Podcast
Questions and Answers
What is the recommended dosage for topical medication applied to the ear?
What is the recommended dosage for topical medication applied to the ear?
- 0.1 – 0.3 ml per ear twice daily
- 0.5 ml per ear three times daily
- 0.5 – 1 ml per ear usually twice daily (correct)
- 1 – 1.5 ml per ear once daily
Which of the following is a recommended practice for treating secondary infections in otitis externa?
Which of the following is a recommended practice for treating secondary infections in otitis externa?
- Only rely on clinical signs for medication selection
- Use oral antibiotics as the primary treatment
- Conduct in-house cytology to guide drug choice (correct)
- Avoid using any topical treatments
What is the primary purpose of ear cleaning in otitis externa treatment?
What is the primary purpose of ear cleaning in otitis externa treatment?
- To introduce new medications into the ear canal
- To improve compliance with medication use
- To prevent owner involvement in the treatment process
- To remove earwax and enhance exposure to topical treatments (correct)
What should be included in the cleaning fluid for manual ear cleaning?
What should be included in the cleaning fluid for manual ear cleaning?
What is the guideline for frequency of ear cleaning in general treatment?
What is the guideline for frequency of ear cleaning in general treatment?
What does the term otitis externa specifically refer to?
What does the term otitis externa specifically refer to?
Which anatomical feature is absent in the lower ear canal of horses?
Which anatomical feature is absent in the lower ear canal of horses?
What is cerumen commonly known as?
What is cerumen commonly known as?
What type of skin is found in the normal ear canal?
What type of skin is found in the normal ear canal?
Which of the following is NOT a common aetiological factor for otitis externa?
Which of the following is NOT a common aetiological factor for otitis externa?
Which procedure is essential for determining the aetiology of otitis externa?
Which procedure is essential for determining the aetiology of otitis externa?
What role do sebaceous glands play in the ear canal?
What role do sebaceous glands play in the ear canal?
Which of these statements about otitis externa is incorrect?
Which of these statements about otitis externa is incorrect?
What effect does TrizEDTA have on bacterial cells?
What effect does TrizEDTA have on bacterial cells?
What is the primary benefit of ear flushing in initial otitis externa therapy?
What is the primary benefit of ear flushing in initial otitis externa therapy?
When should TrizEDTA be administered relative to other ear treatment products?
When should TrizEDTA be administered relative to other ear treatment products?
What role do porphyrins play in photodynamic therapy?
What role do porphyrins play in photodynamic therapy?
Which medication can be used for treating ear infections in dogs and cats?
Which medication can be used for treating ear infections in dogs and cats?
What treatment is NOT commonly utilized for primary keratinisation disorders?
What treatment is NOT commonly utilized for primary keratinisation disorders?
Which of the following factors is important to address in the treatment of otitis externa?
Which of the following factors is important to address in the treatment of otitis externa?
Which of the following corticosteroids has the highest potency for treating otitis externa?
Which of the following corticosteroids has the highest potency for treating otitis externa?
What is a necessary requirement for performing ear flushing?
What is a necessary requirement for performing ear flushing?
In treating secondary infections caused by bacteria or yeasts, which is an appropriate treatment option?
In treating secondary infections caused by bacteria or yeasts, which is an appropriate treatment option?
Why might surgical procedures be considered in the treatment of otitis externa?
Why might surgical procedures be considered in the treatment of otitis externa?
For immune-mediated conditions, which of the following medications is commonly used?
For immune-mediated conditions, which of the following medications is commonly used?
What is the most common reason for recurrence in treatment failure?
What is the most common reason for recurrence in treatment failure?
What type of saline solution is recommended for use during ear flushing?
What type of saline solution is recommended for use during ear flushing?
Which of the following is considered a primary cause of skin issues?
Which of the following is considered a primary cause of skin issues?
What is the recommended approach for treating foreign bodies in the ear?
What is the recommended approach for treating foreign bodies in the ear?
What is the primary function of corticosteroids in treating acute otitis externa?
What is the primary function of corticosteroids in treating acute otitis externa?
What type of therapy is preferred for the treatment of secondary diseases?
What type of therapy is preferred for the treatment of secondary diseases?
Which of the following is a common consideration when choosing topical treatments for infections?
Which of the following is a common consideration when choosing topical treatments for infections?
Which category includes allergens related to skin conditions?
Which category includes allergens related to skin conditions?
What should be done when treating infections caused by ear mites?
What should be done when treating infections caused by ear mites?
Which of the following is NOT part of the treatment process for allergies?
Which of the following is NOT part of the treatment process for allergies?
In the management of primary keratinisation disorders, what treatment option is often utilized?
In the management of primary keratinisation disorders, what treatment option is often utilized?
Which of the following factors is NOT categorized as a perpetuating factor in skin treatment?
Which of the following factors is NOT categorized as a perpetuating factor in skin treatment?
What is the primary purpose of lateral wall resection (LWR)?
What is the primary purpose of lateral wall resection (LWR)?
In what scenario is vertical canal ablation (VCA) considered appropriate?
In what scenario is vertical canal ablation (VCA) considered appropriate?
What is a common reason for the recurrence of otitis externa?
What is a common reason for the recurrence of otitis externa?
What should be done if the ear canal is swollen shut?
What should be done if the ear canal is swollen shut?
Why is it important to educate the client about ear cleaning?
Why is it important to educate the client about ear cleaning?
What is TCA and when is it indicated?
What is TCA and when is it indicated?
What is the first step in managing otitis externa?
What is the first step in managing otitis externa?
What is the significance of follow-up examinations in treating otitis externa?
What is the significance of follow-up examinations in treating otitis externa?
Flashcards
What is otitis externa?
What is otitis externa?
Inflammation of the outer ear canal. Can affect any species with external auditory components.
What is canine otitis externa?
What is canine otitis externa?
A type of skin inflammation that can affect the external ear. It's a common reason for small animal visits to the vet.
Describe the anatomy of the outer ear.
Describe the anatomy of the outer ear.
The cartilage and bony portion of the outer ear, as well as the eardrum, are covered by skin.
What is the epidermis of the ear?
What is the epidermis of the ear?
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What is the dermis of the ear?
What is the dermis of the ear?
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What are sebaceous glands?
What are sebaceous glands?
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What are apocrine glands?
What are apocrine glands?
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What is cerumen?
What is cerumen?
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Ear mite treatment for dogs & cats (Spot-on)
Ear mite treatment for dogs & cats (Spot-on)
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Ear mite treatment for rabbits (Spot-on)
Ear mite treatment for rabbits (Spot-on)
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Ear mite treatment for dogs & cats (Advocate)
Ear mite treatment for dogs & cats (Advocate)
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Ear mite treatment for dogs & cats (Bravecto)
Ear mite treatment for dogs & cats (Bravecto)
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Corticosteroids for ear infections
Corticosteroids for ear infections
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Recicort® for ear infections
Recicort® for ear infections
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Treating ear infections with antibiotics & antifungals
Treating ear infections with antibiotics & antifungals
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Systemic vs. topical ear treatment
Systemic vs. topical ear treatment
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What is the most common reason for ear infections to recur?
What is the most common reason for ear infections to recur?
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What are the four key aspects to consider when treating ear infections?
What are the four key aspects to consider when treating ear infections?
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What are predisposing factors in ear infections?
What are predisposing factors in ear infections?
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What are perpetuating factors in ear infections?
What are perpetuating factors in ear infections?
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What are key aspects of treating allergic ear infections?
What are key aspects of treating allergic ear infections?
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Why is systemic treatment recommended for ear mites?
Why is systemic treatment recommended for ear mites?
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What are some examples of infectious causes of ear infections?
What are some examples of infectious causes of ear infections?
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What are primary causes of ear infections?
What are primary causes of ear infections?
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Otitis Externa
Otitis Externa
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Biofilm
Biofilm
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Ear Wicks
Ear Wicks
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Ear Cleaning Fluids
Ear Cleaning Fluids
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Ear Irrigation
Ear Irrigation
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Irritant
Irritant
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Ototoxic
Ototoxic
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TrizEDTA ear cleaning solution
TrizEDTA ear cleaning solution
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Ear flushing
Ear flushing
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Photodynamic therapy for ear infections
Photodynamic therapy for ear infections
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Perpetuating & predisposing factors for ear infections
Perpetuating & predisposing factors for ear infections
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Surgery for ear infections
Surgery for ear infections
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What is a Lateral Wall Resection (LWR)?
What is a Lateral Wall Resection (LWR)?
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What is Vertical Canal Ablation (VCA)?
What is Vertical Canal Ablation (VCA)?
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What is Total Ear Canal Ablation (TCA)?
What is Total Ear Canal Ablation (TCA)?
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What is the most common reason for ear infections to return?
What is the most common reason for ear infections to return?
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What is the key first step in treating ear infections?
What is the key first step in treating ear infections?
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What should you do before starting treatment of ear infections?
What should you do before starting treatment of ear infections?
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What should you do if the ear canal is swollen shut?
What should you do if the ear canal is swollen shut?
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What is important after treating ear infections?
What is important after treating ear infections?
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Study Notes
Otitis Externa
- Otitis externa is the inflammation of the outer ear canal.
- It has variable degrees of severity.
- Normal ear anatomy includes cartilage and bone covered by skin, hair follicles, sebaceous glands, and apocrine glands.
- The skin of the normal ear has a thin keratinising epidermis and a thin dermis containing adnexal structures.
- Cerumen, commonly called earwax, is a mixture of secretions from sebaceous and apocrine glands, and dead skin cells.
- The density of hair follicles in the ear varies among species.
- Otitis externa occurs in species with external auditory components.
- Any dermatosis can affect the external ear.
- Canine otitis externa is a common presentation in small animals.
Aetiology: PSPP
- Primary causes affect healthy ears.
- Secondary causes affect abnormal ears, often combined with predisposing factors.
- Predisposing factors increase the risk of developing otitis externa.
- Perpetuating factors occur as a result of otitis externa.
- Primary causes include allergies, parasites, foreign bodies, immune-mediated disease, primary keratinisation disorders, neoplasia, endocrine diseases, and miscellaneous causes (e.g., atopic dermatitis, food allergy).
- Secondary causes include bacteria (e.g., Staphylococcus, Streptococcus), yeasts (e.g., Malassezia), and gram-negative bacteria (e.g., Pseudomonas).
- Perpetuating factors include ear canal stenosis, ulceration, otitis media, and ear cartilage mineralisation.
- Predisposing factors include conformation, humidity, inappropriate cleaning, irritant treatments, and systemic disease.
Diagnosis
- History is crucial to identifying primary causes (e.g., dietary history, medication history, environmental factors).
- Clinical examination includes general and dermatological examination, evaluation of ear canal (hard, soft, pain), pinna examination (hair loss, erythema, scaling), examination of the ear canal (visual and digital).
- Otoscopic examination; evaluation of ear inflammation, ulceration, discharge, foreign bodies, neoplasia, and stenosis.
- Cytology involves sampling of the ear canal.
- Culture and sensitivity are indicated in chronic recurrent cases where antibiotics are ineffective and when rods are observed on cytology.
- The decision for cytology and culture/sensitivity is dependent on the primary cause(s) being revealed from the history or initial examination.
Treatment
- Identify and treat primary causes.
- Treat secondary causes.
- Minimise perpetuating factors.
- Correct predisposing causes.
- Relieve pain, discomfort, and inflammation.
- Educate owner.
- May include ongoing treatment, or further investigation if necessary.
- Medical treatments for primary disease, secondary disease (topical preferred), antibiotics, antifungals, anti-inflammatories, and cleaning agents.
- Surgical options for primary disease, predisposing/perpetuating factors, and possible cases of irreversible disease.
Follow Up Examination
- Revisit cases after 3 days of oral cortisone, 7-10 days of topical treatment.
- Continue/amend treatment until primary and controlled secondary disease is resolved (on cytology).
- Failure to identify primary cause is common reason for recurrence.
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