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5 Cards in this Set
- Front
- Back
- 3rd side (hint)
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6 Basic Steps of Physical Exam
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1. General Appearance/Initial Observations
2. Signalment/History 3. Body Condition Score (BCS) 4. Vital Signs 5. Physical Exam 6. ASA Assessment |
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Step 1 of Physical Exam:
General Appearance / Initial Observations Includes: |
- General Appearance / Observations (how animal walks in exam room, foul smelling breath)
- Symmetry/Asymmetry (lameness / arthritis on one side, increased muscle structure in front legs) - Mentation/Level of Consciousness-attentiveness/reaction to environment-Can ask owner: Is behavior typical for the environment? (BAR, QAR) *Goal = hone in on exam (checklist) |
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Step 2 of Physical Exam:
Signalment / History includes: |
Signalment:
- Age - Breed - Sex - Reproductive status (Spayed/Neutered, In-tact) - When was the last heat cycle? (If Female isn't spayed) - Confirm signalment |
History:
- Recorded in Subjective portion of chart - Should have a directional flow - Ask strategic questions / open-ended questions (not yes / no questions) - Professional & personable |
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History: General Management Questions
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- How did you obtain your pet?
~Environment / Living conditions - How long have you had your pet? - What are the current living conditions? ~Is the pet w/other animals? ~Indoor or outdoor? |
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History: Preventative Medicine Questions
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- Type of diet?
~frequency & amount - Date of last vx? (only ask if not utd) - When was last dose of flea/tick/heartworm preventative medications? |
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