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59 Cards in this Set

  • Front
  • Back

Name 5 things to have with in reach to perform a PE or to monitor a post-op patient:

1. patient medical record


2. stethoscope


3. thermometer


4. otoscope


5. optholmascope

Otoscope: the _______________ is placed in the ear canal.

speculum

Stethoscope - used for auscultating what three things / sounds?

1. heart sounds


2. lung sounds


3. digestive tract sounds

Rectal thermometers should be:



well ________________.


Held in place for _________ minutes.


Inserted _________ to ________ its length.


Cleaned with ____________________.

1. lubricated


2. 3 minutes


3. 1/2 - 1/3


4. disinfectant


Every instrument should be _______________ and _________________ after its use.

cleaned and disinfected

PE - What 3 things should be assessed PRIOR to exam?

1. overall demeanor


2. temperment


3. condition

How (generally) should a PE be performed each time?

the same way so that you develop a routine and don't miss anything.

PE - begins at the ___________ and progressed methodically ______________ to the _____________.

nares



caudally



tail

What is considered NORMAL for...?




reflexes


keen w/sharp reaction to stimuli

What is considered NORMAL for...?



eyes


clear, bright, free of discharge

What is considered NORMAL for...?




nares


clear orifices with no discharge

What is considered NORMAL for...?



ears


clean and odor free

What is considered NORMAL for...?



skin / coat


glossy coat



skin that is supple and free of wounds / parasites

What is considered NORMAL for...?



weight

suitable weight for breed



no signs of obesity or wastage

What is considered NORMAL for...?



limb movement

free movment



no signs of stiffness or pain

TPR =

temp



pulse



respiration

TRUE or FALSE:



TPR may increase with stress of hospital visit

TRUE

What is considered NORMAL for...?



mucous membranes / CRT

pink



CRT of 1-2 seconds

What is considered NORMAL for...?



urine

clear, pale yellow



passed without difficulty

What is considered NORMAL for...?



feces

firm, brown



passed freely without pain or straining

What is considered NORMAL for...?



eating / drinking

healthy appetite / intake of H2O

PE protocol: What are the 3 main parts?

1. Establish medical record



2. Obtain TPR



3. Observe animal systematically

PR Protocol:



1. Establish medical record:



name 3 things to include:

1. patient signalment (breed, age sex)



2. client info



3. patient history

PE Protocol:



3. Observe animal systematically - how, using what, doing what?

1. cranial to caudal end



2. using sight, smell, touch



3. observe area of chief complaint

Systematic approach to observing and animal for PE:



12 steps

1. observe head @ arm's length


2. eyes


3. muzzle / nares


4. oral cavity (lips and CRT)


5. ears


6. Lymph nodes - anterior / submandibular / salivary glands


7. larynx, trachea, thyroid area, thoracic inlet


8. haircoat


9. trunk (mammary glands, vulva, penis, testes, perineal, anus)


10. lymph nodes


11. extremities


12. flex and extend all joints


13. feet

Questions to ask when obtaining medical Hx:



1. signalment


2. species


3. weight


4. neuter status


5. last heat


6. vax history


7. injuries


8. medications


9. surgeries


10. gained / lost weight?


11. Ave. daily food consumption?


12. Water intake


13. changes in urination


14. activity level


15. defecation / constipation / diarrhea


16. vomiting


What is the average daily food consumption for dogs and cats?

dogs: 1 cup dry food / day per 15-10 lbs



cats: 1 cup dry food / day

Anorexia:

not eating

Polyuria / Polydipsia (PU/PD)

increased water intake + increased urination

Anuria

lack of urine production

Dysuria

painful or difficult urination

Hematuria

blood in urine

Oliguria

decrease in urinary output

Water intake: normal

44 - 66 ml / kg / day

Output of urine should be:

similar to amount of maintenance of intake of H2O



(varies with intake)

Conversion of lbs to kgs:



Convert 40 lbs to kgs

40 / 2.2 = 18.18 kgs




40 lb x 1 kg = 18.18 kg


1 2.2 lbs

Listlessness

lack of alertness.



Seems tired

Vomiting is common in which two species?


dogs & cats

Vomiting is uncommon in which two species?

rodents



ruminants

Questions to ask re: vomiting

1. occasional, frequent, or VERY frequent?



2. before or after eating?



3. what is in it?

Questions to ask re: diarrhea

1. how long has it been happening



2. smell?



3. mucus?



4. blood?



5. color - dark? red?

Questions to ask re: constipation:

1. is animal urinating? (esp. male cats)



are they sure animal is straining to DEFECATE?

Questions to ask re: lameness

1. how long has it been going on?



2. which limbs affected?



3. swelling?



4. relationship to exercise?

paralysis:

inability to move all or part of the body due to nerve damage

Symptoms of skin diseases (name 5)

1. scratching


2. hair loss


3. odor


4. parasites


5. sores

alopecia:

hair loss



usually associated with a skin disease or barbering

barbering:

one animal chest off patches of hair from another animal

pruritis:

constant or frequent scratching



usually due to irritation of skin from external parasites



skin appears scaly or reddened

rough hair coat: what can it be due to? (4)

ruffled and dull appearance



1. vitamin deficiency


2. ecto / endo parasites


3. infections


4. malnutrition

Questions to ask re: swelling

1. how long has it been happening?


2. local or general?


3. soft or hard?


4. hot or cold?


5. painful?


6. discharge?

tumor:

any abnormal growth, swelling, or lump



ex. abscess caused by bacteria



often refers to cancerous tumor


Questions to ask re: coughing

1. when did it start?


2. productive?


3. when does it happen? (pm, post-exercise, excitement, etc.)

3 Things to note re: bleeding

1. color



2. amount



3. frequency

Anemia - visible symptoms / things to look for:

1. pale mucus membranes / skin



2. white gums



3. prolonged CRT

Stunted growth can be due to these 4 things:

1. genetics


2. infections


3. parasites


4. poor husbandry

Circling / head tilt often indicates what kind of infection?

middle ear

Discharge (of the nose, eye, vagina, or ear) is often associated with what type of infection?

internal organs


Dyspnea:

difficulty breathing



labored or rapid breaths are common signs of: __________________________

pneumonia