Change language to Russian
FECAVA on Facebook
to FECAVA News
View other issues
of EJCAP online
Give your feedback
Differential diagnosis in small animal medicine
Differential diagnosis is a challenge that practitioners face every day. The process of obtaining information to reduce the list of possible conditions is the basis of evidence-based medicine. Many colleagues, including myself, sometimes struggle defining a complete list of possible differential diagnoses.
Differential Diagnosis in Small Animal Medicine is not a book, it is a tool – and very useful one. It provides a list of medical presentations and gives us possible diagnoses correspondingly. Particularly useful is the categorisation of conditions ranked in order of likelihood! It is good to remember that “common things are common” but on the other hand, we occasionally see something rare. Tools like this book are particularly useful at moments like these.
The book consists of 4 parts: lists of historical signs, physical signs, radiographic and ultrasonographic signs as well as laboratory findings. A list of possible differential diagnoses is provided for every sign and finding, pointing out more common conditions and species if a particular condition is e.g. seen predominantly or only in dogs or cats.
This book is also available as an app for iOS and Android devices. To purchase the app visit www.skyscape.com/wiley/DDxSAMed2
Janne Orro-Taruste DVM, Estonia
Dentistry in Rabbits and Rodents
Rabbits and rodents are often found to suffer from dental disease, of which the greater majority is related to the continuous growth of their teeth. The growing request for high-quality care of these small mammals, as well as the introduction of novel diagnostic techniques and therapeutic interventions, have resulted in marked changes in dental treatment regimens throughout the last decades, including the development of highly specialized dental procedures for both rabbits and rodents. As a result, it is not surprising that over the past years books are being published dealing only with this topic, of which Dentistry of Rabbits and Rodents by Estella Böhmer is the latest example.
The 296-page book systematically deals with every aspect of rabbit and rodent dentistry that can be thought of, from basic anatomy, nomenclature and dental formulas to clinical examination, diagnostic tools, anaesthesia and therapeutic intervention. In addition to nine chapters that deal with the more general approach to dental disease, the book includes another five chapters that are attributed to the specific dental diseases that can be seen in practice, including incisor problems, cheek teeth problems, abscesses, periodontal disease (including caries) and jaw problems.
Although the emphasis in the book lies on the small herbivorous mammals (rabbits, guinea pigs, chinchillas), in which the widest range of dental problems may be seen, a fair amount of information is also present on the other small rodent species, including rats, mice, hamsters, gerbils and squirrels. Moreover, the book provides a wealth of excellent suggestions and innovative ideas regarding intraoral radiography, patient positioning and evaluation of radiographs that may help the practitioner to obtain detailed information regarding each individual tooth. This section in particular is well-illustrated with high-quality radiographs, but the rest of the book is equally richly illustrated with a variety of line drawings and colour photographs demonstrating both normal anatomy and pathologic changes in the different small mammal species.
In contrast, little to no images are included to demonstrate the surgical procedures step-by-step, which would have been a useful addition to the mere textual description of the techniques. Similarly, the book pays little attention to Computed Tomography, with only two pages included on this technique to demonstrate its added value. This was, however, a deliberate choice of the author, who specifically aimed to solely provide information that may be considered relevant to the general practitioners and help them to successfully diagnose and treat dental disease in small mammals in their own practices. Other examples demonstrating this book’s practical approach are the inclusion of comprehensive tables with dosages of anaesthestic and analgesic drugs or the staging guidelines for dental disease that help practitioners estimate the severity and prognosis of their patient’s dental problems. Nevertheless, for those interested in learning more, the book also provides an extensive list of references for further reading.
In conclusion, Dentistry of Rabbits and Rodents provides a clear, thorough and complete overview of the various aspects of rabbit and rodent dentistry. Considering its price and quality, practitioners who see many of these patients in their practices or are interested in learning more about these type of patients should certainly consider buying this book as it is unique in its kind.
Yvonne van Zeeland, DVM, MVR, PhD, Dip. ECZM (Avian, Small mammal), CPBC
Clinical Veterinary Advisor
Dogs and Cats
This book certainly deserves a place on the shelf in every small animal practice! It is one of those you just leave on the treatment table for everyday use.
Clinical Veterinary Advisor is a really well-organised and easy to read book, and for nearly all occasions the information needed is inside. It also gives free access to a companion searchable website features an electronic version of the text, all of the book's images, a searchable drug formulary, clinical algorithms, clinical videos clips and 150 client education sheets in English and Spanish, with 148 bonus online-only chapters.
Clinical Veterinary Advisor puts a lot of useful information into just a single volume: it is like several books in one: diagnostics, differentials, techniques, treatments, clinical pathology, drug formulary, etc.
The Diseases and Disorders section includes almost everything a practitioner needs to know about a disease in one single page. There is a list of differential diagnoses for each disease or disorder, and common physical exam findings. The section on Procedures and Techniques walks you through most of the procedures step by step, listing in detail all the needed equipment, possible complications and how to avoid them, all with useful photos.
The section on Laboratory tests and common test results explains exactly how to perform them correctly in everyday practice.
The section on Clinical Algorithms present sequence and really can help you out in making clinical decisions for more than 90 of the most common disorders. The Drug Formulary provides dosages and most important information for almost every medication.
The only remark would be that the black-and-white photos for some of dermatological diseases and cytological smears are maybe not the optimal solution.
Clinical Veterinary Advisor 3rd edition is a worthwhile investment for any small animal practice. The target audience is the busy general small animal practitioner, but also veterinary students and veterinary nurses.
The recent edition of the most widely used book in general practice keeps its mission providing easy and fast help to the busy practitioner offering the most up-to-date material available.
If there is one book you should have in clinical practice, this is it.
Lea Kreszinger DVM (Croatia)
Volume 25(4), Winter 2015