PRURITUS INVESTIGATION - REFERENCE CHART STEP 1 Check parasitic causes Tape strip test technique: Use a piece of adhesive cellophane tape and press it onto the skin. Tape strip test technique: Take a slide. Put a drop of lactophenol or mineral oil onto it. Then apply the tape and observe. Courtesy of: D. N. Carlotti Courtesy of: D. N. Carlotti Photomicrograph of Ctenocephalides felis Cheyletiella yasguri (x400). felis. Courtesy of: D. N. Carlotti Courtesy of: Royal Veterinary College, London Microscopic view of adult Sarcoptes scabei var. canis. Courtesy of: D.N. Carlotti Direct microscopic examination of a hair infected by Microsporum canis. Courtesy of: D.N. Carlotti Skin scraping: 3 to 5 cutaneous sites are selected. The hairs, if present, are clipped. Gently squeeze the skin between thumb and forefinger. Skin scraping: Moisten the skin with liquid paraffin or lactophenol. Scrape the skin using a blunted scalpel blade until capillary bleeding is observed. Courtesy of: D.N. Carlotti Courtesy of: D.N. Carlotti Skin scraping: Apply some lactophenol drops on the slide. Transfer the material onto it. Courtesy of: D.N. Carlotti STEP 2 Skin scraping: Apply a coverslip. The entire slide is scanned using the 10x objective. Focus on suspicious areas using the 40x objective. Trichodectes canis. Neotrombicula (x400). Courtesy of: D.N. Carlotti Courtesy of: D. N. Carlotti Courtesy of: Royal Veterinary College, London Microscopic view of Demodex canis adults (x64). Courtesy of: D. Pin Check bacterial/fungal involvement Malassezia dermatitis. (Diff-Quick stain). Courtesy of: D. N. Carlotti Surface direct impression smear: Press several areas of the slide directly against the lesion. Let the sample dry for 1-2 mins. Performing an impression smear. Courtesy of: D. Pin Tape strip test: Take a piece of clear cellophane tape. Press it firmly several times in different lesional areas. Fasten the sticky end of the tape to a glass slide, then add a drop of purple DiffQuick® stain and stick the tape down over it. Cotton swab sampling: Gently remove the otic discharge with a cotton bud. Gently transfer the material onto a slide by rolling the cotton bud along the surface. Cotton swab sampling. Courtesy of: D. Pin Cellophane tape test. Courtesy of: D. Pin STEP 3 Cytologic picture of cocci overgrowth. Courtesy of: D. N. Carlotti Cytologic picture of rods overgrowth. Courtesy of: D. N. Carlotti Immerse the slide in the three different dyes following the advised contact times. Rinse the slide with water and blot them with a paper towel, examination side upwards, until water is completely absorbed. Performing an impression smear. Courtesy of: D. Pin Check allergic causes Cytologic picture of a bacterial invasion. (superficial pyoderma) (Diff-Quick stain). Courtesy of: D.N. Carlotti Perform complementary examinations (e.g. Elimination diet test, Intra-Dermal Skin test) Cytologic picture of a bacterial invasion (deep pyoderma). Courtesy of: D. N. Carlotti Dermatology range Cortavance® spray Allermyl® shampoo Epi-soothe® shampoo Allerderm® Spot On Complederm® Effipro® Spot on and Spray Indorex® spray Sebomild P® shampoo Sebolytic® shampoo Cortavance POM-V contains hydrocortisone aceponate. EasOtic POM-V contains gentamicin, miconazole and hydrocortisone aceponate. Effipro spray POM-V and Effipro spot-on NFA-VPS contain fipronil. Microbex POM-V contains chlorhexidine digluconate. Paxcutol POM-V contains benzoyl peroxide. Rilexine Further information available from Virbac Ltd. Woolpit Business Park, Windmill Avenue, Woolpit, Bury St Edmunds, Suffolk IP30 9UP. 01359 243 243 [email protected] www.virbac.co.uk www.virbacderm.com Use medicines responsibly. www.noah.co.uk/responsible Microbex® shampoo POM-V contains cephalexin. Paxcutol® shampoo Dermacool® Spray Rilexine® palatable Epi-Otic® EasOtic®
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