Veterinary Medicine - October 2008 - (Page P2) 6 IMAGE: GETTY IMAGES DERMATOLOGIC VISIT TIPS FOR A SUCCESSFUL Michele Rosenbaum, VMD, DACVD Veterinary Specialist- Dermatology • Pfizer Animal Health Allow enough time for an initial visit. Schedule a 30- to 40minute visit to take a thorough history and perform complete physical and dermatologic examinations and diagnostic tests. Or, after taking a thorough history, have the client leave the pet at the hospital for several hours and set up a 30- to 40minute discharge appointment with the client to review test results and your treatment plan. Enlist the pet’s primary caregiver. The person bringing in the pet should have knowledge of the pet’s history, current medications, and diet. Remind the client to bring: • Copies of all the pet’s previous diagnostic test results, including skin histopathology reports and serum or intradermal allergy test results • Current medications and flea control products • Copy of the ingredients list from the pet’s current diet, including all treats given. Take a thorough history. Mail clients a dermatology history form to fill out before their appointments, post the form on your clinic’s website, or have clients arrive 15 minutes early to fill it out. Important data to obtain include the pet’s: • Pruritus rating on a scale of one to 10 (one = occasional pruritus, 10 = constant severe pruritus that interrupts eating and sleeping) • Age at onset of pruritus, dermatitis, or alopecia • Duration of pruritus, dermatitis, or alopecia and any seasonality • Other pets or owners affected with skin lesions or pruritus • Response to previous treatments. Perform a complete dermatologic examination. With good lighting, examine every inch of the pet’s skin, including ear canals, and clip hair if needed to better visualize lesions. Lay the pet on its side to thoroughly examine the axilla, ventrum, groin, and interdigital skin. Draw an imaginary line across the middle of the pet’s body and determine if lesions or alopecia are primarily on the front or back half of the body. 2 PRACTICAL DERMATOLOGY FOR THE BUSY PRACTITIONER
Table of Contents Feed for the Digital Edition of Veterinary Medicine - October 2008 Veterinary Medicine - October 2008 Contents Leading Off Clinical Exposures Idea Exchange Stalking Stones Vaginitis in Dogs CE Form Advertiser Index Marketplace/Classifieds Mind Over Miller Veterinary Medicine - October 2008 Veterinary Medicine - October 2008 - Veterinary Medicine - October 2008 (Page Cover1) Veterinary Medicine - October 2008 - Veterinary Medicine - October 2008 (Page Cover2) Veterinary Medicine - October 2008 - Veterinary Medicine - October 2008 (Page 527) Veterinary Medicine - October 2008 - Veterinary Medicine - October 2008 (Page 528) Veterinary Medicine - October 2008 - Contents (Page 529) Veterinary Medicine - October 2008 - Contents (Page 530) Veterinary Medicine - October 2008 - Contents (Page 531) Veterinary Medicine - October 2008 - Contents (Page 532) Veterinary Medicine - October 2008 - Contents (Page 533) Veterinary Medicine - October 2008 - Leading Off (Page 534) Veterinary Medicine - October 2008 - Leading Off (Page 535) Veterinary Medicine - October 2008 - Leading Off (Page 536) Veterinary Medicine - October 2008 - Leading Off (Page 537) Veterinary Medicine - October 2008 - Clinical Exposures (Page 538) Veterinary Medicine - October 2008 - Clinical Exposures (Page 539) Veterinary Medicine - October 2008 - Idea Exchange (Page 540) Veterinary Medicine - October 2008 - Idea Exchange (Page 541) Veterinary Medicine - October 2008 - Stalking Stones (Page 542) Veterinary Medicine - October 2008 - Stalking Stones (Page 543) Veterinary Medicine - October 2008 - Stalking Stones (Page 544) Veterinary Medicine - October 2008 - Stalking Stones (Page 545) Veterinary Medicine - October 2008 - Stalking Stones (Page 546) Veterinary Medicine - October 2008 - Stalking Stones (Page 547) Veterinary Medicine - October 2008 - Stalking Stones (Page 548) Veterinary Medicine - October 2008 - Stalking Stones (Page 549) Veterinary Medicine - October 2008 - Stalking Stones (Page 550) Veterinary Medicine - October 2008 - Stalking Stones (Page 551) Veterinary Medicine - October 2008 - Stalking Stones (Page 552) Veterinary Medicine - October 2008 - Stalking Stones (Page 553) Veterinary Medicine - October 2008 - Stalking Stones (Page 554) Veterinary Medicine - October 2008 - Stalking Stones (Page 555) Veterinary Medicine - October 2008 - Stalking Stones (Page 556) Veterinary Medicine - October 2008 - Stalking Stones (Page 557) Veterinary Medicine - October 2008 - Stalking Stones (Page 558) Veterinary Medicine - October 2008 - Stalking Stones (Page 559) Veterinary Medicine - October 2008 - Stalking Stones (Page 560) Veterinary Medicine - October 2008 - Stalking Stones (Page 561) Veterinary Medicine - October 2008 - Vaginitis in Dogs (Page 562) Veterinary Medicine - October 2008 - Vaginitis in Dogs (Page 563) Veterinary Medicine - October 2008 - Vaginitis in Dogs (Page 564) Veterinary Medicine - October 2008 - Vaginitis in Dogs (Page 565) Veterinary Medicine - October 2008 - Vaginitis in Dogs (Page 566) Veterinary Medicine - October 2008 - Vaginitis in Dogs (Page 567) Veterinary Medicine - October 2008 - Advertiser Index (Page 568) Veterinary Medicine - October 2008 - Marketplace/Classifieds (Page 569) Veterinary Medicine - October 2008 - Marketplace/Classifieds (Page 570) Veterinary Medicine - October 2008 - Marketplace/Classifieds (Page 571) Veterinary Medicine - October 2008 - Marketplace/Classifieds (Page 572) Veterinary Medicine - October 2008 - Marketplace/Classifieds (Page 573) Veterinary Medicine - October 2008 - Mind Over Miller (Page 574) Veterinary Medicine - October 2008 - Mind Over Miller (Page Cover3) Veterinary Medicine - October 2008 - Mind Over Miller (Page Cover4) Veterinary Medicine - October 2008 - Mind Over Miller (Page P1) Veterinary Medicine - October 2008 - Mind Over Miller (Page P2) Veterinary Medicine - October 2008 - Mind Over Miller (Page P3) Veterinary Medicine - October 2008 - Mind Over Miller (Page P4) Veterinary Medicine - October 2008 - Mind Over Miller (Page P5) Veterinary Medicine - October 2008 - Mind Over Miller (Page P6) Veterinary Medicine - October 2008 - Mind Over Miller (Page P7) Veterinary Medicine - October 2008 - Mind Over Miller (Page P8) Veterinary Medicine - October 2008 - Mind Over Miller (Page P9) Veterinary Medicine - October 2008 - Mind Over Miller (Page P10) Veterinary Medicine - October 2008 - Mind Over Miller (Page P11) Veterinary Medicine - October 2008 - Mind Over Miller (Page P12) Veterinary Medicine - October 2008 - Mind Over Miller (Page P13) Veterinary Medicine - October 2008 - Mind Over Miller (Page P14) Veterinary Medicine - October 2008 - Mind Over Miller (Page P15) Veterinary Medicine - October 2008 - Mind Over Miller (Page P16)
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