1.Structure, sequence and methods of the clinical examination. Signalment, history, distant examination and vital parameters Flashcards
What are the parts of the clinical examination?
Physical examination, ancillary diagnostic methods and laboratory examinations.
What are the ancillary diagnostic methods?
Tubing, ultrasonography, endoscopy, radiography +
what are the methods of the physical examination?
- Inspection
- Palpation
- Auscultation
- Percussion
- Olfaction
- Measurement
What are included in a normal physical examination?
Detailed and standardised examination including all body systems and organs.
When is physical examinations unnecessary?
In a colic horse, injured horse, but it is recommended to check all organs.
What are important when you do physical examinations?
Signalment, identification, history, distant examination, general inspection, vital parameters and close physical examination of each organ.
What are included in the signalment and identification of the horse?
Owner’s name and contact details (GDPR)
Permanent data
Non-permanent data
Passport.
Permanent data;
species, breed, sex, colour, white marks,
whorls, microchip.
Non-permanent data;
Age, body weight, height at withers, body length, branding marks, freeze markings, tattoos, microchip
What are the normal white marks you can find on a horses head?
star, stripe, blaze, white face, snip, flesh mark, white muzzle.
Star:
Any white mark on the forehead. Size, shape, intensity, position and coloured markings (if any) on the white to be specified
Stripe
the narrow white marking down the face not wider than the flat anterior surface of the nasal bones
Blaze
a white marking covering almost the whole of the forehead between the eyes and extending beyond the width of the nasal bones usually to the muzzle
White Face
where the white covers the forehead and front of the face, extending laterally towards the mouth
In which order should you describe the white markings of the legs?
Always commence with the left fore followed by the right fore and continued by the left hind and the right hind.
Describe the white marks on the limbs of the horse?
White coronet, White pastern, White fetlock, White half cannon, White to knee, to hock, to hind quarter etc., White patch on coronet (its location must be specified)
Which other marks can you find on the horse?
Permanent marks such as scars saddle marks bridle marks collar marks girth marks other harness marks
Where is it normal to find whorls, feathering?
Forehead, Crest, Pectoral region, Flank fold.
What are some human made permanent marks?
Brand marks, freeze marks tattoos
What are important to ask about when you want to know the history of an ill horse?
Duration of disease Abnormalities observed by the owner, trainer, rider, groomer. Any change since the animal has been ill Prior veterinary interventions Prior non-professional interventions Use of the horse Reproductive status Transport
What are important to ask about when you want to know the history of an ill horse’s environment?
Species and number of animals kept together with the ill horse, Symptoms and signs of other animals, Morbidity and mortality rates, Infectious and parasitic diseases, Housing conditions, Feeding technology and feedstuff, Toxic materials at the yard, Change in ownership or staff
What do we look for on a distant examination?
Size Conformation Body condition Posture Gait Behaviour Excitation states Depression states Obvious pathological changes
What are the basic clinical values?
Rectal temp
Pulse
Heart rate
Respiratory rate
What are the range of the rectal temp?
Adult horse: 37.0-38.0 °C,
Foal: 37.5-38.5 °C
What are the normal pulse rate?
Adult: 28-42 beats per minute (BPM)
Where do you palpate to take the pulse?
Facial artery
Transverse facial artery
Medial and lateral digital artery (fore- and hind limbs)
What are the respiratory rate?
Adult: 10-18 breaths/minute • Foal • At birth: gasping • 0-2 hours: 40-60 breaths/minute • 12 hours: 30-40 breaths/minute • 24 hours: 30-35 breaths/minute • 1-7 days: 20-35 breaths/minute • 1 week-6 months: 10-25 breaths/minute
What are the sequence of the examination of the organs?
• Skin • Lymph nodes • Mucous membranes • Respiratory system • Cardiovascular system • Gastrointestinal system • Urinary system • Genital system • Haematopoietic system • Endocrine system • Locomotory system • Nervous system