Contributors vii Foreword (Stephen May) ix Acknowledgement xiii 1 Introduction to problem-based inductive clinical reasoning 1 Jill E. Maddison & Holger A. Volk 2 Vomiting and regurgitation 23 Jill E. Maddison 3 Diarrhoea 39 Jill E. Maddison 4 Weight loss 55 Jill E. Maddison 5 Abdominal enlargement 65 Jill E. Maddison 6 Weakness 75 Holger A. Volk, David B. Church & Jill E. Maddison 7 Fit, collapse or strange episodes 97 Holger A. Volk 8 Sneezing, dyspnoea, coughing and other respiratory signs 125 David B. Church 9 Anaemia 155 Jill E. Maddison 10 Jaundice 167 Jill E. Maddison 11 Bleeding 175 Jill E. Maddison 12 Polyuria/polydipsia and/or impaired urine concentration 191 Jill E. Maddison & David B. Church 13 Gait abnormalities 211 Holger A. Volk & Elvin R. Kulendra 14 Pruritus and scaling 241 Andrea V. Volk & Jill E. Maddison Index 255
Dr Jill E. Maddison BVSc, DipVetClinStud, PhD, FACVSc, MRCVS is Director of Professional Development, Extra Mural Studies and General Practice at The Royal Veterinary College, UK. Jill is actively involved in undergraduate teaching at the RVC in the areas of clinical problem solving and inductive clinical reasoning in small animal medicine and clinical pharmacology for veterinary students and nurses. She has published over 60 refereed papers in veterinary and medical journals and has been invited to speak at numerous international CPD meetings. In April 2012 she became the chair of the WSAVA Continuing Education (CE) Committee which facilitates CE for veterinarians in developing countries. Jill has been responsible for programming the clinical CPD streams at The London Vet Show since its launch in 2009. Professor Holger A. Volk DVM, PGCAP, DipECVN, PhD, FHEA, MRCVS is Clinical Director of the Small Animal Referral Hospital and Professor of Veterinary Neurology and Neurosurgery at the Royal Veterinary College, UK. He is a Recognised RCVS and European Specialist in Veterinary Neurology, and President of the European College of Veterinary Neurology from 2014-2016. He is fascinated by and involved in facilitating learning for any type or level of learners. He is a frequent speaker at national and international meetings, is section editor of multiple basic and clinical veterinary science journals and is widely published in scholarly journals. Professor David B. Church BVSc, PhD, MACVSc, FHEA, MRCVS is the Vice Principal for Learning and the Student Experience at The Royal Veterinary College, UK. He is the author of numerous scientific articles and book chapters and has an ongoing interest in relevant continuing education for practitioners and in particular the value of the problem-oriented approach to small animal medicine.
The veterinary profession has been in need of this book for many decades. The book is written in a down to earth style that shows an appreciation of the working environment and priorities of clinicians, making it a practical guide to efficient and effective clinical decision making. In this age of information, where answers come easily, it is more important than ever to ask the right questions. Problem-based inductive clinical reasoning is structured as a series of pertinent and timely questions from which the right answers are readily sourced as they are required. Speaking personally, I ve used problem-based inductive clinical reason as expounded in this text to manage small companion animals as a novice veterinarian, an experienced general veterinary practitioner, a resident in small animal medicine, a practicing specialist in small animal medicine, a veterinary educator and a veterinary service manager and I have never found it to be inadequate to the situation. I m very glad that now I have a name to put to it and a reference for it! I find that the method can be adapted to any clinical circumstance. I find that it complements the practice and teaching of Evidence-Based Veterinary Medicine, encouraging a working knowledge of applied physiology and a deep understanding of pathophysiology on which to base sourcing of current pertinent information from the recent veterinary literature. Veterinary practice involves many stressors and being at a loss as to how to solve a case need not be one such stressor when problem-based inductive clinical reasoning is practiced. The book not only describes problem-based inductive clinical reasoning and its application to specific problems but guides the reader in learning and applying the method in the work place. For those who choose to make use of his book as it is intended, once the habit of problem-based inductive clinical reasoning is formed its practice can be expected to reduce cognitive load and improve clinical efficiency. This book will be valuable to: * Novice veterinarians aiming to bridge the gap between their undergraduate curriculum and the patients they are now faced with when they are lacking in experience of clinical case load. * Experienced general practitioners wanting to reignite their practice of small animal medicine and improve their competence and confidence. * Veterinary educators needing to train veterinary students in a manner that will enable them to make the transition from student to clinical professional without undue anxiety. * Practice owners seeking to improve time management, professional communication and work place efficiency while assisting their veterinary staff in conveying an air of relaxed competence. Sue Bennett BSc BVMS MACVSc (Medicine of Cats) FACVSc (Small Animal Medicine) Lecturer in Small Animal Medicine, Murdoch University Veterinary Hospital, Australia