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This Concept Map, created with IHMC CmapTools, has information related to: Final Pruritus, Allergy such as Atopic dermatitis, Cytology steps Results, TREATMENT using Staircase approach, Allergy such as Cutaneous adverse food rxn, Allergy such as Flea allergy, Specific clinical signs and related behaviour: include Itching of head, lips, chin, periorbital area (rubbing, scratching), Cytology steps Results, Other Lesions perform SEROLOGY, Step 5 : Treat the treatable diseases first one must Consider, INTITAL DIAGNOSTIC TESTS THAT CAN BE DONE include Hair plucking/trichography – to help analyse hair (trauma)?, pigment changes (e.g. in colour mutant alopecia), follicular casts (e.g. sebaceous adenitis), follicular dystrophy, organisms (Demodex esp from feet), fungal. Can also analyse the bulbs looking for hairs in telogen phase ( endocrinopathies). Can pluck hairs for dermatophyte culture., Sarcoptes use Cheyletiella, Infection may be Fungal, Cytology steps Pressing a microscope slide againt the tissuse and by gently scraping the area with a scalpel blade or by inserting a sterile Q-tip into the tissue, Skin Biopsy steps 4. Use a thumb forceps to grasp the underlying fat, Bacterial use Fungal, Specific clinical signs and related behaviour: include Lower resp. signs, 6. Hair assessment includes Unusual look of hair, COST: Consider cheaper natural remedies Being able to give medication on time, General History include Previous diseases and surgery, Eliminate the diet Afterwhich if pruritis continues.... ALLERGY TESTING