199. Approach to immune mediated disease

It is really difficult to know what topical treatment options to consider when dealing with a ruptured tympanum. When a difficult multi-drug resistant Pseudomonas otitis occurs, it is very common to have the tympanum ruptured. So, what do you do? Being cautious and upfront with owners about labeling is important. However, bad infections are also ototoxic and it is important we treat them appropriately.On this week's episode of The Derm Vet podcast, I discuss things to consider when dealing with a ruptured TM, what to do if you do experience a case with ototoxicity, and considering the risks/benefits of selecting treatment for difficult otitis cases.00:00 Intro00:25 Treating ear infection02:23 Ear Exams04:36 Most commonly reported to be ototoxic09:15 Dogs with ear infections going on for a long time10:28 Risk vs Benefit11:20 Summary/Outro

When a patient is going through an allergic flare, we focus on making the pet comfortable which is absolutely reasonable! However, we have to think of the prevention of future flares and frustration for that case. It is important for us to adjust our mindset once relief has been established and think of the long-term plan for that pet. Each plan can be unique depending on the case presentation, client's goals, etc. Check out this week's episode of The Derm Vet podcast where I discuss shifting to this mindset with ease including a recent cat case I had to go through a treatment adjustment.TIMESTAMPS00:00 Intro02:21 A common scenario that I see at the clinic06:43 Laying the foundation down for the pet to succeed11:16 Cat case with really bad pyoderma13:12 Considering allergy testing15:01 Outro

Vasculitis can be a tricky disease. It can be more straightforward with tissue loss at the pinnal tips, but it isn't always that easy! Lesions can vary from claw loss to paw pad lesions to hair loss.Curtis Plowgian, DVM, DACVD joins the podcast from Animal Dermatology Clinic in Indianapolis, Indiana for another episode! Dr. Plowgian wanted to discuss this topic after having a weird presentation in a cat... definitely strange to have vasculitis in a cat! Learn more about some of our weird vasculitis cases (and treatment options) on this week's episode of The Derm Vet podcast!00:00 Intro01:04 Basics of Vasculitis 10:00 Treatment Options for Vasculitis16:12 JAK-STAT Inhibitors and Steroids18:48 Future Vaccines23:36 Outro

As you progress in your career in the veterinary field, how do you help prepare the next generation? Whether you are a specialist, general practitioner, technician, etc. there are always opportunities to mentor.Curtis Plowgian, DVM, DACVD joins the podcast from Animal Dermatology Clinic in Indianapolis, Indiana. He wanted to discuss the opportunities he has had to mentor including lecturing for students at Purdue University and training residents (including one from across the world). Listen as Dr. Plowgian shares his experience of sharing love for dermatology to the next generation of doctors on this week's episode of The Derm Vet podcast!00:00 Intro01:55 What sparked your passion for dermatology?06:01 Mentoring and why Curtis likes it17:56 Advice for students seeking mentorship and growing their skills22:37 Outro

I love hearing the information you want to know! This week... I answered questions you submitted on an Instagram question sticker about pyoderma. Why does it happen? Is cytology really that necessary (hint: YES!)? When to culture?Learn the answers to your pesky pyoderma questions on this week's episode of The Derm Vet podcast!TIMESTAMPS00:00 Intro01:09 What is the cause of Pyoderma?02:54 Why does the crust build up?03:42 Is it necessary to collect cytology if you see pustules?05:37 JAK inhibitors aren't labeled for pyoderma, is that correct?07:24 Cephalexin09:09 Standard length of time for antibiotics11:52 Preferred topical treatment13:41 When do you decide to perform a bacterial culture?15:28 Outro 

This episode of the podcast welcomes Dr. Kelly Keating, DACVP, DACVD. Dr. Keating sees clinical dermatology cases in Las Vegas and reviews dermatopathology. So, she has experience collecting the biopsy samples herself and reading them!Dr. Keating provides insight on how to maximize your histopathology findings and work with your dermatopathologist to get a diagnosis. Nobody wants to get back non-specific inflammation!You can go to https://www.animaldermatology.com/dermatopathology-services if you are interested in submitting to Animal Dermatopathology Services!TIMESTAMPS00:00 Intro01:13 Most common mistakes you see with submissions to skin biopsy?04:46 How much does having a submission of history help you when you do get a sample?09:21 Tips for general practitioners who are submitting biopsies12:04 Tips for mass removals14:46 Site selection18:28 Biopsy an ulcer20:14 Preferred withdrawal time24:25 How often do you see infections covering up what you need to see?27:40 What are special stains?30:05 Tissue Culture explanation 33:18 Biopsy Ear Tips35:10 Where people can send Dr. Keating samples36:47 Outro

Itch and inflammation are terms that are often used in allergies. However, it is important to consider how the various allergy medications affect each of these aspects of management. There are so many different presentations of allergies and no one-size-fits-all protocol. Knowing when you may need a drug more anti-inflammatory and not just anti-itch is important! Between Cytopoint, Apoquel, Zenrelia, cyclosporine and steroids... do you feel confident on when to select which medication?Check out some helpful hints on this week's episode of The Derm Vet podcast!00:00 Intro00:25 Itch vs Inflammation03:36 Cytopoint05:24 Apoquel and Zenrelia07:14 Cyclosporine08:59 Steroids12:32 Summary

She's back! Based on the success of grab bag episodes... Dr. Julia Miller is back to discuss canine atopic dermatitis! It is one of the most common diseases managed in veterinary dermatology. When do you pick a particular allergy medication?Are there allergy supplements that really work?What about ear maintenance?We answer the questions you submitted on this week's episode of The Derm Vet podcast!

We asked, you answered! Food allergy can be complicated and there so many different opinions out there. So, I invited fellow dermatologist and frequent guest on the podcast Dr. Julia Miller to discuss! Dr. Miller is a boarded dermatologist practicing in Louisville, KY. Listen as we take a practical approach regarding when to do a diet trial, what diet to use and how to work WITH (rather than AGAINST) your clients when working up a food allergy on this week's episode of The Derm Vet podcast!00:00 Intro01:41 What food do you start with for food allergies?05:01 Considerations between a young dog vs older dog 07:11 Concerns about corn allergies?12:04 Preventatives16:16 Length of time for diet trials?19:28 Deciphering between both food and environmental allergies26:33 Diet Challenges29:51 Outro

Cutaneous Malassezia (yeast) hypersensitivity shows up as a marked inflammatory and pruritic response to relatively low numbers of yeast organisms, though some dogs may also have overt infection with many yeast organisms on cytology.There is no specific criteria of how to diagnose these dogs and maintain treatment. However, there are hints of how you can look at the clinical signs and history to heighten your suspicion.Find out more on this week's episode of The Derm Vet podcast!TIMESTAMPS00:00 Intro00:25 Yeast Hypersensitivity05:12 When to call a dog hypersensitive to yeast07:15 Encouraging people to allergy test08:41 How is my underlying control?11:21 Symptoms13:09 Outro