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Preface



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           With this fourth edition, the Clinical Veterinary Advisor enters its 15th
                                                                  Indeed, it includes useful lists like important hepatotoxins, blood types
           year. What a journey so far! Its existence, and endurance, are a testimony   that the material includes much more than just differential diagnoses.
           to the veterinarians, veterinary students, technicians, and many others who   prevalence, antimicrobial spectrum of disinfectants, and much more.
           have given it their genuine support. The positive comments, suggestions   Entirely new to this edition are mnemonics: memory-helping devices
           for improvements, and identification of errors fell on our receptive ears,   that present useful information in the most compact way possible.
           and we have benefited greatly from this input. A glance back at the first,   •  New chapters have been added to all sections of the book. This edition
           purple-cover edition shows how much ground we have covered—and the   provides practical information on laboratory tests such as symmetric
           first edition was already a point of real pride. The subsequent editions,   dimethylarginine (SDMA) and Factor Xa inhibition. Likewise, there
           including this fourth one, would not have been possible without the   are new algorithms, including a step-by-step approach to treatment
           enthusiasm we received from the readers who put this text to work in   of hypernatremia with examples of mathematical calculations to help
           improving their day-to-day practice of veterinary medicine.  you choose the most appropriate fluid plan.
              What makes this edition better? By far the most impactful change has   •  A terrific aspect of practical and user-friendly material, we hope, is the
           been the joint involvement of the two of us. Dr. Leah Cohn is a clinician,   creation of more than 35 new client consent templates. These simple
           researcher, and teacher with a specialty in small animal internal medicine.   documents describe routinely performed procedures, such as feline
           Her extensive work in infectious diseases, in respiratory medicine, and   and canine neuter, dental prophylaxis and extraction, and general
           in urology makes her a well-rounded specialist and, to many of us, the   anesthesia in complete yet simple layperson’s terms. The purpose is
           internist’s internist. She has mentored literally thousands of veterinarians,   to inform the client about the planned procedure, and importantly,
           both general practitioners and specialists. Leah has spearheaded this   each document concludes with a statement of release of liability for
           edition after being the Nephrology and Urology editor since the inaugural   clients to sign signifying that they understand the procedure and the
           edition. It was my (Côté’s) dearest wish that she would take the reins   foreseeable risks. These client consent templates go beyond the collection
           of the Advisor, and I am eternally grateful to Leah for having done it   of Client Information Sheets that have been in the Advisor since its
           so well. Her insights have made this the very best edition to date, and   first edition and continue to grow (now 200, in both English and
           by far. The credit for recruiting, organizing, reviewing, persisting, and   Spanish). The client consent templates expand the Advisor’s mandate,
           troubleshooting, from the very beginning of this edition, belongs with   which is to inform readers with practical material in an efficient way,
           Leah. Likewise, all of this edition’s innovations and improvements exist   into this new area that we are not aware of being covered in other
           thanks to her.                                         textbooks.
              As always, finding ways to improve on the last edition but not increase   •  Finally, new videos and a revamped drug formulary are included, with
           the book’s physical size has been a tremendous challenge.  bonus information in the online edition such as a generic to brand-name
           •  Existing chapters have been comprehensively updated and edited to   synonym cross reference for those times that you can remember the
             reflect changes in best practices. Once again, the foremost principle   name “Prozac” but “fluoxetine” just won’t come to mind.
             was to anticipate what a reader might be looking for when reaching   The Advisor continues to include both a hard copy textbook and
             for this book, and to make sure that was at the core of every item in   an electronic platform. The purpose is to appeal to readers who are
             this edition.                                      resolutely print-friendly—those of us who remember the approximate
           •  The portion of the text devoted to Diseases and Disorders includes   position of a fact or photograph on a page and quickly flip through the
             35 new chapters on such clinically relevant topics as idiopathic   book to find it—as well as to all of us who benefit from the electronic
             hypercalcemia of cats, movement disorders, incidentally detected   medium: searching, storing, etc. The electronic edition is comprehensive
             heart murmurs, food-related hyperadrenocorticism, and postoperative   and contains not only all the material in the print book but many
             hemorrhage of sighthounds. These chapters, like everything else in   additional bonus chapters, lists, and algorithms.
             the book, had to clear the bar of being current, clinically important,   From the first edition to this fourth, the Clinical Veterinary Advisor
             and written simply and with utmost accuracy.       has been a labor of love. We love helping pets and their people.
           •  We have added 43 newly described procedures to the text, and all   While we have received great feedback on the Advisor through the
             procedures are notated with a level of difficulty. Those with “one   years, one comment that stands out is that the Advisor works like a Swiss
             diamond” are described in enough detail that a veterinarian should   Army knife. The metaphor is a tremendous compliment: other books
             be able to open the book and complete the task, such as performing   and resources may have individual strengths that are superior—a better
             a fecal transplant or administering a lipid emulsification infusion for   blade, a better screwdriver—but the Advisor aims to bring the essentials
             intoxications. At the other extreme, “three diamond” procedures provide   into one reliable and portable instrument. This continues to be our goal:
             the practitioner with the kind of “need-to-know” information that   to provide you with a ready resource to provide practical guidance for
             will facilitate client conversations before referral for more specialized   the care of pets and their people. We thank you in advance for your
             care, such as the placement of a subcutaneous ureteral bypass device.   comments, corrections, and general input.
             The “two diamond” techniques are very doable but might take a bit of
             practice with a more experienced colleague for a typical veterinarian.                       Leah Cohn
           •  An  entire  section  has  been  expanded.  The  Differential  Diagnosis                    Etienne Côté
             section is now Differentials, Lists, and Mnemonics, to acknowledge            4thclinicalvetadvisor@gmail.com













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