The Derm Vet Podcast
The Derm Vet Podcast, hosted by Dr. Ashley Bourgeois, DVM, Dip ACVD, aims to make veterinary dermatology more accessible and less frustrating for practitioners. Each episode provides practical tips on dermatologic workups that can be immediately applied in clinical practice. The podcast also shares personal stories about balancing a career in veterinary medicine with being a vet mom.
Episodes
338. How to Guide Clients Through the Allergy Workup
Send me a derm question or story through text or voicemail!Allergy cases are rarely straightforward... and explaining the diagnostic process to pet owners can be just as challenging as managing the itch.In this episode of The Derm Vet Podcast, I break down a practical approach to talking with clients about allergic skin disease in dogs and cats. From ectoparasites and food allergies to environment
337. Cat Ear Diseases Explained: Solar Dermatitis, Pemphigus, Cystomatosis & More
Send me a derm question or story through text or voicemail!Why do cats develop crusting, curling, inflammation, or unusual lesions on their ears? In this episode of The Derm Vet Podcast, I'm diving into feline pinnal diseases and the dermatologic conditions that can affect the feline ear.I cover why oral exams are an important part of evaluating itchy cats, reactions to topical steroids that
336. Dog Ear Diseases Explained: Scabies, Pemphigus, Pinnal Vasculitis & More
Send me a derm question or story through text or voicemail!In this episode, I answer a listener question about off-label JAK inhibitor dosing before taking a deep dive into common canine pinnal (ear flap) diseases. Learn how to recognize and manage canine scabies, pinnal vasculitis, pemphigus foliaceus, ear margin seborrhea, zinc-responsive dermatosis, and thrombovascular necrosis. Whether you&apo
335. The Overlooked Signs of Canine Allergies Every Veterinarian Should Know
Send me a derm question or story through text or voicemail!Dogs don't always scratch when they're itchy and that can make diagnosing allergic skin disease much more challenging! In this episode of The Derm Vet Podcast, I break down the subtle and commonly overlooked signs of itching in dogs, from scooting that isn't caused by anal glands to head shaking, excessive licking, perineal
334. Cat vs. Dog Skin: 3 Key Dermatology Differences Every Veterinarian Should Know
Send me a derm question or story through text or voicemail!How do feline dermatology cases differ from canine dermatology? In this episode, I answer a listener's question on treating yeast-only ear infections before breaking down three major clinical differences between cats and dogs... from ear flap lesions and claw fold inflammation to oral cavity and mucous membrane disease!Watch The Episo
333. The Long Game: Mastering Maintenance Therapy for Allergic Dogs
Send me a derm question or story through text or voicemail!Constant scratching, chewing, and ear infections aren't just annoying... they're your patient's way of telling you something's wrong! In this episode, I break down everything veterinary professionals need to know about managing allergic dogs, from spotting the first signs of trouble to building a long-term treatment pla
332. Your Allergy Patient Is Doing Fine... So Why Start Immunotherapy?
Send me a derm question or story through text or voicemail!Is allergen-specific immunotherapy the closest thing we have to changing the course of allergic disease in dogs?In this episode of The Derm Vet Podcast, I explore why immunotherapy remains the gold standard for long-term allergy management and how it differs from simply controlling itch. She explains how starting treatment early may help r
331. Rostrolateral Nasal Alar Arteriopathy of German Shepherd Dogs
Send me a derm question or story through text or voicemail!Learn how rostrolateral nasal alar arteriopathy is diagnosed, why it can be mistaken for other conditions, and the treatment options available to help improve quality of life. I also discusses setting realistic owner expectations and the importance of recognizing uncommon dermatologic diseases in veterinary medicine.Whether you're a v
330. How To Connect with Frustrated Pet Parents
Send me a derm question or story through text or voicemail!Client communication can make or break even the best dermatology treatment plan...In this episode of The Derm Vet Podcast, I answer a listener's question about improving cytology skills in veterinary practice before diving into one of the most valuable communication frameworks I've found for challenging client interactions: The 5
329. The Otitis Grab Bag: Your Questions, Answered
Send me a derm question or story through text or voicemail!In this episode, I tackle some of the most common (and challenging) questions surrounding the diagnosis, treatment, and long-term management of canine otitis externa. From maintenance therapy protocols and cleaning strategies to biofilm management, chronic stenosis, ear cultures, and the role of AI-powered cytology, I share practical insig
328. Managing Itchy Cats: Apoquel, Zenrelia, and the Reality of Off-Label Treatment
Send me a derm question or story through text or voicemail!Can cats safely take Apoquel or Zenrelia? In this episode, we take a deep dive into the use of JAK inhibitors in feline dermatology, exploring the science behind atopic disease, practical treatment considerations, and the realities of off-label medication use in cats.Watch The Episode: https://www.youtube.com/@thedermvet3932Follow The Derm
327. A Practical Guide to Multimodal Skin Barrier Therapy in Allergic Dogs & Cats
Send me a derm question or story through text or voicemail!Skin barrier is having a moment... and for good reason. In this episode, I break down why restoring the skin barrier is a non-negotiable piece of the multimodal approach to managing atopic dermatitis in dogs and cats, and more importantly, how to actually do it when your clients can't keep up with a bathing schedule.Watch The Episode:
326. New JAK Inhibitor for Allergic Dogs? What Vets Need to Know About Numelvi
Send me a derm question or story through text or voicemail!A new JAK inhibitor has officially entered the veterinary market but where does it fit into managing allergic dogs?In this episode of The Derm Vet Podcast, I sit down with boarded veterinary dermatologist Dr. Christine McKinney from Merck Animal Health to discuss Numelvi, the newest JAK inhibitor approved in the United States for canine al
325. Top Skin Barrier Products Every Veterinary Team Should Know
Send me a derm question or story through text or voicemail!Skin barrier therapy has become one of the hottest topics in veterinary dermatology but with so many sprays, spot-ons, mousses, collars, and topical products available, it can be difficult to know what actually works and when to use them.In this week’s episode of The Derm Vet Podcast, we dive into the concept of skin barrier support and wh
324. Biopsy Timing, Infectious Differentials & Managing Sterile Nodular Panniculitis
Send me a derm question or story through text or voicemail!In this episode, I dive into the diagnostic approach and long-term management of sterile nodular panniculitis in veterinary patients. We discuss everything from sampling claw folds and interpreting flaky cytology samples to biopsy techniques, infectious disease rule-outs, and when to consider JAK inhibitors as part of a treatment plan. If
323. Mastering the Diet Trial Discussion in Veterinary Dermatology
Send me a derm question or story through text or voicemail!In this episode, I tackle one of the most important — and often most challenging — conversations in veterinary dermatology: the diet trial discussion. We break down common client concerns, why compliance can be difficult, and how veterinarians can better communicate the value of diet trials in diagnosing food allergy cases.Did you know you
322. Why Your Otitis Cases Aren’t Healing (And How to Fix Them Fast)
Send me a derm question or story through text or voicemail!When an otitis case just won’t clear, there are often simple changes we can make to be more successful. In this episode, we break down the most common (and fixable) reasons ear infections fail to respond in clinical practice.From real-world struggles with client compliance and patient tolerance, to the often-overlooked importance of proper
321. 7 Overlooked Exam Sites Every Vet Should Check On An Allergic Dog
Send me a derm question or story through text or voicemail!In this episode, we take a closer look at the often-overlooked areas of the dermatologic exam in allergic dogs—because the clues you’re missing may be the ones that matter most. From the ventral neck and axilla to claw folds, lip margins, and perianal regions, these hidden sites frequently harbor early or persistent lesions that can shape
320. When a Perky Nose Turns Out to Be Plasma Cell Pododermatitis in a Cat
Send me a derm question or story through text or voicemail!In this week's episode, we explore an interesting feline case that illustrates why no detail should ever be overlooked. When a "perky nose" complaint actually becomes plasma cell pododermatitis.Using this case as a guide, we highlight how critical it is to go beyond the presenting complaint. A thorough dermatologic exam, com
319. Managing Tough Allergy Cases in Dogs: JAK Inhibitors, Cytopoint, and Cyclosporine Explained
Send me a derm question or story through text or voicemail!Allergy cases can be REALLY tough!In this week's podcast episode, we explore how veterinarians and staff can build confidence using the full range of allergy medications available. From JAK inhibitors to monoclonal antibodies to cyclosporine, I discuss the importance of knowing the mechanisms and clinical applications of these medicat
318. 4 Costly Mistakes in Cat Dermatology (and How to Avoid Them)
Send me a derm question or story through text or voicemail!Feline dermatology be tricky and daunting. It is easy to skip over simple steps that can make a big difference in your allergic cat management. In this episode, we break down four of the most common missteps that in managing feline skin cases.First, we tackle how to be ABSOLUTELY sure you have eliminated flea allergy dermatitis as a cause
317. EARS: A Simple System for Diagnosing & Managing Canine Otitis
Send me a derm question or story through text or voicemail!Remembering how to treat and prevent otitis in a complete manner can be difficult in a busy general practice. There are different acronyms to help, but everybody remembers things a bit differently.This week's podcast goes over a new acronym to make acute and chronic otitis management a bit easier.E: etiology (what infection is present
316. 5 Dermatology Red Flags You Should NEVER Ignore in Pets
Send me a derm question or story through text or voicemail!Really red, inflamed and itchy cases can be tough to differentiate. Could it be allergies? Maybe something else like an autoimmune disease has popped up...On this week's episode of The Derm Vet podcast, we discuss five RED FLAGS that you should have an autoimmune disease on your differential list.Timestamps00:00 Intro02:14 Red Flag #1
315. ISCAID Systemic Therapy Guidelines: Key Takeaways for GPs with Allison Inga
Send me a derm question or story through text or voicemail!Allison Inga, DVM, DACVD is back on the podcast! In this week's episode, we review the systemic antimicrobial recommendations from the International Society for Companion Animal Infectious Diseases (ISCAID) and what they mean for veterinarians treating superficial or deep pyoderma.We highlight when systemic antibiotics are truly indic
314. Topical Therapy & the ISCAID Guidelines: Practical Updates with Dr. Allison Inga
Send me a derm question or story through text or voicemail!In this week's podcast episode, I get to interview Allison Inga, DVM, DACVD who practices at Animal Dermatology Clinic in Robbinsville, NJ. We take a practical, clinician-focused look at the latest guidelines from the International Society of for Companion Animal Infectious Diseases (ISCAID) on the use of topical therapy in managing b
313. DERM DRUGS: Monoclonal antibodies
Send me a derm question or story through text or voicemail!This is the last installment in our series of DERM DRUGS. Monoclonal antibodies are becoming an important tool in veterinary dermatology — but what are they, and how do they actually work?In this episode, we break down monoclonal antibody therapy in practical terms. We explain how these targeted treatments are designed to recognize and blo
312. DERM DRUGS: JAK Inhibitors
Send me a derm question or story through text or voicemail!Janus kinase (JAK) inhibitors have become a cornerstone in managing pruritic and allergic skin disease in dogs by targeting the JAK-STAT signaling pathway, which transmits itch and inflammatory cytokine signals. With so many medications hitting the market, it is important to understand the differences between all of the different JAK inhib
311. DERM DRUGS: Gram-negative rod antibiotics
Send me a derm question or story through text or voicemail!In veterinary dermatology, gram-negative rods like Pseudomonas, E. coli, Proteus, etc. can develop in chronic or deep skin infections. When systemic therapy is needed, culture and sensitivity are essential. But what are some of the more common antibiotics that are effective against these nasty bugs?Common options include fluoroquinolones,
310. How VISTA iQ is Changing Mass Evaluation in Dogs
Send me a derm question or story through text or voicemail!When a senior dog walks in with multiple lumps and bumps, the big question becomes: which ones actually need a needle? And how do we make those decisions when time, finances, and patient comfort all matter?In this episode of The Derm Vet Podcast, I take a break from the Derm Drugs series to dive into an exciting new diagnostic technology..
309. DERM DRUGS: Anti-Staphylococcal Antibiotics
Send me a derm question or story through text or voicemail!Continuing our DERM DRUG series... we are discussing one of the most common class of drugs asked about: antibiotics! Specifically, those used for staphyloccal pyoderma since it is seen almost every day in general practice.A majority of this discussion was developed from the newly updated ISCAID (International Society for Companion Animal I
308. DERM DRUGS: Anti-Yeast
Send me a derm question or story through text or voicemail!Welcome to our first podcast series of the year: DERM DRUGS! We will spend the next few weeks jumping into different categories of medication and provide real world application of when and how we reach for these medications.Our first installment in this series are anti-yeast medications. How do you know when to reach for systemic anti-yeas
307. From Surface to Tympanum: Why Video Otoscopy Matters
Send me a derm question or story through text or voicemail!I have had quite a few cool video otoscopy procedures lately. With cool procedures, come the ability to share these videos and images online. With that, comes lots of questions from you!When should I refer for video otoscopy?What is the purpose of video otoscopy?When should I choose video otoscopy over everyday handheld otoscopy?We break d
306. Preventing pyoderma in your allergic patients
Send me a derm question or story through text or voicemail!Recurrent infections can be so difficult in our allergic patients. Learn how to minimize severity of frequency of pyoderma on this week's episode of The Derm Vet podcast!1. Work up the underlying allergies2. Support the skin barrier3. Adjust topical therapy accordingly4. Recognize historical patterns5. Refer to a dermatologist early i
305. Periocular dermatitis- How to perform diagnostics? What are your differentials?
Send me a derm question or story through text or voicemail!Periocular dermatitis can occur for a multitude of reasons. The first step is to figure out if the eye itself is involved or not. Once we know the eye is healthy, it is time to figure out why the SKIN AROUND the eye is losing hair, crusty, itchy, etc.It is important to return to the basic diagnostics. Cytology can be sampled with tape (if
304. Merry Christmas... here are your derm gifts to close out 2025!
Send me a derm question or story through text or voicemail!I asked a few of my vet friends what "derm gifts" they received in 2025. I loved their answers and wanted to share them on our final episode of the podcast this year!1. More confidence in cytology2. Comfort in using new tools and innovations3. Improving client communication and utilization of staff4. Treating dermatology like a p
303. When the allergy drugs "quit working"
Send me a derm question or story through text or voicemail!It is very common for clients to present their pet to the veterinarian complaining that an allergy medication that used to work is no longer effective. Before changing therapies, it is important to consider four different things.1. Rule out simple mistakes like missed flea prevention, diet change, etc.2. Identify infection3. Progression of
302. Zinc Responsive Dermatitis
Send me a derm question or story through text or voicemail!Zinc responsive dermatitis is a skin condition in dogs resulting from a zinc deficiency or an inability to properly absorb the mineral. It is a rare condition that typically presents as scaling, crusting, and hair loss around the head (especially muzzle and periocular region) and pressure points.The most common form is syndrome I which is
301. Solar Dermatitis
Send me a derm question or story through text or voicemail!Solar dermatitis (actinic keratosis) is skin damage from prolonged UV exposure, affecting both dogs and cats, particularly those with light-colored or thin coats. So, pets that have white fur and live in high UV exposure areas (like the southern US) are predisposed. Symptoms include redness, scaling, hair loss, and thickened, crusty skin.
300. Paws to Give Thanks
Send me a derm question or story through text or voicemail!In the spirit of Thanksgiving, I like to reflect on the things I am thankful for in the world of veterinary dermatology and life. Check out the products and people I am thankful for on this celebratory 300th episode of The Derm Vet podcast!TIMESTAMPS00:00 Intro1:53 New Product Launches4:30 Dr. Bourgeois’s Experiences5:30 Dr. Bourgeois’s Fa
299. The many faces of pyoderma
Send me a derm question or story through text or voicemail!For how common we see pyoderma in cats and dogs in veterinary practice, the appearance can be variable. A cutaneous bacterial infection can appear as crusting, erythema, scaling, moth-eaten alopecia, epidermal collarette, etc. Differentials can also be varied. Pyoderma can mimic dermatophytosis, demodicosis, pemphigus foliaceus, epitheliot
298. Four things to consider for topical therapy
Send me a derm question or story through text or voicemail!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 – Intro01:15 – Q1: Why Are Yo
297. Three cases that spooked me!
Send me a derm question or story through text or voicemail!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 ulcers2. A cat with an ulcerated nasal planum3
296. More Eyes with Alex Sigmund
Send me a derm question or story through text or voicemail!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
295. Allergic eyes with Alex Sigmund
Send me a derm question or story through text or voicemail!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
294. How to NOT feel guilty using steroids
Send me a derm question or story through text or voicemail!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
293. The UPDATED label warning with Zenrelia with Tom Lewis
Send me a derm question or story through text or voicemail!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 boxe
292. Top 5 Mistakes with Otitis Cases
Send me a derm question or story through text or voicemail!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 t
291. GRAB BAG: canine autoimmune diseases
Send me a derm question or story through text or voicemail!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
290. Hyperbaric Oxygen Therapy with Trenton Ewing
Send me a derm question or story through text or voicemail!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 hi
289. Venomous Insect Testing & Desensitization with Trenton Ewing
Send me a derm question or story through text or voicemail!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
288. Four things I have learned to implement into my derm cases
Send me a derm question or story through text or voicemail!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
287. Zarasyl: the natural science of silica and how it helps wound healing
Send me a derm question or story through text or voicemail!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 t
286. GRAB BAG: All about Cytology
Send me a derm question or story through text or voicemail!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 que
285. Neuro and Derm remix (CAT VERSION) with Fred Wininger
Send me a derm question or story through text or voicemail!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
284. Neuro and Derm mix tape (DOG VERSION) with Fred Wininger
Send me a derm question or story through text or voicemail!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, nys
283. GRAB BAG: Otitis
Send me a derm question or story through text or voicemail!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 00:00How To Tell If Otitis Is Due
282. Catitude: considerations for itchy, anxious kitties with Lisa Radosta
Send me a derm question or story through text or voicemail!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
281. Anxious Itches- correlation with itchy dogs and behavior with Lisa Radosta
Send me a derm question or story through text or voicemail!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
280. No ear drum... what can I use?
Send me a derm question or story through text or voicemail!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 ar
279. And then what...? How to adjust to long-term management of allergies
Send me a derm question or story through text or voicemail!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. Eac
278. Vasculitis with Curtis Plowgian
Send me a derm question or story through text or voicemail!Vasculitis can be a tricky disease. It can be more straightforward with tissue loss at the pinnal tips, but it isn't always that easy! Lesions can vary from claw loss to paw pad lesions to hair loss.Curtis Plowgian, DVM, DACVD joins the podcast from Animal Dermatology Clinic in Indianapolis, Indiana for another episode! Dr. Plowgian w
277. Mentoring and preparing the next generation with Curtis Plowgian
Send me a derm question or story through text or voicemail!As you progress in your career in the veterinary field, how do you help prepare the next generation? Whether you are a specialist, general practitioner, technician, etc. there are always opportunities to mentor.Curtis Plowgian, DVM, DACVD joins the podcast from Animal Dermatology Clinic in Indianapolis, Indiana. He wanted to discuss the op
276. Grab Bag: pesky pyoderma
Send me a derm question or story through text or voicemail!I love hearing the information you want to know! This week... I answered questions you submitted on an Instagram question sticker about pyoderma. Why does it happen? Is cytology really that necessary (hint: YES!)? When to culture?Learn the answers to your pesky pyoderma questions on this week's episode of The Derm Vet podcast!TIMESTAM
275. Advice from a dermatopathologist
Send me a derm question or story through text or voicemail!This episode of the podcast welcomes Dr. Kelly Keating, DACVP, DACVD. Dr. Keating sees clinical dermatology cases in Las Vegas and reviews dermatopathology. So, she has experience collecting the biopsy samples herself and reading them!Dr. Keating provides insight on how to maximize your histopathology findings and work with your dermatopat
274. Itch vs. Inflammation
Send me a derm question or story through text or voicemail!Itch and inflammation are terms that are often used in allergies. However, it is important to consider how the various allergy medications affect each of these aspects of management. There are so many different presentations of allergies and no one-size-fits-all protocol. Knowing when you may need a drug more anti-inflammatory and not just
273. Grab Bag: Canine Atopy with Julia Miller
Send me a derm question or story through text or voicemail!She's back! Based on the success of grab bag episodes... Dr. Julia Miller is back to discuss canine atopic dermatitis! It is one of the most common diseases managed in veterinary dermatology. When do you pick a particular allergy medication?Are there allergy supplements that really work?What about ear maintenance?We answer the questio
272. Grab Bag: Food Allergy with Julia Miller
Send me a derm question or story through text or voicemail!We asked, you answered! Food allergy can be complicated and there so many different opinions out there. So, I invited fellow dermatologist and frequent guest on the podcast Dr. Julia Miller to discuss! Dr. Miller is a boarded dermatologist practicing in Louisville, KY. Listen as we take a practical approach regarding when to do a diet tria
271. Yeast Hypersensitivity
Send me a derm question or story through text or voicemail!Cutaneous Malassezia (yeast) hypersensitivity shows up as a marked inflammatory and pruritic response to relatively low numbers of yeast organisms, though some dogs may also have overt infection with many yeast organisms on cytology.There is no specific criteria of how to diagnose these dogs and maintain treatment. However, there are hints
270. How to be proactive instead of reactive
Send me a derm question or story through text or voicemail!Allergy management is a long-term game. So, how do clinicians educate clients and use their tools to practice a "proactive" approach rather than a "reactive" approach?Check out this week's episode of The Derm Vet podcast to alter how you manage these itchy pets!TIMESTAMPS00:00 Intro01:54 What's a proactive min
269. When to suspect pemphigus in dogs and cats
Send me a derm question or story through text or voicemail!It can be difficult to differentiate pemphigus foliaceus (PF) in certain cases. If there is a lot of infection or inflammation, it can be difficult to tell if the case is autoimmune or allergic. However, there are a few hints between dogs and cats that can give you an indication you are dealing with PF.In dogs, honey colored adherent crust
268. Skin barrier: three ways to repair it
Send me a derm question or story through text or voicemail!When we talk about the multimodal approach to allergy management, a large portion of that is repairing the skin barrier. As the skin is the largest organ in the body and external, it is important to keep it healthy and hydrated. Pets with atopy have genetic defects in their skin that allow allergens to penetrate easily.But, how can you res
267. I know you hate hearing this, but Google said...
Send me a derm question or story through text or voicemail!It is the dreaded conversation in the exam room... when the owner brings up what they heard from a friend, the internet, a social media group, etc. You have to control the eye roll or being super defensive because you want to the the only trusted source for medical decisions for the pet.Over the years, this topic has not scared me in the e
266. [REPLAY] Allergy Spiel: The Atopy Talk
Send me a derm question or story through text or voicemail!This week's episode is a replay! We ran into some technical difficulties with a guest episode that was scheduled for this week (super excited about this guest) and will release at a later date. Stay tuned!So... you have ruled out flea and food allergy and now it is time for THE talk. The chronic, lifelong, multimodal therapy required
265. When that nasty ear doesn't respond...
Send me a derm question or story through text or voicemail!We have all had those super difficult otitis cases... the debris, infection and discomfort never seem to fully respond to treatment. You keep switching topicals but nothing seems to be working. This episode of The Derm Vet podcast will go over four considerations when managing a nonresponsive otitis case. 1. Infection2. Inflammation3. Adva
264. Cats... little derm aliens
Send me a derm question or story through text or voicemail!Cat dermatology is always a bit tricky. They present their allergies in so many different ways that are unique to this species. Oral lesions and asthma are not as commonly seen in allergic dogs, but often seen in allergic cats. Also, the struggle of administering medications to cats which can be more difficult compared to dogs. I always th
263. When to suspect a hormonal disorder in your derm case
Send me a derm question or story through text or voicemail!Hormonal disorders can be very difficult to recognize in dermatology cases, especially since many of these cases have been managed for other conditions like allergies earlier in their life.So, when do you suspect a hormonal disorder in your dog patient? Age of onset, alopecia, recurrent pyoderma and weight gain discussed on this week'
262. Skin issues in overweight pets
Send me a derm question or story through text or voicemail!Obesity has been an increasing issue in dogs and cats over the years. This could be due to increased caloric intake, reduced physical activity, endocrinopathies, etc. There are many issues that occur with obese pets: cardiac issues, joint pain, organ dysfunction, etc. However, the skin can also be included in these issues.Elbow calluses, f
261. Facial fold dermatitis- diagnose, treat and maintain
Send me a derm question or story through text or voicemail!With brachycephalic breeds being a common allergic patient, facial fold dermatitis is a common occurrence. Clinical signs can include facial rubbing, scratching, odor, etc. Thought it occurs frequently in these patients, it can be easy to overlook this little pocket of tissue during an exam. This week's podcast episode will go over cl
260. Client Compliance: how do veterinarians improve this?
Send me a derm question or story through text or voicemail!We can feel like we put together a great plan for a pet's allergies, but if it doesn't happen then it doesn't matter. Instead of being frustrated about client compliance, how can we make it better? We have to consider the financial, physical and mental burden pet owners are going through when their pet is diagnosed with a ch
259. Cyclosporine: the forgotten allergy medication
Send me a derm question or story through text or voicemail!There have been so many wonderful tools added to our management of allergic dermatitis in dogs over the last decade. Apoquel, Cytopoint and Zenrelia have all been medications that provide quick itch relief with a more targeted approach. However, the use of cyclosporine as an option (except for cats where it is prescribed more frequently) h
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