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Ambulatory Practice, An Issue of Veterinary Clinics: Equine Practice E-Book

Ambulatory Practice, An Issue of Veterinary Clinics: Equine Practice E-Book

David W. Ramey | Mark R. Baus

(2012)

Additional Information

Book Details

Abstract

The equine practitioner will find this comprehensive issue packed with useful, important information on ambulatory practice. Topics include challenges of ambulatory practice, equipment considerations, client psychology and expectations, technology and the ambulatory practitioner, ambulatory medicine, ambulatory surgery and surgical referral, lameness in ambulatory practice, foot care and veterinarian/farrier relations, ophthalmology in ambulatory practice, reproduction in ambulatory practice, dermatology in ambulatory practice, wound care, wellness care, purchase exams and much more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Ambulatory Practice i
Copyright Page ii
Table of Contents v
Contributors iii
Veterinary Clinics: Equine Practice ix
Preface: Ambulatory Practice xi
Chapter 1. Equine Ambulatory Practice: Challenges and Opportunities 1
ADVANTAGES OF AMBULATORY PRACTICE 1
DISADVANTAGES OF AMBULATORY PRACTICE 2
CHALLENGES AND SOLUTIONS 3
SUMMARY 9
REFERENCES 9
Chapter 2. Ambulatory Equine Practice Management 11
FEE SETTING 11
CHART OF ACCOUNTS AND FINANCIAL STATEMENTS 15
INVENTORY CONTROL 18
DEVELOPING A TEAM 20
SUMMARY 22
REFERENCES 22
Chapter 3. Technology and the Ambulatory Equine Practitioner: Implementing and Affording the 21st Century 25
THE PAPERLESS PRACTICE 26
SOFTWARE PROGRAMS FOR THE MOBILE EQUINE PRACTICE 27
TECHNICAL ASSISTANCE 31
IMPLEMENTATION 31
MOVING FORWARD 32
CAPITAL INVESTMENT CONSIDERATIONS FOR EQUINE AMBULATORY PRACTICE 33
CAPITAL INVESTMENT CONSIDERATIONS 34
SUMMARY 37
QUESTIONS TO CONSIDER 37
RESOURCES: ANALYSIS TEMPLATES AND EXAMPLES 37
DEFINITIONS 38
Chapter 4. Do You Know Your Equine Practice Clients? 39
VALUE 39
MANAGEMENT OF THE PRACTICE 40
A FULL SERVICE ENVIRONMENT 41
CLIENTS: WHO ARE THEY AND WHAT DO THEY EXPECT? 42
CLIENT EXPECTATIONS 43
CLIENT SATISFACTION 45
IN TOUCH WITH CLIENTS 46
HOW TO CREATE A LOYAL CLIENT BASE? 47
CLIENT COMPLAINTS 48
REFERRING CLIENTS 48
SUMMARY 48
ADDITIONAL READING 49
USEFUL RELATED WEBSITES 49
Chapter 5. Ambulatory Medicine in Equine Practice 51
THE EXAMINATION 51
PHYSICAL EXAMINATION 52
EVALUATION AND TREATMENT OF COMMONLY ENCOUNTERED CONDITIONS OF THE EQUINE PATIENT IN THE FIELD 57
SUMMARY 65
REFERENCES 65
Chapter 6. The Ambulatory Practitioner and the Referral Center: Two Perspectives in Equine Surgery 69
SURGERY FOR THE EQUINE AMBULATORY VETERINARIAN 69
THE OTHER SIDE OF THE COIN: FROM THE REFERRAL PERSPECTIVE 74
SUMMARY 80
REFERENCES 80
Chapter 7. Wound Care in Horses 83
WOUND ASSESSMENT 83
CATASTROPHIC WOUNDS 84
WOUNDS TO SYNOVIAL STRUCTURES 84
WOUNDS TO TENDONS AND LIGAMENTS 86
WOUND-HEALING PROCESS 86
TREATMENT OF THE WOUND 90
WHAT THE PRACTITIONER AND THE OWNER SHOULD EXPECT 92
BANDAGING 93
TREATMENTS, PRODUCTS, AND CONTINUED MANAGEMENT OF THE WOUND 95
COMPLICATED AND CHRONIC WOUNDS 96
SUMMARY 98
REFERENCES 99
Chapter 8. Lameness and Performance Evaluation in Ambulatory Practice 101
COMMUNICATIONS 101
LAMENESS AND PERFORMANCE EVALUATIONS—OWNERS AND TRAINERS 102
LAMENESSS/PERFORMANCE EVALUATION GUIDELINES 104
PROPER USE/GENETIC POTENTIAL 104
BLOOD CHEMISTRY ASSAYS 105
RESPIRATORY/CARDIOVASCULAR SYSTEM 106
LAMENESS 106
TO BLOCK OR NOT TO BLOCK (PICK YOUR BATTLES!) 109
DIAGNOSTIC ANESTHESIA—GENERAL OBSERVATIONS 111
DIAGNOSTIC ANESTHESIA—SPECIAL CONSIDERATIONS 112
LAMENESS VERSUS NEUROLOGIC DISEASE 114
ENVIRONMENTAL/MANAGEMENT ISSUES 114
SUMMARY 114
REFERENCES 115
Chapter 9. The Equine Practitioner–Farrier Relationship: Building a Partnership 117
THE VETERINARIAN-FARRIER RELATIONSHIP 118
UNDERSTANDING THE KEY ELEMENTS 119
THE EQUINE PRACTITIONER’S ROLE IN CARING FOR THE HOOF 121
ESTABLISHING AND SUSTAINING WORKING RELATIONSHIPS 126
DO’S AND DON’TS 127
SUMMARY 129
ACKNOWLEDGEMENTS 129
REFERENCES 129
Chapter 10. The Approach to the Equine Dermatology Case in Practice 131
INVESTIGATING THE SKIN PROBLEM 132
THE PROBLEM LIST 136
THE DIFFERENTIAL DIAGNOSIS 136
INFECTIOUS DISEASE 141
COLLECTION OF DIAGNOSTIC SPECIMENS 144
TREATMENT 152
SUMMARY 152
REFERENCE 153
Chapter 11. Ophthalmology in Equine Ambulatory Practice 155
KNOWLEDGE AND EDUCATION 155
EQUIPPING THE AMBULATORY VEHICLE 155
VISION TESTING 156
EXAMINATION INDICATIONS 156
REFLEX TESTING 158
SEDATION, TOPICAL, AND REGIONAL ANESTHESIA 158
SKULL, PERIORBIT, AND ADNEXA INSPECTION 159
GLOBE EXAMINATION 159
DIGITAL PHOTOGRAPHY 161
ULTRASOUND, RADIOGRAPHY, AND ADVANCED IMAGING 162
OPHTHALMIC TESTS 162
MANAGING THE HORSE PRESENTED FOR AN ACUTELY PAINFUL EYE 164
MANAGING THE HORSE PRESENTED FOR A GLOBE THAT “LOOKS DIFFERENT” 168
MANAGING THE HORSE PRESENTED FOR ADNEXAL OR ORBITAL TRAUMA 169
MANAGING THE HORSE PRESENTED FOR ADNEXAL OR GLOBE MASSES 171
OCULAR EXAMINATION OF THE HORSE WITH BEHAVIOR CHANGE OR POOR PERFORMANCE 172
OCULAR SURGERY 172
BLINDNESS 172
SUMMARY 173
REFERENCES 173
Chapter 12. Reproduction in Ambulatory Practice 175
PROCEDURES: MARES 175
PROCEDURES: STALLION 185
SUMMARY 186
REFERENCES 186
Chapter 13. Equine Wellness Care in Ambulatory Practice 189
WELLNESS PROGRAM 189
VACCINES 191
DENTISTRY 194
DEWORMING 198
SUMMARY 202
ACKNOWLEDGMENTS 203
REFERENCES 203
Chapter 14. Prepurchase Examination in Ambulatory Equine Practice 207
HISTORY 210
PREPURCHASE EXAMINATION: GOALS, COMPONENTS, AND STRATEGIES 214
STRATEGIES: CLIENT SERVICE 215
STRATEGIES: STANDARD OF PATIENT CARE 217
PREPURCHASE EXAMINATION STRATEGIES: OPERATIONAL PROCESS 219
PREVISIT TASKS 220
SUMMARY 225
REFERENCES 247
Index 249