Clive Elwood - Academia.edu (original) (raw)
Papers by Clive Elwood
BSAVA Manual of Canine and Feline Gastroenterology, 2019
Veterinary Record, 2021
Members of Veterinary Humanities UK argue that the vet professions should move away from using th... more Members of Veterinary Humanities UK argue that the vet professions should move away from using the term 'gold standard care' and instead adopt 'contextualised care', which acknowledges that different treatment pathways are able to offer equally acceptable patient journeys in different contexts.
Companion Animal, 2019
The author describes his path into and out of leading a large veterinary referral practice, and r... more The author describes his path into and out of leading a large veterinary referral practice, and reflects on the challenges and rewards of leadership. Moving into a leadership role generally requires development of new skills and insight, and may mean old roles have to be passed on. The value of skills transferable from the clinic, such as listening, questioning, problem solving and trusting, are highlighted. The demands of task management, relationship management, external networking and change management are discussed. Reflecting from outside of the role, the importance of leadership development, self-care, daring, personal growth and change are acknowledged.
Veterinary Record Case Reports, 2019
An 8-year-old female neutered domestic shorthair diagnosed with idiopathic hypercalcaemia and und... more An 8-year-old female neutered domestic shorthair diagnosed with idiopathic hypercalcaemia and undergoing weekly treatment with alendronate presented to Davies Veterinary Specialists for progressive facial swelling and discomfort 12 months after commencement of bisphosphonate treatment. Progression of the pathology was documented through clinical history from the referring practice when the patient underwent dental treatment with dental radiographs and then subsequently CT evaluation of the lesions. Proliferative and lytic, multifocal bony changes to the jaw, with a strikingly similar radiographic appearance to that seen in humans suffering from bisphosphonate-related osteonecrosis of the jaw (BRONJ), were seen. BRONJ is a well-recognised side effect of bisphosphonate therapy in people undergoing bisphosphonate therapy for the management of malignant hypercalcaemia. The cat was eventually euthanised due to the development of an abdominal mass and declining quality of life.
In Practice, 2006
DISORDERS associated with regurgitation and failure of oesophageal function can be difficult to d... more DISORDERS associated with regurgitation and failure of oesophageal function can be difficult to define and frustrating to treat. Aspiration pneumonia is a common and potentially life‐threatening sequela and, for this and other reasons, every effort must be made to define the disorder and institute appropriate management as early as possible. Often, various treatments may need to be tried and tested to determine which is most suitable for an individual patient. This article provides guidance on diagnostic approaches and treatment options for the clinician presented with a dog with suspected oesophageal disease.
In Practice, 2003
VOMITING is a common presenting complaint in canine clinical practice and dogs seem particularly ... more VOMITING is a common presenting complaint in canine clinical practice and dogs seem particularly prone to vomiting without much encouragement. It is part of the clinician's role to determine whether vomiting is frequent enough or associated with other clinical signs that indicate a need for treatment or further investigation. Ultimately, a correct diagnosis and appropriate management depend on good clinical practice and, as discussed in this article, a logical approach to the investigation. At each stage, careful assessment is required to ensure that diagnostic tests are suitably discriminatory. Results must be critically appraised and related back to the clinical presentation of the patient at all times.
Companion Animal, 2011
Manual of Trauma Management in the Dog and Cat provides quick access to clinically relevant infor... more Manual of Trauma Management in the Dog and Cat provides quick access to clinically relevant information on stabilising, diagnosing, and managing the trauma patient. The book uses an outline format to provide fast access to essential information, focusing on practical advice and techniques for treating traumatic injuries. Manual of Trauma Management in the Dog and Cat is an ideal handbook for quickly and confidently managing this common presenting complaint. April 2011; ISBN 9780470958315; 392 pages; Illustrated paperback Normal price: £51.99 CLUB PRICE-JUST £41.59
The Journal of small animal practice, 2005
In Practice, 2008
IN 2006, Gerry Polton and Clive Elwood described how an infection control group was set up in the... more IN 2006, Gerry Polton and Clive Elwood described how an infection control group was set up in their practice to investigate infection risks and improve hygiene practices (In Practice, October 2006, volume 28, pp 548-550). The practice duly saw improvements in the incidence of hospital-acquired infections. However, infection control is an ongoing process and here they report further on what has been learned from their experiences.
In Practice, 2006
TWO years ago, in response to concerns about the nosocomial infection rate in its veterinary hosp... more TWO years ago, in response to concerns about the nosocomial infection rate in its veterinary hospital, Davies Veterinary Specialists set up an infection control group to investigate infection risks and improve hygiene practices. As Gerry Polton and Clive Elwood explain, this has led to tangible improvements in the incidence of hospital‐acquired infections and has also had significant spin‐offs in terms of improved patient care and enhanced staff morale.
Veterinary Nursing Journal, 1994
Veterinary Record, 2002
Background: Capillaria hepatica is a zoonotic parasite in humans and animals and has a worldwide ... more Background: Capillaria hepatica is a zoonotic parasite in humans and animals and has a worldwide distribution. However, infections in mammals apart from rodents, which are natural hosts of the parasite, have rarely been reported. This report describes the first known case of C. hepatica infection in a horse in Japan. Case presentation: A 3-year-old filly without clinical signs was presented at a slaughterhouse in Japan. Gross examination revealed white to tan nodules 0.5 to 1.5 cm in diameter in the parenchyma of the liver. Histologically, the nodules had mature fibrous capsules and consisted of multifocal to coalescing granulomatous inflammations with numerous nematode eggs. The eggs were barrel shaped with an opercular plug on each end and double-layered shells; these findings are consistent with the features of C. hepatica eggs. Conclusions: To our knowledge, this is the first case of C. hepatica infection in a horse in Japan. The pathological findings confirmed the presence of this pathogen in this part of the world, and they highlight the importance of this nematode in the differential diagnosis of hepatic granulomatous lesions in horses.
Veterinary Record, 2008
CLINICAL IMMUNOLOGY OF THE DOG AND CAT, 2nd edn Michael Day. 464 pages, hardback, £95.00. London,... more CLINICAL IMMUNOLOGY OF THE DOG AND CAT, 2nd edn Michael Day. 464 pages, hardback, £95.00. London, Manson Publishing. 2008. ISBN 978 1 84076 098 9 ![Figure][1] HAVING reviewed the first edition of this book, published in 1999, I jumped at the chance to
Journal of Small Animal Practice, 2006
Journal of Feline Medicine and Surgery, 2014
A 13-year-old female domestic shorthair cat presented with polyphagia and weight loss. Marked sys... more A 13-year-old female domestic shorthair cat presented with polyphagia and weight loss. Marked systolic hypertension was found on examination. Elevated total thyroxine levels confirmed hyperthyroidism, and hypokalaemia was also documented. A euthyroid state and normotension were achieved following 4 weeks of treatment with carbimazole and amlodipine. Despite potassium supplementation, the hypokalaemia worsened. Abdominal ultrasonography revealed left adrenomegaly. Plasma aldosterone concentrations were initially in the lower half of the reference interval and, when repeated 2 months later, were undetectable. Urea and creatinine remained in the lower half of the reference interval throughout treatment, and urine specific gravity suggested good urine concentrating ability. The fractional excretion of potassium confirmed a renal source of potassium loss. Blood gas analysis was unremarkable. It was theorised that an aldosterone precursor was causing signs of mineralocorticoid excess and ...
BSAVA Manual of Canine and Feline Gastroenterology, 2019
Veterinary Record, 2021
Members of Veterinary Humanities UK argue that the vet professions should move away from using th... more Members of Veterinary Humanities UK argue that the vet professions should move away from using the term 'gold standard care' and instead adopt 'contextualised care', which acknowledges that different treatment pathways are able to offer equally acceptable patient journeys in different contexts.
Companion Animal, 2019
The author describes his path into and out of leading a large veterinary referral practice, and r... more The author describes his path into and out of leading a large veterinary referral practice, and reflects on the challenges and rewards of leadership. Moving into a leadership role generally requires development of new skills and insight, and may mean old roles have to be passed on. The value of skills transferable from the clinic, such as listening, questioning, problem solving and trusting, are highlighted. The demands of task management, relationship management, external networking and change management are discussed. Reflecting from outside of the role, the importance of leadership development, self-care, daring, personal growth and change are acknowledged.
Veterinary Record Case Reports, 2019
An 8-year-old female neutered domestic shorthair diagnosed with idiopathic hypercalcaemia and und... more An 8-year-old female neutered domestic shorthair diagnosed with idiopathic hypercalcaemia and undergoing weekly treatment with alendronate presented to Davies Veterinary Specialists for progressive facial swelling and discomfort 12 months after commencement of bisphosphonate treatment. Progression of the pathology was documented through clinical history from the referring practice when the patient underwent dental treatment with dental radiographs and then subsequently CT evaluation of the lesions. Proliferative and lytic, multifocal bony changes to the jaw, with a strikingly similar radiographic appearance to that seen in humans suffering from bisphosphonate-related osteonecrosis of the jaw (BRONJ), were seen. BRONJ is a well-recognised side effect of bisphosphonate therapy in people undergoing bisphosphonate therapy for the management of malignant hypercalcaemia. The cat was eventually euthanised due to the development of an abdominal mass and declining quality of life.
In Practice, 2006
DISORDERS associated with regurgitation and failure of oesophageal function can be difficult to d... more DISORDERS associated with regurgitation and failure of oesophageal function can be difficult to define and frustrating to treat. Aspiration pneumonia is a common and potentially life‐threatening sequela and, for this and other reasons, every effort must be made to define the disorder and institute appropriate management as early as possible. Often, various treatments may need to be tried and tested to determine which is most suitable for an individual patient. This article provides guidance on diagnostic approaches and treatment options for the clinician presented with a dog with suspected oesophageal disease.
In Practice, 2003
VOMITING is a common presenting complaint in canine clinical practice and dogs seem particularly ... more VOMITING is a common presenting complaint in canine clinical practice and dogs seem particularly prone to vomiting without much encouragement. It is part of the clinician's role to determine whether vomiting is frequent enough or associated with other clinical signs that indicate a need for treatment or further investigation. Ultimately, a correct diagnosis and appropriate management depend on good clinical practice and, as discussed in this article, a logical approach to the investigation. At each stage, careful assessment is required to ensure that diagnostic tests are suitably discriminatory. Results must be critically appraised and related back to the clinical presentation of the patient at all times.
Companion Animal, 2011
Manual of Trauma Management in the Dog and Cat provides quick access to clinically relevant infor... more Manual of Trauma Management in the Dog and Cat provides quick access to clinically relevant information on stabilising, diagnosing, and managing the trauma patient. The book uses an outline format to provide fast access to essential information, focusing on practical advice and techniques for treating traumatic injuries. Manual of Trauma Management in the Dog and Cat is an ideal handbook for quickly and confidently managing this common presenting complaint. April 2011; ISBN 9780470958315; 392 pages; Illustrated paperback Normal price: £51.99 CLUB PRICE-JUST £41.59
The Journal of small animal practice, 2005
In Practice, 2008
IN 2006, Gerry Polton and Clive Elwood described how an infection control group was set up in the... more IN 2006, Gerry Polton and Clive Elwood described how an infection control group was set up in their practice to investigate infection risks and improve hygiene practices (In Practice, October 2006, volume 28, pp 548-550). The practice duly saw improvements in the incidence of hospital-acquired infections. However, infection control is an ongoing process and here they report further on what has been learned from their experiences.
In Practice, 2006
TWO years ago, in response to concerns about the nosocomial infection rate in its veterinary hosp... more TWO years ago, in response to concerns about the nosocomial infection rate in its veterinary hospital, Davies Veterinary Specialists set up an infection control group to investigate infection risks and improve hygiene practices. As Gerry Polton and Clive Elwood explain, this has led to tangible improvements in the incidence of hospital‐acquired infections and has also had significant spin‐offs in terms of improved patient care and enhanced staff morale.
Veterinary Nursing Journal, 1994
Veterinary Record, 2002
Background: Capillaria hepatica is a zoonotic parasite in humans and animals and has a worldwide ... more Background: Capillaria hepatica is a zoonotic parasite in humans and animals and has a worldwide distribution. However, infections in mammals apart from rodents, which are natural hosts of the parasite, have rarely been reported. This report describes the first known case of C. hepatica infection in a horse in Japan. Case presentation: A 3-year-old filly without clinical signs was presented at a slaughterhouse in Japan. Gross examination revealed white to tan nodules 0.5 to 1.5 cm in diameter in the parenchyma of the liver. Histologically, the nodules had mature fibrous capsules and consisted of multifocal to coalescing granulomatous inflammations with numerous nematode eggs. The eggs were barrel shaped with an opercular plug on each end and double-layered shells; these findings are consistent with the features of C. hepatica eggs. Conclusions: To our knowledge, this is the first case of C. hepatica infection in a horse in Japan. The pathological findings confirmed the presence of this pathogen in this part of the world, and they highlight the importance of this nematode in the differential diagnosis of hepatic granulomatous lesions in horses.
Veterinary Record, 2008
CLINICAL IMMUNOLOGY OF THE DOG AND CAT, 2nd edn Michael Day. 464 pages, hardback, £95.00. London,... more CLINICAL IMMUNOLOGY OF THE DOG AND CAT, 2nd edn Michael Day. 464 pages, hardback, £95.00. London, Manson Publishing. 2008. ISBN 978 1 84076 098 9 ![Figure][1] HAVING reviewed the first edition of this book, published in 1999, I jumped at the chance to
Journal of Small Animal Practice, 2006
Journal of Feline Medicine and Surgery, 2014
A 13-year-old female domestic shorthair cat presented with polyphagia and weight loss. Marked sys... more A 13-year-old female domestic shorthair cat presented with polyphagia and weight loss. Marked systolic hypertension was found on examination. Elevated total thyroxine levels confirmed hyperthyroidism, and hypokalaemia was also documented. A euthyroid state and normotension were achieved following 4 weeks of treatment with carbimazole and amlodipine. Despite potassium supplementation, the hypokalaemia worsened. Abdominal ultrasonography revealed left adrenomegaly. Plasma aldosterone concentrations were initially in the lower half of the reference interval and, when repeated 2 months later, were undetectable. Urea and creatinine remained in the lower half of the reference interval throughout treatment, and urine specific gravity suggested good urine concentrating ability. The fractional excretion of potassium confirmed a renal source of potassium loss. Blood gas analysis was unremarkable. It was theorised that an aldosterone precursor was causing signs of mineralocorticoid excess and ...