Notes
Slide Show
Outline
1
“Salsa”
  • 5 month old female
  • Found/rescued
  • History
    • Otitis
    • Contact reaction to ALL topical pruducts
    • Ears packed with medicinal clay
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Salsa1
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Salsa 2
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Problems
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Differentials
  • Recurrent / Severe Otitis
    • Secondary Infection
    • Primary
      • Allergies
        • Food
        • Atopy
      • Endocrine
        • Hypothyroidism
        • Cushing’s
      • Neoplasia
      • Foreign Bodies
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Otoscopy
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Mite Prep
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Cytology
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Bacterial Cultures
  • Staph sp.
  • Strep sp.
  • Pseudomonas
    • Resistant to
      • Everything except Baytril
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Biopsy
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Food Trial
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Allergy Testing
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CT Scan
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Ear Cleaning
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Ear Products
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Ear Cleaning
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Ear Cleaning
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Ear Cleaning
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Treatment
  • Clean ears every other day
  • Based on Cultures
    • Oral antibiotics
    • Topical antibiotics
  • Find and control the primary disease


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Bulla Osteotomy
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4 Month recheck
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Summary
  • Severe Otitis
    • Resistant bacteria
    • Owner Induced


  • Food Allergy
    • Diagnosed at 1 year