POMA: Examples - Pruritus & Alopecia

5 important questions on POMA: Examples - Pruritus & Alopecia

What kind of information should I be taking for pruritus/alopecia?

1. Location of lesion
2. Duration of lesion
3. Hair loss present?
4. Any other signs?
5. Severity from 1-10
6. Medications
7. Other animals at home

What kind of etiology/pathophysiology causes pruritus and alopecia?

1. Parasitic
2. Food allergy dermatitis
3. Atopic dermatitis from environment
4. Secondary pyoderma
5. Endocrine disease
6. Immune mediated

What does PE look like for pruritus/alopecia?

1. Full physical exam
2. Checking around integument including ear canals and interdigital pads
3. Check for hair loss, superficial/deep lesions, other lesions
4. Check for parasitism (integument and GI)
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How do we make an assessment in pruritus/alopecia?

1. Patient factors: it is urgent depending on the patient's comfort
2. Localization: track down the affected regions
  • Differential diagnoses: parasitism, pyoderma, GI, endocrine

How do we formulate a plan/treatment for pruritus/alopecia?

1. Confirm parasitism
2. Food trial/elimination
3. Skin cytology

Treament will be dependent on the results of the diagnostic plan

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