1. ATTITUDE IS EVERYTHING
“A bad attitude is like a flat tire, you can’t get too far until you change it.”

2. Pyoderma ***
PYODERMA Definition: Bacterial infection of skin, superficial or deep; Primary or secondary
Pyoderma occurs when:
Skin surface broken
Chronic exposure to moisture
Circulation impaired
Immunosuppressed
May be superficial or deep
Circulation impaired: systemic issue, secondary infection in this case.

3. Pyoderma Organisms associated with pyoderma Superficial pyoderma-
Staph intermedius, Pasteurella multocida
Deep pyodermas-
E. coli, proteus sp, pseudomonas sp, Staph intermedius (S. Aureus)
Causes severe tissue damage
Superficial include the superficial epidermis. Resolves without scaring. Usually short duration.
Deep usually are chronic and do not respond well to treatment. Usually seen in immunosuppressed animals or allergies. A lot of cases involve Stapylococcus intermedius as well.

4. Pyoderma *** Physical Exam may show: papules pustules crusts
epidermal collarettes
hyperpigmented spots
alopecia
scaling
lichenification
abscess, cellulitis, etc..
Papules: red bump (bug bite like)
Pustules: blister containing pus
epidermal collarettes: circular lesion with crust
Lichenification: thickened and lethary
Cellulitis: bad skin infection, red and swollen, blisters

5. PYODERMA ERYTHEMA, PUSTULES ERYTHEMA: superficial redness of skin
PUSTULES: blister on skin containing pus
ERYTHEMA, PUSTULES

6. Pyoderma
Circular lesions
EPIDERMAL COLLARETTES

7. Deep Pyoderma

8. Deep Pyodermas
More difficult to treat than superficial pyodermas due to chronic nature
Patients are often resistant to treatment or immunosuppressed

9. Deep Pyodermas Diagnosis Treatment: Thorough cleaning
clinical signs may include fever, and deep draining wounds
Treatment:
Thorough cleaning
Systemic Antibioics (clavamox, baytril, cephalexin)
Client Info
Causative organism often drug resistant
Treatment may be prolonged and expensive in large breed dogs
Some animals will never fully recovery
MRSA cases
– 5 minutes
Necrotizing fasciitis: A serious bacterial infection that destroys tissue under the skin – flesh eating disease
– Treating MRSA 2 minutes 23 seconds

10. Hot Spot

11. Superficial Pyoderma: “Hot Spot”

12. Superfical Pyoderma ***
Acute Moist Dermatitis, Superficial pyotraumatic dermatitis (“Hot Spots”)
Clinical Signs:
red, moist, painful areas
Common in thick coated dogs Usually in hot moist summer months
Hair loss, very pruritic
Develops very fast
Occurs secondary to skin trauma. Usually self inflicted. See it in water loving breeds.
Could be caused by patient chewing due to ectoparasites.

13. Superficial Pyoderma ***
Diagnosis: clinical signs
Treatment:
Clip hair around lesion
Cleanse skin with medicated shampoo
Topical Antibiotics/steroid creams or sprays
(ex: Betagen Spray)
Treat underlying disease (fleas, allergies)
Systemic steroids, Antibiotics
Client Info
Gentle cleansing BID
E-collar may be necessary
spray
Betagen Spray: contains antibiotic and anti-inflammatory
Avoid using anything that will dry or attract the animal to the area
Wsh hands afterwards. Not likely able to contract anything, but if you’re immunocompromised.

14. Intertrigo
Intertrigo: Inflammation due to skin to skin friction

15. Skin Fold Pyoderma (Intertrigo)
Occurs in breeds with abundant skin
Facial folds, vulvar folds, tail folds
Folds trap moisture, heat and bacteria
Diagnosis:
clinical signs - affected area moist, red, ulcerated
Rubbing results in trauma
Facial folds may present a danger to the cornea of the eye due to hairs rubbing across the surface of the cornea
Have a foul smell

16. Skin Fold Pyoderma
Treatment: Relieve symptoms by cleaning and drying lesion
Surgical correction of skin fold may be the only permanent solution
Weight loss in obese patients may help
Oral Antibiotics, or antibiotic containing wipes
Antibacterial and/or benzoyl peroxide shampoos
Client Info
Require long term medical management
Keep area dry and clean
Keep hair/folds away from eyes
Long term medical management

17. Skin Fold Pyoderma Vaginal Folds

18. Skin Fold Pyoderma Lip Folds

19. Acne

20. Acne Common in young short-haired dog breeds and cats Clinical Signs:
can be chronic
Clinical Signs:
Chin swollen and painful to touch, dark spots => black heads (comedones)
Diagnosis: clinical signs, r/o bite wounds, abscesses
Usually with dogs – 3-12 months of age. As dogs mature, lesions go away.
In cats it is more of a chronic condition. Cats of all ages.

21. ACNE Treatment: Client Info: clip hair on chin
clean daily with human acne product)
systemic antibiotics
Topical antibiotic cream or spray
Client Info:
Daily cleaning of chin is required
Use only ceramic or stainless steel bowls – NO PLASTIC
Thought to be an allergy to the plastic
(DOVE)