Page 1128 - Problem-Based Feline Medicine
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1120  PART 13  CAT WITH SKIN PROBLEMS


          Purulent discharge occurs when the burnt area  Clinical signs
          becomes secondarily infected.
                                                        Frostbite typically affects the tips of the ears and the
                                                        digits, areas that are not well insulated.
          Treatment
                                                        Whilst frozen, the skin appears pale and cool to touch,
          Silver sulfadiazine cream or  aloe vera gel applied  and has decreased sensation.
          under a non-adherent dressing are excellent topical
                                                        After thawing, there may be  mild erythema, edema
          treatments for burns.
                                                        and pain.
          Burn healing is slow, taking weeks to months of treat-
                                                        In severe cases, the skin becomes necrotic and sloughs.
          ment.
          Very extensive or deep burns may heal with scarring
          that interferes with function, necessitating reconstruc-
                                                        Treatment
          tive surgical procedures.
                                                        Rapidly thaw frozen area by the gentle application of
                                                        warm (42–44˚C) water.
          DECLAWING COMPLICATIONS
                                                        Handle tissues gently to prevent further damage and
           Classical signs                              pain.

           ● Claw deformity or keratinaceous growths    Aloe vera gel applied topically helps to prevent vaso-
             at the end of the digits.                  constriction and tissue hypoxia.
           ● Swollen ends of digits and draining tracts.
                                                        Any resulting necrotic areas may need surgical debrid-
                                                        ing.
          Clinical signs
                                                        Antibiotics may be needed to control secondary infec-
          Regrowth of claws may result from persistent germi-  tion, in cases where there is extensive tissue damage.
          native epithelium after incomplete removal during
          declawing.
          Regrowth can vary from deformed claws to keratina-
                                                        FOREIGN BODIES
          ceous foreign bodies at the ends of the digits.
          Swollen ends of digits and draining tracts may develop.  Classical signs
                                                         ● Nodules, abscess and draining tracts.
          Diagnosis
          A history of a declawing procedure having been per-
          formed.
                                                        Clinical signs
          Excisional biopsy of deformed ends of the digits is
                                                        Objects such as  plant awns, thorns can become
          diagnostic and curative.
                                                        embedded in the interdigital space. This is much rarer
                                                        in cats than in dogs.
          FROSTBITE
                                                        Nodules, abscesses and draining tracts result.
           Classical signs
           ● Frozen skin is pale and cool to the touch.
           ● Mild erythema, edema and pain after        Treatment
             thawing.                                   Surgical debridement and removal of foreign body.
           ● Necrosis and sloughing in severe cases.
                                                        Use antibiotics if secondary infection develops.
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