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Marjorie Chandler - Small Animal Gastroenterology

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Saunders Solutions in Veterinary Practice consists of a series of practical handbooks on selected medical topics on specific veterinary problems. Case-based, this series is aimed at the small animal veterinary practitioner who has qualified less than 10 years and needs quick access to information and wants to increase his/her confidence on handling that range of cases that cover the spectrum that lies between the simple routine first opinion case and the referral.Saunders Solutions in Veterinary Practice provides additional knowledge that leads to improved skills and practice for veterinary practitioners. Not only practitioners, but also veterinary students nearing the end of their course will find this series very useful to brush up their knowledge in a particular area. The volumes are also written with the veterinary nurse in mind with a particular interest in a specific topic, using Nurse Boxes in the text to guide them to the specific information they need.New veterinary series for general practitioners called: Saunders Solutions in Veterinary Practice First 4 volumes to come out in 2008 are: - Small Animal Ophthalmology, Volume 1- Small Animal Dentistry, Volume 2- Small Animal Dermatology, Volume 3- Small Animal Oncology, Volume 4The other 3 volumes to come out in 2009 are:- Small Animal Neurology, Volume 5- Small Animal Cardiology, Volume 6- Small Animal Gastroenterology, Volume 7The rest of the volumes have been identified and will be as follows:- Small Animal Infectious Diseases- Small Animal Internal Medicine- Small Animal Anaesthesia- Small Animal Geriatrics- Small Animal Imaging- Small Animal Wound Care- Small Animal Behaviour - Small Animal Emergency Medicine - Small Animal Surgery- Small Animal Nutrition

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Saunders Solutions in Veterinary Practice

Small Animal Gastroenterology

M.L. Chandler, DVM, MS, MACVSc, DACVN, DACVIM, DECVIM-CA, MRCVS

Senior Lecturer in Small Animal Medicine and Clinical Nutrition

Saunders

Front Matter

SAUNDERS SOLUTIONS IN VETERINARY PRACTICE

Small Animal Gastroenterology

Series Editor: Fred Nind BVM&S, MRCVS

M. L. Chandler

DVM, MS, MACVSc, DACVN, DACVIM, DECVIM-CA, MRCVS

Senior Lecturer in Small Animal Medicine and Clinical Nutrition

Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2011 - photo 1

Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2011

Commissioning Editor: Robert Edwards

Development Editor: Catherine Jackson

Project Manager: Maria Bernard

Designer/Design Direction: Charles Gray

Illustration Manager: Gillian Richards

Illustrator: Samantha Elmhurst

Copyright

Small Animal Gastroenterology - image 2

2011 Elsevier Ltd. All rights reserved.

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publishers permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.

This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

ISBN 978 0 7020 2910 3

British Library Cataloguing in Publication Data

A catalogue record for this book is available from the British Library

Library of Congress Cataloging in Publication Data

A catalog record for this book is available from the Library of Congress

Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Small Animal Gastroenterology - image 3

Small Animal Gastroenterology - image 4Small Animal Gastroenterology - image 5

Printed in China

Case study contributors

, Ms Nicki Reed, BVM & S, Cert VR, DSAM(Feline), DECVIM-CA, MRCVS, Lecturer in Companion Animal Medicine
University of Edinburgh Hospital for Small Animals
Easter Bush Veterinary Centre
Roslin
Midlothian
EH25 9RG

Wrote:

, Ms Carolina Urraca del Junco, DVM, Cert VDI, MRCVS, RCVS Trust Diagnostic Imaging Resident
Royal (Dick) School of Veterinary Studies
Easter Bush Veterinary Hospital
Easter Bush
Roslin
Midlothian
EH25 9RG

Wrote:

Co-wrote:

Acknowledgements

I would like to thank

Jim Archambeault, my husband, for his support and love and his tolerance of lost weekends.

Nicki Reed for contributing three excellent feline cases.

Fred Nind for encouragement and diligently reviewing the cases.

My colleagues and friends at the University of Edinburgh Hospital for Small Animals for their continued support, helpfulness and insights into often perplexing cases. I would especially like to thank those who assisted with the figures in the book: Carolina Urraca del Junco (who also enthusiastically provided case material), Tobias Schwarz, Donald Yool, Elspeth Milne, Marcel Kovalik, Alison Ridyard, Geoff Culshaw and Danielle Gunn-Moore.

Our residents, for their hard work and enthusiasm.

Grant Guilford, gastroenterologist, nutritionist, leader in veterinary medicine and my extraordinary mentor, for teaching, inspiring and encouraging me during my residency and beyond.

The referring veterinary surgeons for sending us these cases and the patients themselves, who often teach and surprise us in so many ways.

Introduction

Saunders Solutions in Veterinary Practice series is a new range of veterinary text books covering all the main disciplines of companion animal practice.

Readers should realise that it is not the authors intention to cover all that is known about each topic. As such the books in the Solutions series are not standard reference works. Instead they are intended to provide practical information on the more frequently encountered conditions in an easily accessible form based on real life case studies. They cover that range of cases that fall between the boringly routine and the referral. The books will help practitioners with a particular interest in a topic or those preparing for a specialist qualification. The cases are arranged by presenting sign rather than by the underlying pathology as this is how veterinary surgeons will see them in practice.

Each case also includes descriptions of underlying pathology and details of the nursing required both in the veterinary clinic and at home. It is hoped that the books will also, therefore, be of interest to veterinary students in the later parts of their course and to veterinary nurses.

Continuing professional development (CPD) is mandatory for many veterinarians and a recommended practice for others. The Solutions series will provide a CPD resource which can be accessed economically, shared with colleagues and used anywhere. They will also provide busy veterinary practitioners with quick access to authoritative information on the diagnosis and treatment of interesting and challenging cases. The robust cover has been made resistant to some of the more gruesome contaminants found in a veterinary clinic because this is where we hope these books will be used

Joyce Rodenhuis and Mary seager were the inspiration for the series and both the series editor and the individual authors are grateful for their foresight in commissioning the series and their unfailing support and guidance during their production.

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