Ettinger’s Textbook of Veterinary Internal Medicine, 9th Edition

Now Ettinger’s trusted, all-in-one veterinary resource is even better! Trusted by small animal veterinarians for more than 45 years, Ettinger’s Textbook of Veterinary Internal Medicine adds new content on the field’s leading issues and trends to its unmatched, “gold standard” coverage of the diagnosis and treatment of medical problems of dogs and cats.

Trusted by small animal veterinarians for more than 45 years, Ettinger’s Textbook
of Veterinary Internal Medicine adds new content on the field’s leading issues and
trends to its unmatched, “gold standard” coverage of the diagnosis and treatment of
medical problems of dogs and cats.
The comprehensive, all-in-one resource for diagnosing and treating small
animals!
Trusted by small animal veterinarians for more than 50 years, Ettinger’s is the
definitive resource in companion animal internal medicine. With every chapter updated
and more than a dozen new chapters added, this edition continues to set the bar for
the highest level of knowledge in practice and remains the unmatched “gold standard”
for the diagnosis and treatment of medical problems of dogs and cats. Clinical
information is conveniently presented in a logical order that reflects the practitioner’s
thought process. Plus, this edition includes access to a fully searchable eBook with
hundreds of videos that bring clinical signs, diagnostic imaging, procedures, and more
to life.
Outstanding features:
• NEW! Coverage of the latest information and trends includes epilepsy,
aerodigestive disorders, patient triage and stabilization, enteric protozoal
diseases, pulmonary thromboembolism, point-of-care ultrasounds,
immunodeficiencies, and more.
• NEW! PDFs in Procedures & Techniques chapters include a printable pull
list of the equipment and materials needed for specific procedures (accessed
through the eBook).
• Fully searchable eBook version (included with print book purchase)
provides access to all the text and figures, video clips, and client information
sheets.
• More than 700 clinical videos take the place of time-consuming online
searches, as each video expertly breaks down veterinary procedures and
important signs of diseases and disorders that are difficult or impossible to
understand from written descriptions alone.
• In-depth coverage of timely issues includes topics such as nutritional
cardiomyopathy, coronavirus infections, host-microbial interactions in
gastrointestinal health, and autonomic nervous system disorders.
• Expert contributors from around the world provide practical insight into
small animal medicine.


Instructions for online access
Cover image
Title page
Table of Contents
Copyright
Dedication
Editors
Section Facilitators
Contributors
Preface
Client Information Sheets
Body Condition
HTU
Volume 1
Section I Veterinary Medicine Worldwide
1. Client Communication
2. The Medical History
3. The Physical Examination
4. Evidence-Based Medicine
5. Biomedical Statistics and Veterinary Literature
6. Pain Medicine: Key Concepts
7. Antimicrobial Stewardship
8. International Travel
9. Health Concerns of Imported Pets
Section II Differential Diagnosis
General
10. “Ain't Doin' Right”: The Nonspecific Chief Concern of Ill Thrift
11. Distinguishing Behavioral Disorders From Medical Disorders
12. Dermatologic Manifestations of Systemic Disease
13. Ophthalmic Manifestations of Systemic Disease
14. Neurologic Manifestations of Systemic Disease
15. Intoxication Versus Acute Nontoxicologic Illness: Differentiating the Two
16. Fever
17. Anorexia
18. Weight Loss
19. Polyphagia
20. Weight Gain
21. Abdominal Enlargement
22. Failure to Grow
23. Weakness
24. Restlessness
25. Pallor
26. Hyperemia
27. Cyanosis
28. Jaundice
29. Petechiae and Ecchymoses
30. Peripheral Edema
31. Orthopedic Manifestations of Systemic Disease
32. Swollen Joints and Joint Pain
33. Body Odors
Cardiorespiratory
34. Cough
35. Sneezing and Nasal Discharge
36. Epistaxis and Hemoptysis
37. Tachypnea, Dyspnea and Respiratory Distress
38. Abnormal Heart Sounds and Heart Murmurs
39. Pulse Alterations
40. Syncope
Neurologic
41. Movement Disorders
42. Tremors
43. Ataxia, Paresis, and Paralysis
44. Stupor and Coma
45. Seizures
Gastrointestinal
46. Halitosis and Ptyalism
47. Gagging and Dysphagia
48. Regurgitation and Vomiting
49. Diarrhea
50. Melena and Hematochezia
51. Constipation, Tenesmus, Dyschezia, and Fecal Incontinence
52. Flatulence
Urogenital
53. Polyuria and Polydipsia
54. Pollakiuria, Stranguria, and Urinary Incontinence
55. Hematuria and Other Conditions Causing Discolored Urine
56. Vulvar and Preputial Discharge
Section III Differential Diagnosis for Clinicopathologic Abnormalities
57. Anemia and Erythrocytosis
58. Leukopenia, Leukocytosis
59. Thrombocytopenia, Thrombocytosis
60. Hypoproteinemia and Hyperproteinemia
61. Hypoglycemia and Hyperglycemia
62. Blood Urea Nitrogen, Creatinine, and SDMA
63. Cholesterol and Triglycerides
64. Amylase and Lipase
65. Liver Enzymes
66. Creatine Kinase
67. Sodium and Chloride
68. Potassium, Magnesium
69. Calcium and Phosphorus
70. Urinalysis
71. Fluid Analysis: Thoracic, Abdominal, Joint
Section IV Techniques
General
72. Body and Muscle Condition Scoring
73. Point-of-Care Ultrasound Examination
74. Venous and Arterial Puncture
75. Jugular Catheterization and Central Venous Pressure Measurement
76. Intraosseous Catheters
77. Constant Rate Infusions
78. Glucose Monitoring
79. Buccal Mucosal Bleeding Time
80. Fecal Examination
81. Nasoesophageal, Esophagostomy, Gastrostomy, and Jejunostomy Tubes: Placement Techniques
Skin
82. Otoscopy, Ear Flushing, and Myringotomy
83. Scrapings, Fine-Needle Aspirations, and Biopsies of Skin and Subcutaneous Tissues
General Centesis and Biopsy
84. Bone Marrow Aspiration and Biopsy
85. Cytology of Internal Organs
86. Abdominocentesis
87. Arthrocentesis
88. Lymph Node Aspiration and Biopsy
89. Rhinoscopy, Nasal Flush, and Biopsy
Respiratory/Cardiovascular
90. Respiratory and Inhalant Therapy
91. Blood Pressure Measurement
92. Thoracocentesis and Thoracostomy Tube Placement
93. Transtracheal Wash and Bronchoscopy
94. Temporary Tracheostomy Care
95. Pericardiocentesis
96. Electrocardiography
97. Echocardiography
Renal/Urogenital
98. Urine Collection and Urinary Catheter Management
99. Unblocking the Urethra
100. Cystoscopy and Urethroscopy
101. Vaginoscopy and Vaginal Cytology
102. Peritoneal Dialysis
103. Hemodialysis/Continuous Renal Replacement Therapy
104. Prostatic Diagnostic Techniques
Gastrointestinal
105. Gastric Intubation and Lavage
106. Canine Fecal Microbiota Transplantation
107. Gastrointestinal Endoscopy
108. Enemas and Deobstipation
Neurologic
109. Cerebrospinal Fluid Collection, Analysis, and Myelography
110. Muscle and Nerve Biopsy
111. Electromyography and Nerve Conduction Velocity
112. Neuroimaging: Radiography, Myelography, Computed Tomography, and Magnetic Resonance Imaging
Section V Minimally Invasive Interventional Therapies
113. Overview of Interventional Medicine (Interventional Radiology/Interventional Endoscopy)
114. Respiratory Interventional Therapies
115. Cardiovascular Interventional Therapies
116. Gastrointestinal and Hepatobiliary Interventional Therapies
117. Urologic Interventional Therapies
118. Neoplastic Interventional Therapies
Section VI Emergency Medicine
119. Triage and Initial Stabilization
120. Fluid Therapy
121. Circulatory Shock: Identification and Management
122. Diagnostic Testing for the Emergency Patient
123. Respiratory Crisis
124. Bleeding Crisis
125. Neurologic Crisis
126. Abdominal Crisis
127. Lower Urinary Tract Crisis
128. Sepsis and the Systemic Inflammatory Response Syndrome
129. Anaphylaxis
130. Hyperthermia and Hypothermia
131. Cardiopulmonary Arrest and Cardiopulmonary Resuscitation (CPR)
Section VII Toxicology
132. Toxin Exposure Therapy/Decontamination
133. Neurotoxicoses
134. Hepatotoxicoses
135. Renal Toxicoses
136. Gastrointestinal Toxicoses
137. Cardiorespiratory Toxicoses
138. Hematologic Toxicoses
Section VIII Clinical Pharmacology and Therapeutics
139. Principles of Drug Disposition and Pharmacokinetics
140. Antibacterial Drug Therapy
141. Antifungal and Antiviral Therapy
142. Antiparasitic Drugs
143. Anti-Inflammatory Drugs
144. Immunosuppressive Drugs
Section IX Nutrition and Dietary Therapy
145. Nutritional Assessment
146. Neonatal and Pediatric Nutrition
147. Nutrition for Healthy Adult Dogs
148. Nutrition for Healthy Adult Cats
149. Nutrition in Healthy Senior Cats and Dogs
150. Obesity
151. Cachexia and Sarcopenia
152. Nutritional Management of Gastrointestinal Disease
153. Nutritional Management of Exocrine Pancreatic Disease
154. Nutritional Management of Hepatobiliary Diseases
155. Nutritional Management of Endocrine and Metabolic Diseases
156. Nutritional and Medical Considerations in Hyperlipidemia
157. Nutritional Management of Heart Disease
158. Nutritional Management of Renal Disease
159. Nutritional Management of Lower Urinary Tract Disease
160. Nutritional Management of Dermatologic Disease
161. Nutrition for Neurologic Disease and Cognitive Disorders
162. Nutrition-Related Skeletal Disorders
163. Nutritional Management of Cancer
164. Critical Care Nutrition
165. Nutritional Uses of Fiber
166. Adverse Reactions to Foods: Allergies Versus Intolerance
167. Less Conventional Diets
168. Immunology and Nutrition
Section X Hematologic and Immunologic Disease
169. Immunologic and Hematologic Disease: Introduction and Drug Therapy
170. Coagulation Testing
171. Hyper- and Hypocoagulable States
172. Nonregenerative Anemia
173. Erythrocytosis and Primary Polycythemia
174. Immune-Mediated Hemolytic Anemia and Other Regenerative Anemias
175. Immune Thrombocytopenia, von Willebrand Disease, and Other Platelet Disorders
176. Nonneoplastic White Blood Cell Disorders and Pancytopenia
177. Immune-Mediated Polyarthritis and Other Polyarthropathies
178. Immune-Mediated Dermatologic Diseases
179. Systemic Lupus Erythematosus
180. Immunodeficiencies
181. Vasculitides
182. Diseases of the Spleen
Section XI Infectious Disease
General
183. Does This Dog or Cat Have an Infectious Disease?
184. Laboratory Diagnosis of Infectious Disease
185. Companion Animal Vaccinations
186. Hospital-Associated (Nosocomial) Infections
Bacterial Diseases
187. Lyme Disease
188. Mycobacterial Infections, Actinomycosis, and Nocardiosis
189. Brucellosis
190. Tetanus and Botulism
191. Bartonellosis
192. Leptospirosis
193. Ehrlichiosis, Anaplasmosis, Rocky Mountain Spotted Fever, and Neorickettsiosis
194. Hemotropic Mycoplasmas
195. Enteric Bacterial Diseases
Protozoal Diseases
196. Enteric Protozoan Diseases
197. Systemic Protozoal Diseases
Viral Diseases
198. Feline Immunodeficiency Virus Infection
199. Feline Leukemia Virus Infection
200. Coronavirus Infection
201. Canine and Feline Parvovirus Infection
202. Rabies
203. Canine Infectious Respiratory Disease Complex
204. Canine Distemper
205. Feline Upper Respiratory Infections
206. Emerging Viral Infections of Cats
Fungal Diseases
207. Cryptococcosis
208. Coccidioidomycosis
209. Blastomycosis and Histoplasmosis
210. Sinonasal and Sino-Orbital Aspergillosis
211. Disseminated Invasive Aspergillosis and Systemic Mold Infections
Volume 2
Section XII Respiratory Disease
212. Clinical Evaluation of the Respiratory Tract
213. Diseases of the Nose, Sinuses, and Nasopharynx
214. Laryngeal Diseases
215. Large Airway Diseases
216. Small Airway Diseases
217. Pulmonary Parenchymal Diseases
218. Pulmonary Hypertension
219. Pulmonary Thromboembolism
220. Pleural Space Diseases
221. Aerodigestive Disorders
222. Diseases of the Mediastinum, Chest Wall, and Diaphragm
Section XIII Comorbidities
223. Heart Disease and Kidney Disease
224. Comorbidities: Diabetes Mellitus and Corticosteroid-Responsive Disease
225. Feline Triaditis
226. Obesity and Immobility
227. Concurrent Infection and Immune Suppression
Section XIV Cardiovascular Disease
228. Pathophysiology of Heart Failure
229. Heart Failure: Diagnosis and Management
230. Cardiac Arrhythmias
231. Congenital Heart Disease
232. Valvular Heart Diseases of Adult Dogs and Cats
233. Myocardial Diseases of Dogs
234. Feline Myocardial Diseases
235. Pericardial Diseases
236. Systemic Hypertension
237. Heartworm Disease in Dogs and Cats
238. Arterial Thromboembolic Disease
239. Venous and Lymphatic Disorders
Section XV Neurologic Disease
240. Neurophysiology
241. Neurologic Examination and Neuroanatomic Diagnosis
242. Inflammatory, Infectious, and Other Multifocal Brain Diseases
243. Vascular Brain Diseases
244. Developmental, Degenerative and Metabolic Brain Diseases and Sleep Disorders
245. Neoplastic Brain Diseases
246. Traumatic Brain Disease
247. Epilepsy
248. Vestibular Disease
249. Cranial Neuropathies
250. Spinal Cord Diseases: Congenital (Developmental), Inflammatory, and Degenerative Disorders
251. Spinal Cord Diseases: Traumatic, Vascular, and Neoplastic
252. Peripheral Neuropathies
253. Neuromuscular Junction Disorders
254. Autonomic Nervous System Disorders
255. Unique Feline Neurologic Disorders
256. Physical Therapy and Rehabilitation
Section XVI Gastrointestinal Disease
257. Laboratory Evaluation of the Gastrointestinal Tract
258. Oral Cavity and Salivary Gland Disorders
259. Pharyngeal and Esophageal Diseases
260. Host-Microbial Interactions in Gastrointestinal Health
261. Gastric Diseases
262. Small Intestinal Diseases
263. Diseases of the Large Intestine
264. Rectoanal Diseases
265. Peritoneal Diseases
Section XVII Hepatobiliary Disease
266. Pathophysiology of Liver Disease
267. Congenital Vascular Liver Diseases
268. Congenital Ductal Plate Abnormalities
269. Acute Toxic and Other Parenchymal Liver Disease
270. Chronic Hepatitis in Dogs
271. Chronic Hepatic Diseases in Cats
272. Infectious Biliary Tract and Gallbladder Disease
273. Non-infectious Biliary Tract and Gallbladder Disease
274. Vacuolar Hepatopathies
275. Neoplasia of the Liver and Biliary Tree
Section XVIII Pancreatic Disease
276. Pancreatitis: Etiology, Pathogenesis, and Pathophysiologic Consequences
277. Pancreatitis in Dogs: Diagnosis and Management
278. Pancreatitis in Cats
279. Exocrine Pancreatic Insufficiency and Rare Conditions of the Exocrine Pancreas
Section XIX Endocrine Disease
280. Growth Hormone Disorders in Cats
281. Canine Growth Hormone Disorders
282. Diabetes Insipidus
283. Primary Hyperparathyroidism
284. Hypoparathyroidism
285. Hypothyroidism in Dogs
286. Feline Hypothyroidism
287. Hyperthyroidism in Cats
288. Canine Hyperthyroidism
289. Insulin-Secreting Tumors
290. Diabetic Ketoacidosis and the Hyperosmolar Hyperglycemic State
291. Diabetes Mellitus in Dogs
292. Diabetes Mellitus in Cats
293. Hyperadrenocorticism (Cushing's Syndrome) in Dogs
294. Feline Hyperadrenocorticism
295. Non-Cortisol-Secreting Adrenocortical Tumors
296. Hypoadrenocorticism
297. Gastrointestinal Endocrinology
298. Pheochromocytoma
Section XX Renal Disease
299. Clinical Approach and Laboratory Evaluation of Renal Disease
300. Acute Kidney Injury
301. Chronic Kidney Disease
302. Glomerular Diseases
303. Renal Tubular Diseases
304. Pyelonephritis
305. Familial and Congenital Renal Diseases of Cats and Dogs
Section XXI Lower Urinary Tract Disease
306. Ureteral Disorders
307. Lower Urinary Tract Infections
308. Lower Urinary Tract Urolithiasis in Dogs
309. Lower Urinary Tract Urolithiasis—Feline
310. Diseases of Abnormal Micturition
311. Feline Idiopathic/Interstitial Cystitis
312. Urethral Disorders
313. Congenital Lower Urinary Tract Disorders
314. Prostatic Diseases
315. Reproductive Disorders in Neutered Male and Female Dogs and Cats
Section XXII Cancer
316. Tumor Biology
317. Principles and Practice of Chemotherapy
318. Principles and Practice of Radiation Oncology
319. Cancer Immunotherapy
320. Molecular Targeted Therapy
321. Complications of Cancer Therapy
322. Hematopoietic Tumors
323. Tumors of the Skin
324. Soft Tissue Sarcomas
325. Hemangiosarcoma
326. Primary Bone Tumors in Dogs
327. Mast Cell Disease
328. Canine and Feline Histiocytic Diseases
329. Mammary Gland Tumors
330. Urogenital Tumors
331. Paraneoplastic Syndromes
Index