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8 Cards in this Set

  • Front
  • Back

History

The first step in the evaluation of a patient

Confirm answers to questions by ________

Repeating the answers back to the client

Steps to Obtaining a Medical History

Introduce yourself to the client


Explain what you are doing


Ask for the patients name


Ask the sex of the patient


Write down everything

How to Ask the Questions

Simple Language to make sure the client understands


Open-ended questions


Avoid Being Judgmental of the care and management of pet

Signalment

Age


Sex


Reproductive Status


Breed

Background Information

How long has pet been owned


where and when was it obtained


any previous medical conditions


where does pet spend most of its time


what is normal routine


what is normal diet


any recent changes in diet


did pet eat anything abnormal or unusual

Preventive Medicine History

Vaccine History


Flea/Tick Prevention


Heartworm Prevention

Household Information History

Any other pets in household


Health status of other pets


Any pets visiting