Veterinary Medicine - November 2008 - (Page PD2) 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 - November 2008 Veterinary Medicine - November 2008 Contents Leading Off Editors' Guest Just Ask the Expert Letters Practice Makes Perfect Clinical Exposures Practice Matters Idea Exchange Author Guidelines A Challenging Case: Esophageal Leiomyoma in a Dog Osteoarthritis in Cats: What We Now Know About Recognition and Treatment Product Preview CE Form/Advertiser Index Marketplace/Classifieds Mind Over Miller Veterinary Medicine - November 2008 Veterinary Medicine - November 2008 - Veterinary Medicine - November 2008 (Page Cover1) Veterinary Medicine - November 2008 - Veterinary Medicine - November 2008 (Page Cover2) Veterinary Medicine - November 2008 - Veterinary Medicine - November 2008 (Page 579) Veterinary Medicine - November 2008 - Veterinary Medicine - November 2008 (Page 580) Veterinary Medicine - November 2008 - Contents (Page 581) Veterinary Medicine - November 2008 - Contents (Page 582) Veterinary Medicine - November 2008 - Contents (Page 583) Veterinary Medicine - November 2008 - Contents (Page 584) Veterinary Medicine - November 2008 - Contents (Page 585) Veterinary Medicine - November 2008 - Leading Off (Page 586) Veterinary Medicine - November 2008 - Leading Off (Page 587) Veterinary Medicine - November 2008 - Leading Off (Page 588) Veterinary Medicine - November 2008 - Leading Off (Page 589) Veterinary Medicine - November 2008 - Editors' Guest (Page 590) Veterinary Medicine - November 2008 - Editors' Guest (Page 591) Veterinary Medicine - November 2008 - Just Ask the Expert (Page 592) Veterinary Medicine - November 2008 - Letters (Page 593) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page 594) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM1) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM2) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM3) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM4) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM5) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM6) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM7) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM8) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM9) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM10) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM11) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM12) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM13) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM14) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM15) Veterinary Medicine - November 2008 - Practice Makes Perfect (Page DM16) Veterinary Medicine - November 2008 - Clinical Exposures (Page 595) Veterinary Medicine - November 2008 - Clinical Exposures (Page 596) Veterinary Medicine - November 2008 - Clinical Exposures (Page 597) Veterinary Medicine - November 2008 - Clinical Exposures (Page 598) Veterinary Medicine - November 2008 - Practice Matters (Page 599) Veterinary Medicine - November 2008 - Idea Exchange (Page 600) Veterinary Medicine - November 2008 - Idea Exchange (Page 601) Veterinary Medicine - November 2008 - Idea Exchange (Page 602) Veterinary Medicine - November 2008 - Idea Exchange (Page 603) Veterinary Medicine - November 2008 - Author Guidelines (Page 604) Veterinary Medicine - November 2008 - Author Guidelines (Page 605) Veterinary Medicine - November 2008 - A Challenging Case: Esophageal Leiomyoma in a Dog (Page 606) Veterinary Medicine - November 2008 - A Challenging Case: Esophageal Leiomyoma in a Dog (Page 607) Veterinary Medicine - November 2008 - A Challenging Case: Esophageal Leiomyoma in a Dog (Page 608) Veterinary Medicine - November 2008 - A Challenging Case: Esophageal Leiomyoma in a Dog (Page 609) Veterinary Medicine - November 2008 - A Challenging Case: Esophageal Leiomyoma in a Dog (Page 610) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page 611) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page 612) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page 613) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page 614) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page 615) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page 616) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD1) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD2) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD3) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD4) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD5) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD6) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD7) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD8) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD9) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD10) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD11) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD12) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD13) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD14) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD15) Veterinary Medicine - November 2008 - Osteoarthritis in Cats: What We Now Know About Recognition and Treatment (Page PD16) Veterinary Medicine - November 2008 - Product Preview (Page 617) Veterinary Medicine - November 2008 - Product Preview (Page 618) Veterinary Medicine - November 2008 - Product Preview (Page 619) Veterinary Medicine - November 2008 - CE Form/Advertiser Index (Page 620) Veterinary Medicine - November 2008 - Marketplace/Classifieds (Page 621) Veterinary Medicine - November 2008 - Marketplace/Classifieds (Page 622) Veterinary Medicine - November 2008 - Marketplace/Classifieds (Page 623) Veterinary Medicine - November 2008 - Marketplace/Classifieds (Page 624) Veterinary Medicine - November 2008 - Marketplace/Classifieds (Page 625) Veterinary Medicine - November 2008 - Mind Over Miller (Page 626) Veterinary Medicine - November 2008 - Mind Over Miller (Page Cover3) Veterinary Medicine - November 2008 - Mind Over Miller (Page Cover4)
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