Feline Medicine
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FELINE MEDICINE REVIEW & TEST Content Strategist: Robert Edwards Content Development Specialists: Clive Hewat, Veronika Watkins Project Manager: Sukanthi Sukumar Designer: Miles Hitchen Illustration Manager: Amy Naylor FELINE MEDICINE REVIEW & TEST Edited by Samantha Taylor BVetMed(Hons) CertSAM DipECVIM-CA MRCVS European Veterinary Specialist in Internal Medicine RCVS Recognized Specialist in Feline Medicine Distance Education Coordinator International Cat Care Tisbury UK Andrea Harvey BVSc DSAM(Feline) DipECVIM-CA MRCVS MANZCVS(Associate) Registered Feline Specialist (NSW) RCVS Recognized Specialist in Feline Medicine Small Animal Specialist Hospital (SASH) Sydney, NSW Australia Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2015 © 2015 Elsevier Ltd. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further infor- mation about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Pub- lisher (other than as may be noted herein). ISBN: 978-0-7020-4587-5 British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data A catalog record for this book is available from the Library of Congress Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treat- ment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluat- ing and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instruc- tions, or ideas contained in the material herein. Printed in Germany Contents Contributors �. vii Acknowledgements . ix Dedication �. xi Preface . .xiii Abbreviations . .xv Chapter 1 Dermatological disorders . 1 Chapter 2 Gastrointestinal and hepatic disorders �. 52 Chapter 3 Haematological disorders . 120 Chapter 4 Respiratory disorders . 143 Chapter 5 Urinary tract disorders �. 189 Chapter 6 Endocrinological disorders . 215 Chapter 7 Neurological disorders �. 249 Chapter 8 Toxicity and trauma . 274 Chapter 9 Miscellaneous disorders �. 300 v This page intentionally left blank Contributors Dominic Barfield, BSc BVSc Anne Fawcett, BA(Hons) BSc(Vet) MVetMed DACVECC MRCVS (Hons) BVSc(Hons) MVetStud GradCertEduc Lecturer in Veterinary Emergency (Higher Ed) and Critical Care Lecturer Royal Veterinary College Faculty of Veterinary Science London University of Sydney UK Camperdown Cases: 6.5, 8.1, 8.2, 8.3, 8.4 Australia Cases: 1.9, 1.10, 1.11, 1.12, 2.2, 2.3, Caroline J. Blundell, BVetMed 4.6, 5.2, 8.6, 9.13 CertSAM MANZCVSc MRCVS Co-Director Nikki C. Gaut, BVetMed MANZCVS The Oxford Cat Clinic (Feline Medicine) MRCVS Oxford Veterinary Surgeon UK London Cases: 2.14, 3.4 UK Cases: 1.2, 2.12, 2.13, 6.1, 9.3, 9.4 Lara Boland, BVSc(Hons) MANZCVS (Feline Medicine) Andrea M. Harvey, BVSc Senior Clinical Registrar in Small DSAM(Feline) DipECVIM-CA MRCVS MANZCVS(Associate) Animal Medicine University of Sydney Registered Feline Specialist (NSW) New South Wales RCVS Recognized Specialist in Feline Australia Medicine Cases: 2.11, 3.1, 4.2, 7.1, 9.8 Small Animal Specialist Hospital (SASH) Sydney, NSW Martha J. Cannon, BA VetMB Australia DSAM(Fel) MRCVS Case: 4.9 Director The Oxford Cat Clinic Natasha Hetzel, BSc BVSc CertSAM MRCVS Oxford UK Clinical Teaching Fellow in Small Cases: 2.14, 3.5, 5.3, 6.6, 6.7, 9.9, 9.10, Animal Internal Medicine 9.11, 9.12 University of Bristol Bristol UK Cases: 2.6, 2.7, 4.1, 6.2, 7.3 vii Contributors Roshan M. Jungalwalla, Elise E. Robertson, BS BVetMed BVSc (Hons) MACVS MACVSc(Feline) DipABVP(Feline) MRCVS Small Animal Veterinarian Director North Hobart Veterinary Hospital Feline Vet Ltd Hobart Feline Specialist Referrals & Australia Endoscopy Veterinary Referrals Cases: 1.8, 2.4, 4.5, 7.4, 9.7 Brighton UK Amy L. Lam, BVSc(Hons) Cases: 1.3, 2.8, 2.9, 4.3, 8.5 GradCertVetStud MANZCVS MRCVS and editorial support Senior Registrar, Small Animal Medicine Kirsty A.M. Roe, BVSc CertSAM Small Animal Specialist Hospital DipACVIM DipECVIM-Ca Sydney American and European Specialist in Australia Small Animal Internal Medicine Cases: 1.1, 3.3, 7.5, 7.6, 9.1 Willows Veterinary Centre and Referral Service Carolyn R. O’Brien, BVSc(Hons) Solihull MVetClinStud FACVSc(Feline Medicine) PhD UK The University of Melbourne Cases: 2.10, 6.4, 7.2, 9.2, 9.5 Melbourne Australia Anita M. Schwartz, MRCVS Cases: 1.4, 1.5, 1.6, 1.7, 2.5, 3.2, 4.4, Staff Clinician 5.1, 9.6 Langford Veterinary Services University of Bristol Rachel Perry, BSc BVM&S MANZCVS UK (Small Animal Dentistry & Oral Surgery) MRCVS Cases: 2.1, 4.7, 4.8, 4.10, 5.4 Director Perrydentalvet Ltd Samantha Taylor, BVetMed(Hons) East Sussex CertSAM DipECVIM-CA MRCVS UK Distance Education Coordinator Cases: 9.3, 9.4 RCVS Recognized Specialist in Feline Medicine International Cat Care Tisbury UK Cases: 5.5, 5.6, 6.3 viii Acknowledgements The Editors would like to acknowledge the International Society of Feline Medicine (ISFM) and Centre of Veterinary Education (University of Sydney) Feline Distance Education course, as many of the authors of the book were course participants, con- tributing cases that they had written for course assignments. As tutors of the ISFM/ CVE Feline distance education course, the Editors are also particularly proud of these authors in what they were able to achieve through having completed this course. Without the contributing authors this book could never have come about and we appreciate their hard work and effort. In addition we would like to thank the other clinicians, nurses and technicians involved in the care of the cats in this book. The Edi- tors would also like to express their ongoing gratitude to International Cat Care who have supported them both during and after their specialist training. Special thanks also go to Elise Robertson for editorial assistance and support. ix This page intentionally left blank Dedication For my boys: Brett, Alex and Leo. Thank you for your constant support and for always making me laugh. Samantha Taylor To my partner, Richard, for constantly inspiring me to be a better clinician, and to my many animals and patients who continue to teach me so much. Andrea Harvey xi This page intentionally left blank Preface Samantha Taylor and Andrea Harvey are both experienced clinicians and internation- ally recognized Specialists in Feline Medicine and have treated a large variety of feline medicine cases both in the United Kingdom and Australia. Having worked together for some years, their writing a book which collects together examples of some of the types of cases they have seen, from the more common to the unusual, was a challeng- ing but rewarding task. During their specialist training the editors have consulted many texts during revi- sion and when tackling challenging cases. They wanted to write a new type of textbook that was highly practical, user friendly and provides the reader with access to useful information at the turn of a page. Their aim has been to provide veterinary students and practitioners with real, and as such not always straightforward, cases covering a wide variety of disciplines, giving readers of Feline Medicine: Test and Review a useful resource with which to test their knowledge and learn a bit more about cats. The editors hope they have achieved their aim and that readers of this book feel better able to handle the challenges that this complex and interesting species presents to them in their clinics. xiii This page intentionally left blank Abbreviations ACE Angiotensin converting enzyme ACEi Angiotensin-converting enzyme inhibitor AChRAb Acetylcholine receptor antibody ACP Acepromazine ACT Activated clotting time ACTH Adrenocorticotrophic hormone ADH Alcohol dehydrogenase AFB Acid-fast bacilli AGP Acid glycoprotein AKI Acute kidney injury ALP Alkaline phosphatase ALT Alanine transaminase Ao Aorta APTT Activated partial thromboplastin time ARB Angiotensin