
Dermatology
Code: 104667Credits: 3
| Degree programme | Type | Course |
|---|---|---|
| Veterinary Medicine | OP | 5 |
Contact lecturer
- Name :
- Lluís Ferrer Caubet
- Email :
- lluis.ferrer@uab.cat
Teaching staff
- Laura Ordeix Esteve
Group languages
You can consult this information at the end of the document.
Prerequisites
We strongly recommend the students to review the "Dermatology" lecture of the course "Medicina i Cirurgia d'animals de companyia I"["Diagnostic approach to the dermatologic patient"] where the main diagnostic steps are discussed (History, physical examination, identification, and description of lesions, definition of the problem, differential diagnosis, diagnostic tests), before the beginning of the course.
Objectives
After completing the course, the students are expected to:
1. Take a clinical history and perform a complete dermatologic examination, using the appropriate dermatologic terminology to effectively describe the lesions and the clinical picture of the patient.
2. Based on history and physical examination, produce a differential diagnosis (3-4 diseases) for common dermatologic problems of the dog and cat.
3. Perform and use basic diagnostic techniques (skin scrapings, cutaneous cytologies, skin cultures, skin biopsies, otoscopic examination, …).
4. Determine a diagnosis, according to the results of the diagnostic tests and to develop a strategy to manage the skin disease of the patient.
5. Recognize the clinical presentation, diagnosis and treatment of the most common cutaneous diseases of the dog and cat (35-40 diseases).
6. Use critically textbooks and veterinary/medical journals to find up-to-date and useful information on the diagnosis and treatment of the cutaneous disease of one patient.
Learning outcomes
- Analyse, synthesise and resolve problems and make decisions.
- Recognise personal limitations and know when to ask for professional advice and help.
- Communicate information obtained during professional exercise in a fluid manner, orally and in writing, with other colleagues, authorities and society in general.
- Seek and manage information related with professional activity
- Apply scientific method to professional practice, including medicine
- Have basic knowledge of the profession, and in particular of the organisation and functions of professional practice.
- Apply ethical values that govern the behavior of veterinarians in clinical practice in relations with other veterinarians.
- Defend the ethical values that determine the decision making in diagnostic procedures, medical or surgical treatment or any medical procedure, subject to the rights of animals and their owners.
- Diagnose and treat the main dermatological disorders that affect small, equine and exotic animals.
- Recognise the moment when a case needs to be passed to a specialist for diagnosis and/or treatment, and if required, or not, an urgent examination.
- Fill in anamnesis and exploration records in all clinical specialities.
- Realise complete basic examinations in different clinical specialities (dermatology, neurology, ophthalmology, traumatology and orthopaedics...).
- Define the problems found in physical examinations or clinical record of an animal, and produce a list of problems, differential diagnosis and the diagnostic protocol in all clinical specialities and for different species.
- Identify the biopsy techniques that can be applied for obtaining samples of different organs and tissues.
- Perform cytology (surface masses, skin, ear, conjunctive...), recognise the indications and limitations, fixate and stain cells, and defend interpretations.
- Show responsibility regarding the need to perform necessary complementary tests on the patient and know how to evaluate the meaning and integrate it in the evolution of hospitalised patients of different species.
- Perform differential diagnoses and diagnostic plans, taking into account the available complementary techniques applied to all clinical specialities and different species.
- Perform the basic surgical procedures of different clinical specialities and take samples in small, equine, exotic and zoo animals.
- Plan the most suitable anaesthetic protocol depending on the animal species and the general state of the patient, as well as the type of intervention required.
- Properly calculate the doses of medicine for different animal species. Know the limitations of some drugs depending on the species or even the breed, as well as the specific contraindications.
- Recognise the adverse effects that different medications can cause and observe established pharmacovigilance legislation
- Recognise the disorders that require urgent assistance and know how to prioritise them by severity.
- Identify the conditions in which euthanasia is the only possible option, or the most suitable, depending on the general state of the sick animal and appropriately propose this to the owners.
Contents
Schedule of the course
- Chapter 1. Diagnostic approach to the dog with focal-multifocal alopecia. Bacterial folliculitis and other forms of superficial pyoderma Demodicosis. Dermatophytosis. Other diseases causing focal-multifocal alopecia.
- Chapter 2. Diagnostic approach to the pruritic dog. Pathophysiology of pruritus. Anti-pruritic drugs. Differential diagnoses for the pruritic dog. Malassezia overgrowth dermatitis. Pyotraumatic dermatitis (“hot spots”). Sarcoptic mange (scabies). Fleas and flea allergy dermatitis. Food allergy/Intolerance. Atopic dermatitis.
- Chapter 3. Diagnostic approach to the pruritic cat. Cats are not small dogs. Clinical presentations of the pruritic cat. Differential diagnoses for the pruritic cat. Notoedric mange. Feline demodicosis. Cheyletiellosis. Dermatophytosis. Fleas and flea allergy dermatitis. Food allergy/intolerance. Feline atopic dermatitis. Eosinophilic dermatoses. Psychogenic dermatitis.
- Chapter 4. Diagnostic approach and treatment of otitis externa. Examination of the ear. Diagnostic approach to the patient with otitis externa. Primary/secondary/ perpetuating causes of otitis externa. Treatment of canine otitis externa. Otitis media-interna.
- Chapter 5. Diagnostic approach and treatment of scaling and crusting dermatoses in dogs and cats. Leishmaniosis. Sebaceous adenitis. Zinc-responsive dermatosis. Ichthyosis. Feline pemphigus foliaceus.
- Chapter 6. Diagnostic approach to the patient with erosive-ulcerative-crusting diseases affecting the skin and mucocutaneous junctions. Pathogenesis of autoimmune skin diseases. Discoid lupus erythematosus. Pemphigus foliaceus. Superficial necrolytic dermatitis. Epitheliotropic T-cell lymphoma (Mycosis fungoides).
- Chapter 7. Diagnostic approach to the dog with symmetric non-pruritic alopecia. Pathomechanisms of alopecia. Differential diagnosis of symmetric alopecia in the dog. Hypothyroidism. Cushing’s disease. Sex-hormone imbalances. Alopecicbreeds. Recurrent/Cyclic flank alopecia. Color dilution alopecia. Other follicular dysplasias. Canine pattern baldness. Telogen/anagen effluvium. Post-clipping alopecia. Alopecia X.
- Chapter 8. Diagnostic approach to skin nodules and tumors. Pathogenesis of cutaneous nodular/lesions Diagnostic approach to the nodular lesions. Infectious nodules. Inflammatory, non-infectious nodules (nodular panniculitis, reactive histiocytosis). Neoplastic nodules and tumors
Seminars
Seminar 1. Treatment and prevention of ectoparasites.
Seminari 2. Treatment of bacterial skin infections.
Seminar 3. Treatment of canine and feline atopic dermatitis.
Seminar 4. Treatment of otitis externa.
Seminar 5. Treatment of canine leishmaniosis.
Seminar 6. Tractament de les malalties auto-immune i immunomediades cutànies.
Learning activities and methodology
| Title | Hours | ECTS | Learning outcomes |
|---|---|---|---|
| Clinical rotation at the HCV_UAB | 8 | 0.32 | 1, 2, 3, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 21, 22, 23 |
| Study | 43 | 1.72 | 1, 4, 5, 6, 7, 8, 9, 13, 16, 17 |
| Lectures - Discussion of clinical cases | 16 | 0.64 | 1, 2, 4, 6, 7, 8, 9, 10, 16, 17 |
| Workshops | 6 | 0.24 | 1, 2, 4, 5, 20, 21 |
The “Dermatology” course uses different methodologies to reach the above-mentioned objectives. Mainly:
1. Discussion of Clinical Cases selected to illustrate the most common dermatologic clinical presentations/problems in dermatology, followed by traditional lectures to provide basic information on the most common skin diseases.
2. Diagnostic Derm Quizzes to help you to recognize common skin diseases with a highly characteristic clinical presentation.
3. Reading and analysis of relevant scientific papers, to understand how new knowledge in a scientific discipline is created and how to use this information to solve clinical problems (use of clinical trials, meta-analysis, guidelines papers, reviews,..).
4. Seminars to discuss best treatment options for the most common skin diseases following the principles of EBM.
5. Each chapter includes a self-assessment questionnaire to facilitate the evaluation of the progress of the student.
6. Clinical rotations at the Dermatology Service of the Veterinary Teaching Hospital (2 days).
Assessment
Continuous assessment activities
| Title | Weight | Hours | ECTS | Learning outcomes |
|---|---|---|---|---|
| Final exam - Oral | 50% | 2 | 0.08 | 1, 2, 3, 5, 7, 8, 9, 10, 13, 14, 16, 17, 20, 21, 22, 23 |
| Evaluation and grading of clinical cases (to be done during the lectures) | 40% | 0 | 0 | 1, 4, 5, 7, 9, 13, 17, 20, 22, 23 |
| Evaluation of participation and performance at the workshops and at the clinical rotation (HCV) | 10% | 0 | 0 | 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23 |
There will be an oral final examination (worth 60% of final grade). The clinical cases will worth 30% of the final grade of the course and the active participation and the quality of the presentations at the seminars and at the clinical rotation at the HCV will be the remaining 10% of the final grade.
if one student does not do perform the all three parts of the evaluation, she/he wiull be considered not evaluable.
This course, due to its characteristics, cannot offer the possibility of a unique, one-time, avaluation.
Bibliography
Main textbook to be used in the course:
Jackson H & Marsella R (eds). BSAVA Manual of Canine and Feline Dermatology (4th Ed). BSAVA, 2021. Excellent book, for the course and, in general, for practicing small animal medicine.
Ordeix, L. Razonamiento diagnóstico en dermatología canina y felina. Editorial Consulta. 2023.Other textbooks useful for the clinical cases:
1. Miller WH, Griffin CE, Campbell K. Müller & Kirk’s Small Animal Dermatology (7th Ed.). Elsevier, 2013. Considered the classic and main reference in small animal dermatology. Contains all scientific information published in the field. A bit obsolete (2013).
2. Hnilica K and Patterson AP. (2017). Small Animal Dermatology. A color atlas and therapeutic guide. Elsevier-Saunders, ST Louis – Missouri. [There is also an e-book version at the library of the school]. Excellent images, well organized and very synthetic.
3. Moriello K. Small Animal Dermatology. Clinical cases. Manson Publishing Ltd, London, 2011.
4. Moriello K & Diesel A. Small Animal Dermatology, Advanced Cases: Self-Assessment Color Review (Veterinary Self-Assessment Color Review Series). CRC Press, 2013. These two last books are, essentially, collections of clinical cases. They are very well documented and explained and in fact; they are a very useful complementary tool for this dermatology course.
Additional learning source:
The bimonthly journal Veterinary Dermatology publishes very interesting papers on the discipline (http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1365-3164).
Software
Special software is not needed for this course.
Course groups and languages
The information provided is provisional until November 30. After this date, you will be able to consult the language of each group through this link. To access the information, you will need to enter the course CODE
| Type of teaching | Group | Language | Semester | Shift |
|---|---|---|---|---|
| (TE) Theory | 1 | English | second semester | morning-mixed |
| (SEM) Seminars | 1 | English | second semester | morning-mixed |
| (PCAv) Pràctica clínica assistencial veterinària | 1 | English | second semester | morning-mixed |
| (PCAvAssociat) Pràctica clínica assistencial veterinària (professorat associat veterinari) | 1 | English | second semester | morning-mixed |
| (SEM) Seminars | 2 | English | second semester | morning-mixed |
| (PCAv) Pràctica clínica assistencial veterinària | 2 | English | second semester | morning-mixed |
| (PCAvAssociat) Pràctica clínica assistencial veterinària (professorat associat veterinari) | 2 | English | second semester | morning-mixed |
| (SEM) Seminars | 3 | English | second semester | morning-mixed |
| (PCAv) Pràctica clínica assistencial veterinària | 3 | English | second semester | morning-mixed |
| (PCAvAssociat) Pràctica clínica assistencial veterinària (professorat associat veterinari) | 3 | English | second semester | morning-mixed |
| (PCAv) Pràctica clínica assistencial veterinària | 4 | English | second semester | morning-mixed |
| (PCAvAssociat) Pràctica clínica assistencial veterinària (professorat associat veterinari) | 4 | English | second semester | morning-mixed |
| (PCAv) Pràctica clínica assistencial veterinària | 5 | English | second semester | morning-mixed |
| (PCAvAssociat) Pràctica clínica assistencial veterinària (professorat associat veterinari) | 5 | English | second semester | morning-mixed |
| (PCAv) Pràctica clínica assistencial veterinària | 6 | English | second semester | morning-mixed |
| (PCAvAssociat) Pràctica clínica assistencial veterinària (professorat associat veterinari) | 6 | English | second semester | morning-mixed |
| (PCAv) Pràctica clínica assistencial veterinària | 7 | English | second semester | morning-mixed |
| (PCAvAssociat) Pràctica clínica assistencial veterinària (professorat associat veterinari) | 7 | English | second semester | morning-mixed |
| (PCAv) Pràctica clínica assistencial veterinària | 8 | English | second semester | morning-mixed |
| (PCAvAssociat) Pràctica clínica assistencial veterinària (professorat associat veterinari) | 8 | English | second semester | morning-mixed |
| (PCAv) Pràctica clínica assistencial veterinària | 9 | English | second semester | morning-mixed |
| (PCAvAssociat) Pràctica clínica assistencial veterinària (professorat associat veterinari) | 9 | English | second semester | morning-mixed |
| (PCAv) Pràctica clínica assistencial veterinària | 10 | English | second semester | morning-mixed |
| (PCAvAssociat) Pràctica clínica assistencial veterinària (professorat associat veterinari) | 10 | English | second semester | morning-mixed |
| (PCAv) Pràctica clínica assistencial veterinària | 11 | English | second semester | morning-mixed |
| (PCAvAssociat) Pràctica clínica assistencial veterinària (professorat associat veterinari) | 11 | English | second semester | morning-mixed |
| (PCAv) Pràctica clínica assistencial veterinària | 12 | English | second semester | morning-mixed |
| (PCAvAssociat) Pràctica clínica assistencial veterinària (professorat associat veterinari) | 12 | English | second semester | morning-mixed |
| (PCAv) Pràctica clínica assistencial veterinària | 13 | English | second semester | morning-mixed |
| (PCAvAssociat) Pràctica clínica assistencial veterinària (professorat associat veterinari) | 13 | English | second semester | morning-mixed |