Small Animal Soft Tissue Surgery: Self-Assessment Color Review, Second Edition PDF
Preview Small Animal Soft Tissue Surgery: Self-Assessment Color Review, Second Edition
S e l Cf- LEARN • REVISE • REINFORCE A o ls Presented in a question-and-answer format with all new os Small cases, this new edition of a bestselling book provides a broad r e Rs overview of small animal soft tissue surgery. Clinical cases appear in es random order to simulate the way they might appear in an actual veterinary m v practice. Cases include photos, a description of presenting symptoms, and iee Animal questions the veterinarian must answer in order to arrive at the correct diagnosis wn t and to plan proper treatment. Complete answers are provided for each question. This practical structure with integrated questions, illustrations, and detailed expla- Soft Tissue nations is designed to educate as well as to provide answers. Veterinary students, general practitioners, surgical residents, and specialists with an interest in soft tissue surgery will find this an essential resource. Surgery Also in the Self-Assessment Color Review series: Brown & Rosenthal: Small Mammals May & McIlwraith: Equine Orthopaedics Elsheikha & Patterson: Veterinary and Rheumatology Parasitology Meredith & Keeble: Wildlife Medicine 2nd Edition Forbes & Altman: Avian Medicine and Rehabilitation Freeman: Veterinary Cytology Moriello: Small Animal Dermatology Freeman & Klenner: Veterinary Clinical Moriello & Diesel: Small Animal Pathology Dermatology, Advanced Cases Edited by Frye & Williams: Reptiles and Pycock: Equine Reproduction and Kelley M Thieman Mankin Amphibians Stud Medicine Hartmann & Levy: Feline Infectious Samuelson & Brooks: Small Animal Diseases Ophthalmology Keeble & Meredith: Rabbit Medicine Scott: Cattle and Sheep Medicine and Surgery Sparkes & Caney: Feline Medicine Kirby, Rudloff & Linklater: Small Animal Tennant: Small Animal Abdominal and Emergency and Critical Care Medicine Metabolic Disorders 2nd Edition Verstraete: Veterinary Dentistry Lewbart: Ornamental Fish Ware: Small Animal Cardiopulmonary Medicine Mair & Divers: Equine Internal Medicine Clinical cases Problem based Fully illustrated K22416 ISBN-13: 978-1-4822-2538-9 90000 9 781482 225389 K22416_Cover_mech.indd All Pages 7/30/14 10:53 AM K22416 Thieman final.indd 8 31/7/14 3:54 PM Self-Assessment Color Review Small Animal Soft Tissue Surgery Second Edition Kelley M Thieman Mankin DVM, MS, Dipl ACVS-SA Department of Small Animal Clinical Sciences College of Veterinary Medicine Texas A&M University College Station, TX, USA K22416 Thieman final.indd 1 31/7/14 3:54 PM CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2015 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20140722 International Standard Book Number-13: 978-1-4822-2540-2 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medi- cal science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urge to consult the relevant national drug formulary and the drug companies’ printed instruc- tions, and their websites, before administering any of the drugs recommended in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written per- mission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http:// www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com Preface This book provides a broad overview of small animal soft tissue surgery. The information is presented in a question and answer format. The answers are of sufficient length to provide detail on the topic at hand. The questions presented in this book should appeal to veterinary students, general practitioners, surgical residents and specialists with an interest in soft tissue surgery. The topics are presented as clinical cases in order for readers to consider the topic and test their knowledge. The questions in this book were provided by an international group of veterinarians, dedicated to advancing our profession and teaching the art and science of surgery. The contributors have made an effort to make this book thorough and up to date, but the reader should be aware that soft tissue surgery has some controversial topics and alternative answers to some questions do exist. I enjoyed the writing of this book; my hope is that you enjoy the book and learn from it. This book was written to encourage knowledge. It was written with the hope that readers will strive to understand the act of surgery, but also strive to understand medical and surgical decisions regarding diagnostics and perioperative care of small animals. Kelley M Thieman Mankin iii K22416 Thieman final.indd 3 31/7/14 3:54 PM Contributors Carobbi Barbara, DVM Katy Fryer, DVM, Dipl ACVS-SA Department of Animal Clinical Sacramento Veterinary Referral Medicine, College of Veterinary Center, Medicine, Sacramento, CA, USA Padua University, Padua, Italy Ashley E Jones, DVM Department of Small Animal Clinical Alastair Coomer, BVSC, MS, Dipl Sciences, College of Veterinary ACVS Medicine, University of Florida, Veterinary Specialists Group, Gainesville, FL, USA Mt Albert, New Zealand Kristin Kirkby Shaw, DVM, MS, PhD, Laura C Cuddy, MVB, MS, Dipl Dipl ACVS, Dipl ACVSMR ACVS-SA Novartis Animal Health US, Inc., Department of Surgery, Section of Greensboro, NC, USA Veterinary Clinical Studies, School of Agriculture, Food Science and Elizabeth S Lechner, DVM, Dipl Veterinary Medicine, University ACVIM (Internal Medicine) College Dublin, Palm Beach Veterinary Specialists, Dublin, Ireland West Palm Beach, FL, USA Alison B Diesel, DVM, Dipl ACVD Jessica J Leeman, DVM Department of Small Animal Clinical Seattle Veterinary Specialists, Sciences, College of Veterinary Kirkland, WA, USA Medicine, Texas A&M University, College Station, TX, USA Gwendolyn J Levine, DVM, Dipl ACVP (Clinical Pathology) April M Durant, DVM, Dipl ACVS- Department of Veterinary SA Pathobiology, College of Veterinary Department of Clinical Sciences, Medicine & Biomedical Sciences, College of Veterinary Medicine, Texas A&M University, Kansas State University, College Station, TX, USA Manhattan, KS, USA Mauricio Loría Lépiz, DVM, MS, Dipl Gary W Ellison, DVM, MS, Dipl ACVA ACVS Department of Small Animal Clinical Department of Small Animal Clinical Sciences, College of Veterinary Sciences, College of Veterinary Medicine, Texas A&M University, Medicine, University of Florida, College Station, TX, USA Gainesville, FL, USA Herbert W Maisenbacher, III, VMD, Dipl ACVIM (Cardiology) Veterinary Heart Care, Virginia Beach, VA, USA iv K22416 Thieman final.indd 4 31/7/14 3:54 PM Joseph M Mankin, DVM, Dipl Ameet Singh, BSc, DVM, DVSc, Dipl ACVIM (Neurology) ACVS Department of Small Animal Clinical Department of Clinical Studies, Sciences, College of Veterinary Ontario Veterinary College, University Medicine, Texas A&M University, of Guelph, College Station, TX, USA Guelph, ON, Canada Michael B Mison, DVM, Dipl ACVS Carlos H de M. Souza, Medico Seattle Veterinary Specialists, Veterinario, MS, Dipl ACVS-SA, Dipl Kirkland, WA, USA ACVIM (Oncology) University of Washington School of Department of Small Animal Clinical Medicine, Department of Comparative Sciences, College of Veterinary Medicine, Seattle, WA, USA Medicine, University of Florida, Gainesville, FL, USA Lysimachos G Papazoglou, DVM, PhD, Member of the Royal College of Tige H Witsberger, DVM, Dipl ACVS Veterinary Surgeons Mission Veterinary Specialists, Department of Clinical Sciences, San Antonio, TX, USA Faculty of Veterinary Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece Laura E Peycke, DVM, MS, Dipl ACVS Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Texas A&M University, College Station, TX, USA Marije Risselada, DVM, PhD, Dipl ECVS, Dipl ACVS-SA Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA Valery F Scharf, DVM, MS Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL, USA v K22416 Thieman final.indd 5 31/7/14 3:54 PM Abbreviations ACDO Amplatz canine ductal IFM immunofluorescent occluder microscopy ACh acetylcholine IV intravenous ALP alkaline phosphatase LRS lactated Ringer’s solution ALT alanine aminotransferase MG myasthenia gravis AST aspartate aminotransferase MLO multilobular ATPase adenosine triphosphatase osteochondrosarcoma AV atrioventricular MRI magnetic resonance imaging BMBT buccal mucosal bleeding MS molar substitution time MST median survival time BUN blood urea nitrogen MW molecular weight CBC complete blood count OLV one lung ventilation CHF congestive heart failure PAF perianal fistula COP colloid osmotic pressure PCV packed cell volume CRI constant rate infusion PDA patent ductus arteriosus CRT capillary refill time PFA platelet function assays CT computed tomography PPDH peritoneopericardial CVD chronic valvular disease diaphragmatic hernia DDAVP desmopressin acetate PPI proton pump inhibitor DES diethylstilbestrol PTFE polytetrafluoroethylene DNA deoxyribonucleic acid PTH parathyroid hormone ECG electrocardiogram RBC red blood cell ELISA enzyme-linked RER resting energy requirement immunosorbent assay RNA ribonucleic acid EM electron microscopy TCC transitional cell carcinoma EMG electromyography TECABO total ear canal ablation with FB foreign body bulla osteotomy FNA fine needle aspiration TP total protein FSI fronto-sagittal index USMI urethral sphincter GDV gastric dilatation and mechanism incompetence volvulus VAC vacuum assisted closure GFR glomerular filtration rate VI vertebral index GIA gastrointestinal anastomosis VPC ventricular premature GMS Gomori methenamine silver contraction GOLPP geriatric onset laryngeal VWD von Willebrand disease paralysis polyneuropathy VWF von Willebrand factor HTC hematocrit WBC white blood cell vi K22416 Thieman final.indd 6 31/7/14 3:54 PM Classification of cases abdomen 37, 45, 74, 82, 83, 85, 96, musculoskeletal system 51, 59, 114, 129, 132, 138, 142, 143, 145, 150, 115, 121, 123, 124, 125 156, 169, 173, 191, 194, 196, 206, neoplasias 15, 26, 36, 37, 51, 52, 59, 209, 210, 212 62, 75, 76, 80, 85, 95, 101, 113, anesthesia 1, 4, 17, 42, 66, 181, 131, 132, 137, 142, 147, 176, 178, 203 183, 184, 185, 188, 189, 203, 204, cardiac/cardiovascular conditions 4, 205 17, 24, 58, 66, 73, 88, 109, 111, nervous system disorders 39, 51, 90, 112, 144, 161, 199 184 congenital anomalies 3, 10, 27, 58, respiratory tract conditions 11, 30, 64, 81, 83, 100, 106, 108, 112, 31, 33, 34, 43, 46, 71, 90, 93, 135, 115, 127, 140, 144, 153, 173, 199 167, 186 gastrointestinal tract 26, 33, 41, 45, skin conditions 32, 36, 59, 155, 188 60, 64, 65, 67, 73, 77, 80, 86, 87, surgical instruments 20, 29, 50, 55, 91, 94, 97, 98, 99, 103, 104, 105, 65, 71, 103, 118, 139, 172, 179, 113, 120, 129, 133, 137, 140, 149, 194 152, 165, 168, 170, 171, 191, 204, trauma 25, 34, 41, 48, 63, 74, 82, 207 116, 180 head conditions 5, 8, 9, 14, 16, 23, urogenital conditions 1, 24, 35, 38, 27, 39, 48, 56, 68, 70, 72, 75, 92, 40, 49, 54, 55, 61, 63, 76, 79, 81, 100, 102, 106, 121, 131, 147, 174, 84, 107, 108, 117, 118, 119, 122, 176, 186, 203, 205 127, 134, 138, 140, 141, 145, 151, infections 2, 8, 12, 16, 35, 54, 102, 153, 154, 156, 158, 159, 163, 164, 114, 130, 136, 148, 170, 194, 201, 165, 166, 169, 175, 177, 178, 187, 205, 209, 212 198, 211 limbs 6, 78, 82, 126, 146, 155, 160, wound management 13, 28, 52, 53, 183, 184, 201 69, 106, 110, 123, 124, 126, 157, lung conditions 6, 7, 25, 29, 36, 41, 162, 180, 182, 183, 189, 190, 192, 42, 57, 58, 125 194, 195, 202 vii K22416 Thieman final.indd 7 31/7/14 3:54 PM K22416 Thieman final.indd 8 31/7/14 3:54 PM
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