The Veterinary Workbook of Small Animal Clinical Cases

738 Pages·2021·27.369 MB·English

by  Ryane E. Englar

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: [phone]
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