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. Koester Introduction 187 Diagnosis 188 Therapeutics 188 Quality of Life 190 References 191 16 Chronic Gastritis 193 Liza S. Koester Introduction 193 Diagnosis 194 Therapeutics 195 Quality of Life 197 References 197 17 Ulcerative Colitis 201 Liza S. Koester Introduction 201 Diagnosis 201 Therapy 202 Quality of Life 203 References 203 18 Mega ]Colon 205 Liza S. Koester 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