咨询描述：就知道就是他耳朵上长了有几颗痘痘，然后还有点掉毛，然后然后就他然后就他耳朵上有那种壳，一撕就是连带毛一起下来的，现在还有一点 然后然后就他屁股就是他蛋蛋那个位置就之前已经问过医生了但是涂了药现在一点然后就他屁股就是他蛋蛋那个位置，就之前已经问过医生了，但是已经涂过药了然后还没但是已经涂过药了，然后还没好，还越来越严重了，然后还有他蛋蛋旁边那有条裂那个有点咳我一把那个壳撕开然后然后还有个蛋蛋旁边那有条裂，那个有有点咳嗽，我又把那个壳撕开，然后就会流那种液体像血的液体，然后那还有一颗痘痘，耳朵上的问题就是这两天才发现的，然后就是那个蛋旁边那个桑不知道什么耳朵上的问题就是这两天才发现的，然后就是那个蛋旁边那个桑不知道什么时候开始了我就这两耳朵上的问题就是这两天才发现的，然后就是那个蛋旁边那个桑不知道什么时候开始的，我就这两天才发现的
问题大致一样，细节不同？
王建沛
执业兽医师
根据你讲到的信息，为了进一步判断宝贝的情况我还有几个问题需要向你核实一下：
1. 耳朵这个问题多久了，有没有用药治疗的
2. 体外驱虫做过吗
3. 蛋蛋这个情况用的什么药
以上情况你回忆后详细的描述给我，感谢你的配合。
没有耳朵没有耳朵上这个问题，就是这几天的事，我就用了碘伏给他消消毒了，然后就没了。没有，用的这个**复合
哦这个蛋蛋哦，这个蛋蛋没有用药 知道就是蛋蛋那周围掉毛的地方，然后就是直接问了医生说这个病跟他嘴巴上的问题一样，然后就涂一下，然后这两天一直在涂，结果呢，反而没什么变化，还有点严重 这个蛋蛋没有用这个蛋蛋没有用药一直没有用药什么这个蛋蛋没有用药，一直没有用药，什么药都没用过
王建沛
执业兽医师
您好，从您的一个描述和目前的一个宝贝这个图片来看，初步诊断真菌感染。首先宝贝的这个皮肤是有问题的出现了一个发红掉毛和丘疹的一个表现，主要引起这种的问题，
1.首先就是炎症感染和皮肤角质层的一个损伤，
2.就是是寄生虫的一个感染，比如说跳蚤虱子螨虫感染的，因为兔兔的话每个月也要定时去驱虫，我们常用的就是***。
第3个就是它的一个环境中的微生物皮肤感染。所以说平时使用中碘伏消毒或者抗菌的药膏，它是没有效果或者效果是很差的。
那我需要怎么做呢？他睡的地方几乎都是在地板上，有时候回笼子里面睡，他笼子里面我几乎他笼子里面我几乎都打扫的 那他需要吃什么药呢？ 驱虫？ 是从从他到我这驱虫从他到我家到现在都没有去
王建沛
执业兽医师
你好，他这个真菌感染一般在春秋两季，换毛季节多发潮湿，污秽的不卫生的环境发病率是比较高的，这个情况一定要做好隔离。一般他的表现症状在嘴边眼睛周围发炎结痂脱毛后戴眼镜，四肢或者有一个或两个的表现，他的躯干部以及被毛长短不一或者局部的一个脱毛皮肤有光滑成石膏样粉样变厚这都是他的一，接下来治疗的话首先要给他做好驱虫，像他现在这个情况的话，我们可以使用犬猫的***进行治疗，一次使用一支滴在他的一个皮肤上。一定要对它的笼子和宿舍严格消毒，可以用****进行消毒。首先治疗的时候一定要把结痂清理掉，因为下面有大量的一个真菌。可以使用兔藓克星或者****或，****的成分的药物进行治疗就可以。
好的，所以我怎么做，她需要吃药吗？ 那他蛋蛋那个位置怎么办那里有个豆豆然后还带着那他蛋蛋那个位置怎么办？那里有个痘痘，然后还带着那个液体壳的
意思就是说现在意思就是说现在他活动的地方，然后活动的每一个地方都要消毒一下是吗？ 我家三个大房间都要消毒吗？ 还是说就还是说就是他住的那个笼子里面就消毒一下就好了 那他该吃什么药？需不需要嗯注意一下什么？
王建沛
执业兽医师
首先就是你把家里的话每天去消个毒，然后他的笼子还有他的窝也每天也正常消毒就可以了。他做好驱虫的一个管理，体外使用***驱虫就可以的。他身上一个皮肤病和蛋蛋旁边的那个痘痘，你可以给他使用这种抗真菌的药物去治疗，就是我跟你说的这种****或****的成分药膏去使用就可以，一天两次，一定不能让他舔到，避免引起一个二次的感染和损伤。可以先使用这种涂抹的药物和配合驱虫，暂时不需要吃这种。因为兔兔口服真菌的药物非常少。如果再使用5-7天没有好转，你可以给他使用这种灰黄霉素粉，这是一个抗真菌的一个药物，按照他的一个说明去使用就可以了，如果5-7天之内的一个皮肤以及他的一个病原有一定的控制和好转，那您继续使用这种外用的药膏就可以。
王建沛
执业兽医师
滴在兔兔的脖子这个位置上的皮肤，不要滴背上，防止他舔到，一次一支就可以的。
那他蛋的那个位置怎么办？ 一天滴一滴吗？ 他要还是说一个月滴一次
王建沛
执业兽医师
蛋蛋那个位置的话，如果家里有这种小剃刀的话，可以把那边的毛发给他剃掉，这样可以保持干净和好上药，首先使用生理盐水给他擦干净，然后涂抹抗真菌的药就可以的，一天两次。一定要他带好一粒沙白圈，不能让他舔到，这个驱虫药的话，一个月给他滴一次。
没有药，也没有生理盐水，也没有有没有那个剃毛的？ 怎么办？
王建沛
执业兽医师
如果你现在都没有这些东西的话，你可以去你们当地的宠物医院去购买或者网上都可以买的到就可以了这些药物，驱虫药我已经帮您开好了线上平台是可以买得。然后按照我跟你说的这个方案进行处理就可以。
蛋蛋那个位置的药你帮我看一下我不知道在哪买我们的附近没有宠物蛋蛋那个位置的药你帮我开一下，我不知道在哪买，我们这附近没有宠物医院，还有那个生理还有那个生理原水我在网上买那个消毒水我已经还有那个生理盐水，我在网上买那个消毒水我已经买了
医生建议及处方根据当前病情给出，仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具，此处方暂不展示
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