How to Stop It Itching in in Shelter r and Foster Home - PDF document

How to Stop Itching in Shelter and Foster Home Cats February 26, 2015 ___________________________________ ___________________________________ How to Stop It Itching in in Shelter r and Foster Home ___________________________________ Cats ts ___________________________________ Karen A. Moriello DVM, Dip ACVD ___________________________________ Clinical Professor of Dermatology School of Veterinary Medicine ___________________________________ University of Wisconsin-Madison ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Clinical characteristics and causes of pruritus in cats: a multicenter study ___________________________________ on feline hypersensitivity associated disorders ___________________________________ Hobi, et al. Vet Dermatol, 2011 ___________________________________ 588 pruritic cats ___________________________________ Standard work-up ___________________________________ ___________________________________ 1

How to Stop Itching in Shelter and Foster Home Cats February 26, 2015 ___________________________________ Itchy Cat “odds” ___________________________________ • 29% Respond to Flea Control ___________________________________ • 24% Non allergy related cause ___________________________________ • 20% Feline environmental allergies • 12% Food allergy ___________________________________ • 15% Sabotaged work up (the cat) ___________________________________ 39% Responded to Ectoparastite Control ___________________________________ ___________________________________ Asking the “Right” Questions ___________________________________ • Is the cat ill or does it look unwell? ___________________________________ • Any medication history for any disease? • Do you have any history about the skin disease? ___________________________________ • Medical records, receipts • Drug history • Medication bottles ___________________________________ • Any history of flea or other parasite control? • Any history of contagion? ___________________________________ ___________________________________ ___________________________________ Skin lesions after contact? ___________________________________ ___________________________________ Ringworm ___________________________________ Fleas Cheyletiella ___________________________________ Ear Mites Chiggers-orange dots ___________________________________ ___________________________________ 2

How to Stop Itching in Shelter and Foster Home Cats February 26, 2015 ___________________________________ Lo Low Yie ield Di Diagnostic Tests ___________________________________ • CBC ___________________________________ • Serum chemistry panel ___________________________________ • Urinalysis ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Food Trial? ___________________________________ Allergy Test? ___________________________________ ___________________________________ Blood Test for Food Allergies? ___________________________________ ___________________________________ ___________________________________ It Itchy cat dermatology “TPR” ___________________________________ • Wood’s lamp examination ___________________________________ • Fungal culture-targeted population • Hair trichogram ___________________________________ • Ear swab cytology in mineral oil • Ear swab cytology-stained ___________________________________ • Skin cytology • Fecal flotation-intensely itchy cat ___________________________________ ___________________________________ 3

How to Stop Itching in Shelter and Foster Home Cats February 26, 2015 ___________________________________ Wood’s lamp +/ - Fungal Culture ___________________________________ ___________________________________ ___________________________________ Lift crusts ___________________________________ ___________________________________ Fluorescence is COMMON ___________________________________ Just a pigment ___________________________________ Dermatophytosis - is it pruritic? ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 4

How to Stop Itching in Shelter and Foster Home Cats February 26, 2015 ___________________________________ Skin Cytology ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Skin Cytology of Cats: Scotch Tape ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Look Hard For Yeast-100x ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 5

How to Stop Itching in Shelter and Foster Home Cats February 26, 2015 ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ STEP 1 ___________________________________ (Parasite control) ___________________________________ ___________________________________ ___________________________________ ___________________________________ IS IT A MAD ITCHY CAT?? ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 6

How to Stop Itching in Shelter and Foster Home Cats February 26, 2015 ___________________________________ Parasites ___________________________________ • Flea control responsive parasites ___________________________________ • Fleas • Cheyletiella ___________________________________ • Otodectes • Notoedres ___________________________________ • Sarcoptes ___________________________________ ___________________________________ ___________________________________ Fleas - the #1 cause of ITCH ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Flea allergy dermatitis ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 7

How to Stop Itching in Shelter and Foster Home Cats February 26, 2015 ___________________________________ Cheyletiella - “Dandruff mite” ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ Otodectes (Ear Mites) ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ 8