Notes
Slide Show
Outline
1
Jake
  • 9 month old
  • Pruritus for 4 months (spring)
  • Poor response to steroids


2
Jake 1
3
Problems list
  • Differentials
4
A Pattern Approach
  • 10 common patterns
    • Folliculitis
    • Pododermatitis
    • Otitis
    • Yeast Dermatitis
    • Pruritus
    • Nonpruritic Alopecia
    • Autoimmune Skin Disease
    • Keratinization Defects
    • Lumps, Bumps, and Draining Tracts
    • Weirdopathies
5
2 ?s
  • 2o Infections
  • Pyoderma Allergies
  • Demodex Atopy
  • Dermatophyte Food
  • Yeast Dermatitis Scabies
  • Otitis
  • Pododermatitis Endocrine
  • Hypothyroid
  • Cushing’s


6
Skin Scrape
7
Cytology Impression Smear
8
Wood’s Lamp
  • Woods Lamp
    • negative
9
DTM Fungal Culture
10
IDAT
  • Allergy Skin Test
    • positive to house dust mite


11
Food Trial
12
Biopsy
13
Blood Work
14
Revised DDX list
  • 2o Infections
  • Pyoderma Allergies
  • Demodex Atopy
  • Dermatophyte Food
  • Yeast Dermatitis Scabies
  • Otitis
  • Pododermatitis Endocrine
  • Hypothyroid
  • Cushing’s


15
Treatment
  • Food Trial


  • Antihistamines


  • Efa’s
16
Whoa
17
Treatment
18
Doc Itchy's DDX list
  • 2o Infections
  • Pyoderma Allergies
  • Demodex Atopy
  • Dermatophyte Food
  • Yeast Dermatitis Scabies
  • Otitis
  • Pododermatitis Endocrine
  • Hypothyroid
  • Cushing’s