2 - nationale, anemnesis Flashcards
Give the order of documentation for the examination results:
- Signalment/nationale
- Anamnesis (history)
- Status praesens (current state)
What should the signalment/nationale include?
Name and adress of owner,
Permanent data of the animal
Transient data of the animal
What is the permanent data of the animal:
Species Breed, Sex Colour Colour pattern Nose impression Blood group Marks, (chestnuts, whorl, permanent blemishes or defects)
what is the transient data of the animal:
Age Body weight Brand marks Microchip Tattoos Ear tags Withers height Name?
Type of coats
Long, curly, smooth, wire-haired
Form of ears
Pendulous, erect, cropped
State of tail
Natural, docked
Which questions should you ask about the health state of the animal?
- How long has the animal been ill?
- What kind of abnormalities has the owner observed?
- Were there any change in the state of the animal since the observation of the disease?
- Were the same or any other symptoms previously observed?
If yes, at what time?
What should the anamnesis contain?
- inquiries concering the animal,
2. inquiries concering the environment.
What should be included concering the animal?
Health state Previous veterinary and other interventions, Reproductive state Productivity Transport.
What should be included concering the environment?
Health state of the animal population
Husbandry
Nutrition
Change of owner.
What questions should be asked concering the health state of the animal population?
- How many and what kind of animals are kept together with the sick animal?
- How many are ill?
Have similar or different diseases previously been observed among them?
Death? If yes, its degree! - Were any laboratory or instrumental examinations performed?
- General epidemiological, parasitic state of the group/herd?
What questions should be asked concering the husbandry of the animal population?
- Housing
- Hygienic conditions
- Possibility of the ingestion of toxic materials
- Change of the person who works with the animal
What questions should be asked concering the nutrition?
- Quality and quantity of the food
- Feeding technology, way of eating
- Water intake: amount, way of drinking
- Feces (stool), urine
What are the 14 check points for the status praesens?
- General impression
- Basic clinical values
- Skin
- Lymph nodes
- Mucous membranes
- Respiratory system
- Cardiovascular system
- Gastrointestinal system
- Urinary system
- Genital system
- Spleen and haemopoetic system
- Hormonal glands
- Locomotion system
- Nervous system
- General impression
-Body size (height, body weight)
-Body shape and developmental state, matures (skeleton,
muscles)
-Nutritional condition
-General condition, grooming
(hair, fleece, footpads, claw, hoof)
-Consciousness and behavior (general demeanor)
(restless, excited, raging, maniac behavior, apathetic, sopor)
-Posture
-Locomotion (gait)
-Obvious abnormalities
Nutritional conditions:
obese-overweight (stout)
- normal (optimal)
- under weight-thin (slim)
- very thin (skinny)-emaciated-cachexia
Body condition score: 1=
1 = Emaciated
Body condition score: 2=
2 = Thin
Body condition score:4=
4 = Stout
Body condition score: 5=
5 = Obese
Which body score does this describe?
Large fat deposits over chest,spine and tail base.
Waist and abdominal tuck absent.
Fat deposits on neck and limbs.
Abdomen distended
5 = Obese
Which body score does this describe?
General fleshy appearance.
Ribs palpable with difficulty.
Noticeable fat deposits over lumbar spine and tail base.
Abdominal tuck may be absent.
4
Which body score does this describe?
Ribs, lumbar vertebrae, pelvic bones and all body prominences evident from a distance.
No discernible body fat.
Obvious absence of muscle mass.
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