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Clinical Reasoning in Veterinary Practice
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Страница 1
Table of Contents
List of Tables
List of Illustrations
Guide
Pages
Clinical Reasoning in Veterinary Practice Problem Solved!
Страница 8
About the Editors
List of Contributors
Preface
Acknowledgements
Страница 13
CHAPTER 2 Introduction to logical clinical problem‐solving
The why
Introduction to clinical reasoning
Why are some cases frustrating instead of fun?
Solving clinical cases
Case 1: ‘Sundance’
Case 2: ‘Brutus’
Case 3: ‘Erroll’
Pattern recognition
I’ll do bloods!
Problem‐based inductive clinical reasoning
Essential components of problem‐based clinical reasoning The problem list
How likely is a diagnosis?
The problem‐based approach
Define and refine the problem
Refine the problem
Why is it so important to define and refine the problem?
Define and refine the system
Why is it so important to define and refine the system?
How to differentiate primary from secondary system involvement?
Define the location
Define the lesion
Putting it all together What do I need to do to define the problem, system, location or lesion?
Are the steps always in the same order?
But does pattern recognition have a place?
Combinations of clinical signs
Does this make sense?
Think pathophysiologically
It may appear tedious at times!
Ancillary benefits
Time waster or time saver?
Key points
CHAPTER 3 Vomiting, regurgitation and reflux
The why
Pathophysiology
Initiation and the process of vomiting
Vomiting centre
Central stimulation
Vestibular apparatus
Chemoreceptor trigger zone
Peripheral receptors
ASSESSMENT OF THE PATIENT REPORTED TO BE VOMITING Define the problem
Why is it important to differentiate vomiting from regurgitation, reflux and coughing?
Clues to help differentiation of vomiting, regurgitation and reflux
Haematemesis
Nausea
Define and refine the system Primary vs. secondary gastrointestinal disorders
Why is it important to differentiate primary from secondary GI disease?
What are the clues that the patient has primary or secondary GI disease causing vomiting?
Exceptions to the ‘rules’
Define the location
Define the lesion Primary GI diseases causing vomiting
Diseases of the stomach
Intestinal disease
Secondary GI diseases causing vomiting
Haematemesis
Causes of regurgitation
Diagnostic approach to the patient reported to be vomiting
When is clinical pathology useful?
When is a fuller work‐up rather than symptomatic therapy indicated?
In conclusion
Key points
Questions for review
Case example
Define the problem
Define the system
Define the location
Define the lesion
Case outcome
CHAPTER 4 Diarrhoea
The why
Introduction and classification
Pathophysiology
Classification of diarrhoea
Define the problem
Define the location
Define and refine the system
Define the lesion
Diagnostic approach to the patient with diarrhoea Small bowel diarrhoea Acute vs. chronic
When to investigate?
Summary
Key points
Questions for review
Case example
Define the problem
Define the location
Define the system
Define the lesion
Case outcome
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