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.

TIMESTAMPS
Intro 00:00
A Quick Refresher On Otitis Media 01:08
The Differences In Clinical Signs 03:52
What To Do If A Dog Or Cat Has Otitis Media 08:12
Treatment For Otitis Media 11:08
Outro 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!

TIMESTAMPS
Intro 00:00
Predispositions To Mast Cell Tumors 01:08
Single Mast Cell Tumors 02:25
Multiple Mast Cell Tumors 08:30
Are Subcutaneous Mast Cell Tumors More Of A Concern? 13:54
Staging Mast Cell Tumors 15:18
An Overview Of Stelfonta 17:36
Outro 20:10

Apoquel (oclacitinib tablet) is approved for the treatment of allergic dermatitis in dogs over 12 months of age. However, veterinary medicine can present difficult cases and off-label use based on anecdotal experience can be important to provide quality of life when other options aren't working.

Check out some diseases that have been reported to have been treated successfully with Apoquel... that aren't allergies. The diseases may surprise you!

TIMESTAMPS
Intro 00:00
Discoid Lupus Erythematosus 04:16
Symmetrical Lupoid Onychodystrophy 08:22
Pemphigus Foliaceus 09:56
Vasculitis 12:36
Outro 14:30

Diagnosis of canine atopic dermatitis... it can be time consuming to do all the rule outs (though necessary). But there is criteria that can make it very likely (or unlikely) that you are dealing with canine atopic dermatitis. 

Check out this week's episode of the podcast for the hints!

Managing canine atopic dermatitis long-term can be difficult and frustrating. Between managing flares and client education there can be a lot to juggle. Today's podcast welcomes Fiona Bateman, BVSc, MANZCVS, DACVD. She is a senior veterinary dermatologist for Zoetis.

We discuss how to work with clients to manage these chronic cases, long-term anti-pruritic therapy and identifying flare factors. Though these cases can be confusing and hard to manage, there are some key tips that can help navigate this common case presentation.

This podcast is sponsored by Zoetis.

It is one of the biggest debates in veterinary dermatology. Are ear cultures useful? Check out this week's podcast to hear why this is a hot topic and my thoughts on it. 

Welcome Dr. Karen Shenoy to the podcast! She is the Chief Veterinary Officer for Hills US. We discuss Hill's Global Symposium which is focusing on dermatology this year! Dr. Shenoy and I will be co-hosting this event which contains a bunch of amazing speakers. 

Register at hillsglobalsymposium.com! It is free and will be recorded so you can catch up later if you can't watch the entire event live.

"If you love what you do, you will never work a day in your life."

Is this really true? Or an unrealistic concept? Check out this episode of the podcast with Dr. Jeff Tinsley (senior resident at Animal Dermatology Clinic Louisville).  We discuss this and ways to recharge outside of work. 

I was recently giving a set of lectures about allergies and I was asked about the prevalence of aural hematomas in dogs with no signs of otitis externa. I hadn't appreciated this clinically but then ran across a review article that discussed a new potential etiology and though it was interesting. Check out this week's episode of the podcast and let me know your thoughts! Have you appreciated this in the clinic?

Study reference:
O’Neill, D.G.; Lee, Y.H.; Brodbelt, D.C.; Church, D.B.; Pegram, C.; Halfacree, Z. Reporting the epidemiology of aural haematoma
in dogs and proposing a novel aetiopathogenetic pathway. Sci. Rep. 2021, 11, 21670

As a dermatology specialists we tend to see the more severe, chronic cases of allergic dermatitis and infection. But in general practice, our colleagues are seeing these cases at much earlier stage in younger dogs. So how do you start management at these initial signs of allergies?

This podcast episode welcomes back Dr. Dana Liska, DACVD. Dr. Liska is a senior veterinary dermatologist with Zoetis. We discuss early recognition, management and client communication regarding canine allergic dermatitis.

This podcast is sponsored by Zoetis.

I opened it up on Instagram! In this episode, I answer the top questions submitted regarding canine atopic dermatitis. This is a great summary of some of the most important aspects of this chronic, frustrating disease.

It’s Itchy Pet Awareness Month!  Come listen to this podcast episode with Alice Joseph and Dr. Shannon Cabell of Zoetis.

We will discuss fun ways to get your practice ready for Itchy Pet Awareness Month in August including wonderful resources listed below:

www.itchypetawarenessmonth.com 
www.itchingforhelp.com
www.zoetispetcare.com/blog

Flea bite hypersensitivity is a common cause of pruritus and secondary infection in dogs and cats. It can be easy to prescribe flea prevention and assume you have ruled it out. But some cases need a little more detail when collecting history and providing discharge instructions...

How is the owner giving the flea prevention?
Are other dogs and cats on quality fast flea prevention?
What frequency is owner giving the prevention?

Find out about a recent case I had where the pet was on great flea prevention... but the other pets in the household weren't. A big difference occurred with just a small change.

It can be daunting to start with a dermatology case in veterinary medicine... or even manage changes in a case you have seen for years! Check out my TOP 5 TIPS to consider when seeing a dermatology case on this week's episode of The Derm Vet podcast!

Join My Email List: https://thedermvet.com/
The Sit. Stay. Laugh! Podcast: https://podcasts.apple.com/us/podcast/the-sit-stay-laugh-podcast/id1743984464

TIMESTAMPS
Intro 00:00
Do You Know Your Diagnosis? (Tip #1) 02:40
Does This Treatment Make Financial Sense For The Pet Owner? (Tip #2) 07:16
Can The Pet Owner Physically Do It? (Tip #3) 09:36
What Is The Current Priority? (Tip #4) 11:16
What Is The Future? (Tip #5) 14:14
Outro 15:38

Welcome Dr. Valerie Fadok, DVM, PhD, DACVD back to the podcast. She is a senior veterinary dermatologist with Zoetis. One of her passions involves a dog breed that we see quite often in dermatology... The West Highland White Terrier aka Westie! Hear all about this allergy prone breed and the amazing research being done through the Westie Foundation of America (westiefoundation.org).

Some wonderful studies are mentioned on this episode. The references are listed below:
1. Favrot C et al. Atopic dermatitis in West Highland white terriers- part 1: natural history of atopic dermatitis in the first three years of life. Vet Dermatol 2020;301:106-e16. AR-17046

2. Rostaher A, et al. Atopic dermatitis in a cohort of West Highland white terriers in Switzerland. Part II: estimates of early life factors and heritability. Vet Dermatol 2020; 31:276-e66. AR-17045

3. Rostaher A, et al. Atopic dermatitis in a cohort of West Highland white terriers in Switzerland. Part III: early life peripheral blood regulatory T cells are reduced in atopic dermatitis. Vet Dermatol 2021; 32:239-e63. AR-17047

This podcast was sponsored by Zoetis. Zoetis is dedicated to changing the way we approach canine pruritus to protect the bonds between the pet, the owner and the veterinary team.

This week's episode goes over differentials, diagnosis and treatment options for histiocytoma. Do you "wait and see" or go for the removal? Check out your options here!

This week's episode is all about canine papillomavirus. They aren't always obvious wart-like lesions in young dogs. Did you know there are inverted papillomas?  Pigmented plaque-like lesions in Pugs? 

Check out the podcast to take a little dive into this common virus.

Resistant infections seem to get worse every year. So how do you handle a culture that comes back with limited antibiotic options? Or an owner can't afford to culture but systemic antibiotics are not resolving the pyoderma?

Dilute bleach is an inexpensive, effective topical option for pyoderma. There are various concentrations listed in the literature and certain tips that can increase your chances of being successful with implementing bleach as a rinse, spot treatment or soak.

We always want easy wins in veterinary dermatology... and Scabies is absolutely one of them! Sarcoptic mange can make an animal miserable. But, luckly, it is a very easy mite to treat leading to fast comfort! 

However, this mite can be sneaky and difficult to find on skin scrapings. Check out this podcast episode for lesion distribution, diagnosis, history and treatment!

You hear dermatologists mention the "multimodal approach to allergies" but what does that mean beyond prescribing an anti-itch therapy? 

Find out why the epidermal barrier matters and how you can help restore it for your itchy patients.

Otitis can be a frustrating disease to diagnose and manage. However, it is one of the most common diseases seen in general practice. Successful treatment does not just mean picking the right ear drop. You have to consider why the infection is happening and what other factors are present that may complicate remission of the disease.

Learn how the PSPP system can be a quick way to have a full view of how to manage a complicated otitis case!

Bald belly cats present commonly in veterinary dermatology. Many of these cats develop bald bellies due to overgrooming but there are also non-pruritic causes. 

What history questions should you ask? What differentials should you consider? What other clinical signs should you look for?

Check out this episode of the podcast to feel confident in the bald belly kitty workup!

Stephen Kochis, DVM joins the podcast to discuss dermatology in shelter medicine. He is the Chief Medical Officer for the Oregon Humane Society in Portland, OR.  

Dr. Kochis discusses some of the amazing work he does in shelter medicine managing dermatologic diseases including feline dermatophytosis and canine allergies. Also, the importance of getting to know your local shelters.

Before referring a dog or cat to a dermatologist, what should you do? Of course we love cytology, diet trials, topical therapy, etc. but there is ONE particular thing I would love for every case to have before seeing us at the dermatology clinic. Check out this episode of the podcast to find out my top request!

I gave you the opportunity to ask questions about food allergies... and you delivered!

Come check out the top questions you have about food allergies in this week's episode of The Derm Vet podcast!

TIMESTAMPS
Intro 00:00
How To Challenge A Pet After A Diet Trial 01:56
My Flea Preventative Recommendation For Diet Trials 06:26
Can Pets React To Hydrolyzed Protein? 09:22
How Many Diet Trials To Consider Before A Pet Is Not Food Allergic 10:48
Does A Patient Need To Have A Year Round History In Order To Have Food? 13:04
Dental Chew Recommendations 14:38
Prednisone Helping Itchy Pets For Food 16:54
What If A Pet Doesn't Like Their Prescription Diet? 18:46
Age Distribution For Food Allergies 20:32
How Long Should Diet Trials Last? 21:54
Outro 23:26

Claw fold disease is often overlooked in dogs and cats during the dermatologic examination. However, this a common anatomical area that is affected in pets with allergies, infections, parasites or autoimmune diseases. 

Though there are similarities in claw fold diseases between dogs and cats, there are some differences that should be recognized as well. Learn all about clinical signs, diagnostics and differentials in this episode!

Welcome Valerie Fadok, DVM, PhD, DACVD to the podcast to discuss canine allergic and atopic dermatitis! She is a senior veterinary dermatologist with Zoetis.

We’ve come a long way in our ability to manage allergic skin diseases in dogs. Due to our increased knowledge based on research, there are better therapeutics available. We have learned that several Type 2 cytokines such as IL-2, IL-4, IL-6, IL-13, and IL-31 are major players in mediating allergic pruritus and inflammation.  These cytokines mediate their action through Janus kinase-1 and appear early in the allergic inflammation cascade. 

It is so important with the management of allergic and atopic dogs that we continue to have studies showing the effect of therapies on itch and inflammation. Check out this episode of the podcast to learn more!

This podcast was sponsored by Zoetis. Zoetis is dedicated to changing the way we approach canine pruritus to protect the bonds between the pet, the owner and the veterinary team. Visit ScienceofStrongerBonds.com for more information.

APOQUEL-IMPORTANT SAFETY INFORMATION

Do not use Apoquel in dogs less than 12 months of age or those with serious infections. Apoquel may increase the chances of developing serious infections, and may cause existing parasitic skin infestations or pre-existing cancers to get worse. Consider the risks and benefits of treatment in dogs with a history of recurrence of these conditions.  New neoplastic conditions (benign and malignant) were observed in clinical studies and post-approval.  Apoquel has not been tested in dogs receiving some medications including some commonly used to treat skin conditions such as corticosteroids and cyclosporines. Do not use in breeding, pregnant, or lactating dogs. Most common side effects are vomiting and diarrhea. Apoquel has been used safely with many common medications including parasiticides, antibiotics and vaccines.  For more information, please see the full Prescribing Information at Apoquel.com/pi.

Apoquel Indications

Control of pruritus (itching) associated with allergic dermatitis and control of atopic dermatitis in dogs at least 12 months of age.    

Cytopoint Indications: Cytopoint has been shown to be effective for the treatment of dogs against allergic dermatitis and atopic dermatitis.

How do you diagnose and appropriately treat yeast otitis? What if it doesn't respond? When do you reach for systemic medications?

Learn why cytology is SO important in these cases and how to manage yeast otitis.

Discussing food changes and diet trials with clients can be very frustrating and emotional. How do you break down that barrier? How do you gain confidence as a clinician when you are already dreading the conversation?

Learn some tips and tricks on approaching the food talk with your clients!

Technicians are the backbone of a veterinary clinic. Between client communication, collecting diagnostics and administering therapies, their capabilities truly are amazing! Today, I welcome two amazing technicians to the podcast: Amanda Friedeck, BS, LVT, VTS (Dermatology) from Texas A and M University and Shannon Carroll from Animal Dermatology Clinic Portland. They discuss the similarities and differences between their roles at a University and private practice caring for dermatology patients.

Zoetis has recently launched an amazing program for veterinarian technicians that provides free education about Cytopoint. You can check out the below links about implementing this program:

https://cloud.mc.zoetis.com/Cytopoint_NGSE_Landing_Page

https://learn.zoetisus.com/learn/course/1186/Cytopoint%253A%2520Essential%2520Facts%2520and%2520New%2520Information%2520You%2520Need%2520to%2520Know%2520%28CE%253A%25200.5%29

This podcast was sponsored by Zoetis, the makers of Apoquel and Cytopoint. Zoetis is dedicated to changing the way we approach canine pruritus to protect the bonds between the pet, the owner and the veterinary team. Visit ScienceofStrongerBonds.com for more information.

Why should you refer a dog or cat for environmental allergy testing? It is important to realize this is a not a diagnostic test but how we formulate immunotherapy for desensitization. 

Learn about the different allergy tests (intradermal, serum) and the purpose of performing them.

Plasma cell pododermatitis is an autoimmune disease we most commonly see in cats. Learn about the clinical presentation, diagnosis and treatment options!

Infections are getting scarier and scarier. with resistance. 

Now more than ever, it is essential that we are being judicious with our antibiotic use. But what alternatives are there? From topical therapy to fluorescent light therapy (Phovia), find out what options are available and are necessary to implement.

Why is ear flushing important? Should we flush in the clinic or at home? What flush should you use for cocci, rods, yeast or just ceruminous debris?

Ear flushing is an essential tool in the treatment and management of otitis. Get a review of the basic strategies you can use to have more success with your cases!

You hear dermatologists talk about the importance of cytology. But, how do you become confident about your collection technique? 

Learn how to master this important derm diagnostic. You will become an expert in no time with these tips!

History collection is so important in veterinary dermatology... so many skin lesions can look the same. It can be especially crucial when figuring out why infections are happening in a pet.

On this episode, we will discuss important history questions and how to do it in a time efficient manner. Finally, remember that history collecting doesn't just happen at the first exam... it is an ongoing saga as you keep seeing the pet as a recheck.

TIMESTAMPS
Intro 00:00
Why Getting A History Is So Important 01:34
Ectoparasite Control 08:06
If Other Pets And People In The House Are Affected 09:30
Being More Efficient 11:14
Important Red Flags To Remember 14:38
Outro 19:12

Workup of the allergic dog can be time consuming and difficult. Going through the necessary rule outs is important for allergies, but there are criteria that can heighten your suspicion of atopic dermatitis Check out some criteria that can help you feel more confident about diagnosing a dog with atopic dermatitis!

Today, Steve Pfohl joins as a guest on the podcast. He is the market research lead for the U.S. dermatology portfolio at Zoetis. Market research is conducted to help uncover insights that provide value to veterinarians and dog owners. This information can improve our communication with owners, and this benefits their pets’ lives.

For more interesting information about market research and how it impacts your daily veterinary practice, check out this!

Julia Miller, DVM, DACVD is back to chat about farm animal dermatology. From cows to pigs to goats... get a down and dirty discussion about problems that can be seen with the skin!

Julia Miller, DVM, DACVD joins the podcast to chat about horses! There are a lot of amazing things we can do to control horses with skin disease between topicals, immunotherapy and changing simple things like nutrition.

Listen to our discussion which ranges from urticaria to dermatophytosis!

Scrape, pluck, smear... biopsy if weird. We need to remember to go back to the basics in derm cases. So, get a quick refresher on where to start with abnormal skin lesions.

Dr. Lauren Adelman is back on the podcast! She is a board-certified internal medicine specialist practicing  at Canada West Veterinary Specialists in Vancouver, BC.  On this episode, we discuss hyperadrenocorticism (Cushing's disease). This can be a complicated disease to diagnose and manage. So check out our discussion and feel comfortable knowing there is no clear cut answer!

Welcome Lauren Adelman, DVM, DACVIM to the podcast! An internist at Canada West Vet Specialists in Vancouver, BC. We discuss the clinical signs, diagnosis and treatment options for canine hypothyroidism. 

One of the most overdiagnosed diseases... how do you know you got it right?

Sebaceous adenitis is an autoimmune disease that can cause scaling, follicular casting and hair loss in dogs. Standard Poodles, Vizslas and Akitas are predisposed. Learn how to recognize this disease, diagnose it through biopsy and the wide array of treatment options that are available.

Color dilution alopecia (CDA) is an inherited condition that causes patches of hair loss, and may also include flaky skin and pruritus. The condition is associated with individuals who have a “dilute” color, and is most commonly seen in dogs with a blue or fawn coat. 

Learn about this interesting disease, how to diagnose it appropriately and manage it long-term.

You always hear me mention "cytology everything"! But, how do you actually collect a diagnostic cytology sample?

Cytology is the minimum database of any dermatology case. So, it is important to find 2-3 techniques you feel comfortable with and become a PRO at them. From direct impression to tape to toothpick samples, get a step-by-step guide on the difference collection methods. 

Don't forget to check out The Derm Nerds which includes a cytology collection PDF and RACE approved cytology presentation!  https://thedermvet.com/the-derm-nerds

As a dermatologist, I see A LOT of allergies. However, there are other causes of skin diseases that can cause a pet to develop pruritus, skin lesions, etc. In this episode, I will cover the 5 red flags that should get you considering other causes of skin disease besides allergies.

1. Dermatologic disease starts when the pet is senior
2. Mucus membranes are affected
3. The pet is not itchy
4. Infection is controlled but the lesions or pruritus do not respond to steroids or other anti-pruritic therapies
5. Weird lesions like depigmentation or nodules are present

TIMESTAMPS
Intro 00:00
Lesions Starting When The Pet Is Older (Red Flag #1) 03:56
Mucous Membranes Being Affected (Red Flag #2) 06:02
The Pet Is Not Itchy (Red Flag #3) 07:52
Not Responding To Anti-Pruritic Medication (Red Flag #4) 10:00
Weird Lesions (Red Flag #5) 12:06
Outro 14:34

I asked you what you have learned from the podcast this year. My husband joins me again (check out the 2020 wrap up!) to chat about your responses. From cytology to feline dermatology to being a veterinary parent, check out a summary of 2021!

Thank you for continuing to help this podcast grow and reach more people!

IL-31 has gained a lot of attention in the last decade based on its role in pruritus for canine allergic dermatitis. Also, the specific therapies that target this pruritic cytokine (Apoquel and Cytopoint). This episode welcomes Meagan Painter, DVM, DACVD. She is a boarded certified dermatologist at MSPCA-Angell West in Waltham, MA. 

Dr. Painter has recently released an online course all about canine allergies (theallergicdog.com) that dives even further into this important topic!

Laura Dennis joins the podcast for this episode. She is the Vice- President of Sales and Marketing for Xoran Technologies. She provides her marketing expertise on ways that you can allow your practice to thrive. For example, if you have innovative technology such as cone beam CT and want to inform clients and other clinics.