Introducing 

Prezi AI.

Your new presentation assistant.

Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.

Loading…
Transcript

Juvenile Cellulitis

aka Puppy Strangles

Presented by:

Jorge Navarro & Alexa Pena

- uncommon skin condition that affects puppies from 1-6mo of age

- rarely affects young adult dogs

- no exact ideology, idiopathic

- an immune-mediated component meaning the puppy's immune system is attacking it's own skin

- can be hereditary

- certain breeds are predisposed over others (i.e. Labs, Golden Retrievers)

- common physical signs: purulent otitis externa, thickened pinnae, swollen muzzle/neck/mandible

- common systemic signs: anorexia, lethargy, fever

Puppy Strangles?

Hi! My name is Max!

Patient

  • 4 month old
  • Black Labrador Retriever
  • M/N

(S)ubjective

Subjective

  • Max hasn't been playful and seems low energy
  • Hasn't been eating as much the past 2 days
  • Swelling from the nose & getting a bit of bumps on his face and ears
  • Noticed pimples on face and genitals that won't go away
  • Once in a while will limp but not too much

(O)bjective:

Objective

  • T: (103) P: (110) R: (22BPM)
  • MM: pink
  • CRT: <2 sec
  • Musculoskeletal: 9.1 kg BCS: 4
  • Integumentary: pustules on muzzle, bumps on genitals
  • Mentation: calm, not playful, minor limping on hind leg - Pain score: 6/10
  • EENT: lost of hair, dermatitis around pinnae/muzzle
  • CV: WNL
  • Lymph: Submandibular LN swollen
  • Respiratory: clear lungs sounds
  • U/G: no shown discomfort
  • GI: slight pustules on muzzle/body, no visible ova in fecal float
  • Rectal: papules around rectum

(A)ssessment:

DDX:

  • Sarcoptes Mange
  • Parasites
  • Ringworm
  • Ear mites
  • Otitis externa

Assessment

  • Food allergy
  • Enviornmental allergy
  • Flea allergy dermatitis
  • Canine Juvenile Cellulitis

Prognosis: fair/good

(P)lan:

Plan

  • Isolate
  • Laboratory
  • Skin Scraping - rule out mange, fungal cultures, ringworm b/c of similar appearance
  • Intradermal allergy test
  • Skin Cytology - examine cells/debris
  • Biopsy of Submandibular LN
  • Skin Impressions
  • CBC & Serum
  • Medications
  • SQ fluids
  • Antiinflammatories/Antibiotics - Meloxicam & Prednisone (commonly administered)
  • Cephalasporins: Cephalexin
  • Resolve fully with ongoing treatment of antibiotics and steroids
  • Permanent scarring may develop
  • Worst case scenario purulent scabs & dermatitis becomes infected/untreated - death
  • If diagnosed too late, euthanasia is justified

Possible Outcomes

Continue with Prednisone as prescribed (2 mg/kg, PO, BID) until disease phases out

Prevention

Max today!

Before/After

Great Nursing Care!

Learn more about creating dynamic, engaging presentations with Prezi