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Textbook of Veterinary Internal Medicine - eBook

Textbook of Veterinary Internal Medicine - eBook

Stephen J. Ettinger | Edward C. Feldman | Etienne Cote

(2017)

Additional Information

Book Details

Abstract

Your days spent fruitlessly scouring textbooks and websites for credible vet information are over! Now you can get the whole story — the accurate story — all in one place. Introducing The Textbook of Veterinary Internal Medicine, Expert Consult, 8th Edition. Still the only comprehensive resource for veterinary internal medical problems, this faculty-and-student-favorite offers unparalleled coverage of pathophysiology, diagnosis, and disease treatments for dogs and cats. In addition to new chapters and discussions on the industry’s most topical issues, this "gold standard in vet medicine" comes with hundreds of original videos, algorithms, and learning tools to really bring all the information to life. There’s no better source to help you unlock the secrets of veterinary medicine than Ettinger’s!

  • Fully searchable online text offers quick access to the most trusted information in the field.
  • Complete library of over 500 original clinical videos you can believe in. Instead of fruitless YouTube searches, each video expertly breaks down veterinary procedures and important signs of diseases and disorders that are difficult or impossible to understand from written descriptions alone.
  • In-depth coverage of timely issues includes expert explanations on topics such as the genome, clinical genomics, euthanasia, innocent heart murmurs, hyperbaric medicine, home prepared and raw diets, obesity, botulism, artificial pacing of the heart, and cancer vaccines.
  • Thousands of references accessible from the printed book with the click of a QR code.
  • 256 all-new client information sheets can be downloaded, customized, and printed as client handouts.
  • 214 new and updated clinical algorithms aid in disease identification and decision-making.
  • Exclusive access to Expert Consult Online website offers the complete library of original video clips, heart sounds, the full collection of client information sheets, and hyperlinking of references to their source abstracts in PubMed.
  • NEW! In-depth coverage of the latest information and trends in small animal internal medicine.
    • Completely new section on minimally-invasive interventional procedures includes techniques for treating respiratory, cardiovascular, gastrointestinal, urologic/nephrologic, and neoplastic disorders.
    • 17 new chapters address the major clinicopathologic abnormalities that occur in canine and feline laboratory testing.
    • Completely new section on management of mutually-antagonistic comorbidities spotlights concurrent cardiac and renal disease, concurrent infection in patients requiring immunosuppression, and concurrent diabetes mellitus and corticosteroid-dependent disease.
  • Expert explanations on topics such as evidence-based medicine, distinguishing behavioral disorders from medical neurologic disorders, blood transfusion techniques, hyperadrenocorticism (Cushing’s disease), chronic kidney disease, respiratory and inhalant therapy, and many more.

Table of Contents

Section Title Page Action Price
9780323312394v1_WEB.pdf 1
Front Cover 1
Contributions from Around the World 2
Endsheet 4 4
Textbook of Veterinary Internal Medicine Expert Consult 5
Copyright Page 8
Dedication 9
Editors 11
Section Advisors 13
Contributors 15
Preface 45
About the Cover 46
Table Of Contents 47
Client Information Sheets 59
Chapter 2 59
Chapter 3 59
Chapter 4 59
Chapter 9 59
Chapter 10 59
Chapter 11 59
Chapter 12 59
Chapter 14 59
Chapter 15 59
Chapter 17 59
Chapter 18 59
Chapter 19 59
Chapter 20 59
Chapter 22 59
Chapter 23 59
Chapter 24 59
Chapter 25 59
Chapter 26 59
Chapter 27 59
Chapter 28 59
Chapter 30 59
Chapter 32 59
Chapter 33 59
Chapter 34 59
Chapter 35 59
Chapter 36 59
Chapter 37 59
Chapter 38 59
Chapter 39 59
Chapter 40 59
Chapter 41 59
Chapter 42 59
Chapter 43 59
Chapter 44 59
Chapter 45 59
Chapter 46 59
Chapter 47 59
Chapter 48 59
Chapter 50 59
Chapter 51 59
Chapter 52 59
Chapter 53 59
Chapter 54 59
Chapter 56 59
Chapter 78 59
Chapter 79 59
Chapter 84 59
Chapter 91 59
Chapter 94 59
Chapter 109 60
Chapter 119 60
Chapter 121 60
Chapter 124 60
Chapter 129 60
Chapter 130 60
Chapter 134 60
Chapter 135 60
Chapter 136 60
Chapter 153 60
Chapter 155 60
Chapter 156 60
Chapter 158 60
Chapter 163 60
Chapter 169 60
Chapter 170 60
Chapter 171 60
Chapter 172 60
Chapter 174 60
Chapter 175 60
Chapter 176 60
Chapter 179 60
Chapter 180 60
Chapter 181 60
Chapter 182 60
Chapter 183 60
Chapter 184 60
Chapter 185 60
Chapter 186 60
Chapter 187 60
Chapter 188 60
Chapter 190 60
Chapter 191 60
Chapter 192 60
Chapter 193 60
Chapter 197 60
Chapter 198 60
Chapter 199 60
Chapter 200 60
Chapter 201 60
Chapter 204 60
Chapter 205 60
Chapter 208 60
Chapter 211 60
Chapter 212 60
Chapter 213 60
Chapter 215 60
Chapter 216 60
Chapter 217 60
Chapter 218 60
Chapter 219 60
Chapter 222 60
Chapter 223 60
Chapter 224 60
Chapter 225 60
Chapter 226 60
Chapter 227 60
Chapter 229 60
Chapter 231 60
Chapter 232 61
Chapter 233 61
Chapter 234 61
Chapter 235 61
Chapter 237 61
Chapter 238 61
Chapter 239 61
Chapter 243 61
Chapter 244 61
Chapter 247 61
Chapter 249 61
Chapter 250 61
Chapter 251 61
Chapter 252 61
Chapter 253 61
Chapter 254 61
Chapter 255 61
Chapter 257 61
Chapter 260 61
Chapter 261 61
Chapter 262 61
Chapter 263 61
Chapter 264 61
Chapter 265 61
Chapter 266 61
Chapter 267 61
Chapter 268 61
Chapter 269 61
Chapter 270 61
Chapter 271 61
Chapter 272 61
Chapter 273 61
Chapter 276 61
Chapter 277 61
Chapter 281 61
Chapter 283 61
Chapter 287 61
Chapter 288 61
Chapter 290 61
Chapter 291 61
Chapter 292 61
Chapter 293 61
Chapter 294 61
Chapter 295 61
Chapter 296 61
Chapter 297 61
Chapter 298 61
Chapter 299 61
Chapter 300 61
Chapter 301 61
Chapter 303 61
Chapter 304 61
Chapter 305 61
Chapter 306 61
Chapter 307 61
Chapter 308 61
Chapter 309 62
Chapter 310 62
Chapter 311 62
Chapter 312 62
Chapter 313 62
Chapter 314 62
Chapter 315 62
Chapter 316 62
Chapter 317 62
Chapter 318 62
Chapter 319 62
Chapter 322 62
Chapter 323 62
Chapter 324 62
Chapter 325 62
Chapter 328 62
Chapter 329 62
Chapter 330 62
Chapter 331 62
Chapter 332 62
Chapter 333 62
Chapter 334 62
Chapter 337 62
Chapter 339 62
Chapter 340 62
Chapter 341 62
Chapter 343 62
Chapter 344 62
Chapter 345 62
Chapter 346 62
Chapter 347 62
Chapter 349 62
Chapter 351 62
Chapter 352 62
Chapter 353 62
Chapter 355 62
Chapter 358 62
Chapter 360 62
I The Real Basics of Veterinary Medicine 63
1 The Medical History 63
Overview 63
The Approach to the Pet Owner 63
Requirements for a Thorough History 64
The Elements of the History 64
Questions for the Vague Clinical Complaint 65
References 65
References 66
2 The Physical Examination 67
Observing the Pet and Meeting the Caretaker 67
The Physical Examination Process 72
Completing the Physical Examination 88
3 Basic Genetics 89
Important Genetic Terminology 89
Dna to Protein 89
Canine Genome 89
Feline Genome 91
Modes of Inheritance 91
Autosomal Recessive 91
Autosomal Dominant 91
X-Linked 92
Polygenic 92
Dna Evaluation 92
References 92
References 93
4 Clinical Genomics 92
Important Genetic Terminology 95
Clinical Genetics 95
Cytogenetics 95
DNA Variants 96
Factors That Impact Clinical Presentation of Familial Disease 97
Genetic Counseling 97
Genetic Test Results 97
Negative 97
Positive Heterozygous 97
Positive Homozygous 98
Types of Genetic Tests 98
Pharmacogenetics 98
Cytochrome P450 98
Thiopurine Methyltransferase 98
P-Glycoprotein 99
References 99
References 100
5 Evidence-Based Medicine 99
References 102
References 103
6 Biomedical Statistics 102
Hypothesis Testing 102
Variability 104
Validity 104
Sample Size and Power 104
Experimental Studies 104
Intention-to-Treat 105
Confounding by Indication 105
Statistical Methods 106
Multiple Comparison Adjustment 107
Assumption of a Normal Distribution 107
Small Sample Sizes 107
7 Euthanasia 107
References 110
References 111
II Differential Diagnosis for Chief Concerns 113
General 113
8 “Ain’t Doing Right”: The Nonspecific Chief Concern of Ill Thrift 113
Signalment 113
Medical History 113
Physical Examination 114
Diagnostic Tests 114
Treatment 115
Ill Thrift That is Not a Sign of Disease 115
Resolution 115
Suggested Readings 115
Suggested Readings 116
9 Distinguishing Behavioral Disorders from Medical Disorders 117
Introduction 117
Behavioral Disorders 117
Age of Onset of Signs 117
Potential Medical Disorders in Dogs 119
Oral Repetitive Behaviors Including Pica, Surface Licking, Fly-Biting, Air Licking, Flank Sucking, and Self-Mutilation 119
Summary 121
References 121
References 122
10 Dermatologic Manifestations of Systemic Disease 121
Systemic Diseases Associated with Alopecia 126
Overview 126
Hypothyroidism (see ch. 299) 126
Hypercortisolism (Hyperadrenocorticism) (see ch. 306 and 307) 126
Hyperestrogenism (see ch. 319) 126
Pituitary Dwarfism 126
Systemic Diseases With Diffuse Hypotrichosis, Scales and Crusts 126
Feline Thymoma-Associated Exfoliative Dermatitis (see ch. 245) 126
Epitheliotropic/Cutaneous T-Cell Lymphoma (see ch. 344) 126
Systemic Diseases With Facial and Dorsal Erythema, Alopecia, Scaling and Crusting 126
Leishmaniasis (see ch. 221) 126
Lupus Erythematosus 126
Exfoliative Cutaneous Lupus Erythematosus (ECLE) 126
Systemic Diseases With Alopecia, Erythema, Scales and Crusts Affecting Face, Legs and Tail; Dermatomyositis (DM) 128
Systemic Diseases With Alopecia and Shiny Skin of Periocular Region, Ventral Neck, Ventral Abdomen and Legs; Feline Paraneoplastic Alopecia (see ch. 352) 128
Systemic Diseases With Cutaneous Erythema, Alopecia, Scales and Crusts of Mucocutaneous Junctions and Footpads 128
Zinc-Responsive Dermatitis 128
Lethal Acral Dermatitis/Acrodermatitis 128
Canine Distemper (see ch. 228) 128
Superficial Necrolytic Dermatitis (SND), Metabolic Epidermal Necrosis (MEN), Hepatocutaneous Disease, Necrolytic Migratory Erythema (NME) (see ch. 285) 128
Paraneoplastic Pemphigus 130
Systemic Diseases With Cutaneous Plaques 130
Calcinosis Cutis (see ch. 298 and 306) 130
Xanthomas 130
Hyperpigmented Viral Plaques 130
Eosinophilic Plaques 132
Cutaneous Lymphoma—Plaque Form 132
Systemic Diseases With Cutaneous Nodules 132
Nodular Dermatofibromas 132
Sterile Nodular Panniculitis (SNP)—Pancreatic Panniculitis Variant 132
Infectious/Pyogranulomatous Nodules 132
Systemic Diseases With Skin Fragility 132
Cutaneous Asthenia (Ehlers Danlos Syndrome, Dermatosporaxis) 132
Feline Skin Fragility 132
Systemic Diseases With Thick Skin 132
Mucinosis 132
Acromegaly 132
References 132
References 134
11 Ophthalmic Manifestations of Systemic Disease 136
Introduction 136
Ophthalmic Examination 136
Interpretation of Fundus Lesions 136
Eyelids and Conjunctiva 136
Keratoconjunctivitis Sicca (KCS) 139
Cornea 139
Iris 140
Lens 140
Choroid and Retina 140
Orbital Disease 141
Systemic Hypertension 141
Metastatic Neoplasia 142
References 142
References 143
12 Neurologic Manifestations of Systemic Disease 142
Diseases Causing CNS Signs 142
Hypoxemia from Systemic Disease 142
Systemic Hypertension 145
Endocrine/Metabolic Causes 145
Hepatic Encephalopathy 145
Uremic Encephalopathy 145
Hypothyroidism 145
Hyperthyroidism 146
Hyperadrenocorticism 146
Hypoglycemia 146
Thiamine Deficiency 146
Irradiated Diet 146
Electrolyte Abnormalities 146
Hypercalcemia 146
Hypocalcemia 146
Hypernatremia/Hyponatremia 146
Neoplasia 147
Hyperthermia 147
Diseases Causing PNS Signs 147
Hypoxia 147
Metabolic/Endocrine Disorders 147
Hypothyroidism 147
Hyperthyroidism 147
Hyperadrenocorticism 147
Hypoadrenocorticism 147
Diabetes Mellitus 147
Kidney Disease 147
Hypokalemia 148
Paraneoplastic Syndrome 148
References 148
References 149
13 Intoxication versus Acute, Nontoxicologic Illness: Differentiating the Two 148
Case History 148
Stabilizing the Patient 148
Toxicologic Versus Nontoxicologic 152
Suggested Readings 156
Suggested Readings 157
14 Orthopedic Manifestations of Systemic Disease 158
Diagnostic Approach to Orthopedic Manifestations of Systemic Disease (Figure 14-1) 158
Signalment 158
History 158
Physical Examination 158
Differential Diagnoses 158
Diseases of Bone 158
Degeneration, Tissue Injury, and Death 158
Inflammation (Infectious or Sterile) 158
Disorders of Cell Growth (Abnormal Growth and Neoplasia) 160
Vascular Disturbances 160
Diseases of Joints 161
Degeneration, Tissue Injury, and Death 161
9780323312394v2_WEB 1879
Front Cover 1879
Contributions from Around the World 1880
Textbook of Veterinary Internal Medicine 1884
Copyright 1885
Table of contents volume 2 1886
Client Information Sheets 1898
Chapter 2 1898
Chapter 3 1898
Chapter 4 1898
Chapter 9 1898
Chapter 10 1898
Chapter 11 1898
Chapter 12 1898
Chapter 14 1898
Chapter 15 1898
Chapter 17 1898
Chapter 18 1898
Chapter 19 1898
Chapter 20 1898
Chapter 22 1898
Chapter 23 1898
Chapter 24 1898
Chapter 25 1898
Chapter 26 1898
Chapter 27 1898
Chapter 28 1898
Chapter 30 1898
Chapter 32 1898
Chapter 33 1898
Chapter 34 1898
Chapter 35 1898
Chapter 36 1898
Chapter 37 1898
Chapter 38 1898
Chapter 39 1898
Chapter 40 1898
Chapter 41 1898
Chapter 42 1898
Chapter 43 1898
Chapter 44 1898
Chapter 45 1898
Chapter 46 1898
Chapter 47 1898
Chapter 48 1898
Chapter 50 1898
Chapter 51 1898
Chapter 52 1898
Chapter 53 1898
Chapter 54 1898
Chapter 56 1898
Chapter 78 1898
Chapter 79 1898
Chapter 84 1898
Chapter 91 1898
Chapter 94 1898
Chapter 109 1899
Chapter 119 1899
Chapter 121 1899
Chapter 124 1899
Chapter 129 1899
Chapter 130 1899
Chapter 134 1899
Chapter 135 1899
Chapter 136 1899
Chapter 153 1899
Chapter 155 1899
Chapter 156 1899
Chapter 158 1899
Chapter 163 1899
Chapter 169 1899
Chapter 170 1899
Chapter 171 1899
Chapter 172 1899
Chapter 174 1899
Chapter 175 1899
Chapter 176 1899
Chapter 179 1899
Chapter 180 1899
Chapter 181 1899
Chapter 182 1899
Chapter 183 1899
Chapter 184 1899
Chapter 185 1899
Chapter 186 1899
Chapter 187 1899
Chapter 188 1899
Chapter 190 1899
Chapter 191 1899
Chapter 192 1899
Chapter 193 1899
Chapter 197 1899
Chapter 198 1899
Chapter 199 1899
Chapter 200 1899
Chapter 201 1899
Chapter 204 1899
Chapter 205 1899
Chapter 208 1899
Chapter 211 1899
Chapter 212 1899
Chapter 213 1899
Chapter 215 1899
Chapter 216 1899
Chapter 217 1899
Chapter 218 1899
Chapter 219 1899
Chapter 222 1899
Chapter 223 1899
Chapter 224 1899
Chapter 225 1899
Chapter 226 1899
Chapter 227 1899
Chapter 229 1899
Chapter 231 1899
Chapter 232 1900
Chapter 233 1900
Chapter 234 1900
Chapter 235 1900
Chapter 237 1900
Chapter 238 1900
Chapter 239 1900
Chapter 243 1900
Chapter 244 1900
Chapter 247 1900
Chapter 249 1900
Chapter 250 1900
Chapter 251 1900
Chapter 252 1900
Chapter 253 1900
Chapter 254 1900
Chapter 255 1900
Chapter 257 1900
Chapter 260 1900
Chapter 261 1900
Chapter 262 1900
Chapter 263 1900
Chapter 264 1900
Chapter 265 1900
Chapter 266 1900
Chapter 267 1900
Chapter 268 1900
Chapter 269 1900
Chapter 270 1900
Chapter 271 1900
Chapter 272 1900
Chapter 273 1900
Chapter 276 1900
Chapter 277 1900
Chapter 281 1900
Chapter 283 1900
Chapter 287 1900
Chapter 288 1900
Chapter 290 1900
Chapter 291 1900
Chapter 292 1900
Chapter 293 1900
Chapter 294 1900
Chapter 295 1900
Chapter 296 1900
Chapter 297 1900
Chapter 298 1900
Chapter 299 1900
Chapter 300 1900
Chapter 301 1900
Chapter 303 1900
Chapter 304 1900
Chapter 305 1900
Chapter 306 1900
Chapter 307 1900
Chapter 308 1900
Chapter 309 1901
Chapter 310 1901
Chapter 311 1901
Chapter 312 1901
Chapter 313 1901
Chapter 314 1901
Chapter 315 1901
Chapter 316 1901
Chapter 317 1901
Chapter 318 1901
Chapter 319 1901
Chapter 322 1901
Chapter 323 1901
Chapter 324 1901
Chapter 325 1901
Chapter 328 1901
Chapter 329 1901
Chapter 330 1901
Chapter 331 1901
Chapter 332 1901
Chapter 333 1901
Chapter 334 1901
Chapter 337 1901
Chapter 339 1901
Chapter 340 1901
Chapter 341 1901
Chapter 343 1901
Chapter 344 1901
Chapter 345 1901
Chapter 346 1901
Chapter 347 1901
Chapter 349 1901
Chapter 351 1901
Chapter 352 1901
Chapter 353 1901
Chapter 355 1901
Chapter 358 1901
Chapter 360 1901
XV Respiratory Disease 1902
240 Clinical Evaluation of the Respiratory Tract 1902
Introduction 1902
History and Signalment 1902
Overview 1902
Historical Findings Suggestive of Respiratory Disease 1902
Sneezing 1902
Reverse Sneezing 1902
Nasal Discharge 1902
Open-Mouth/Postural Breathing 1903
Audible Respiratory Sounds 1903
Cough 1903
Physical Examination of the Respiratory Patient 1903
General Observations 1903
Breathing Patterns 1903
Normal 1903
Obstructive and Restrictive Lung Diseases 1903
Posture 1904
Respiratory System Examination 1904
General 1904
Sounds 1905
Laboratory Diagnostic Techniques 1905
Initial Data Base: Complete Blood Count (CBC), Serum Biochemistries, Urinalysis 1905
Serologic and Other Advanced Testing 1905
Diagnostic Imaging of the Respiratory System 1906
Overview 1906
Radiography of the Upper Respiratory Tract 1906
Introduction 1906
Nasal, Facial 1906
Pharynx, Larynx, and Cervical Trachea (see ch. 238, 239, and 241) 1906
Thoracic Radiography 1907
Technique and Positioning 1907
Classification of Pulmonary Radiographic Abnormalities 1907
Alveolar Pulmonary Patterns 1907
Bronchial Pulmonary Patterns 1907
Pleural Effusion 1907
Pneumothorax 1908
Computed Tomography (CT) 1908
Availability and Use in Nasal Conditions 1908
Thoracic CT 1908
Magnetic Resonance Imaging (MRI) 1908
Fluoroscopy 1908
Ultrasonography (US) 1910
Nuclear Imaging 1910
Endoscopic Examination of the Respiratory Tract 1910
Diagnostic Sampling of the Respiratory Tract 1910
Introduction 1910
Sampling of the Nasal Airways (see ch. 238) 1910
Nasal Swabbing and Nasal Brushing 1910
Saline Hydropulsion 1910
Nasal Biopsy 1910
Diagnostic Sampling of the Lower Airways 1912
Bronchoalveolar Lavage (BAL) 1912
Tracheal Wash (see ch. 101) 1912
Indications 1912
Endotracheal Wash (ETW) 1912
Transtracheal Wash (TTW) 1912
Endobronchial Brush and Needle Cytology 1913
Transthoracic Needle Aspirate and Biopsy 1913
Surgical and Thoracoscopic Lung Biopsy 1913
Pulse Oximetry and Arterial Blood Gas Analysis 1914
References 1914
References 1916
241 Diseases of the Trachea and Small Airways 1914
Tracheal Diseases 1914
Tracheal Collapse (Dogs) 1914
Introduction 1914
Etiology and Pathophysiology 1918
Clinical Presentation 1919
Differential Diagnosis 1919
Diagnosis 1919
Management 1919
Prognosis 1920
Tracheoesophageal or Bronchoesophageal Fistula 1920
Obstructive and/or Traumatic Tracheal Diseases 1920
Etiology 1920
Tracheal Injuries 1920
Tracheal Foreign Bodies 1920
Intratracheal Tumors 1920
Tracheal Granulomas 1922
Parasitic Granulomas 1922