Integument : case like questions

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Questions and Answers

A dog is brought to the clinic after an accident where it got caught under a heated blanket for several hours. The skin is reddened, but only the outermost layer seems affected. There are no vesicles, sloughing, or signs of deep tissue involvement. What is the most likely classification of this burn?

  • First degree (correct)
  • Second-degree burn
  • Third-degree burn
  • Fourth-degree burn

A cat presents with inflamed, crusty skin lesions around the mouth and paws after accidentally licking a cleaning solution containing strong alkaline agents. What type of injury is the most consistent with?

  • Thermal burn
  • Chemical burn (correct)
  • Solar keratosis
  • Autoimmune vesicular disease

A horse that lives in a sunny climate presents with patches of rough, thickened skin on non-pigmented areas of the muzzle and around the eyes. Histology shows epidermal hyperplasia and dermal elastosis. What is the most likely diagnosis?

  • Acute solar injury
  • Chronic solar injury (solar/actinic keratosis) (correct)
  • Squamous cell carcinoma
  • Allergic dermatitis

A dog is rescued from a house fire. Large areas of the skin are blackened and sloughing off. Upon examination, both the skin and deeper tissues, including some muscles, are affected. The dog is severely dehydrated and at high risk of sepsis. What type of burn does this most likely represent?

<p>Fourth degree burn (D)</p>
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A dog presents after a mild kitchen accident. The skin shows some redness and a few small vesicles. No deep tissue sloughing is present, and most hair follicles seem intact. What degree of burn is most consistent with these findings?

<p>Second-degree burn (B)</p>
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A cow exposed to intense sunlight without shade shows large, painful blisters on the unpigmented areas of its back and shoulders. There is no history of exposure to heat sources like fire. What is the most likely cause?

<p>Acute solar injury (sunburn) (C)</p>
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A dog is found in a garage with caustic burns on its paws and around its mouth. The lesions are ulcerative and involve deeper tissues. No heat sources were involved, but a spilled container of industrial soap was nearby. What is the most likely cause of the lesions?

<p>Chemical Burn (B)</p>
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A white cat that has lived outdoors for years presents with crusty, thickened areas around its ears. A biopsy reveals epidermal hyperplasia and mutations in tumor suppressor genes (e.g., p53). Small invasive tumors are noted. What condition has likely developed?

<p>Invasive squamous cell carcinoma secondary to solar damage (B)</p>
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A 3-year-old dog presents with chronic pruritus. On examination, you notice erythema, alopecia, excoriations, lichenification, and scaling on the ventral thorax and limbs. Histopathology shows perivascular lymphocytic and eosinophilic dermatitis. What’s the most likely diagnosis?

<p>Atopy (B)</p>
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A dog shows intense itching focused at the base of the tail. On gross examination, there are papules, crusts, and secondary bacterial infections. The owner mentions the dog is not on flea prevention. What is the most likely underlying cause?

<p>FAD (B)</p>
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A dog presents with pustules, vesicles, and crusting around the face, ears, and footpads. Cytology reveals numerous acantholytic keratinocytes and eosinophils. No signs of fleas or environmental allergens are found. What is the most likely diagnosis?

<p>Pemphigous foliaceous (B)</p>
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A dog that spends a lot of time lying on treated wooden decks (recently cleaned with strong chemical products) develops erythema and mild crusting on the ventral thorax and abdomen. No fleas, no generalized allergies suspected. What’s the most likely condition?

<p>Contact dermatitis (B)</p>
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A long-nosed (dolichocephalic) dog presents with depigmentation, erythema, and ulceration on the dorsal nose and nasal planum. Lesions worsen after sun exposure. Antibiotic therapy is ineffective. What’s the most likely diagnosis?

<p>Discoid Lupus Erythematosus (B)</p>
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An Arctic breed dog presents with depigmented, inflamed skin around the eyes, along with uveitis (inflammation inside the eyes). Which disease is most likely?

<p>Uveodermatologic Syndrome (B)</p>
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A dog develops rapid-onset, severe widespread sloughing of skin resembling a burn after antibiotic therapy. Histopathology shows massive keratinocyte apoptosis. What is the most likely diagnosis?

<p>Toxic Epidermal Necrolysis (TEN) (A)</p>
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A horse recently recovering from Streptococcus equi infection now develops multiple red-purple patches on its skin and mucous membranes, along with swelling of the limbs. What condition should you suspect?

<p>Pupura Hemorrhagica (C)</p>
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Flashcards

First-degree burn

Only the outermost skin layer is affected, showing reddening without vesicles or deep tissue damage.

Chemical burn

Skin injury caused by contact with strong acids or bases, leading to inflammation, crusting, and potentially deep tissue damage.

Chronic solar injury

Long-term exposure to sunlight causes thickened, rough skin, especially on non-pigmented areas, with changes visible under a microscope.

Fourth-degree burn

Severe burn where skin is blackened and sloughing off, affecting skin, deeper tissues, and possibly muscle, leading to dehydration and sepsis risk.

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Second-degree burn

Skin shows redness and small blisters, with no deep tissue sloughing and intact hair follicles.

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Acute solar injury

Exposure to intense sunlight causes painful blisters on unpigmented skin areas.

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Pemphigous foliaceous

Skin lesions with pustules, vesicles, and crusting, containing acantholytic keratinocytes and eosinophils, unrelated to fleas or allergens.

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Atopy

Itchy skin with redness, hair loss, scratches, thickened skin, and scales, showing perivascular inflammation with lymphocytes and eosinophils.

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FAD

Intense itching at the tail base, with papules, crusts, and bacterial infections, due to fleas.

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Squamous cell carcinoma

Crusty, thickened skin areas develop into small invasive tumors due to sun exposure, showing mutations in tumor suppressor genes.

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Contact dermatitis

Skin redness and mild crusting develop on areas in contact with irritant surfaces.

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