Flashcards in Small animal physical exam Deck (22):
How to introduce - 3
Introduce yourself, greet animal, make sure you get name and gender right!
PE styles - 3
-Head to tail (easier, less likely to miss things))
-Systems approach (a lot of moving around)
Initially from a distance, use eyes/ears
Patient contact - 5
Symmetry, shape, size, texture, patient response
Normal pulse - dogs and cats
Dog = 60-120 (higher in puppies)
Cat in consult = 180-200
Normal resp rate
Nestle/Purina - 9 point scale (4/5 normal in dog)
Royal Canin - 5 point scale (2.5 normal)
Signs of pain in eyes - 4
-Blepharospasm (increased lid closure frequency and tone)
-Enopthalmos (posterior displacement of eyeball within orbit)
-Lacrimation (tear secretion)
-Photophobia (bright light sensitivity
Which MM do you look at? 2 How to assess? 3
-Eyes (retropulse eye to do this)
-ASSESS: colour, CRT, Hydration (dry, tacky, moist)
How are greyhound's MM different?
High haematocrit therefore pink membranes
How to assess hydration status 3
Skin turgor, eye position, MM. These allow a percentage estimation.
LNs to check (2)
Submandibular (beware of salivary tissue)
Where do you hear heart?
How to perform thoracic auscultation?
Noughts and crosses approach, evaluate all lung fields
Compare sides, and dorsal to ventral
What do you feel on abdominal palpation - cranially 4, middle 1, caudally 3?
CRANIAL: liver, spleen, (stomach and kidneys)
MIDDLE: intestinal loops
CAUDAL: bladder, prostate, colon
What can you assess via rectal examination? 8
Points of an orthopaedic assessment
Joints (pain, swelling, heat, ROM, crepitus)
Bones (pain, swelling, instability)
Points of a neurologic assessment
Only if evidence of neurological disease - seizures, ataxia, CN deficits
Points of a dermatologic assessment
If evidence of skin abnormalities - hair loss, pruritis, flaking etc
How is a PE of cats different?
-Mentation - generally quieter in clinic
-MM - generally paler and harder to assess
-Thyroids - palpatein every cat, pinch thumb and fingers around larynx and move towards thoracic inlet
-Parasternal auscultation important (for cardiac auscultation)
-Palpate kidneys (possible in normal; via ventral one handed- approach)