August's Consultations in Feline Internal Medicine, Volume 7, 1e 1st Edition Susan Little DVM Dabvp (Feline) Full Chapters Instanly
August's Consultations in Feline Internal Medicine, Volume 7, 1e 1st Edition Susan Little DVM Dabvp (Feline) Full Chapters Instanly
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About The Cover
The handsome feline on the cover is the late Tuxedo Stan. Stanley, one of four boys born
to a homeless mother, rose from his humble beginnings to international stardom when he
ran for mayor of Halifax, Nova Scotia, Canada in October, 2012. His campaign helped
raise awareness of the plight of neglected and homeless cats in Halifax and around the
world. Tuxedo Stan’s election slogan, “Because neglect isn’t working,” has been adopted by
many feline rescue groups. The newly elected Halifax municipal government donated
$40,000.00 to the local SPCA to help build a low-cost spay and neuter clinic as a direct
result of the Tuxedo Stan for Mayor campaign. Sadly, Tuxedo Stan succumbed to aggressive
renal lymphosarcoma 8 months after the election, at just 3-1/2 years of age. Stan’s brother,
Earl Grey, continues his work as leader of The Tuxedo Party of Canada. You can follow
Earl Grey and the Tuxedo Party at www.earlgreycat.com or at www.facebook.com.
Edited by
Susan E. Little
DVM, DABVP (Feline)
Owner, Bytown Cat Hospital
Ottawa, Ontario, Canada
3251 Riverport Lane
St. Louis, MO 63043
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by
any means, electronic or mechanical, including photocopying, recording, or any information storage and
retrieval system, without permission in writing from the publisher. Permissions may be sought directly
from Elsevier’s Health Sciences Rights Department in Philadelphia, PA, USA: phone: (+1) 215 239 3804,
fax: (+1) 215 239 3805, e-mail: [email protected]. You may also complete your request on-line
via the Elsevier homepage (http://www.elsevier.com), by selecting ‘Customer Support’ and then ‘Obtaining
Permissions.’
Notice
Knowledge and best practice in this field are constantly changing. As new research and experience broaden
our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate.
Readers are advised to check the most current information provided (i) on procedures featured or (ii) by
the manufacturer of each product to be administered, to verify the recommended dose or formula, the
method and duration of administration, and contraindications. It is the responsibility of the practitioner,
relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages
and the best treatment for each individual patient, and to take all appropriate safety precautions. To the
fullest extent of the law, neither the Publisher nor the Editor assumes any liability for any injury and/or
damage to persons or property arising out of or related to any use of the material contained in this book.
The Publisher
vii
Section Editors
P. Jane Armstrong, DVM, MS, MBA Debra F. Horwitz, DVM, DACVB
Professor of Small Animal Internal Medicine Veterinary Behaviorist
Department of Veterinary Clinical Sciences Veterinary Behavior Consultations
University of Minnesota St. Louis, Missouri
St. Paul, Minnesota Behavioral Medicine
Nutrition
Albert E. Jergens, DVM, PhD, DACVIM
Joseph W. Bartges, DVM, PhD Professor and Associate Chair for Research and Graduate
Staff Internist and Academic Director Studies
Cornell University Veterinary Specialists Department of Veterinary Clinical Sciences
Stamford, Connecticut College of Veterinary Medicine
Adjunct Clinical Professor Iowa State University
Small Animal Clinical Sciences Ames, Iowa
Cornell University Gastrointestinal System
Ithaca, New York
Upper and Lower Urinary Tract Diseases Tony Johnson, DVM, DACVECC
Medical Director
Christine L. Cain, DVM, DACVD Veterinary Information Network
Assistant Professor of Dermatology Davis, California
Department of Clinical Studies Emergency and Critical Care Medicine
University of Pennsylvania
School of Veterinary Medicine Antony S. Moore, BVSc, MVSc
Philadelphia, Pennsylvania Veterinary Oncology Consults
Dermatology Wauchope, New South Wales, Australia
Oncology
Craig A. Datz, DVM, MS, DABVP, DACVN
Adjunct Associate Professor Mark E. Peterson, DVM, DACVIM
College of Veterinary Medicine Department of Endocrinology and Nuclear Medicine
University of Missouri Animal Endocrine Clinic
Columbia, Missouri New York, New York
Senior Scientific Affairs Manager Adjunct Professor of Medicine
Royal Canin USA Department of Clinical Sciences
St. Charles, Missouri New York State College of Veterinary Medicine
Infectious Diseases Cornell University
Ithaca, New York
Brian A. DiGangi, DVM, MS, DABVP Endocrine and Metabolic Diseases
Clinical Assistant Professor
Department of Small Animal Clinical Sciences Elizabeth Rozanski, DVM
University of Florida Associate Professor
Gainesville, Florida Department of Clinical Sciences
Population Medicine Tufts Cummings School of Veterinary Medicine
North Grafton, Massachusetts
Brenda Griffin, DVM, MS, DACVIM Cardiology and Respiratory Medicine
Adjunct Associate Professor of Shelter Medicine
Department of Small Animal Clinical Sciences John Rush, DVM, MS, DACVIM (Cardiology), DACVECC
College of Veterinary Medicine Professor
University of Florida Department of Clinical Sciences
Gainesville, Florida Tufts Cummings School of Veterinary Medicine
Population Medicine North Grafton, Massachusetts
Cardiology and Respiratory Medicine
viii
Section Editors ix
Margie Scherk, DVM, Dip ABVP (Feline Practice) Séverine Tasker, BSc, BVSc (Hons), PhD, DSAM,
catsINK DipECVIM-CA, FHEA, MRCVS
Vancouver, British Columbia, Canada Reader in Feline Medicine
Pediatric and Geriatric Medicine The Feline Centre
Langford Veterinary Services & School of Veterinary
Gretchen Statz, DVM, DACVECC Sciences
Staff Criticalist University of Bristol
Department of Internal Medicine and Critical Care Langford, Bristol, United Kingdom
Veterinary Specialty and Emergency Care Infectious Diseases
Indianapolis, Indiana
Internal Medicine Consultant Angela Witzel, DVM, PhD
Antech Diagnostics Assistant Clinical Professor of Nutrition
Irvine, California Small Animal Clinical Sciences
Emergency and Critical Care Medicine University of Tennessee
Knoxville, Tennessee
Nutrition
Contributors
Jill L. Abraham, VMD, DACVD David Bennett, BSc, BVetMed, PhD, DVM, DSAO, FHEA,
Dermatologist MRCVS
Department of Dermatology Professor
BluePearl Veterinary Partners School of Veterinary Medicine
New York, New York University of Glasgow
Feline Food Allergy Glasgow, Great Britain
Osteoarthritis in the Aging Cat
Karin Allenspach, DMV, ECVIM-CA, FVH, PhD, FHEA
Professor in Small Animal Internal Medicine Allyson Berent, DVM, DACVIM
Department of Veterinary Clinical Sciences Staff Veterinarian, Director of Interventional Endoscopy
Royal Veterinary College Services
London, Hertfordshire, Great Britain Department of Interventional Radiology / Endoscopy
Feline Inflammatory Gastrointestinal Disease The Animal Medical Center
New York, New York
Jennifer Baez, VMD, DACVIM (Internal Medicine, Endourology in the Feline Patient: Urinary Diversion
Oncology) Techniques
Veterinary Medical Oncologist
Department of Oncology Darren Berger, DVM, DACVD
Center for Animal Referral and Emergency Services Assistant Professor of Dermatology
(CARES) Department of Veterinary Clinical Sciences
Langhorne, Pennsylvania College of Veterinary Medicine
Feline Mammary Carcinoma Iowa State University
Ames, Iowa
Melissa Bain, DVM, DACVB, MS, DACAW Malassezia spp. in Feline Dermatology
Associate Professor of Clinical Animal Behavior
Veterinary Medicine and Epidemiology Jeannine M. Berger, DVM, DACVB, DACAW, CAWA
UC Davis School of Veterinary Medicine Director of Behavior Resources
Davis, California Department of Behavior
Update on Feline Housesoiling and Urine Marking San Francisco SPCA
San Francisco, California
Joseph W. Bartges, DVM, PhD Feline Aggression Toward People
Staff Internist and Academic Director
Cornell University Veterinary Specialists April E. Blong, DVM, DACVECC
Stamford, Connecticut Post-Doctoral Associate
Adjunct Clinical Professor Cornell Clinical Fellow
Small Animal Clinical Sciences Small Animal Nutrition Resident
Cornell University Cornell University
Ithaca, New York College of Veterinary Medicine
Update on Feline Urolithiasis Ithaca, New York
Urinary Tract Infection Feline Cardiopulmonary Resuscitation: Current Evidence-
Based Guidelines
Marie C. Bélanger, DVM, MSc, ACVIM
Professor of Small Animal Internal Medicine and Manuel Boller, Dr. Med. Vet., MTR, DACVECC
Cardiology Senior Lecturer Emergency and Critical Care
Department of Clinical Sciences Faculty of Veterinary and Agricultural Sciences
University of Montreal University of Melbourne
St-Hyacinthe, Quebec, Canada Werribee, Victoria, Australia
Cardiorenal Syndrome Feline Cardiopulmonary Resuscitation: Current Evidence-
Based Guidelines
x
Contributors xi
Dawn Merton Boothe, DVM, MS, PhD, DACVIM, DACVCP Christopher G. Byers, DVM, DACVECC, DACVIM (SAIM),
Professor, Director Clinical Pharmacology CVJ
Anatomy Physiology and Pharmacology; Clinical Sciences Medical Doctor
Auburn University VCA Midwest Veterinary Specialists of Omaha
Auburn, Alabama Omaha, Nebraska
Medicating the Very Young and the Very Old Cat Adjunct Associate Professor of Emergency & Critical Care
Kansas State University College of Veterinary Medicine
Allison Bradley, BA, DVM, DACVIM Manhattan, Kansas
VCA Veterinary Specialists of Northern Colorado Acute Hemolytic Disorders in Cats
Loveland, Colorado
Feline Extrahepatic Bile Duct Obstruction: Medical versus Alane Kosanovich Cahalane, DVM, MA, DACVS-SA
Surgical Management CEO and Co-Founder
VSH Hong Kong
Benjamin Brainard, VMD, DACVAA, DACVECC Hong Kong, SAR China
Associate Professor, Critical Care Vascular Access Ports in Cats
Department of Small Animal Medicine and Surgery
College of Veterinary Medicine, University of Georgia Christine L. Cain, DVM, DACVD
Athens, Georgia Assistant Professor of Dermatology
Current Diagnostics and Therapeutics in Feline Department of Clinical Studies
Hypercoagulability University of Pennsylvania
School of Veterinary Medicine
Jennifer Broadhurst, DVM Philadelphia, Pennsylvania
Division Director Diagnostically Challenging Dermatoses of Cats
Clay County Animal Care & Control
Clay County, Florida Amanda Callens, BS, LVMT
Kitten Nurseries: A Practical Guide Veterinary Technician
Update on Feline Urolithiasis
Michael R. Broome, DVM, MS, DABVP
Advanced Veterinary Medical Imaging Daniel L. Chan, DVM, DACVECC, DACVN, DECVECC,
Tustin, California FHEA, MRCVS
Treatment of Severe, Unresponsive, or Recurrent Professor of Emergency and Critical Care Medicine and
Hyperthyroidism Clinical Nutrition
Treatment of Hyperthyroidism and Concurrent Renal Disease Section of Emergency and Critical Care
Department of Clinical Science and Services
Scott A. Brown, VMD, PhD The Royal Veterinary College
Josiah Meigs Distinguished Teaching Professor University of London
Department of Physiology & Pharmacology Critical Care Nutrition
University of Georgia
Edward Gunst Professor of Small Animal Medicine Dennis J. Chew, DVM, DACVIM (Internal Medicine)
Department of Small Animal Medicine & Surgery Professor Emeritus
UGA College of Veterinary Medicine Department of Veterinary Clinical Sciences
Athens, Georgia The Ohio State University College of Veterinary Medicine
Chronic Kidney Disease: An Update Columbus, Ohio
Management of Idiopathic Hypercalcemia
C.A. Tony Buffington, DVM, PhD
Professor Martha G. Cline, DVM, DACVN
Veterinary Clinical Sciences Clinical Veterinary Nutritionist
The Ohio State University Department of Clinical Nutrition
Columbus, Ohio Red Bank Veterinary Hospital
Feline Idiopathic Cystitis Tinton Falls, New Jersey
Environmental Strategies to Promote Health and Wellness Current Feeding Practices of Cat Owners
xii Contributors
Rachel Dean, BVMS, PhD, DSAM(fel), MRCVS Daniel J. Fletcher, PhD, DVM
Director of the Centre for Evidence-Based Veterinary Associate Professor, Section of Emergency and Critical Care
Medicine Associate Chair, Department of Clinical Sciences
Clinical Associate Professor in Feline Medicine Cornell University
School of Veterinary Medicine and Science College of Veterinary Medicine
University of Nottingham, Sutton Bonington Campus Ithaca, New York
Loughborough, Great Britain Feline Cardiopulmonary Resuscitation: Current Evidence-
Evidence-Based Feline Medicine: Principles and Practicalities Based Guidelines
Joao Felipe de Brito Galvao, MV, MS, DACVIM (SAIM) J.D. Foster, VMD, DACVIM
Internal Medicine Specialist and Medical Director Staff Veterinarian
Department of Internal Medicine Department of Small Animal Internal Medicine
VCA Arboretum View Animal Hospital University of Pennsylvania, School of Veterinary Medicine
Downers Grove, Illinois Philadelphia, Pennsylvania
Management of Idiopathic Hypercalcemia Cutaneous Manifestations of Internal Disease
Amy DeClue, DVM, MS, DACVIM Susan Foster, BVSc, MVetClinStud, FANZCVS
Associate Professor of Small Animal Internal Medicine Small Animal Medicine Consultant
Department of Veterinary Medicine and Surgery Vetnostics
University of Missouri North Ryde, New South Wales, Australia
Columbia, Missouri Adjunct Senior Lecturer in Small Animal Medicine
Continuous Glucose Monitoring in Cats with Diabetes School of Veterinary and Life Sciences
Murdoch University
Alison Diesel, DVM, DACVD Murdoch, Western Australia
Clinical Assistant Professor Dealing with Toxoplasmosis: Clinical Presentation, Diagnosis,
Department of Small Animal Clinical Sciences Treatment and Prevention
College of Veterinary Medicine and Biomedical Sciences
Texas A&M University Diane Frank, DVM, DACVB
College Station, Texas Professor
Recognition of and Approach to Feline Cutaneous Reaction Department of Clinical Sciences
Patterns Université de Montréal
St-Hyacinthe, Quebec, Canada
Brian A. DiGangi, DVM, MS, DABVP (Canine & Feline Intercat Aggression
Practice)
Clinical Assistant Professor Lisa M. Freeman, DVM, PhD, DACVN
Department of Small Animal Clinical Sciences Professor
University of Florida Department of Clinical Sciences
Gainesville, Florida Cummings School of Veterinary Medicine at Tufts
Strategies for Infectious Disease Management in Shelter Cats University
North Grafton, Massachusetts
Ray Dillon, DVM, MS, MBA, DACVIM (IM) Nutritional Management of Heart Disease
Jack Rash Professor of Medicine
Department of Clinical Sciences Frédéric Gaschen, Dr. Med. Vet., Dr. Habil.
College of Veterinary Medicine Professor and Chief
Auburn University Companion Animal Medicine Service
Auburn, Alabama Louisiana State University School of Veterinary Medicine
Feline Heartworm Disease Baton Rouge, Louisiana
Disorders of Esophageal, Gastric, and Intestinal Motility in
Adam Eatroff, DVM, DACVIM (SAIM) Cats
Department of Internal Medicine / Hemodialysis Unit
BluePearl Veterinary Partners Lorrie Gaschen, DVM, PhD, Dr. Med. Vet., Dipl. DECVDI
New York, New York Associate Dean for Diversity and Faculty Affairs
Acute Kidney Injury Blanche Donaldson Professor
Professor of Diagnostic Imaging
Amy K. Farcas, DVM, MS, DACVN Department of Veterinary Clinical Sciences
Owner, Clinical Nutritionist Louisiana State University
Veterinary Nutrition Care Baton Rouge, Louisiana
Belmont, California Diagnostic Imaging of the Gastrointestinal Tract and Tissue
Feeding the Senior and Geriatric Cat Sampling
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Contributors xiii
Tamara Grubb, DVM, PhD, DACVAA Stephanie Janeczko, DVM, MS, DABVP (Canine & Feline
Assistant Professor of Anesthesia & Analgesia Practice), CAWA
Department of Veterinary Clinical Sciences Senior Director, Shelter Medicine Programs
College of Veterinary Medicine, Washington State Department of Research & Development
University American Society for the Prevention of Cruelty to Animals
Pullman, Washington New York, New York
Anesthesia for the Aging Cat Foster Care Programs in Animal Shelters
Danièlle Gunn-Moore, BSc(Hon), BVM&S, PhD, FHEA, Rosanne E. Jepson, BVSc, MVetMed, PhD, DipACVIM,
MANZCVS, MRCVS DipECVIM
Professor of Feline Medicine, RCVS Specialist in Feline Lecturer in Small Animal Internal Medicine
Medicine, Division of Veterinary Clinical Sciences Department of Clinical Sciences and Services
Royal (Dick) School of Veterinary Studies and the Roslin Royal Veterinary College
Institute, London, Great Britain
University of Edinburgh Phosphate and the Kidney
Edinburgh, Scotland
Cognitive Dysfunction in the Cat Albert E. Jergens, DVM, PhD, DACVIM
Professor and Associate Chair for Research and Graduate
Beth Hamper, DVM, PhD, DACVN Studies
Small Animal Nutritionist Department of Veterinary Clinical Sciences
Hamper Veterinary Nutritional Consulting College of Veterinary Medicine
Indianapolis, Indiana Iowa State University
The Unique Metabolic Adaptations and Nutrient Requirements Ames, Iowa
of the Cat Feline Inflammatory Gastrointestinal Disease
Katrin Hartmann, Dr. Med. Vet., Dr. Habil., ECVIM-CA Tony Johnson, DVM, DACVECC
(Internal Medicine) Medical Director
Professor and Department Head Veterinary Information Network
Center of Clinical Veterinary Sciences Davis, California
Clinic of Small Animal Medicine Fibrosing Pleuritis
Munich, Germany
Update on Antiviral Therapies SeungWoo Jung, DVM, MS, PhD, DACVIM (Cardiology)
Assistant Professor of Cardiology
Andrea Harvey, BVSc, DSAM(Feline), DipECVIM-CA, Department of Clinical Sciences
MRCVS, MANZCVS (Associate) Auburn University
RCVS Recognised & Registered (NSW) Specialist in Auburn, Alabama
Feline Medicine Feline Heartworm Disease
Small Animal Specialist Hospital
Sydney, Australia Rebecca Kirby, DVM, DACVIM, DACVECC
Feline Laryngeal Disease Gainesville, Florida
Feline Circulatory Shock
xiv Contributors
Claudia A. Kirk, DVM, PhD, DACVN, DACVIM Jacqui Ley, BVSc(hons), PhD(Psychology),
Professor and Associate Dean FANZCVS(Veterinary Behaviour), DECAWBM
Office of the Associate Dean for Academic Affairs and Registered Specialist in Veterinary Behaviour
Student Services Animal Behaviour Consultations
College of Veterinary Medicine Melbourne Veterinary Specialist Centre
University of Tennessee Melbourne, Victoria, Australia
Knoxville, Tennessee Feline Social Behavior and Personality
Cats and Carbohydrates: How Much Should We Feed?
Susan E. Little, DVM, DABVP (Feline)
Erika L. Krick, VMD Owner, Bytown Cat Hospital
Assistant Professor of Oncology Ottawa, Ontario, Canada
Department of Clinical Studies Emerging Aspects of Streptococcal Infections in Cats
University of Pennsylvania School of Veterinary Medicine
Philadelphia, Pennsylvania Andrew Lowe, DVM, MSc, DACVD
A Review and Update on Gastrointestinal Lymphoma in Cats Dermatologist
Department of Dermatology
Darcie Kunder, VMD Alta Vista Animal Hospital
Resident Ottawa, Ontario, Canada
Department of Dermatology and Allergy Glucocorticoids in Feline Dermatology
Matthew J Ryan Veterinary Hospital, University of
Pennsylvania Virginia Luis Fuentes, MA, VetMB, PhD, DACVIM,
Philadelphia, Pennsylvania DECVIM-CA (Cardiology)
Cutaneous Manifestations of Internal Disease Professor of Veterinary Cardiology
Department of Clinical Science and Services
Michelle Kutzler, DVM, PhD, DACT Royal Veterinary College
Associate Professor of Companion Animal Industries Hatfield, Hertfordshire, Great Britain
Department of Animal and Rangeland Sciences Ultrasound Imaging for Diagnosis and Staging of Feline
Oregon State University Cardiomyopathy
Corvallis, Oregon
Neonatal Resuscitation and Supportive Care in Cats Leslie A. Lyons, BS, MS, PhD
Gilbreath McLorn Professor of Comparative Medicine
D. P. Laflamme, DVM, PhD, Dipl. ACVN Department of Veterinary Medicine & Surgery
Veterinary Nutritionist College of Veterinary Medicine
Department of Basic Research University of Missouri
Nestle Purina PetCare Research Columbia, Missouri
St. Louis, Missouri Population Structure and Genetic Testing in Cats
Sarcopenia and Weight Loss in the Geriatric Cat
Caroline Mansfield, BSc, BVMS, MVM, PhD, DECVIM-CA
Selena Lane, DVM Associate Professor in Small Animal Medicine
Critical Care Resident Faculty of Veterinary and Agricultural Science
Department of Small Animal Medicine and Surgery University of Melbourne
University of Georgia Werribee, Victoria, Australia
Athens, Georgia The Challenges of Pancreatitis in Cats: A Diagnostic and
Current Diagnostics and Therapeutics in Feline Therapeutic Conundrum
Hypercoagulability
Stanley L. Marks, BVSc, PhD, DACVIM (Internal
Cathy Langston, DVM, DACVIM Medicine, Oncology), DACVN
Associate Professor Professor
Department of Small Animal Internal Medicine Department of Medicine and Epidemiology
The Ohio State University University of California, Davis, School of Veterinary
Columbus, Ohio Medicine
Acute Kidney Injury Davis, California
Rational Approach to Diagnosing and Managing Infectious
Causes of Diarrhea in Kittens
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