307. From Surface to Tympanum: Why Video Otoscopy Matters

Send me a question or story!Welcome to our first podcast series of the year: DERM DRUGS! We will spend the next few weeks jumping into different categories of medication and provide real world application of when and how we reach for these medications.Our first installment in this series are anti-yeast medications. How do you know when to reach for systemic anti-yeast drugs? Which one should you pick? How long should you treat and when do you recheck?We address all of these questions and more on this week's episode of The Derm Vet podcast!00:00 – Intro02:53 – Azoles07:26 – Which Anti-Fungal to Choose12:27 – Azole Side Effects13:34 – Length of Treatment14:26 – Pulse Dosing18:45 – Overview

Send me a question or story!I have had quite a few cool video otoscopy procedures lately. With cool procedures, come the ability to share these videos and images online. With that, comes lots of questions from you!When should I refer for video otoscopy?What is the purpose of video otoscopy?When should I choose video otoscopy over everyday handheld otoscopy?We break down the four main reasons to consider video otoscopy. If you check out the YouTube channel, there are some cool images and videos or recent scopes that will confirm how cool this procedure can be!00:00 – Intro01:43 – Should you have a video otoscopy02:58 – Four main reasons to consider video otoscopy03:12 – Magnifying the image04:26 – Deep flushes06:15 – Middle ear cytology and culture07:37 – Removing things09:19 – Overview11:17 – Outro

Send me a question or story!Recurrent infections can be so difficult in our allergic patients. Learn how to minimize severity of frequency of pyoderma on this week's episode of The Derm Vet podcast!1. Work up the underlying allergies2. Support the skin barrier3. Adjust topical therapy accordingly4. Recognize historical patterns5. Refer to a dermatologist early in the disease00:00 – Intro02:24 – Working up the underlying allergies04:53 – Support the skin barrier07:36 – Adjust your topical therapy accordingly10:27 – Recognize historical patterns13:02 – Referring these patients early13:56 – Overview14:32 – Outro

Send me a question or story!Periocular dermatitis can occur for a multitude of reasons. The first step is to figure out if the eye itself is involved or not. Once we know the eye is healthy, it is time to figure out why the SKIN AROUND the eye is losing hair, crusty, itchy, etc.It is important to return to the basic diagnostics. Cytology can be sampled with tape (if the lesion is dry) or swab (if the lesion is wet) to not risk damaging the eye. A trichogram can be used instead of a skin scrape to also protect the eye from a scalpel blade!Anything that can cause folliculitis to other areas of the skin can impact the periocular dermatitis. Allergies, mites, dermatophytosis, pyoderma, yeast dermatitis, autoimmune diseases and neoplasia can cause lesions. Dive into the details on this week's episode of The Derm Vet podcast!Timestamps00:00 Intro03:00 Periocular Dermatitis05:21 Cytology Techniques06:45 Allergies and Facial Pruritus08:20 Demodex12:00 Biopsy13:20 Neoplasia16:00 Outro

Send me a question or story!I asked a few of my vet friends what "derm gifts" they received in 2025. I loved their answers and wanted to share them on our final episode of the podcast this year!1. More confidence in cytology2. Comfort in using new tools and innovations3. Improving client communication and utilization of staff4. Treating dermatology like a puzzle you have to put together5. Prioritizing referral for allergy testing and immunotherapyAnd mine... be curious and collaborate!Thanks for another wonderful year of podcasting! Can't wait to see what 2026 has to bring.00:00 – Intro01:55 – Derm Gifts of the Year02:26 – Gift 1: Improving Confidence in Cytology04:33 – Gift 2: Becoming Open to Try New Things06:11 – Gift 3: Learning More About Client Communication09:28 – Gift 4: Realizing Derm is a Puzzle12:08 – Gift 5: Being Thoughtful When Referring Immunotherapy15:27 – Gift 6: Remaining Curious and Collaborative18:52 – Outro

Send me a question or story!It is very common for clients to present their pet to the veterinarian complaining that an allergy medication that used to work is no longer effective. Before changing therapies, it is important to consider four different things.1. Rule out simple mistakes like missed flea prevention, diet change, etc.2. Identify infection3. Progression of allergies4. It is no longer just allergiesLearn more details on this week's episode of The Derm Vet podcast!Timestamps00:00 Intro01:20 Looking for Simple Causes03:47 Identify Infections06:10 Allergy Progression08:30 When It Isn't Just Allergies10:22 Overview12:05 Outro

Send me a question or story!Zinc responsive dermatitis is a skin condition in dogs resulting from a zinc deficiency or an inability to properly absorb the mineral. It is a rare condition that typically presents as scaling, crusting, and hair loss around the head (especially muzzle and periocular region) and pressure points.The most common form is syndrome I which is almost exclusively seen in Nordic breeds like Huskies and Malamutes. They have a genetic defect that impairs intestinal absorption of zinc (even when sufficient quantities are in their diet). Learn about this disease process including diagnosis and treatment on this week's episode of The Derm Vet podcast!Timestamps00:00 Intro01:00 Zinc Basics04:12 What Happens If You’re Not Absorbing Enough Zinc05:55 Syndromes Seen With Zinc Deficiency07:22 Zinc Responsive Dermatitis in Huskies08:31 Presentations of Zinc Responsive Dermatitis09:50 Other Differentials You Can See11:53 Treatment for Zinc Responsive Dermatitis13:35 Length of Treatment14:10 Other Treatment Methodologies15:19 Outro

Send me a question or story!Solar dermatitis (actinic keratosis) is skin damage from prolonged UV exposure, affecting both dogs and cats, particularly those with light-colored or thin coats. So, pets that have white fur and live in high UV exposure areas (like the southern US) are predisposed. Symptoms include redness, scaling, hair loss, and thickened, crusty skin. Commonly affected areas include the nose, ears, abdomen, and inner thighs. This condition can lead to more severe issues, including pre-cancerous lesions and aggressive skin cancer like squamous cell carcinoma. We will discuss ways to identify this disease and treatment options such as CO2 laser ablation, etc.00:00 – Intro04:06 – Nasal Solar Dermatitis06:32 – Classic Canine Solar Dermatitis08:15 – Treatment Options for Solar Dermatitis16:52 – Outro

Send me a question or story!In the spirit of Thanksgiving, I like to reflect on the things I am thankful for in the world of veterinary dermatology and life. Check out the products and people I am thankful for on this celebratory 300th episode of The Derm Vet podcast!TIMESTAMPS00:00 Intro1:53 New Product Launches4:30 Dr. Bourgeois’s Experiences5:30 Dr. Bourgeois’s Family7:21 New Research8:29 Patients and Clients10:21 The Viewers11:39 Outro

Send me a question or story!For how common we see pyoderma in cats and dogs in veterinary practice, the appearance can be variable. A cutaneous bacterial infection can appear as crusting, erythema, scaling, moth-eaten alopecia, epidermal collarette, etc. Differentials can also be varied. Pyoderma can mimic dermatophytosis, demodicosis, pemphigus foliaceus, epitheliotropic lymphoma, etc. Check out this week's episode The Derm Vet podcast! Also, I highly encourage you to check out the YouTube channel to see some clinical images.00:00 – Intro01:20 – Moth-Eaten Alopecia03:18 – Diffuse Alopecia04:21 – Erythema05:27 – Scaling06:40 – Epidermal Collarettes07:57 – Crusting11:15 – Urticaria-like Lesions13:58 – Outro