As we complete the seventh edition of this textbook, we already are gathering information and ideas for the eighth! What started out years ago as an enjoyable way to collect information and write our own thoughts down on paper has been transformed into a greater effort, that of collecting the knowledge of our colleagues and collating it into a thorough, up to date, and scientifically fascinating resource. How this all happens is still somewhat of an enigma to us. Traditionally, many books the size and scope of this one have section editors to help with the preparation. We chose not to take advantage of section editors because the two of us understand the need to publish as quickly as possible after authors have completed their work. Consequently, we take the sole responsibility for putting this textbook together. This means finding authors, some experienced after participating in previous editions of this textbook, some who are well recognized but first-time contributors, and some who have just begun to establish their areas of expertise. All have been willing to devote time and energy to making their efforts coincide and coordinate with that of their peers and co-contributors.
Making the volumes flow together with cross-referencing and minimizing repetition has been a goal. However, there are subjects seen from different perspectives by individuals with differing areas of expertise. Certain subjects presented more than once may create the illusion of repetition, but we see each interpretation as adding value to the book. These different points of view have been purposefully presented.
This edition presents many changes and additions as compared with the first six editions. To avoid adding weight and length, some older subject matter was removed, as was some material no longer considered requisite to an internal medicine textbook. Contributors were asked to consolidate what they could. We altered the format in keeping with changing times. This edition has become quite “electronic.” The entire book is online, and this electronic version will truly be a “living volume” where important changes, corrections, and additions may be found. We have added significant amounts of digitized material. Digital loops, videos, pictures, and charts can be found in the online textbook.
The videos alone are educational and exciting. Videos that could not be included in the written version because of length or simply an inability to put so much data in text are the most important new feature, unique to this edition. The use of color, for the first time throughout both written and electronic versions, also makes this seventh edition far superior to any of our previous efforts. Practitioners and students can find pictures and digitized videos of an astounding number of medical techniques and procedures. These can be seen (in several senses of the word) as supporting the notion that the seventh edition stands alone as an incredible teaching resource. Maneuvering through the book is exciting and fun! It is the intent of the editors to keep this material flowing, to increase and add more material throughout the life of the edition, and to update the literature continuously so that the reader may continue to use the Web site version as an up-to-the-minute resource of small animal internal medicine. References have been omitted from the written version in an attempt to be “green” (i.e., to save trees)! Instead, they are available on the Web site's living edition. Where possible, the references are linked to PubMed and should be easily resourced by the reader looking to explore the referenced works.Other new aspects in this edition start at the beginning of the book. Here, the reader is taken to the heart of today's veterinary small animal internal medical practice. Pedagogy of learning and understanding diagnostic techniques is followed by a practical yet detailed discussion of genomics, both theoretical and practical. While recognizing the importance of the canine and feline genome, we also wish to emphasize the human-animal bond and the reality of euthanasia as part of our responsibility as veterinarians.
The introductory chapters are followed by chapters that lead readers through a guide to disease by clinical signs. Virtually every chapter here has been rewritten, renewed, or updated. Almost all chapters have at least one algorithm. High quality and thorough algorithms are extremely difficult to create but offer readers an opportunity to learn how to proceed from a potentially vague or nonspecific owner concern to a diagnosis. Further, algorithms are often employed when reviewing a patient's record to be certain that a question, physical examination finding, test, or differential diagnosis has not been overlooked. Here, and throughout the textbook, diagnostic techniques used in small animal internal medical practice demonstrate the “normal” as well as typical deviations from normal. These are available as videos, clips, pictures, and data on the Web site that make the chapters more valuable than ever before.
The importance of nutrition in medicine and the contribution of exciting new knowledge in understanding and diagnosing infectious diseases are presented. The traditional approach to understanding abnormalities in each of the organ systems follows. Each section has been expanded. Newer areas are emphasized with the inclusion of distinctly separate chapters. This is particularly true for nutrition, oncology, and infectious diseases. In most sections, information presented has been parsed into smaller subject areas to allow participation of more contributors with defined excellence. As a result, there are more than 300 primary authors for this edition and a much larger overall total number of participants. The textbook contributors include colleagues/specialists from around the world. We anticipate that this edition will be internationally accepted to a degree not previously achieved.
We welcome and thank all contributors for their time, effort, and willingness to share their knowledge. We commend them for adhering to strict timelines and wish to acknowledge them formally here. Without their cooperation, the content could never have been presented in such a brief time span that begins with chapter submission and culminates with publication. Readers have access to material that is incredibly “fresh.” In many cases, chapters have been published within a few months of the time that data contained therein were published in peer-reviewed scientific journals!
We cannot thank the staff at Elsevier enough for their help, encouragement, and reliability. Penny Rudolph, our editor, has guided us tirelessly in this effort. Shelly Stringer, Lauren Harms, and Kristine Feeherty have been collegial, tireless, effective, and on time, and have provided the editors a partnership beyond our expectations when we began to “reinvent the wheel” for the seventh time! The electronic EMSS system has provided us with an advanced editorial and collection system that also exceeded our expectations. Kudos to our colleagues and partners in St. Louis.
Steve (Ettinger) and Ed (Feldman) have their own families and colleagues to individually acknowledge as this effort draws to a close. Steve's wife Pat never seems to tire of his being away from the family and in his study working on “the book.” Steve is grateful that his younger children Michael, Robbie, and Ricky, even at their age, seem to understand the importance of this effort. His older children, Nicole and Andrew, already know the value of the textbook to their lives and their dad's professional life. To his nearly lifelong professional working partners, Ed Feldman and Etienne Côté, nothing short of “I love you” is due. Ed's wife Shawn has accepted this book as an anchor that sometimes limits their time together, but it also provides mutual understanding with regard to the love and respect they both have for animals and, specifically, the importance of pets in today's impersonal world. Ed's daughters Shaina and Rhonda, together with his son-in-law Steve, understand the importance of this work. Rowan Harper Feldman will learn, too, how her dad spent hours on the book in Guatemala while awaiting release of her visa so that she could join her new mom and dad on their trip back home. Heartfelt love is sent to Steve and Pat, Jimmy and Mary, Orin and Pat, the Monday night crew, and to all our relatives for their support. Tears flow and our hearts soar like eagles when we think of Shaina, Jennifer, Marilyn, Marie, Carol, Scott, Nan, and Tom joining us in Guatemala to help care for our beautiful and youngest little daughter.
We wish to acknowledge the pets that represent the core of the profession we serve. Katie (our Newf), Eliza (our Lab), Billy Gatito, Tooshie, and the lily-eating Jose (our DSHs), Jet (our noisy bird), and the fish and gecko, Spot, that live with our families, all speak to the importance we place on the human animal bond.
We offer our appreciation to our colleagues who consistently give us their feedback for each edition. We appreciate the compliments and continue to welcome your suggestions. No book of this size is without error. Now, we can add information and make corrections regularly on the Web version for you. Our medicine has changed enormously since 1975 when we began this effort. “One medicine” incorporates human and animal science, and the human-animal bond is what makes this book what it is. Thank you for allowing us to enjoy a space at your practice, home, and now on your computer!
Stephen Ettinger, Edward Feldman
Key Features
- Continually updated, fully searchable online text provides fast, easy access to the most current, reliable information in the field.
- More than 150 clinical algorithms throughout the text aid in disease identification and decision-making.
- Expanded online chapter content enhances your understanding through additional text, illustrations, tables, and boxes.
- Hyperlinked client information sheets streamline reference of specific conditions and enhance communication with clients.
Website Features
- Consult the book from any computer at home, in your office, or at any practice location.
- Instantly locate the answers to your clinical questions via a simple search query.
- Quickly find out more about any bibliographical citation by linking to its MEDLINE abstract.
- Videos: Access videos that demonstrate signs of common diseases and disorders as well as a variety of veterinary procedures.
- Images: Browse a Library of all book images. Easily select, organize,and download your images into a presentation.
- Grand Rounds: View a broad library of stimulating case presentations in color, with motion studies and direct links.
- Algorithms: Quickly find information to make diagnosing patients easier with flowcharts for identifying diseases and proper treatments.
- Client Information Sheets: Download customizable handouts into computer-based applications to help you easily prepare take-home materials for clients.
New to this edition
- Thoroughly updated and expanded content, including 90 new chapters, addresses the latest developments across the full spectrum of small animal care.
- Companion Expert Consult website enhances your learning experience with the ability to search the entire electronic text instantly for easy reference. Expert Consult also gives you instant access to: More than 150 procedural videos that guide you step-by-step through essential procedures; Audio files that help you identify heart abnormalities by their sound.
Contents
VOLUME 1 SECTION I - The Real Basics of Veterinary Medicine
- 1 - The Physical Examination of the Dog and Cat
- 2 - Clinical Problem Solving: The Steps That Follow the History and Physical Examination: The Pedagogy of Clinical Medicine
- 3 - Clueing in Customers
- 4 - The Genome
- 5 - Gene Therapy
- 6 - Clinical Genomics
- 7 - Rational Use of Diagnostic Tests
- 8 - Euthanasia
- 9 - Home Euthanasia
SECTION II - Clinical Veterinary Medicine
- 10 - Hyperthermia and Fever of Unknown Origin
- 11 - Hypothermia
- 12 - Clinical Pain Identification, Assessment, and Management
- 13 - The Skin as a Sensor of Internal Medicine Disorders
- 14 - Alopecia
- 15 - Pruritus
- 16 - Cutaneous and Subcutaneous Lumps, Bumps, and Masses
- 17 - Erosions and Ulcerations
- 18 - Papules and Pustules
- 19 - Scaling and Crusting Dermatoses
- 20 - Changes in Pigmentation
- 21 - Fleas, Flea Allergy, and Flea Control
- 22 - Genital Dermatoses
- 23 - Other External Parasites
- 24 - Edema
- 25 - Hepatocutaneous Syndrome
- 26 - Management of Canine Atopy
- 27 - Obesity Biology and Management
- 28 - Cachexia
- 29 - Failure to Grow
- 30 - Swollen Joints and Lameness
- 31 - Body Odors
- 32 - Ocular Manifestations of Systemic Disease
- 33 - Acute Vision Loss in Small Animals
- 34 - Abdominal Distension, Ascites, and Peritonitis
- 35 - Weakness
- 36 - Vaginal-Vulvar and Preputial Discharge
- 37 - Polyuria and Polydipsia
- 38 - Micturition Disorders and Urinary Incontinence
- 39 - Hematuria and Other Conditions Causing Discolored Urine
- 40 - Proteinuria
- 41 - Anorexia
- 42 - Polyphagia
- 43 - Periodontitis
- 44 - Ptyalism
- 45 - Gagging
- 46 - Dysphagia and Regurgitation
- 47 - Vomiting
- 48 - Diarrhea
- 49 - Melena and Hematochezia
- 50 - Constipation, Tenesmus, Dyschezia, and Fecal Incontinence
- 51 - Flatulence
- 52 - Neurologic Manifestations of Systemic Disease
- 53 - Movement Disorders
- 54 - Tremor Syndromes
- 55 - Ataxia, Paresis, and Paralysis
- 56 - Altered States of Consciousness: Stupor and Coma
- 57 - Seizures
- 58 - Peripheral Cranial Neuropathies
- 59 - Sleep Disorders
- 60 - Cognitive Dysfunction in Aged Dogs
- 61 - Behavioral Disorders
- 62 - Preventive Behavior Care
- 63 - Coughing
- 64 - Dyspnea and Tachypnea
- 65 - Innocent Heart Murmurs
- 66 - Abnormal Heart Sounds and Heart Murmurs
- 67 - Pulse Alterations
- 68 - Pleural Effusion
- 69 - Sneezing and Nasal Discharge
- 70 - Syncope
- 71 - Pallor
- 72 - Polycythemia and Erythrocytosis
- 73 - Cyanosis
- 74 - Jaundice
- 75 - Bleeding Disorders: Epistaxis and Hemoptysis
- 76 - Petechiae and Ecchymoses
- 77 - Electrolyte Disorders: Sodium (Hyper/Hyponatremia)
- 78 - Electrolyte Disorders: Potassium (Hyper/Hypokalemia)
- 79 - Electrolyte Disorders: Ca-P and Mg
SECTION III - Techniques
General
- 80 - Venous and Arterial Puncture
- 81 - Jugular Catheterization and Central Venous Pressure
- 82 - Veterinary Diagnosis of Bacterial, Fungal, and Viral Disease
- 83 - Fecal Examination
- 84 - Ear Vein Blood Glucose Monitoring
- 85 - Nasoesophageal, Esophagostomy, Gastrostomy, and Jejunal Tube Placement Techniques
- 86 - Veterinary Nuclear Medicine
- 87 - Digital Radiology: DICOM, PACS
- 88 - Interventional Endoscopy/Interventional Imaging
- 89 - Hyperbaric Medicine
- 90 - Constant Rate Infusions
- 91 - Buccal Mucosal Bleeding Time
- 92 - Ear Flushing
- 93 - Skin Scrapings and Skin Biopsies
- 94 - Cytology of the Skin and Subcutaneous Tissues
- 95 - Abdominal Ultrasonography
- 96 - Abdominal Ultrasound: Aspirations and Biopsies
- 97 - Abdominocentesis and Diagnostic Peritoneal Lavage
- 98 - Laparoscopy
- 99 - Techniques for Bone Marrow Aspiration and Biopsy
- 100 - Cytology of Internal Organs
- 101 - Arthrocentesis and Arthroscopy
- 102 - Lymph Node Aspiration and Biopsy
- 103 - Rhinoscopy, Nasal Flushing, and Biopsy
- 104 - Diagnostic Blood Pressure Measurement
- 105 - Pulse Oximetry
- 106 - Transtracheal Wash and Bronchoscopy
- 107 - Thoracic and Pericardial Taps and Drains
- 108 - Fine Needle Aspiration and Lung Biopsy
- 109 - Electrocardiographic Techniques
- 110 - Echocardiography
- 111 - Cystocentesis and Urinary Bladder Catheterization
- 112 - Unblocking the Urethra of the Male Cat
- 113 - Peritoneal Dialysis
- 114 - Continuous Renal Replacement Therapy
- 115 - Gastric Lavage
- 116 - Endoscopic Procedures for Evaluation of the Gastrointestinal Tract
- 117 - Cerebrospinal Fluid Collection, Myelography, Epidurography, and Discography
- 118 - Muscle and Nerve Biopsy
- 119 - Electromyography and Nerve Conduction Velocity Studies
- 120 - Brain Biopsy
- 121 - Imaging Neurologic Patients
- 122 - Artificial Insemination in the Dog
- 123 - Transcervical Catheterization in the Bitch
SECTION IV - Critical Care
- 124 - Acid-Base, Oximetry, and Blood Gas Emergencies
- 125 - Acute Abdomen
- 126 - Cardiac Emergencies
- 127 - Cardiopulmonary Arrest and Resuscitation
- 128 - Traumatic Brain Injury
- 129 - Crystalloid and Colloid Fluid Therapy
- 130 - Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar Syndrome
- 131 - Gastrointestinal Emergencies
- 132 - Global Approach to the Trauma Patient
- 133 - Heatstroke
- 134 - Hepatic and Splenic Emergencies
- 135 - Oxygen Therapy
- 136 - Renal Emergencies
- 137 - Reproductive Emergencies
- 138 - Sepsis and the Systemic Inflammatory Response Syndrome
- 139 - Shock
- 140 - Systemic Anaphylaxis
- 141 - Thoracic Trauma
- 142 - Blood Transfusions, Component Therapy, and Oxygen-Carrying Solutions
- 143 - Initial Evaluation of Respiratory Emergencies
- 144 - Intoxication versus Acute, Nontoxicologic Illness: Differentiating the Two
- 145 - Food Safety and Toxicities
- 146 - Venomous Bites and Stings
- 147 - Plant Toxicities
- 148 - Topical Toxins
- 149 - Human Prescription and Street Drugs
- 150 - Chemical Toxicities
- 151 - Pathophysiology of Systemic Hypertension and Blood Pressure Assessment
- 152 - Treatment of Hypertension
- 153 - Hypotension
- 154 - Antibacterial Drug Therapy
- 155 - Antifungal Drug Therapy
- 156 - Over-the-Counter Human Medications
- 157 - Glucocorticoid Therapy
- 158 - Nonsteroidal Anti-Inflammatory Analgesics
- 159 - Antioxidants, Nutraceuticals, and Dietary Supplements
- 160 - Compounding Drugs
- 161 - Adverse Drug Reactions
- 162 - Probiotics
- 163 - Nutritional Genomics
- 164 - Nutritional Assessment
- 165 - Body Composition of the Dog and Cat
- 166 - Immunology and Nutrition
- 167 - Obesity
- 168 - The Unique Nutritional Needs of the Cat
- 169 - Dental Nutrition
- 170 - Nutrition of Healthy Dogs and Cats in Various Adult Stages
- 171 - Neonatal and Pediatric Nutrition
- 172 - Nutrition-Related Skeletal Disorders
- 173 - Adverse Reactions to Foods: Allergies versus Intolerance
- 174 - Nutritional Management of Gastrointestinal Conditions
- 175 - Nutritional Management of Hepatic Conditions
- 176 - Nutritional Management of Endocrine Disease
- 177 - Nutritional Modulation of Heart Disease
- 178 - Nutritional Management of the Lower Urinary Tract Conditions
- 179 - Parenteral Nutritional Support
- 180 - Nutritional Management of Renal Conditions
- 181 - Dietary and Medical Considerations in Hyperlipidemia
- 182 - The Principles and Implementation of Enteral Nutrition
- 183 - Home-Prepared and Raw Diets
- 184 - Problem-Oriented Differential Diagnosis of Autoimmune Skin Diseases
- 185 - Immune-Mediated Diseases and Therapies
- 186 - Immune-Mediated and Infective Arthritis
- 187 - Canine and Feline Osteoarthritis
- 188 - Immune-Mediated Hemolytic Anemia and Other Regenerative Anemias
- 189 - Immune-Mediated Thrombocytopenia, von Willebrand Disease, and Platelet Disorders
- 190 - Systemic Lupus Erythematosus
- 191 - Nonregenerative Anemia
- 192 - Acquired Coagulopathies
- 193 - Leukocytes in Health and Disease
- 194 - Diseases of the Spleen
- 195 - Skeletal Diseases
- 196 - Laboratory Diagnosis of Infectious Disease
- 197 - Companion Animal Vaccines and Vaccination
- 198 - Leptospirosis
- 223 - Diseases of the Ear
- 224 - Diseases of the Nose and Nasal Sinuses
- 225 - Diseases of the Throat
- 226 - Tumors of the Mouth, Head, and Neck
VOLUME 2
SECTION XII - Respiratory Disease
- 227 - Clinical Evaluation of the Respiratory Tract
- 228 - Diseases of the Trachea and Upper Airways
- 229 - Tracheal Stenting in Collapsed Trachea
- 230 - Pulmonary Parenchymal Disease
- 231 - Mediastinal Disease
- 232 - Pleural and Extrapleural Diseases
- 233 - Pulmonary Hypertension and Pulmonary Thromboembolism
- 234 - Pathophysiology of Heart Failure
- 235 - Electrocardiography and Cardiac Arrhythmias
- 236 - Biomarkers of Cardiovascular Disease
- 237 - Guidelines for the Diagnosis and Treatment of Canine Chronic Valvular Heart Disease
- 238 - Inotropes: Inodilators
- 239 - Beta Blocking Agents
- 240 - Calcium Channel Blockers
- 241 - Diuretics
- 242 - Bronchodilators
- 243 - Angiotensin Converting Enzyme Inhibitors and Vasodilators
- 244 - Aldosterone Inhibitors
- 245 - Therapy of Arrhythmias
- 246 - Cough Suppressants and Sedation of the Cardiac Patient
- 247 - Anesthesia for the Cardiac Patient
- 248 - Artificial Pacing of the Heart
- 249 - Congenital Heart Disease
- 250 - Acquired Valvular Heart Disease
- 251 - Myocardial Disease: Canine
- 252 - Myocardial Disease: Feline
- 253 - Pericardial Diseases
- 254 - Heartworm Disease
- 255 - Arterial Thromboembolic Disease
- 256 - Venous and Lymphatic Disorders
- 257 - Neurophysiology
- 258 - Neurologic Examination and Neuroanatomic Diagnosis
- 259 - Brain Disease
- 260 - Vestibular Disease
- 261 - Inflammatory, Infectious, and Other Multifocal Brain Diseases
- 262 - Diseases of the Spinal Cord
- 263 - Peripheral Nerve Disorders
- 264 - Disorders of Skeletal Muscles
- 265 - Neuromuscular Junctional Disease
- 266 - Oral and Salivary Gland Disorders
- 267 - Diseases of the Esophagus
- 268 - Host-Microbial Interactions in Gastrointestinal Health
- 269 - Diseases of the Stomach
- 270 - Diseases of the Small Intestine
- 271 - Diseases of the Large Intestine
- 272 - Rectoanal Disease
- 273 - World Small Animal Veterinary Association (WSAVA) Guidelines
- 274 - History, Clinical Signs, and Physical Findings in Hepatobiliary Disease
- 275 - Hepatic Biopsy Techniques
- 276 - General Principles in the Treatment of Liver Disease
- 277 - Inflammatory Canine Hepatic Disease
- 278 - Feline Inflammatory Liver Disease
- 279 - Hepatic Vascular Anomalies
- 280 - Toxic, Metabolic, Infectious, and Neoplastic Liver Diseases
- 281 - Diseases of the Gallbladder and Extrahepatic Biliary System
- 282 - Canine Pancreatic Disease
- 283 - Feline Pancreatic Disease
- 284 - Growth Hormone Disorders: Acromegaly and Pituitary Dwarfism
- 285 - Diabetes Insipidus
- 286 - Disorders of the Parathyroid Glands
- 287 - Hypothyroidism
- 288 - Hyperthyroidism
- 289 - Insulin-Secreting Islet Cell Neoplasia
- 290 - Canine Diabetes Mellitus
- 291 - Feline Diabetes Mellitus
- 292 - Hyperadrenocorticism in Dogs
- 293 - Hypercortisolism in Cats (Feline Cushing's Syndrome)
- 294 - Hypoadrenocorticism
- 295 - Gastrointestinal Endocrine Disease
- 296 - Pheochromocytoma
- 297 - Estrous Cycle and Breeding Management of the Healthy Bitch
- 298 - Ovarian and Estrous Cycle Abnormalities
- 299 - Abnormalities in Canine Pregnancy, Parturition, and the Periparturient Period
- 300 - Effect of Age at the Time of Spay or Castration on Long-Term Health of Dogs and Cats
- 301 - Contraception and Pregnancy Termination in the Dog and Cat
- 302 - Cystic Endometrial Hyperplasia and Pyometra
- 303 - Canine Female Infertility
- 304 - Vaginal Disorders
- 305 - Breeding Soundness Examination of the Stud Dog
- 306 - Feline Reproduction
- 307 - Care of the Neonate and Fading Pups
- 308 - Clinical Approach and Laboratory Evaluation of Renal Disease
- 309 - Acute Uremia
- 310 - Renal Transplantation
- 311 - Chronic Kidney Disease
- 312 - Glomerular Diseases
- 313 - Urinary Tract Infections
- 314 - Prostatic Diseases
- 315 - Familial Renal Disease in Dogs
- 316 - Renal Tubular Diseases
- 317 - Lower Urinary Tract Disorders in Cats
- 318 - Canine Ureteral and Lower Urinary Tract Diseases
- 319 - Biomarkers and “Omics”
- 320 - Principles of Chemotherapy
- 321 - Practical Chemotherapy
- 322 - Cancer Vaccines and Immunotherapy
- 323 - Practical Radiation Therapy
- 324 - Hematopoietic Tumors
- 325 - Tumors of the Skin
- 326 - Soft-Tissue Sarcomas
- 327 - Hemangiosarcoma
- 328 - Bone and Joint Tumors
- 329 - Mast Cell Disease
- 330 - Feline Injection-Site Sarcoma
- 331 - Canine and Feline Histiocytic Diseases
- 332 - Urogenital and Mammary Gland Tumors
- 333 - Paraneoplastic Syndromes
Product Details
- Hardcover: 2208 pages
- Publisher: Saunders; 7 edition (December 24, 2009)
- Language: English
- ISBN-10: 1416065938
- ISBN-13: 978-1416065937