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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 |
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Otoscope: the _______________ is placed in the ear canal. |
speculum |
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Stethoscope - used for auscultating what three things / sounds? |
1. heart sounds 2. lung sounds 3. digestive tract sounds |
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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
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Every instrument should be _______________ and _________________ after its use. |
cleaned and disinfected |
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PE - What 3 things should be assessed PRIOR to exam? |
1. overall demeanor 2. temperment 3. condition |
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How (generally) should a PE be performed each time? |
the same way so that you develop a routine and don't miss anything. |
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PE - begins at the ___________ and progressed methodically ______________ to the _____________. |
nares
caudally
tail |
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What is considered NORMAL for...?
reflexes
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keen w/sharp reaction to stimuli |
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What is considered NORMAL for...?
eyes
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clear, bright, free of discharge |
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What is considered NORMAL for...?
nares
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clear orifices with no discharge |
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What is considered NORMAL for...?
ears
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clean and odor free |
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What is considered NORMAL for...?
skin / coat
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glossy coat
skin that is supple and free of wounds / parasites |
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What is considered NORMAL for...?
weight |
suitable weight for breed
no signs of obesity or wastage |
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What is considered NORMAL for...?
limb movement |
free movment
no signs of stiffness or pain |
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TPR = |
temp
pulse
respiration |
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TRUE or FALSE:
TPR may increase with stress of hospital visit |
TRUE |
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What is considered NORMAL for...?
mucous membranes / CRT |
pink
CRT of 1-2 seconds |
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What is considered NORMAL for...?
urine |
clear, pale yellow
passed without difficulty |
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What is considered NORMAL for...?
feces |
firm, brown
passed freely without pain or straining |
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What is considered NORMAL for...?
eating / drinking |
healthy appetite / intake of H2O |
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PE protocol: What are the 3 main parts? |
1. Establish medical record
2. Obtain TPR
3. Observe animal systematically |
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PR Protocol:
1. Establish medical record:
name 3 things to include: |
1. patient signalment (breed, age sex)
2. client info
3. patient history |
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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 |
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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 |
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Questions to ask when obtaining medical Hx:
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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
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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 |
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Anorexia: |
not eating |
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Polyuria / Polydipsia (PU/PD) |
increased water intake + increased urination |
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Anuria |
lack of urine production |
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Dysuria |
painful or difficult urination |
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Hematuria |
blood in urine |
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Oliguria |
decrease in urinary output |
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Water intake: normal |
44 - 66 ml / kg / day |
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Output of urine should be: |
similar to amount of maintenance of intake of H2O
(varies with intake) |
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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 |
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Listlessness |
lack of alertness.
Seems tired |
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Vomiting is common in which two species?
|
dogs & cats |
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Vomiting is uncommon in which two species? |
rodents
ruminants |
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Questions to ask re: vomiting |
1. occasional, frequent, or VERY frequent?
2. before or after eating?
3. what is in it? |
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Questions to ask re: diarrhea |
1. how long has it been happening
2. smell?
3. mucus?
4. blood?
5. color - dark? red? |
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Questions to ask re: constipation: |
1. is animal urinating? (esp. male cats)
are they sure animal is straining to DEFECATE? |
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Questions to ask re: lameness |
1. how long has it been going on?
2. which limbs affected?
3. swelling?
4. relationship to exercise? |
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paralysis: |
inability to move all or part of the body due to nerve damage |
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Symptoms of skin diseases (name 5) |
1. scratching 2. hair loss 3. odor 4. parasites 5. sores |
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alopecia: |
hair loss
usually associated with a skin disease or barbering |
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barbering: |
one animal chest off patches of hair from another animal |
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pruritis: |
constant or frequent scratching
usually due to irritation of skin from external parasites
skin appears scaly or reddened |
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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 |
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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? |
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tumor: |
any abnormal growth, swelling, or lump
ex. abscess caused by bacteria
often refers to cancerous tumor
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Questions to ask re: coughing |
1. when did it start? 2. productive? 3. when does it happen? (pm, post-exercise, excitement, etc.) |
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3 Things to note re: bleeding |
1. color
2. amount
3. frequency |
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Anemia - visible symptoms / things to look for: |
1. pale mucus membranes / skin
2. white gums
3. prolonged CRT |
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Stunted growth can be due to these 4 things: |
1. genetics 2. infections 3. parasites 4. poor husbandry |
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Circling / head tilt often indicates what kind of infection? |
middle ear |
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Discharge (of the nose, eye, vagina, or ear) is often associated with what type of infection? |
internal organs
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Dyspnea: |
difficulty breathing
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labored or rapid breaths are common signs of: __________________________ |
pneumonia |