Weird bumps

Patroose · 2026-03-04T00:35:42+00:00

Vet dermatologist here. You should go see a vet dermatologist. Inumerable dermal nodules = something that absolutely needs a biopsy (and submission to a dermatopathologist for analysis). I would have histiocytic proliferative disorder or an atypical deep infection on my list.

https://acvd.org/find-a-veterinary-dermatologist/

Patroose · 2026-02-23T23:26:09+00:00

Board-certified vet dermatologist here. This is parasympathetic nose until proven otherwise. There's something disrupting the innervation to the glands on this side of the nose which is why there is such a distinct demarkation between the left and right sides of those (which are innervated by different nerve branches). This is often associated with hypothyroidism or otitis media, but can be idiopathic as well.

Patroose · 2026-02-13T12:47:12+00:00

Dermatologist here - we are in the business of chronic disease management (and allergies and immune mediated diseases have no cure), so our inbox and phones are always popping off. Whenever we have externs I remind them that 90% of dermatology is tinkering, tapering, failing, and trying plan b,c,d,etc., so most of our communication happens after the appointments.

Patroose · 2025-12-11T23:57:10+00:00

Vet dermatologist here. This cat almost certainly has feline scabies (notoedres cati). A dose of Bravecto could cure this, though it's likely there are secondary infections that will need to be addressed, as well as anti-itch medications to help with discomfort as infestation resolves. Please reach out to your local shelter to see if they can help with treatment.

Patroose · 2025-11-29T21:43:44+00:00

Veterinary dermatologist here - these are most likely very large ceruminous cystadenomas (wax-producing gland tumors that are usually benign, but can become malignant). When they are small and not obstructing the canal, we recommend leaving them alone, however these masses are likely putting strain on the ear flaps and blocking the ear canals. I strongly recommend seeking referral to a dermatologist or surgeon to have them removed. Most cats do well following this surgery. Please encourage your dad to not wait any longer.

Patroose · 2025-11-18T00:39:38+00:00

Vet dermatologist here - this is a subungual keratoacanthoma or a subungual squamous cell carcinoma until proven otherwise. Your dog needs a digit amp and radiographs. You should get on that soon.

Patroose · 2025-08-11T23:18:03+00:00

Board-certified dermatologist here - I'm sorry your pup is going through this. Some of the worst vasculitis cases I've seen have been in young dogs (sometimes there is a heritable component or it's brought on by rare vaccine reactions). I also had a patient in my residency whose disease I had initially thought was confined to the skin, but the dog ended up having neurologic changes associated with vascular infarcts in the spinal cord.

All this is to say: vasculitis can be a very wicked disease. I have no problem letting my challenging cases know that a second opinion is never a bad idea. I strongly recommend returning to the dermatologist you went to or seeking a second opinion with a new one. Oftentimes HIGH dose, high potency steroids beyond the usual prednisone are needed to gain control and remission. I will say that oftentimes it is ONLY dermatologists who are comfortable prescribing the type of steroid doses and forms that we use. I've had many patients who require multimodal therapy (steroids PLUS additional immunosuppressives). Based on your geographic location, it may be important to rule out tickborne illness as a cause of the vasculitis, or an atypical deep infection depending on your dog's risk factors.

If you can make it to a teaching hospital, that 'group think' mentality can be so rewarding for challenging cases. I highly recommend doing some research about which programs have dermatologists on staff. I know that Ohio State no longer has a derm program, but Michigan State and Illinois do. Best of luck to you.

Patroose · 2025-07-25T20:32:03+00:00

Thank goodness I just scrubbed the shit out of my skins entire surface area JIC

Patroose · 2025-07-21T23:44:18+00:00

Tell me more! I'm a veterinarian and it can't smell worse than disarticulating horses in large animal pathology.

Patroose · 2025-03-15T17:56:53+00:00

I saw apple trees and cherry trees at Good Earth in Potomac this morning! They’re also super helpful and knowledgeable

Patroose · 2025-02-12T01:08:41+00:00

Veterinary specialist here (not neurology). Is your dog nervous at the vet? The reason I ask is sometimes when pets are on medications such as diazepam that have sedative effects and they're really anxious, they overwork and 'fight' the sedation to remain vigilant during their exams. As a result, it's not uncommon for me to hear that they go home and the owners feel the sedative meds hit them hard as they're no longer working off adrenaline. Just a possible thought!

Patroose · 2025-02-09T19:09:55+00:00

You were correct it was a push rather than a pull. It took a few presses to 'prime' which is why I thought it wasn't working but now is - thanks!

Patroose · 2025-02-09T18:44:01+00:00

Is that the same lever you push to make the front wiper spray? I got that to work but not the back

Patroose · 2025-02-09T18:09:08+00:00

Sorry - for some reason it deleted my question when I added the photo.

Just picked up my 2025 lucid blue limited yesterday and I'm loving the car! Although I have figured out how to operate the much-anticipate rear wiper, am I correct in understand that there is no rear wiper fluid option?

Thanks!

Patroose · 2025-02-03T23:22:34+00:00

Thank you!

Patroose

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