Quick Reference to Veterinary Medicine, 3rd Edition

by William R. Fenner (The Ohio State Univ., Veterinary Hospital, Columbus, Ohio)

• ISBN13: 9780397516087
• ISBN10: 0397516088
• Edition: 3rd
• Format: Paperback
• Copyright: 2000-07-01
• Publisher: Wiley-Blackwell

Summary

Now in its revised, updated Third Edition, this handy quick-reference guide provides easy and rapid access to the facts needed in daily small-animal practice. The book is written in outline format and organized to help the veterinarian quickly recognize signs and symptoms, formulate a differential diagnosis, select and interpret laboratory tests, choose a therapy, and find additional reference material. Major sections cover clinical signs and client complaints; laboratory abnormalities; principles of fluid, osmotic, and electrolyte balance; systems disturbances; and special topics.New chapters in the Third Edition cover behavioral disturbances, pain and pain management, dental and periodontal disorders, geriatrics, and cancer. Other problems addressed for the first time in this edition include splenomegaly, hepatomegaly, ataxia, polycythemia, and thyroid disorders. All chapters from the previous edition have been thoroughly updated.

Author Biography

William R. Fenner, DVM, ACVIM and Terence A. Olive, DVM.

Table of Contents

PART 1 CLINICAL SIGNS AND CLIENT COMPLAINTS	1	(128)
Shock	3	(11)
William W. Muir Ill
Definition of Shock	3	(1)
Pathophysiology of Shock	4	(2)
Compensation and Decompensation	6	(1)
Signs of Shock	7	(1)
Monitoring	8	(1)
Treatment	9	(5)
Orthopaedic and Neurologic Emergencies	14	(10)
James M. Fingeroth
Orthopaedic Emergencies	14	(3)
Articular Fractures	14	(1)
Open Fractures	15	(1)
Septic Arthritis	16	(1)
Neurologic Emergencies	17	(7)
Head Trauma	17	(1)
Spinal Emergencies	17	(5)
Differential Diagnoses in and General Approach to Treatment of Neurologic Emergencies	22	(2)
Behavioral Disorders	24	(21)
Barbara Sherman Simpson
Basic Principles	24	(2)
Clinical Approach to Behavioral Problems	24	(1)
The Behavioral History	25	(1)
Behavioral Change As a Sign of Disease	26	(1)
Making a Behavioral Diagnosis	26	(1)
Developing a Treatment Program	26	(5)
Treatment	27	(4)
Prognosis	31	(1)
Common Behavioral Problems of Dogs	31	(9)
Aggression	31	(4)
Urine Elimination Behavior Problems	35	(3)
Ingestive Behavior Problems	38	(1)
Stereotypic Behaviors	39	(1)
Cognitive Dysfunction	39	(1)
Common Behavioral Problems of Cats	40	(5)
Elimination Behavior Problems	40	(2)
Aggression	42	(1)
Feline Psychogenic Alopecia	43	(1)
Vocalization Problems	44	(1)
Pain and Pain Management	45	(13)
Bernard Hansen
Causes of Pain	45	(1)
Recognition of Pain	46	(1)
Treatment of Pain	47	(11)
General Principles	47	(1)
Drug Therapy	48	(10)
Fever of Unknown Origin	58	(12)
James C. Prueter
Basic Principles	58	(2)
Thermoregulation	58	(1)
Fever Versus Hyperthermia	58	(2)
Causation	60	(5)
Infections	61	(1)
Immune-Mediated Disorders	61	(1)
Neoplasms	61	(1)
Fictitious Fever	62	(1)
Drug-Induced Hyperthermia	62	(3)
Tissue Necrosis and Inflammation	65	(1)
Endocrinologic Hyperthermia	65	(1)
Muscle Tremors and Tetany	65	(1)
Pituitary-Hypothalamic Lesions	65	(1)
Diagnosis	65	(2)
History	66	(1)
Physical Examination	66	(1)
Diagnostic Approach	66	(1)
Treatment	67	(3)
General Principles	67	(1)
Symptomatic Reduction of Hyperthermia	67	(3)
Bleeding Disorders and Epistaxis	70	(21)
Justin H. Straus
Bleeding Disorders	70	(17)
Etiology	70	(3)
History	73	(1)
Physical Examination	73	(1)
Diagnostic Approach	74	(3)
Treatment	77	(1)
Specific Platelet Disorders	78	(3)
Acquired Coagulation Disorders	81	(4)
Inherited Bleeding Disorders	85	(2)
Epistaxis	87	(4)
Etiology	88	(1)
History	88	(1)
Physical Examination	88	(1)
Initial Laboratory Examination	88	(1)
Examination Under Anesthesia	89	(1)
Treatment	89	(2)
Lymphadenopathy and Organomegaly	91	(9)
Rance M. Gamblin
C. Guillermo Couto
Lymphadenopathy	91	(4)
Organomegaly	95	(5)
Obesity and Cachexia	100	(6)
C. A. Tony Buffington
Obesity	100	(3)
Cachexia	103	(3)
Gait Disturbances	106	(12)
James M. Fingeroth
William R. Fenner
Definitions	106	(1)
Orthopaedic Examination	106	(1)
Procedure	106	(1)
General Observation	106	(1)
Manual Examination	106	(4)
Forelimb	107	(1)
Shoulder	107	(1)
Hindlimb	107	(1)
Stifle	108	(1)
Femur, Thigh, and Hip	108	(1)
Pelvis	108	(2)
Inconclusive Findings	110	(1)
Quick Reference for Common Causes of Lameness	110	(8)
Fracture	110	(1)
Joint Diseases	111	(1)
Metabolic Bone Diseases	112	(1)
Infection: Osteomyelitis	113	(1)
Neoplasms	114	(2)
Regional Lameness: A Quick Reference List	116	(2)
Polyuria and Polydipsia	118	(11)
Mary Ann Vonderhaar
Definitions	118	(1)
Normal Regulation of Water Balance	118	(1)
Causation	119	(4)
Conditions Resulting in Polyuria Secondary to Solute (Osmotic) Diuresis	119	(1)
Conditions Resulting in Polyuria Secondary to Water Diuresis	120	(3)
Iatrogenic Causes of Polyuria and Polydipsia	123	(1)
Clinical Evaluation	123	(1)
Laboratory Tests to Evaluate Urinary Concentrating Ability	123	(6)
PART 2 LABORATORY ABNORMALITIES	129	(60)
Anemia	131	(18)
Justin H. Straus
Basic Principles	131	(1)
Etiology	131	(2)
Nonregenerative Anemia	131	(1)
Regenerative Anemia	132	(1)
History	133	(1)
Physical Examination	133	(1)
Diagnostic Approach	133	(3)
Diagnostic Tests for Blood Loss	135	(1)
Diagnostic Tests for Increased RBC Destruction	135	(1)
Diagnostic Tests for Decreased RBC Production	135	(1)
Bone Marrow Biopsy	136	(1)
Selected Nonregenerative Anemias	136	(3)
Nutritional Anemias	136	(1)
Bone Marrow Failure	136	(3)
Regenerative Anemias	139	(10)
Blood Loss	139	(1)
Excessive RBC Destruction	140	(9)
Disorders of Leukocytes	149	(17)
Marcia Carothers
C. Guillermo Couto
Neutrophils	150	(5)
Function	150	(1)
Kinetics	150	(2)
Morphologic Characteristics	152	(1)
Neutrophil Changes in Disease	152	(3)
Lymphocytes	155	(1)
Function	155	(1)
Kinetics	155	(1)
Morphologic Characteristics	155	(1)
Lymphocytic Changes in Disease	155	(1)
Eosinophils	156	(1)
Function	156	(1)
Kinetics	156	(1)
Morphologic Characteristics	156	(1)
Eosinophil Changes in Disease	156	(1)
Basophils	157	(1)
Function	157	(1)
Kinetics	157	(1)
Morphologic Characteristics	157	(1)
Basophil Changes in Disease	157	(1)
Monocytes	158	(1)
Function	158	(1)
Kinetics	158	(1)
Morphologic Characteristics	158	(1)
Monocytic Changes in Disease	158	(1)
White Blood Cell Neoplasias	159	(7)
Acute Leukemias	159	(3)
Chronic Leukemia	162	(1)
Chemotherapy Protocols for Patients with Leukocytic Neoplasia	163	(2)
Approach to Diagnosis and Treatment	165	(1)
Interpretation of Biochemical Profiles	166	(23)
M. Judith Radin
General Approach	166	(1)
Components of a Biochemical Profile	167	(10)
Urea Nitrogen	167	(1)
Creatinine	168	(1)
Glucose	168	(1)
Sodium	169	(1)
Potassium	169	(1)
Chloride	170	(1)
Calcium	170	(1)
Phosphorus	171	(1)
Total Protein	172	(1)
Bilirubin	173	(1)
Cholesterol	173	(1)
Bile Acids	174	(1)
Alanine Aminotransferase	174	(1)
Aspartate Aminotransferase	175	(1)
Alkaline Phosphatase	175	(1)
Gamma Glutamyltransferase	176	(1)
Lactate Dehydrogenase	176	(1)
Amylase	176	(1)
Lipase	176	(1)
Creatine Kinase	176	(1)
Diagnostic Approach	177	(2)
Urinalysis
Dennis J. Chew
Collection of Urine	179	(1)
Methods of Urine Collection	179	(1)
Performing the Urinalysis	180	(1)
Interpretation of the Urinalysis	181	(4)
Physical Properties	181	(1)
Chemical Properties: Reagent Strip Evaluation	182	(3)
Microscopic Examination of Urinary Sediment	185	(4)
PART 3 PRINCIPLES OF FLUID: OSMOTIC AND ELECTROLYTE BALANCE	189	(100)
Disorders of Electrolytes and Osmolality	191	(31)
Helio A. de Morais
Dennis J. Chew
Stephen P. DiBartola
Disturbances in Electrolytes	191	(8)
Clinical Approach	191	(1)
Physiology and Regulation of Normal Serum Sodium	191	(1)
Disorders of Sodium and Osmolality	192	(7)
Disorders in Chloride Balance	199	(3)
Normal Physiology and Regulation of Chloride	199	(1)
Clinical Approach to Chloride Changes	200	(1)
Disorders Associated with Normal Corrected Chloride	200	(1)
Disorders Associated with Abnormal Corrected Chloride	200	(2)
Disorders in Potassium Balance	202	(8)
Normal Physiology and Regulation of Potassium	202	(1)
Hypokalemia	203	(3)
Hyperkalemia	206	(4)
Disorders in Calcium Balance	210	(8)
Hypocalcemia	211	(3)
Hypercalcemia	214	(4)
Disorders of Phosphorus	218	(4)
Hypophosphatemia	218	(1)
Hyperphosphatemia	218	(4)
Glucose Disorders: Hypoglycemia and Hyperglycemia	222	(31)
Nathaniel C. Myers Ill
Deborah J. Davenport
Gluconeogenesis	222	(3)
Glycogenolysis	222	(1)
Normal Insulin Physiology	222	(3)
Normal Glucagon Physiology	225	(1)
Hypoglycemia	225	(10)
Signs of Hypoglycemia	226	(1)
Causes of Hypoglycemia	227	(8)
Hyperglycemia	235	(18)
Causes of Hyperglycemia	235	(2)
Signs of Hyperglycemia	237	(1)
Uncomplicated Diabetes Mellitus: Background and Treatment	237	(8)
Complicated Diabetes Mellitus	245	(8)
Disorders of Fluid Balance, Fluid Therapy, and Transfusion Therapy	253	(24)
Helio A. de Morais
Dennis J. Chew
Catherine W. Kohn
Stephen P. DiBartola
Normal Distribution of Body Water	253	(1)
Water Balance in Health	253	(3)
Water Balance in Disease: Dehydration	256	(3)
Underlying Causes of Dehydration	257	(1)
Detection of Dehydration	257	(2)
Replacement Volume	259	(1)
Daily Fluid Therapy	259	(9)
Questions	259	(1)
Volume of Fluid Administration	260	(1)
Routes of Fluid Administration	260	(2)
Rate of Fluid Administration	262	(6)
Water Balance in Disease: Overhydration	268	(2)
Causes of Overhydration	268	(2)
Transfusions	270	(7)
Blood Donors	271	(2)
Volume of Blood Administered	273	(1)
Initial Whole Blood Volume Administration	273	(1)
Rate of Whole Blood Administration	274	(1)
Selection and Administration of Donor Blood	274	(1)
Complications of Blood Transfusion	274	(1)
Plasma	275	(2)
Disorders in Acid-Base Balance	277	(12)
Dennis J. Chew
Catherine W. Kohn
Acid-Base Balance	277	(1)
Analysis of Blood for Acid-Base Abnormality	278	(1)
Normal Blood Gas Values	279	(1)
Interpretation of Acid-Base Abnormalities	279	(1)
Metabolic Acidosis: Acidemia	280	(4)
Clinical Signs Related to Metabolic Acidosis	283	(1)
Treatment of Metabolic Acidosis	283	(1)
Respiratory Acidosis: Acidemia	284	(1)
Clinical Signs	284	(1)
Physiologic Compensation	285	(1)
Treatment	285	(1)
Metabolic Alkalosis	285	(2)
Production of Alkalosis	285	(1)
Maintaining Metabolic Alkalosis	286	(1)
Potassium Depletion	286	(1)
Causes of Metabolic Alkalosis	286	(1)
Signs of Metabolic Alkalosis	286	(1)
Treatment	286	(1)
Respiratory Alkalosis	287	(2)
Causes of Hyperventilation	287	(1)
Compensatory Physiologic Changes	287	(1)
Signs	287	(1)
Treatment	287	(2)
PART 4 SYSTEMS DISTURBANCES	289	(384)
Cardiovascular and Pulmonary Disorders	291	(52)
John D. Bonagura
Larry Berkwitt
Historical Problems	291	(14)
Sneezing, Nasal Discharge, and Epistaxis	291	(5)
Cough	296	(5)
Respiratory Distress	301	(1)
Syncope	302	(3)
Miscellaneous Historical Disorders	305	(1)
Physical Problems	305	(19)
Abnormal Arterial Pulse	305	(2)
Abnormal Venous Distention and Venous Pulse	307	(1)
Systemic Hypertension	307	(1)
Auscultable Cardiac Arrhythmia	308	(1)
Cardiac Murmurs and Precordial Thrills	309	(2)
Gallop Rhythm	311	(2)
Cyanosis	313	(1)
Pulmonary Adventitious Sounds	313	(6)
Thromboembolism	319	(1)
Extravascular Fluid Accumulation	320	(1)
Subcutaneous Edema	320	(2)
Congestive Heart Failure	322	(2)
Radiographic, Electrocardiographic, and Laboratory Problems	324	(1)
Cardiomegaly	324	(1)
Increased Pulmonary Densities	324	(2)
Pleural Effusion	326	(3)
Pulmonary Edema	329	(2)
Cardiac Arrhythmias	331	(5)
Abnormal Ventricular Rate	336	(1)
Irregular P-P or R-R Intervals	337	(1)
Absence of P Waves	337	(1)
More or Fewer P Waves Than QRS-T Complexes	337	(1)
Lack of P to QRS-T Relationship	337	(1)
Abnormal P-QRS-T Configuration	338	(1)
Abnormal PR and QT Intervals	339	(1)
Elevated Venous Pressure	340	(3)
Gastrointestinal Disorders	343	(33)
Donna S. Dimski
Robert G. Sherding
Oral Ulcers and Stomatitis	343	(2)
Causation	343	(1)
History and Physical Findings	343	(2)
Diagnostic Approach	345	(1)
Therapeutic Approach	345	(1)
Oral Mass Lesions	345	(1)
Etiology	345	(1)
History and Physical Findings	345	(1)
Diagnostic Approach	345	(1)
Therapeutic Approach	346	(1)
Dysphagia	346	(1)
Causation	346	(1)
History and Physical Findings	346	(1)
Diagnostic Approach	346	(1)
Therapeutic Approach	347	(1)
Regurgitation	347	(2)
Causation	347	(1)
History and Physical Findings	347	(1)
Diagnostic Approach	347	(2)
Therapeutic Approach	349	(1)
Vomiting	349	(4)
Causation	349	(3)
History and Physical Findings	352	(1)
Diagnostic Approach	352	(1)
Therapeutic Approach	353	(1)
Diarrhea	353	(13)
Causation and General Approach to Management	355	(3)
History and Physical Findings	358	(1)
Physical Examination	359	(1)
Diagnostic Approach	360	(5)
Therapeutic Approach	365	(1)
Constipation and Dyschezia	366	(3)
Definitions	366	(1)
Causation	367	(1)
Clinical Signs	368	(1)
Diagnostic Approach	368	(1)
Therapeutic Approach	369	(1)
Abdominal Pain	369	(4)
Causation	370	(1)
History and Physical Findings	370	(1)
Diagnostic Approach	370	(3)
Therapeutic Approach	373	(1)
Abdominal Effusion	373	(3)
Causation	373	(1)
History and Physical Findings	373	(1)
Diagnostic Approach	373	(2)
Therapeutic Approach	375	(1)
Hepatic Failure	376	(7)
William A. Rogers
Consequences of Liver Failure	376	(1)
Medical History and Physical Examination	377	(1)
Diagnostic Approach	378	(2)
Etiologic Considerations	380	(2)
Causes of Liver Failure in Dogs and Cats	380	(2)
General Treatment Methods	382	(1)
Renal Failure	383	(29)
Dennis J. Chew
Helio A. de Morais
Stephen P. DiBartola
Prerenal Failure	384	(1)
Postrenal Failure	385	(3)
Obstructive Postrenal Failure	386	(1)
Uroabdomen Postrenal Failure	386	(2)
Primary (Intrinsic) Renal Failure	388	(1)
Acute Intrinsic Renal Failure	389	(4)
Nephritis	390	(1)
Nephrosis	390	(2)
Diagnosis	392	(1)
Chronic Intrinsic Renal Failure	393	(3)
Causes	394	(1)
Stages of Development	395	(1)
Diagnosis	395	(1)
Treatment of Intrinsic Renal Failure	396	(16)
Acute Renal Failure	398	(3)
Chronic Renal Failure	401	(11)
Disorders of the Urogenital System	412	(40)
Ronald Lyman
Disorders of Urination	412	(7)
Difficult Urination and Bloody Urine	412	(1)
Bacterial Urinay Tract Infection	413	(1)
Dysuria with Urinary Tract Calculi	414	(1)
Feline Idiopathic Cystitis, Feline Urologic Syndrome, Feline Lower Urinary Tract Disease, Feline Interstitial Cystitis	415	(2)
Dysuria Secondary to Trauma	417	(1)
Dysria Secondary to Mass Lesions of the Urinary Tract	417	(1)
Prostatic Disease and Dysuria	418	(1)
Drug-Induced Dysuria	418	(1)
Hematuria in Hemorrhagic Disorders	418	(1)
Hematuria of Intact Males	418	(1)
Hematuria Due to Parasites	418	(1)
Congenital Urinary Tract Anomalies	418	(1)
Dysuria from Miscellaneous Disorders of the External Genitalia and Urethra	419	(1)
Urinary Incontinence	419	(5)
Neurogenic Urinary Incontinence	420	(1)
Nonneurogenic Urinary Incontinence	421	(2)
Incontinence Resulting from Functional Failure to Store Urine or Empty the Bladder Adequately	423	(1)
Prostatic Disorders	424	(4)
Benign Prostatic Hypertrophy	425	(1)
Bacterial Prostatitis	426	(1)
Prostatic Squamous Metaplasia	426	(1)
Prostatic Cyst	427	(1)
Prostatic Neoplasm	427	(1)
Summary	428	(1)
Periparturient Disorders in the Female	428	(8)
Dystocia	428	(2)
Vaginal Discharges in the Postpartum Period	430	(4)
Miscellaneous Periparturient Disorders	434	(2)
Miscellaneous Genitourinary Problems	436	(7)
Urethral Prolapse	436	(1)
Inguinal or Inguinoscrotal Hernia	437	(1)
Testicular Torsion	437	(1)
Priapism	437	(1)
Paraphimosis	437	(1)
Phimosis	438	(1)
Hypospadia	438	(1)
Persistent Frenulum	438	(1)
Testicular Tumors	438	(1)
Pseudocyesis: False Pregnancy	439	(1)
Vaginal Masses	439	(1)
Transmissible Venereal Tumor	439	(1)
Vaginal Hyperplasia	440	(1)
Uterine Prolapse	440	(1)
Vaginal Polyps	440	(1)
Clitoral Hypertrophy	440	(1)
Mismating (Pregnancy Termination)	441	(1)
Neonatal Weakness or Death	441	(1)
Spontaneous Abortion	442	(1)
Hypoluteoidism	443	(1)
Persistent Estrus Following Ovariohysterectomy	443	(1)
Infertility in the Female	443	(5)
Evaluation of Female Infertility	443	(1)
Specific Disorders Associated with Female Infertility	444	(4)
Infertility in the Male	448	(4)
Inflammatory Disease of the Genitourinary Tract	449	(1)
Hormonal Disorders Causing Infertility	449	(1)
Failure of Spermatozoa Delivery	450	(1)
Miscellaneous Disorders of Male Infertility	450	(2)
Disorders of the Endocrine System	452	(30)
Amy Grooters
Adrenal Gland Disorders	452	(18)
The Normal Hypothalamic-Pituitary-Adrenal Axis	452	(1)
Hyperadrenocorticism	453	(13)
Hypoadrenocorticism	466	(4)
Thyroid Gland Disorders	470	(12)
The Normal Hypothalamic-Pituitary-Thyroid Axis	470	(12)
Dermatologic Disorders	482	(51)
Patricia D. White
Kenneth W. Kwochka
Clinical Approach	482	(5)
History	482	(1)
Physical Examination	483	(1)
Diagnostic Tests	484	(3)
Alopecia	487	(12)
Congenital and Hereditary Causes	487	(3)
Acquired Alopecia	490	(1)
Infectious and Parasitic Causes	491	(2)
Endocrine Causes	493	(6)
Miscellaneous Causes	499	(1)
Pruritus	499	(15)
Infectious Causes	500	(5)
Parasitic Causes	505	(4)
Allergic and Immunologic Causes	509	(4)
Miscellaneous Pruritic Dermatosis	513	(1)
Blistering and Ulcerative Dermatoses	514	(8)
Eosinophilic Granuloma Complex	515	(3)
Pemphigus Complex	518	(4)
Scaling Dermatoses	522	(7)
Clinical Approach	522	(3)
Vitamin A-Responsive Dermatosis	525	(1)
Zinc-Responsive Dermatosis	525	(1)
Epidermal Dysplasia of West Highland White Terriers	526	(1)
Sebaceous Adenitis	526	(1)
Schnauzer Comedo Syndrome	527	(1)
Idiopathic Nasodigital Hyperkeratosis	527	(1)
Canine Ear Margin Dermatosis	527	(1)
Canine and Feline Acne	527	(1)
Dermatophytosis	527	(2)
Cutaneous Masses	529	(1)
Diagnostic Approach	530	(1)
Inflammatory Nodular Dermatoses	530	(3)
Cutaneous Histiocytosis	530	(1)
Calcinosis Cutis	531	(1)
Panniculitis	531	(2)
Neurologic Disorders	533	(95)
William R. Fenner
General Approach to Patients with Neurologic Disease	533	(1)
History	533	(1)
The Neurologic Examination	534	(11)
General Observations	534	(2)
Observation of Gait	536	(1)
Cranial Nerve Examination	536	(5)
Attitudianal and Postural Reactions	541	(1)
Spinal Reflexes	542	(1)
Sensory Evaluation	542	(1)
Interpretation of Findings	542	(3)
Signs and Symptoms of Neurologic Disease	545	(15)
Historical Complaints	545	(4)
Abnormal Findings Derived from Historical or Clinical Findings	549	(3)
Abnormal Findings Derived from the Neurologic Examination	552	(8)
Specific Neurologic Disorders Classified According to Location	560	(68)
Motor Unit Disorders	560	(14)
Spinal Cord Disorders	574	(9)
Disorders Affecting the Brainstem	583	(3)
Disorders of the Vestibular System	586	(5)
Disorders of the Cerebellum and Diffuse Tremorogenic Disorders	591	(3)
Disorders of the Cerebrum	594	(9)
Disorders That Affect the CNS Diffusely	603	(6)
Disorders Causing Abnormal Consciousness	609	(4)
Seizures	613	(6)
Nervous System Injury	619	(9)
Ocular Disorders	628	(45)
Susan Winston
Keith W. Prasse
Common Ocular Presenting Complaints	628	(37)
History and Physical Examination	628	(1)
Diagnostic Tests	628	(1)
Ophthalmic Examination	629	(2)
Red Eye	631	(16)
Cloudy Eye	647	(5)
Painful Eye	652	(2)
Ocular Discharge	654	(2)
Vision Loss	656	(6)
Anisocoria	662	(3)
Ocular Emergencies	665	(8)
Proptosis	666	(1)
Corneal Laceration and Ulcer Perforation	667	(1)
Descemetocele: Melting Corneal Ulcer	668	(1)
Chemical Keratitis	668	(1)
Foreign Bodies	668	(1)
Anterior Lens Luxation	669	(1)
Lid Lacerations	670	(3)
PART 5 SPECIAL TOPICS	673	(32)
Physical Injuries	675	(5)
William R. Fenner
John S. Cave
Roy Fenner
Smoke Inhalation	675	(1)
Clinical Picture	675	(1)
Management	675	(1)
Electric Cord Bite	676	(1)
Clinical Picture	676	(1)
Management	676	(1)
Snake Bite	676	(1)
Clinical Picture	676	(1)
Treatment	677	(1)
Burns	677	(1)
Classification	677	(1)
Principles	677	(1)
Management	678	(1)
Heat Stroke	678	(1)
Clinical Picture	679	(1)
Management	679	(1)
Frostbite	679	(1)
Management	679	(1)
Intoxications	680	(13)
Diane F. Gerken
General Considerations	680	(1)
General Clinical Management	680	(3)
Partial Differential Diagnosis List	683	(10)
Nervous System Signs	683	(1)
Gastrointestinal Signs	684	(1)
Lead	684	(1)
Organophosphate and Carbamate	685	(1)
Ethylene Glycol	686	(1)
Strychnine	687	(1)
Amphetamine and Amphetaminelike Compounds	687	(1)
Metaldehyde	688	(1)
Chlorinated Hydrocarbon	688	(1)
Marijuana	689	(1)
Xanthine	689	(1)
Corrosives and Coal Tar Derivatives	689	(1)
Salicylate (Aspirin)	690	(1)
Acetaminophen	690	(1)
Tranquilizers: Phenothiazine Class	691	(1)
Anticoagulant Rodenticides	691	(2)
Physical Examination of the Geriatric Dog and Cat	693	(5)
Heidi Ward
General Aspects	693	(1)
Ophthalmic Examination	693	(1)
Oropharyngeal Examination	694	(1)
Dermatologic Examination	694	(1)
Cardiovascular Examination	695	(1)
Respiratory System Examination	695	(1)
Abdominal Palpation	695	(1)
Hematopoietic System Evaluation	696	(1)
Skeletal and Neuromuscular Examination	696	(1)
External Genitalia	697	(1)
Clinical Approach to the Cancer Patient	698	(7)
Sarah E. Sheafor
C. Guillermo Couto
Cancer Clues	698	(1)
The Client's Needs	699	(3)
The Patient's Needs	702	(3)
Index	705