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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
www.ExpertConsult.com xxi