ࡱ> (*'7  bjbjUU "7|7| l  66666666@BBBBBB$  Vf66666f66{666@6@@@6* ݠ[dF@@0@% LF% @Otitis is an inflammation of the ear and it is one of the most frequent reasons for owners to seek a veterinarian's help. The prevalence of otitis externa, or inflammation of the external ear, in cats has been reported to be between 10 to 20 percent although in more tropical climates it is probably closer to 30 to 40 percent. The term otitis does not refer to a specific disease, but it is a symptom of many diseases and not a specific diagnosis. Causes Allergies, such as inhalant allergy and food allergy Parasites such as ear mites Endocrine diseases such as hypothyroidism Auto-immune diseases like lupus Tumors Chronic inflammation stimulates the proliferation of the skin lining the ear canal. As a consequence, thickening of the canal occurs and leads to narrowing of the canal. More importantly the skin is thrown into numerous folds, and this inhibits effective cleaning and the application of medications. These folds act as a site for the perpetuation and protection of secondary micro-organisms like bacteria. Inflammation of the middle ear (otitis media) results from chronic inflammation of the external part of the ear canal, rupture of the ear drum and establishment of infection in the middle part of the ear. Discharge in the tympanic cavity is difficult to treat with topical therapy and often remains as a source for infection. Otitis media is usually bacterial in origin. Clinical signs suggestive of otitis media include head shyness and pain on palpation of the ears. Some cases of otitis media might experience head tilt, circling and dry eyes, but the vast majority do not have neurological abnormalities. As the ear drum quickly grows back after rupture, otitis media may also be present, even if an intact membrane is seen on otoscopic examination. Radiography cannot be used to completely rule out the presence of otitis media since 25 percent of confirmed cases had no radiographic evidence of the disease. In one study, otitis media was present in 80 percent of cases of chronic, relapsing otitis externa, so it must be considered as a possible cause of any refractory or relapsing otitis externa. Treatment of otitis media is based on bacterial culture and sensitivity results. Most cases require long term antibiotic therapy, a minimum of 2 months, and aggressive topical therapy. es     B*CJOJQJaJph5B*\aJph0JB*aJph B*aJph HIFng h    1h/ =!"#$% i8@8 NormalCJ_HaJmH sH tH <A@< Default Paragraph Fonto klink&o& preloadwrap@B`@ Body TextB*CJOJQJaJph333.U`!. Hyperlink >*B*ph8':^`2: Normal (Web)dd[$\$ HIFngh 0000000000000000   RX&,LR;AIOPWfl FQow 33333eess   ASHRAF GOMAAIC:\Documents and Settings\MOHSEN GOMAA\Desktop\Abbott Web\hypoT4 dogs.doc ASHRAF GOMAAIC:\Documents and Settings\MOHSEN GOMAA\Desktop\Abbott Web\hypoT4 cats.doc ASHRAF GOMAAJC:\Documents and Settings\MOHSEN GOMAA\Desktop\Abbott Web\hyperT4 cats.doc ASHRAF GOMAAlC:\Documents and Settings\MOHSEN GOMAA\Application Data\Microsoft\Word\AutoRecovery save of hyperT4 cats.asd ASHRAF GOMAAFC:\Documents and Settings\MOHSEN GOMAA\Desktop\Abbott Web\cat ears.doc@ D11 @UnknownGz Times New Roman5Symbol3& z Arial7&  Verdana"qhP|!x200 2Q~Hypothyroidism is a disorder of the thyroid gland, which is the butterfly-shaped glandular organ located in the neck just belo ASHRAF GOMAA ASHRAF GOMAAOh+'0 ,DP\l    Hypothyroidism is a disorder of the thyroid gland, which is the butterfly-shaped glandular organ located in the neck just beloypo ASHRAF GOMAAm iSHRSHRNormalG ASHRAF GOMAAm i2HRMicrosoft Word 9.0 @Ik@J[@J[P|՜.+,0h hp|  G h0  Hypothyroidism is a disorder of the thyroid gland, which is the butterfly-shaped glandular organ located in the neck just belo Title  !"#$%&)Root Entry Fݠ[+1TableWordDocument"SummaryInformation(DocumentSummaryInformation8CompObjjObjectPoolݠ[ݠ[  FMicrosoft Word Document MSWordDocWord.Document.89q