Chronic Disease Management for Small Animals

List of Contributors xiii
Preface xv
Acknowledgments xvii
Part One Communication and Caregiving 1
1 Communication, Caregiving, and Chronic Disease 3
Dani McVety
Introduction 3
Overview 4
Impact of Chronic Disease on Quality of Life for Both the Patient and Caregiver 5
Part 1: Know Yourself--Set the Stage for Collaborative Decision Making, Active Listening, and Caregiving 10
Part 2: Verbal Communication 12
Part 3: Nonverbal Communication 14
References 20
Part Two Syndromes and Clinical Signs of Chronic Disease 23
2 Pruritus, Atopic Dermatitis, and Pyoderma 25
W. Dunbar Gram
Introduction 25
Diagnosis 26
Management 31
Quality of Life for Patient and Caregiver 37
References 37
3 Managing Mobility: An Integrative Approach (Orthopedic and Neurologic Impairments of Mobility) 39
Justin Shmalberg
Introduction 39
Diagnosis 39
Therapeutics 46
Quality of Life 60
End?]of?]Life Decisions 63
References 64
4 Chronic Diseases of the Eye and Adnexa 65
Caryn E. Plummer
Introduction 65
Adnexa 65
Ocular Surface Disorders 67
Corneal Disease 74
Intraocular Disease 78
Conditions of the Uvea 85
Lenticular Changes 88
Posterior Segment Disease 91
Blindness 92
References 93
5 Heart Disease 97
Simon Swift
Introduction 97
Treatment of Acute Heart Failure 98
Management of Chronic Congestive Heart Failure 100
Specific Heart Diseases 101
Further Reading 134
6 Canine Cognitive Dysfunction 135
Sheila Carrera?]Justiz
Introduction 135
Diagnosis 135
Therapeutics 137
End of Life 139
Further Reading 139
7 Vestibular Syndromes 141
Sheila Carrera?]Justiz
Introduction 141
Diagnosis 141
Therapy 143
End?] of?]Life Decisions 144
Further Reading 144
8 Seizure Disorders 145
Sheila Carrera?]Justiz
Introduction 145
Diagnosis 145
Therapy 147
Quality of Life 150
Further
Reading 151
9 Feline Hyperthyroidism 153
Sylvie Daminet and Kate Hill
Introduction 153
Diagnosis 153
Management 153
Renal Function and Hyperthyroidism 156
Iatrogenic Hypothyroidism 157
References 157
10 Hypoadrenocorticism in Dogs 159
Sylvie Daminet
Introduction 159
Clinical Presentation and Diagnosis 159
Treatment 160
Quality of Life 162
References 162
Further Reading 162
11 Canine Hypothyroidism 163
Sylvie Daminet
Introduction 163
Diagnosis 163
Main Influences on Thyroid Function Tests 163
Treatment 165
Quality of Life 166
References 166
12 Hyperadrenocorticism in Dogs and Cats 169
Eric Zini and Michele Berlanda
Introduction 169
Therapy 169
Quality of Life 173
References 173
13 Diabetes Mellitus 175
Eric Zini and Michele Berlanda
Introduction 175
Diagnosis 175
Therapy 175
Monitoring 177
Remission 178
Quality of Life 178
References 178
14 Chronic Pancreatitis 181
Penny Watson
Introduction 181
Diagnosis 181
Treatment 183
Quality?]of?]Life and End?]of?]Life Assessments 185
References 186
15 Mega?]Esophagus and Esophageal Dysmotility 187
Liza S. Köster
Introduction 187
Diagnosis 188
Therapeutics 188
Quality of Life 190
References 191
16 Chronic Gastritis 193
Liza S. Köster
Introduction 193
Diagnosis 194
Therapeutics 195
Quality of Life 197
References 197
17 Ulcerative Colitis 201
Liza S. Köster
Introduction 201
Diagnosis 201
Therapy 202
Quality of Life 203
References 203
18 Mega?]Colon 205
Liza S. Köster
Introduction 205
Diagnosis 206
Therapeutics 206
Quality of Life 209
References 210
19 Inflammatory Bowel Disease 211
Iwan A. Burgener
Introduction 211
Diagnosis 211
Therapeutics 212
Quality of Life for Patient and Caregiver 214
References 214
20 Protein?]Losing Enteropathy 217
Iwan A. Burgener
Introduction 217
Diagnosis (see also Chapter 19 on IBD) 217
Therapeutics (see also Chapter 19 on IBD) 219
Quality of Life 219
References 220
21 Cholecystitis 223
Joanne L. McLean
Introduction 223
Clinical and Diagnostic Findings 224
Therapeutic Management 224
References 226
Further Reading 226
22 Biliary Mucocele 227
Joanne L. McLean
Introduction 227
Pathogenesis 227
Diagnostics 228
Therapeutic Management 229
References 231
Further Reading 232
23 Chronic Hepatitis 233
Ninette Keller
Introduction 233
Diagnosis 233
Therapeutics 234
Quality of Life for Patient and Caregiver 236
References 237
Further Reading 237
24 Portosystemic Liver Shunts 239
Ninette Keller
Introduction 239
Diagnosis 239
Therapeutics 240
Quality of Life 241
References 241
Further Reading 241
25 Hepatic Lipidosis 243
Tanya Schoeman
Introduction 243
Diagnosis 243
Treatment 244
Quality of Life 246
References 247
Further Reading 247
26 Feline Cholangitis 249
Tanya Schoeman
Introduction 249
Diagnosis 250
Treatment 251
Quality of Life 252
References 253
27 Chronic Kidney Disease 255
Gilad Segev
Introduction 255
Diagnosis 255
Management 255
Quality of Life 258
References 259
28 Chronic Urinary Tract Infection 261
Gilad Segev
Introduction 261
Management 261
Monitoring 262
Treatment Failure and Chronic Management 262
Prophylactic/Preventative Treatment 264
Quality of Life 264
References 264
29 Feline Interstitial Cystitis 267
Tanya Schoeman
Introduction 267
Diagnosis 268
Treatment 268
Quality of Life 270
References 270
30 Canine Chronic Bronchitis 273
Richard K. Burchell
Introduction 273
Etiology 273
Diagnosis 273
Therapy and Monitoring 274
Quality of Life 275
References 276
31 Bronchiectasis 277
Richard K. Burchell
Introduction 277
Etiology and Classification 277
Diagnosis 277
Treatment 278
Quality of Life 279
References 279
32 Interstitial Lung Diseases 281
Richard K. Burchell
Introduction 281
Etiology and Classification 281
Diagnosis 281
Treatment 283
Quality of Life 284
References 284
33 Feline Asthma 285
Frank Kettner
Introduction 285
Diagnosis 285
Comorbid Conditions, Diagnostic Conundrums, and Differential Diagnoses 286
Therapeutics 287
Quality of Life 288
References 289
34 Collapsing Trachea 291
Frank Kettner
Introduction 291
Diagnosis 291
Comorbid Conditions, Diagnostic Conundrums, and Differential Diagnoses 292
Therapeutics 293
Quality of Life 294
References 295
35 Allergic Rhinitis 297
Remo Lobetti
Introduction 297
Diagnosis 297
Therapy 298
Quality of Life 299
References 299
Further Reading 300
Part Three End of Life 301
36 Hospice Care and End of Life 303
Mary Gardner
Hospice Care 303
Client Needs 307
Pet Needs 309
Quality of Life 311
Cultural Sensitivities 316
Dying Naturally 317
Dying with Assistance - Euthanasia 318
Dying Well 321
Death and Aftercare of the Body 322
Summary 325
References 325
Index 327