Clinical Reasoning in Small Animal Practice (eBook)

THE AUTHORS Dr Jill E. Maddison BVSc, DipVetClinStud, PhD, FACVSc, MRCVS is Director of Professional Development, Extra Mural Studies and General Practice at The Royal Veterinary College, UK. Jill is actively involved in undergraduate teaching at the RVC in the areas of clinical problem solving and inductive clinical reasoning in small animal medicine and clinical pharmacology for veterinary students and nurses. She has published over 60 refereed papers in veterinary and medical journals and has been invited to speak at numerous international CPD meetings. In April 2012 she became the chair of the WSAVA Continuing Education (CE) Committee which facilitates CE for veterinarians in developing countries. Jill has been responsible for programming the clinical CPD streams at The London Vet Show since its launch in 2009. Professor Holger A. Volk DVM, PGCAP, DipECVN, PhD, FHEA, MRCVS is Clinical Director of the Small Animal Referral Hospital and Professor of Veterinary Neurology and Neurosurgery at the Royal Veterinary College, UK. He is a Recognised RCVS and European Specialist in Veterinary Neurology, and President of the European College of Veterinary Neurology from 2014 to 2016. He is fascinated by and involved in facilitating learning for any type or level of learners. He is a frequent speaker at national and international meetings, is section editor of multiple basic and clinical veterinary science journals and is widely published in scholarly journals. Professor David B. Church BVSc, PhD, MACVSc, FHEA, MRCVS is the Vice Principal for Learning and the Student Experience at The Royal Veterinary College, UK. He is the author of numerous scientific articles and book chapters and has an ongoing interest in relevant continuing education for practitioners and in particular the value of the problem-oriented approach to small animal medicine.

Contributors vii

Foreword (Stephen May) ix

Acknowledgement xiii

1 Introduction to problem-based inductive clinical reasoning 1
Jill E. Maddison & Holger A. Volk

2 Vomiting and regurgitation 23
Jill E. Maddison

3 Diarrhoea 39
Jill E. Maddison

4 Weight loss 55
Jill E. Maddison

5 Abdominal enlargement 65
Jill E. Maddison

6 Weakness 75
Holger A. Volk, David B. Church & Jill E. Maddison

7 Fit, collapse or strange episodes 97
Holger A. Volk

8 Sneezing, dyspnoea, coughing and other respiratory signs 125
David B. Church

9 Anaemia 155
Jill E. Maddison

10 Jaundice 167
Jill E. Maddison

11 Bleeding 175
Jill E. Maddison

12 Polyuria/polydipsia and/or impaired urine concentration 191
Jill E. Maddison & David B. Church

13 Gait abnormalities 211
Holger A. Volk & Elvin R. Kulendra

14 Pruritus and scaling 241
Andrea V. Volk & Jill E. Maddison

Index 255

"The authors of this affordable book have deliberately focused their approach on the main symptoms such as diarrhoea, pruritus... and they guide the reader through the maze of clinical exams, secondary tests and intense mulling. Elementary, my dear Watson." (Vet Nurses Today, 1 October 2015)

"This book will be a useful addition to the library of any practitioner." (Journal of the American Veterinary Medical Association, 15 September 2015)A logical approach to making a diagnosis, puts the art back intoveterinary science. Essential reading for all small animalclinicians.
Professor Edward Hall MA (Cantab), VetMB, PhD(Liv),DipECVIM-CA, MRCVS, European Specialist in Small Animal InternalMedicine
Head of Division and Professor of Small Animal Internal Medicine,School of Veterinary Sciences, University of Bristol, UK

This book outlines the philosophy and approaches underlyingproblem-based clinical reasoning. It is an important resource forvets looking to advance themselves as small animal diagnosticiansand essential reading for new graduates and RCVS CertAVP smallanimal candidates.
David Killick BVetMed, PhD, CertSAM, DipECVIM-CA (Onc), MRCVS, RCVSand European Specialist in Veterinary Oncology
Senior Lecturer in Veterinary Oncology, University of Liverpool,UK

The authors present a logical structured framework fordiagnosing common clinical problems, which can be used byveterinary students just starting clinics, as well as experiencedveterinarians faced with difficult undiagnosed cases. The book iseasy to read, logically organized, medically sound and in myopinion, unlike any other small animal medical textbook currentlyavailable.
Susan E. Johnson, DVM, MS, Diplomate, ACVIM (InternalMedicine)
Professor and SAIM Service Head, The Ohio State University, USA

The veterinary profession has been in need of this book formany decades. The book is written in a down to earth style thatshows an appreciation of the working environment and priorities ofclinicians, making it a practical guide to efficient and effectiveclinical decision making.
Sue Bennett BSc, BVMS, MACVSc (Medicine of Cats), FACVSc (SmallAnimal Medicine)
Lecturer in Small Animal Medicine, Murdoch University VeterinaryHospital, Australia

Clinical Reasoning in Small Animal Practice is an invaluableresource for undergraduates and recent graduates to help them todevelop a structured, reasoned approach to every case. The book isclearly set out in 14 chapters which cover the most common problemsconfronting vets in general practice in a systematic and logicalway and will become the go-to text for all veterinarians who striveto achieve the highest standards in small animalpractice.
Dr Hugh White MVSc, MANZCVS
Director, Centre for Veterinary Education, University of Sydney,Australia

At last, here is a book that provides clinicians with a clearand structured approach to clinical diagnosis. It provides amethodology for clinical problem solving: for students,inexperienced clinicians, experienced veterinarians and specialistsalike. If you think diagnosis is easy or if you find itdifficult you need this book. The authors havedrawn on their extensive experience and championing of the clinicalreasoning concept to provide a workable template to make adiagnosis for animals presenting with common clinical signs. Adopting their problem based methodology will aid diagnosis, reduceunnecessary diagnostic investigations and make medicine enjoyable.This book is a 'must read' for veterinary students andall veterinarians in practice.
Boyd R Jones BVSC, FACVSc, DECVIM-Ca, MRCVS
Professor Emeritus University College Dublin, Ireland and MasseyUniversity, New Zealand