A Pharmacopoeia Including the Outlines of Materia Medica and by Richard V. Tuson

By Richard V. Tuson

Writer: Philadelphia, P. Blakiston, Son

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Sample text

Hard palate. ½ Floor of mouth and tongue, lingual frenulum. g. caries, fracture. ½ Full oral examination requires the following: ½ Time to record findings using a standard dental chart, so that severity and change over time may be assessed. ½ General anaesthesia, in most patients. ½ Screening blood tests are often recommended prior to general anaesthesia, as many patients will be elderly. It is important that if screening blood tests are undertaken a clear action plan is available in response to any abnormalities found.

4 C L I N I C A L P R E S E N TAT I O N Inappetence and anorexia INAPPETENCE/ANOREXIA History Watch the animal eating or get the owner to video eating No apparent environmental stress or *dietary change Anorexia/inappetence prolonged without weight loss: is there access to food elsewhere? Is there interest in food? No Yes Oral, cranial and neurologic examination normal Neurologic examination of cranial nerves for abnormalities Rule out systemic disease, particularly disease of the pancreas and GI tract Examination, imaging and endoscopy under GA.

4) Note ½ Look for calorie loss through urine (protein/glucose) or due to severe skin disease. § No PU and high urine SG Yes Check for use of diuretics, corticosteroids or recent change to dry diet Evidence of pain, neurologic disease No CBC; biochemistry (inc. g. fever, vomiting, diarrhoea, excessive panting, recent dehydration Rule out: • Diabetes mellitus • Glycosuria • Post-obstructive diuresis • Infection (pyometra)* • Renal disease* • Hypokalaemia • Hypercalcaemia • Hyperthyroidism • Pyelonephritis* • Polycythaemia • Liver disease Rule out: • Hypothyroidism • Pancreatic insufficiency Rule out: • Hyperadrenocorticism (HAC) Rule out: • Compensated renal disease • Pyelonephritis • Pituitary disease* Notes ½ §Don’t forget to add water in wet food (75% of weight).

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