What is making my dog so itchy? – Veterinarians in Oviedo, Florida

Owner Name

First Last

Name of dog

Age

Breed

Weight

Physical Evaluation

Please check any that describe your dog

Symptoms

Hair loss
Foul odor
Inflammation or redness
Itching/Scratching
Otitis (ear infections)
Licking/Chewing
Skin lesions (sores)
Changes in skin (reddish brown stains, discolorations and/or areas that are thick and leathery)

Has your dog ever had ear problems?

Does your dog have any chronic gastrointestinal signs like diarrhea or vomiting?

Severity Evaluation

On a scale of 0 to 10 rank the severity of your dog's symptoms.

Severity of Condition Overall

Severity of Skin Lesions

Severity of Scratching/Licking/Chewing

Onset and Seasonality Evaluation

Is this the first time your dog has experienced these symptoms?

At what age did the symptoms first occur?

Has it occurred around the same time of year each time?

Approximate time of year that symptoms occur

How long have the current symptoms been going on?

Did the itch start gradually and over time become worse?

Did the itch come on suddenly without warning?

Was there a "rash" first or itching first? Or simultaneous?

Parasite Control

Is your dog on a flea/heartworm preventative?

What product?

What months do you administer the preventative?

Check all that apply

When was the last time you administered the parasite control?

Lifestyle Evaluation

Where does your dog live?

Please describe the outdoor environment

Are there other pets in your household?

Do the other pets have the same symptoms?

If these pets are cats, do they go outside?

Do you board your dog, take him or her to obedience school, training or groomers?

When was the last time you took your dog?

Have you taken your dog on a trip to another location?

Please indicate trip date and location

Have you recently moved?

Have you been to a new dog park or walking trail?

Have you used any new shampoo or topical skin treatments recently?

Are any humans in your household exhibiting signs?

Dietary Evaluations

What pet food are you feeding?

Do you feed the same food all the time or provide a variety?

Have you changed his or her diet recently?

Do you give your dog packaged treats?

Do you feed your dog "human" food?

Relationship/Behvioral Evaluation

Indicate if and how your dog's itching has affected his/her behavior and relationship with you. Check all that apply.

Does your dog sleep through the night?

Always
Usually
Occasionally
Never

Activity Level

Inactive
Much less active
Somewhat less active
No change

Social Behavior

Unsocial
A lot less social
Somewhat less social
No change

Relationship Changes

Fewer walks
No longer sleeps in bed/same room
Interacts less with family

Prior Treatments

Has your dog been treated for itching before?

Indicate previous treatments administered to your dog:

Check all that apply

Other

Next Steps
Physical Exam:

A thorough physical evaluation of your dog will help us identify obvious problems and conditions like parasites.

Laboratory Testing:
Ear Swab - To identify any infections in the ear including yeast and/or bacteria.

Skin Scrape/Hair Pluck - To detect scabies or demodex mites.

Impression Smear/Tape Prep - To detect other parasites and check for presence of yeast and/or bacteria.