Send me a question or story! As dermatologists, we LOVE topical therapy. However there are some basic things that need to be considered when suggesting a protocol. What are you treating? What is the ultimate goal? What do you or the owner have? Can it happen? Check out some simple tips on this week's episode of The Derm Vet podcast! 00:00 – Intro 01:15 – Q1: Why Are You Using Topical Therapy? 04:41 – Q2: What is the Goal of the Product? 05:58 – Q3: What Do You Have Available? 08:45 – Q4...

Send me a question or story! Even as a specialist, I still get cases that surprise me or change appearances. It can leave me doubting what the next step is. But, if you take a breath, it is amazing what can happen when you figure them out. Check out three cases that recently threw me for a loop. 1. A dog with weird paw pad ulcers 2. A cat with an ulcerated nasal planum 3. A service dog with non-pruritic alopecia and scaling Hint: If you check out the YouTube channel, there are a lot of clinic...

Alex Sigmund, DVM, DACVO returns to the podcast to discuss something other than allergies! There are so many non-allergic things that can occur with eyeballs (or the skin around the eyes) that may also include input from a dermatologist? What non-allergic cause can lead to periocular dermatitis? How do you start evaluation of blepharitis or chemosis? We dig even deeper into eyes this week on The Derm Vet podcast! 00:01 – Intro 01:21 – What is the most common reason for periocular alopecia 03:...

Back for round 2! Alex Sigmund, DVM, DACVO returns to talk us through periocular and ocular disease that can occur from allergies. How common is it? Should it go to ophtho or derm? Can you consider topical antihistamines? Topical steroids? We dive into all of your questions related to allergic eyeballs on this week's episode of The Derm Vet podcast! 00:00 Intro 02:46 How often are you referred patients with underlying allergy issues? 05:10 Managing chronic KCS associated with atopi...

We have so many wonderful non-steroid options to manage itch and inflammation in veterinary dermatology. HOWEVER, there is still a time and place that steroids are necessary. It is important to not be afraid of steroids, but now when and how to use them appropriately. From stenotic ears to cost concerns, check out the situations where, even as a boarded dermatologist, I lean on steroids on this week's episode of The Derm Vet podcast! 00:00 Intro 01:00 Taking away guilt for steroid use 02:04 S...

Tom Lewis, DVM, DACVD is back on the podcast! Last year, Dr. Lewis joined the podcast last year to discuss the release of Zenrelia. One year later, he is back to discuss his experience with having this medication for a year and the relief it has provided for hundreds of his canine patients. Also, we discuss the recent change to the US boxed label warning which removed the vaccine induced disease portion of the label. Learn more on this week's episode of The Derm Vet podcast! Studies mention...

Otitis is a common thing for veterinarians to treat. Commonly associated with underlying allergies, we can see other things cause ear infection such as ear canal masses, endocrinopathies, etc. When you are busy in the clinic, it can be hard to think about every aspect of ear canal disease. In an attempt to make things a bit easier, I put together the top 5 mistakes I recognize in management of otitis cases. Let me preface with the fact that I have also made these mistakes in the past! L...

As always, you bring the best questions for these grab bag episodes. Today, we cover dog autoimmune diseases (though cats find their way to make it in a bit). How do you tell the difference between DLE and PF? What if an owner can't biopsy the case? How do you treat SLO? Sebaceous adenitis? Find the answers to these questions and more on this week's episode of The Derm Vet podcast! 00:00 Intro 01:30 SLO & sabaceous adenitis 09:40 Steroids and Autoimmune diseases 12:23 What to do whe...

Hyperbaric Oxygen Therapy is the use of supplemental oxygen in a chamber under increased pressure so the blood oxygen concentration increases which facilitates healing. There are not many veterinary practices that have HBOT for pets. However, we are lucky enough to have Trenton Ewing, DVM, DACVD back on the podcast to discuss HBOT since his practice (Animal Dermatology Clinic in Pasadena, CA) has had HBOT available for years! Learn what diseases he has used this therapy to treat, what a typic...

It can be scary to have a dog that goes through a life-threatening reaction to a honeybee sting. Often, these dogs are young and active. Though owners can take preventative measures, it is impossible to guarantee 100% avoidance of these venomous insects. So, what can be done? Trenton Ewing, DVM, DACVD joins the podcast this week to discuss a very effective way to manage these cases. Dr. Ewing practices at Animal Dermatology Clinic in Pasadena, CA and has previously done research on venomous i...

It is back to school season! For this episode, I review the four things I have learned to implement as a dermatologist. Even as a specialist, I like to progress and grow into how I am practicing! We will go over how to use supplement and skin supportive diets, venomous insect testing, improving immunotherapy and proactive skin management. 00:00 Intro 02:15 Being more thoughtful in recommending skin supplements or skin diets 07:02 Venomous Insect Testing 09:33 Improving immunotherapy 12:48 Pro...

Skin damage and cutaneous wounds can be frustrating and difficult to manage. With a growing world of antibiotic resistance and difficult cases of skin repair, alternative solutions are needed. Zarasyl combines the natural power of silica to optimize the wound healing environment. The product helps to moisturize while being semi-occlusive to allow oxygen through the barrier. Julia Miller, DVM, DACVD is a frequent guest of the podcast and joins once again to discuss her experience with Zarasyl ...

I love getting your questions and answering them on the podcast. This week is one of my favorite topics: cytology! What tips do I have for direct impression smear vs. tape prep? How do I know the appropriate treatment based on quantity of infectious organisms? What is the difference between superficial pyoderma and deep pyoderma? Get your questions answered on this week's episode of The Derm Vet podcast! TIMESTAMPS 00:00 Intro 01:22 What advice do you have for collecting tape prep versu...

Back again! Fred Wininger, VMD, MS, DACVIM (Neurology) rejoins the podcast to talk about cats! Do clinical signs differ from dogs with neuro disease? What about the dreaded feline hyperesthesia syndrome? Should advanced imaging be considered? Check out this week's episode of The Derm Vet podcast to jump into the world of cat neuro/derm! 00:00 Intro 00:25 Dr. Fred Wininger and cats 02:13 Otitis Media in cats 06:44 Next step for treating 13:20 Treating concurrent sinusitis rhinitis 15:20 Feline...

A neurologist visits the podcast this week! Fred Wininger, VMD, MS, DACVIM (Neurology) has recently opened a state-of-the-art neurology focused specialty center called The Animal Neurology Center in St. Louis, MO! He joins the podcast to discuss the clinical signs that can overlap between neurology and dermatology. Whether a head tilt, nystagmus or circling, how do you know where to start with your patient? Dr. Wininger has the unique ability to take a complicated subject (he's literally a br...

You always deliver the best questions when I do grab bag episodes... this one was POPULAR! I got so many questions about different aspects of otitis. Flush, ear meds, cats, TECABO referral, and more! Check out my answers to your top otitis questions on this week's episode of The Derm Vet podcast! Intro 00:00 How To Tell If Otitis Is Due To Allergies With No Other Signs Of Pruritis 01:21 Recommendations To Manage Pseudomonas Otitis 04:44 Maintaining Allergic Ears That Flare But Don't Hav...

Overgrooming cats can be really difficult in general. Owners often don't see their itchy behavior and just noticed the consequences like a bald belly. In addition, cats can be resistant to veterinary visits and treatments. What if you are concerned that the cat could have a behavioral component to the skin disease? How do you work this up? Is it worth referring to a veterinary behaviorist? She's back! Lisa Radosta, DVM, DACVB practicing in Florida brings her expertise about feline behav...

Can anxiety in dogs contribute to skin issues? How do you know if the patient needs to start with a dermatologist or behaviorist? Can improving chronic skin disease help a dog's anxiety? This week's podcast welcomes Lisa Radosta, DVM, DACVB who practices at a behavior clinic in Florida. Dr. Radosta provides insight of how a board certified veterinary behaviorist can be helpful for dogs dealing with cutaneous disease. Whether it is anxiety with therapy, the primary disease, etc. having a multi...

It is really difficult to know what topical treatment options to consider when dealing with a ruptured tympanum. When a difficult multi-drug resistant Pseudomonas otitis occurs, it is very common to have the tympanum ruptured. So, what do you do? Being cautious and upfront with owners about labeling is important. However, bad infections are also ototoxic and it is important we treat them appropriately. On this week's episode of The Derm Vet podcast, I discuss things to consider when dealing w...

When a patient is going through an allergic flare, we focus on making the pet comfortable which is absolutely reasonable! However, we have to think of the prevention of future flares and frustration for that case. It is important for us to adjust our mindset once relief has been established and think of the long-term plan for that pet. Each plan can be unique depending on the case presentation, client's goals, etc. Check out this week's episode of The Derm Vet podcast where I discuss sh...