think like a dermatologist"? How can you elevate your game in derm when working up these skin cases?Check out how we pick up on distribution, species variations and history cues to start our skin workup in dogs and cats on this week's episode of The Derm Vet podcast!TIMESTAMPSIntro 00:00The Purpose Of Collecting A History 02:02The Examination 08:36Outro 16:46

Wounds can be tough, but there is a new product to help with that. KeraVet Gel is a hydrogel wound dressing intended to act as a protective covering for partial thickness wounds. It is the first veterinary product to include keratin as an ingredient based on human-grade products. Additionally, it contains the most bitter lick deterrent available on the market to discourage pets from traumatizing the area. Wouldn't it be great to get rid of E-collars?Today, we welcome Cherice Roth, DVM (lead medical advisor for KeraVet bio) to discuss the benefits of this product for dogs and cats. Also, how to best implement it into your daily clinical practice.

I get it! There is so much to cover in general practice that referring your patients to a dermatologist can feel daunting. I want to help! Here are the top 6 mistakes I see before cases are referred. It doesn't mean you are doing anything wrong... these are just simple things that can be fixed to have less frustrated clients.TIMESTAMPSIntro 00:00They're Not On Flea Control (Mistake #1) 01:30Not Explaining A Diet Trial (Mistake #2) 04:58Giving Up On Quality Allergy Medications (Mistake #3) 07:00Thinking Everything Is Allergies (Mistake #4) 09:18Pet Owners Not Understanding The Intentions Of Allergy Testing (Mistake #5) 11:42Waiting Too Long (Mistake #6) 14:02Outro 15:46

Dr. Molly Brinkmann is a GP and medical director of a small animal general hospital in Tennessee. You may know her for the hilarious content she puts on Instagram (@drmollysays)... but she also loves managing skin cases as a general practitioner. We discuss working up these cases as a general veterinarian when you first see them and how to implement successful chronic management. This is a great episode including two busy vet moms passionate about what they do for animals and their owners!TIMESTAMPSIntro 00:00The Companion Project 01:24How A General Practitioner Handles A Derm Case 06:34Dr. Molly's Experience With Flea Prevention 09:32General Practitioners Using Diet Trials 12:24General Practitioners And Chronic Management 22:02When General Practitioners Consider Referrals 26:28Does Insurance Cover Immunotherapy? 31:00Outro 32:22

Do you feel comfortable with skin biopsies? For such a small sample, it is easy to mess up. Check out this week's episode of The Derm Vet podcast regarding prepping (don't!), sampling and submitting to maximize your results!TIMESTAMPSIntro 00:00Get More Than One Sample (Tip #1) 03:20User A Bigger Punch (Tip #2) 05:02Do Not Prep Them (Tip #3) 06:48Use A Dermatopathologist (Tip #4) 08:16Rock Your Skin Biopsies (Tip #5) 10:10Outro 11:54

Erythema multiforme (EM) is an uncommon inflammatory skin disease. The onset is often very sudden and concerning and can affect the skin and mucous membranes leading to other issues (anorexia, difficulty defecating, etc.). The condition can require anywhere from no treatment to immunosuppressive drugs. Learn more about this disease in this week's episode of The Derm Vet podcast! TIMESTAMPSIntro 00:00Erythema Multiforme In Humans 02:16What Erythema Multiforme Looks Like 03:12Treatment For Erythema Multiforme 05:44Outro 10:32

Another grab bag episode of the podcast, you submitted questions about AUTOIMMUNE DISEASES on Instagram. Here is some information that goes through sebaceous adenitis treatment, ear margin vasculitis differentials, topicals for autoimmune diseases and more!TIMESTAMPSIntro 00:00Treatment Options For Sebaceous Adenitis 01:02Mycophenolate In Autoimmune Cases 05:35High Dose Prednisone Protocol 07:10Treating With Antibiotics Before Biopsying An Autoimmune Case 09:04Rule Outs For Ear Margin Vasculitis 11:30Topicals For Autoimmune Diseases 14:20Outro 16:36