Physical examination Flashcards

(75 cards)

1
Q

Why is it important to use a logical sequence and methodology to assess a patient?

A

To ensure you have assessed the entire patient to prevent missing any important information

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2
Q

What does SOAP stand for?

A

S - subjective, How you think the patient is i.e things you can’t measure
O - Objective, Fact about the patient you can measure e.g TPR, pain score
A - Assessment, Identifying the situation, where is the patient in regards to its condition
P - Plan, Veterinary or nursing intervention for that day

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3
Q

As well as kennel guarding, what can agitation or vocalisation indicate in kennelled dogs?

A

The need to go to the toilet

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4
Q

What is the name given to describe characteristic, repetitive pacing movements that a horse may make around its stable?

A

Box-Walking

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5
Q

What is the name given to the locomotor stereotypy where a horse repetitively sways side to side, shifting weight and moving its head and neck back and forth typically over the stable door?

A

Weaving

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6
Q

What are the examples of oral stereotypy in horses?

A

Wind-sucking & Crib-biting

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7
Q

What are examples of vices in horses?

A

Pawing, Digging, door-kicking

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8
Q

How can you reduce stress when hospitalising prey animals?

A

House them away from predators

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9
Q

How can you reduce stress when hospitalising cats?

A

Don’t kennel at floor level, keep kennel area quiet, provide hiding places, don’t house cats facing each other provide F3 and F4 pheromones (feliway)

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10
Q

Why should horses be able to see others when stabled?

A

because they are herd animals

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11
Q

When should patients be isolated?

A

for infection control, seizures and intensive care

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12
Q

what should be noted during a physical examination of the head?

A

Correct posture, No head tilt, symmetrical, palpate and note any swellings and masses

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13
Q

what does stertor mean?

A

noise on inspiration

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14
Q

What does strider mean?

A

Noise on expiration

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15
Q

What should be noted during a physical examination of the external nares and upper respiratory tract?

A

External nares slightly moist, no discharge, both nares patient. Note any Stertor or Strider

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16
Q

What should be noted during a physical examination or the oral cavity?

A

No Jaw misalignment
No dental malocclusions or spurs
no ulceration
examine teeth and not any tartar, gingivitis, teeth fractures, missing teeth or halitosis
check hard pallet for wounds, foreign bodies, or congenital abnormalities in neonates (cleft palate)

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17
Q

What should be noted when examining a hamsters oral cavity?

A

check cheek pouches for food

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18
Q

what should be checked before anaesthetising a rodent?

A

check mouth for chewed bedding

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19
Q

What should be checked around the mouth?

A

skin fold pyoderma, hyper salivation

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20
Q

What would the clinical signs be in an animal that was <5% dehydrated?

A

Moist MMs, Normal skin turgor, CRT <2s, normal eye position, Normal HR

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21
Q

What would the clinical signs be in an animal that was 5-8% dehydrated?

A

Tacky MMs, slight tenting of the skin, CRT slightly prolonged, slightly sunken eye position, possibly slightly tachycardic

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22
Q

What would the clinical signs be in an animal that was 8-10% dehydrated?

A

Dry MMs, moderate tenting of the skin, prolonged CRT, eyes sunken within orbit, Tachycardia

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23
Q

what would the clinical signs be in an animal that was 10-12% dehydrated?

A

Dry MMs, tenting of skin that remains in place, CRT >2s, eyes sunken within orbit, Tachycardica & signs of shock

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24
Q

What would the clinical signs be in an animal that was 12-15% dehydrated?

A

Dry MMs, tenting of the skin that remains in place, CRT >2s, eyes sunken within the orbit, Shock, collapse, unconsciousness, death.

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25
What would cause a Pale MM colour and what might this indicate?
Too few red blood cells in circulation | indicates circulatory collapse
26
What would a Red MM colour indicate?
Sepsis, fever, extensive tissue dammage
27
What would cause a Blue/purple MM colour and what might this indicate?
Too little oxygen in the blood Indicated respiratory disease, heart disease URGENT OXYGENATION REQUIRED
28
What would cause a Yellow MM colour and what might this indicate?
Too much bilirubin in the blood indicates liver disease, bile flow obstruction, increased RBC destruction, equine/feline neonatal isoerythrolysis (remove from mother's milk)
29
What might cause chocolate brown MM colour in cats and dogs?
Paracetamol poisoning
30
What would cause a cherry red MM colour and what might this indicate?
Carbon monoxide replacing oxygen in red blood cells | indicates carbon monoxide poisoning from car fumes/fire
31
What does petechiae mean?
Capillaries bleeding under the skin causing small red or purple spots
32
What would cause Petechiae in the MMs and what might this indicate?
Submucosal haemorrhage | Indicated clotting disorders e.g. willebrand's disease, rodenticide poisoning
33
What does Icteric mean?
the same as jaundice - yellow colouring of the skin
34
What is a normal CRT time?
<2 seconds (less than 2 seconds)
35
What can a prolonged CRT time indicate?
Poor tissue perfusion | Hypovolaemia, Dehydration, heart failure, shock
36
What does hypovolaemia mean?
decreased volume of circulating blood in the body
37
What can a rapid CRT time indicate?
Severe sepsis, fever
38
What does blepharospasm mean?
squinting
39
What does exophthalmos mean?
Protrusions, mass/abscess on the eyeball
40
what does proptosis mean?
prolapse of the eye or abnormal eye placement
41
What does keratitis mean?
Inflammation of the cornea
42
What does Entropian mean?
internal rotation of the eyelids
43
What does Ectropian mean?
outward rotation of the eyelids
44
What does Distichia mean?
Extra row of eyelashes that rub against the globe
45
What is another term for the Nictitating Membrane?
Third eyelid
46
What is the proper term for the third eyelid
Nictitating Membrane
47
What does Aniscoria mean?
unequal pupil size
48
What is the Corpora Nigra?
A normal structure in a horses eye that extended out of the iris and functions to shade the pupil from glare
49
What is Scleral?
White outer layer of the eyeball
50
What does Uveitis mean?
Inflammation of the uvea (iris is part of this structure)
51
What should be noted when examining discharge from a patients eye?
Whether it is unilateral or bilateral - always get the vet to examine discharge before cleaning
52
What is Lymphadenopathies?
Disease of the lymph nodes
53
What are the signs of Lymphadenopathies?
Enlargement of the lymph nodes, abnormal shape
54
Which lymph nodes may not be palpated in a health cat or dog?
Axillary and inguinal
55
What is the difference between rabbit and dog and cat lymph nodes?
Rabbits are relatively smaller
56
What is cerumen?
Ear wax
57
What is Furunculosis?
a skin infection affecting the hair follicles and sweat glands usually bacterial and difficult to treat
58
What is the best way to take a Resp rate on a patient?
From afar before handling to reduce stress which might affect the reparation rate
59
What should you note when examining then environment of a horse?
Presence of faeces, urine, uneaten food and remaining water. Check state of bedding for excessive disruption, damage or faecal contamination to stable walls.
60
What activity would you expect to see in a young health animal?
Cyclical activity, eat - play - urinate/defecate, lots of sleep and suckling if still with mother
61
What animal would need more frequent mentation checks?
one with a head trauma or brain tumour
62
When observing an animal from afar what would you check?
Resp rate, mental alertness, response to surroundings, posture, gait, body condition, lameness
63
What is Otodectes cynotis?
Ear mite of the cat, dog, ferret or fox
64
What is Psoroptes Cuniculi?
Rabbit Ear mite
65
What is Psoroptes equi?
Horse ear mite
66
What is Dematophytosis?
Ringworm
67
What is Pseudomonas aeruginosa?
Gram negative bacteria
68
What is Pseudomonas aeruginosa commonly a cause of in dogs?
Otitis externa and otitis media
69
What smell could be a sign of Pseudomonas aeruginosa?
Very strong and foul smell
70
What smell could indicate Malassezia Pachydermatis?
Yeasty smell
71
What does Purulent mean?
Pus-containing
72
What might a long, curly coat indicate in older ponies?
Cushing's disease
73
What visible parasites might be present on a dog or cat?
fleas, lice, mites and ticks
74
What microscopic parasites might be present on a dog or cat?
demodect, sarcoptic and cheyletiella mange
75
What microscopic parasite might be present on a horse?
chorioptic mange