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The Veterinary Workbook of Small Animal Clinical Cases PDF

738 Pages·2021·27.369 MB·English
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THE VETERINARY WORKBOOK OF SMALL ANIMAL CLINICAL CASES VVeetteerriinnaarryy WWoorrkkbbooookk..iinnddbb 11 0022//0066//22002211 1111::5511 VVeetteerriinnaarryy WWoorrkkbbooookk..iinnddbb 22 0022//0066//22002211 1111::5511 THE VETERINARY WORKBOOK OF SMALL ANIMAL CLINICAL CASES Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) Associate Professor Director, Veterinary Skills Development University of Arizona College of Veterinary Medicine Oro Valley, AZ Books VVeetteerriinnaarryy WWoorrkkbbooookk..iinnddbb 33 0022//0066//22002211 1111::5511 First published 2021 Copyright © Ryane E. Englar 2021 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission of the copyright holder. Published by 5M Books Ltd, Lings, Great Easton, Essex CM6 2HH, UK, Tel: +44 (0)330 1333 580 www.5mbooks.com A Catalogue record for this book is available from the British Library ISBN 9781789181296 eISBN 9781789181586 DOI 10.52517.9781789181586 Book layout by KSPM, 8 Wood Road, Codsall, Wolverhampton, WV8 1DB Printed by Replika Press Pvt Ltd, India Photos by the author unless otherwise indicated VVeetteerriinnaarryy WWoorrkkbbooookk..iinnddbb 44 0022//0066//22002211 1111::5511 Contents About the Author ix Preface xi Dedication xiii Acknowledgements xvii Abbreviations xix PART I Making Clinical Medicine Come Alive: An Introduction to Case-Based Decision Making 1 CHAPTER 1 Rethinking How We Ask Students to Problem-Solve in Clinical Medicine 3 CHAPTER 2 Building a Relationship: The Veterinary Client’s Role in Healthcare 9 CHAPTER 3 Approaching the Clinical Cases That Appear in Parts II and III 18 PART II Common Cases in Pediatric Canine/Feline Medicine 25 CASE 1 The Unexpected Litter of Pups 27 CASE 2 The Orphan Kittens 35 CASE 3 The New Puppy Wellness Examination 45 CASE 4 The New Kitten Wellness Examination 58 CASE 5 The Snotty, Squinty Kitten 73 CASE 6 The Coughing Puppy 85 CASE 7 The Diarrheic Puppy 97 CASE 8 The Trembly Puppy 111 CASE 9 The Ataxic Kitten 122 C ASE 10 The Alopecic Kitten 134 C ASE 11 Planning a Feline Castration 152 C ASE 12 Planning a Canine Castration 172 C ASE 13 Planning a Feline Spay 189 v VVeetteerriinnaarryy WWoorrkkbbooookk..iinnddbb 55 0022//0066//22002211 1111::5511 CONTENTS PART III Common Cases in Adult and Geriatric Canine and Feline Medicine 207 WELLNESS AND WEIGHT MANAGEMENT CASE 14 Adult Feline Wellness and Behavior 209 CASE 15 Adult Canine Wellness and Weight Management 225 CASE 16 Feline Weight Loss 240 CASE 17 Canine Weight Gain 257 URINARY CHIEF COMPLAINTS CASE 18 The Cat with Hematuria 270 CASE 19 The Cat Who Can’t Pee 287 CASE 20 The Dog That Is Straining to Urinate 300 CASE 21 The Cat That Is Peeing a Lot 313 GASTROINTESTINAL CHIEF COMPLAINTS CASE 22 The Dog That Is Straining to Defecate 331 CASE 23 The Adult Diarrheic Dog 348 CASE 24 The Dog That Can’t Keep Food Down 361 CASE 25 The Vomiting Dog 373 CASE 26 The Scooting Cat 386 OCULAR AND AURAL CHIEF COMPLAINTS CASE 27 The Dog with a “Swollen Eye” 397 CASE 28 The Cat with Questionable Vision 406 CASE 29 The Dog with the Cloudy Eye 420 CASE 30 The Dog with “Blue” and “Red” Eyes 431 CASE 31 The Head-Shaking Dog 443 CASE 32 The Cat with the Puffy Ear 452 CHIEF COMPLAINTS INVOLVING THE SKIN CASE 33 The Crusty Cat 460 CASE 34 The Cat with Facial Swelling 474 CASE 35 The Lumpy Bumpy Dog 483 CASE 36 The Wounded Dog 495 CARDIOVASCULAR CHIEF COMPLAINTS CASE 37 The Collapsing Dog 507 CASE 38 The Cat with Cold Feet 520 CASE 39 The Dog with Exercise Intolerance 535 RESPIRATORY CHIEF COMPLAINTS CASE 40 The Wheezing Cat 546 CASE 41 The Snoring Dog 557 CASE 42 The Coughing Dog 568 CASE 43 The Snoring Cat 580 vi VVeetteerriinnaarryy WWoorrkkbbooookk..iinnddbb 66 0022//0066//22002211 1111::5511 CONTENTS NEUROMUSCULAR CHIEF COMPLAINTS CASE 44 The Lame Cat 589 CASE 45 The Lame Dog 598 CASE 46 The Recumbent Dog 608 REPRODUCTIVE CHIEF COMPLAINTS CASE 47 The Dog with Perineal Discharge 621 CASE 48 The Dog with the Unusual Attraction 634 CASE 49 The Dog with Priapism 649 END-OF-LIFE CASE 50 The Last Goodbye 658 Index 675 vii VVeetteerriinnaarryy WWoorrkkbbooookk..iinnddbb 77 0022//0066//22002211 1111::5511 VVeetteerriinnaarryy WWoorrkkbbooookk..iinnddbb 88 0022//0066//22002211 1111::5511 About the Author Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) grad- uated from Cornell University College of Veterinary Medicine in 2008. She practiced as an associate veterinarian in companion animal practice before transitioning into the educational cir- cuit as an advocate for pre-clinical training in primary care. She debuted in academia as a Clinical Instructor of the Community Practice Service at Cornell University’s Hospital for Animals. She then transitioned into the role of Assistant Professor as founding faculty at Midwestern University College of Veterinary Medicine. While at Midwestern University, she had the opportunity to teach the inaugural Class of 2018, the Class of 2019, and the Class of 2020. While training these remarkable young professionals, Dr. Englar became a Diplomate of the American Board of Veterinary Practitioners (ABVP). She then joined the faculty at Kansas State University between May 2017 and January 2020 to launch the Clinical Skills curriculum. In February 2020, Dr. Englar reprised her role of founding faculty when she returned “home” to Tucson to join the University of Arizona College of Veterinary Medicine. As a dual appointment Associate Professor and the Director of Veterinary Skills Development, Dr. Englar currently leads the Clinical and Professional Skills curriculum. In her current role, she has developed a series of stand- ardized client encounters for student training in clinical communication. She is also committed to furthering her research as to how clinical communication drives relationship-centered care. Dr. Englar is passionate about advancing education for gen- eralists by thinking outside of the box to develop new course materials for the hands-on learner. This labor of love is preceded by four texts that collectively provide students and clinicians alike with functional, relatable, and practice-friendly tools for success: • Performing the Small Animal Physical Examination (John Wiley & Sons, 2017) • Writing Skills for Veterinarians (5M Publishing, 2019) • Common Clinical Presentations in Dogs and Cats (John Wiley & Sons, 2019) • A Guide to Oral Communication in Veterinary Medicine (5M Publishing, 2020) Dr. Englar’s students fuel her desire to create. They inspire her to develop the tools that they need to succeed in clinical practice. If the goal of educators, as they are tasked by the accrediting bodies, is to create “Day-One,” “Practice-Ready” veterinarians, then this text and her others complement the mission. ix VVeetteerriinnaarryy WWoorrkkbbooookk..iinnddbb 99 0022//0066//22002211 1111::5511

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