Page 3324 - Cote clinical veterinary advisor dogs and cats 4th

• Other risks are even less common, but can include infection • You understand the alternatives to this procedure for your pet
of the surgical site, or dehiscence (opening) of the site. Very • You agree that you have been given time to ask questions regard-
rarely, other tissues can be damaged during the procedures, ing the procedure, that these have been answered satisfactorily,
especially the ultrasound-guided procedure. and that you are free to decline the procedure.
VetBooks.ir identify a specific cause of your pet’s illness despite performing ____________________________________ ______________
• Finally, you should know that there is a risk that we will not
the liver biopsy.

Other anticipated risks specific to your pet:___________________ Signature of pet owner/owner’s agent Date
_________________________________________________________ ____________________________________ ______________

Witness to consent (signature) Date
ALTERNATIVES TO THE PROCEDURE
A fine-needle aspirate uses a regular hypodermic needle, like the ____________________________________
ones used to give vaccines, to take a small number of cells as a
sample from the liver. This can be helpful, especially if liver cancer Witness to consent (printed name)
is a concern. However, aspirates cannot provide the structural
information that is available from liver biopsy (for example, the
fibrosis seen in a biopsy from a cirrhotic liver cannot be identified
in an aspirate sample). Additionally, there is not enough tissue from
an aspirate to perform some of the key tests done on a biopsy,
such as measurement of liver copper levels.
Without the additional information provided by liver biopsy,
we would need to develop a treatment plan without a confirmed
diagnosis, which might lead to a suboptimal outcome.
AUTHORIZATION
By signing this form, above right, you agree that:
• You understand how/why the procedure is likely to help your
pet
• You understand what will be done to your pet during the
procedure
• You understand the known risks that accompany the procedure,
and also understand that unforeseen complications may occur Practice Stamp or Name & Address
• You understand that the procedure may not produce the results
we hope to achieve

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From Cohn and Côté: Clinical Veterinary Advisor, 4th edition. Copyright © 2020 by Elsevier Inc. All rights reserved.