Basic Introduction to the Clinical Examination of Animals. Flashcards

1
Q

Define the alimentary tract?

A

Also known as the digestive tract.

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2
Q

What is the term doughy used to describe during a clinical examination?

A

When pressure causes pitting, it is between hard and firm. E.g. In edema.

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3
Q

What is the term emphysematous used to describe during a clinical examination?

A

When the structure is swollen and yields on pressure, producing a crepitating or crackling sound.

Usually caused by the production of gas within the tissue.

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4
Q

What is the term firm used to describe during a clinical examination?

A

When oedema to pressure is similar to that of the normal liver. E.g. A tumour.

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5
Q

What is the term fluctuating used to describe during a clinical examination?

A

When a wave-like movement is produced in a structure by the application of alternate pressure.

E.g. A hematoma.

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6
Q

What is the term hard used to describe during a clinical examination?

A

When a structure possesses bone like consistency.

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7
Q

What is the term resilient used to describe during a clinical examination?

A

When a structure quickly resumes its normal shape after the application of pressure has ceased.

E.g The abdomen.

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8
Q

What will the clinical examination of animals depend on?

A

The owner, who may or may not permit certain procedures to take place.

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9
Q

How will the owner be able to help a vet with a diagnosis?

A

They can provide the animal’s history and answer key questions such as how long the animal has been displaying the symptoms etc.

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10
Q

What is the key to a good clinical examination?

A

To carry it out systematically and follow a specific procedure or steps.

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11
Q

How do most vets carry out a systematic clinical examination?

A

By starting the examination at the head and advancing caudally down the body.

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12
Q

What organs would a cranial to caudal examination examine and in what order?

A

Eyes.

Head.

Cardiopulmonary system.

Skin.

Digestive system.

Urinary system.

Genital system.

Musculoskeletal system.

Nervous system.

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13
Q

What is a key element in helping to diagnose any illness’ or problems in animals?

A

Patient history.

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14
Q

What are the 3 subcategories that patient history can be broken down to?

A

Management and environmental history.

Present observations.

Past history.

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15
Q

Why is the management and environmental history important patient history?

A

As the animals surroundings and immediate environment could have led to the illness.

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16
Q

What 9 key components of a patients management and environmental history are important to assess when looking at patient history?

A

Breeding and reproductive history.

Access to water.

Nutrition.

Pasture condition e.g. soil type or topography.

Feeding methods.

Access to proper machinery e.g. tack or milking equipment.

Population density in the animals environment.

House/kennel space, is it ventilated etc.

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17
Q

Why present observations important patient history?

A

They can tell you where the animal is sore etc and provide clues about the condition.

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18
Q

When are present observations made during a diagnosis?

A

During the timeframe that the animal is ill and can be made over a number of weeks or even months.

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19
Q

What 4 key components of present observations are important to assess when looking at patient history?

A

The duration of the disease and whether is is acute or chronic.

The clinical signs e.g. lack of appetite, respirations, sweating or posture.

The number of animals affected.

Previous treatment given.

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20
Q

How is a patients past history provided?

A

From acquiring knowledge pertaining to any illness’s that the particular animal or group of animals have suffered in the past.

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21
Q

What are 5 things that can be provided to help present patients past history?

A

Diagnoses.

Treatments.

Morbidity and mortality rates.

Post mortem observations.

Laboratory test results.

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22
Q

Why do vets restrain animals during examinations?

A

So that the risk to the vet is lowered.

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23
Q

What is the most important thing when examining an animal?

A

The vet and vet techs safety.

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24
Q

What are 5 ways of physically restraining horses?

A

By holding it in a certain position.

Via skin twitches etc.

Via ties and straps such as leads and head collars.

Stocks.

Lifting the front leg.

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25
Q

What are 6 ways that cattle be physically restrained?

A

Gripping the nasal septum.

Use of a bull ring.

Use of a rope or halter around the head.

Ropes around a leg.

Stocks.

Reuffs method of casting.

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26
Q

What 2 ways can sheep and goats be restrained?

A

When a person stands beside the animal and embraces it by holding the neck with both hands.

Smaller breeds can be restrained by being placed on a table in a lateral or dorsal position.

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27
Q

How are household pets usually restrained during a clinical examination?

A

By placing them onto a table in a lateral or dorsal position or by using a muzzle when necessary.

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28
Q

What is chemical restraint?

A

The drugs to sedate or immobilise the animal.

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29
Q

What type of restraint is mostly carried out by the owner?

A

Verbal and moral restraint.

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30
Q

What 3 common methods of verbal and moral restraint?

A

The use of treats.

Massaging.

Calling the animal by its name.

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31
Q

Should a physical examination be done systematically?

A

Yes, meaning that it should be done in the same way, every time.

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32
Q

What is usually the first step of a physical examination?

A

The general inspection.

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33
Q

At what distance from the animal is a general inspection usually performed at?

A

At a reasonable distance from the animal and it may involve circumnavigating the animal.

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34
Q

What kind of signs are looked for during a general inspection of an animal?

A

Cuts, lesions or various other clues that may help with a diagnosis.

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35
Q

What factors about the vet are most useful during a general inspection?

A

The 5 senses such as sight and smell.

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36
Q

During a general inspection, attention should be paid to what 7 areas?

A

The animals behaviour.
Its appetite.

Whether it has defecated or urinated.

Posture.

Gait.

Body condition.

General conformation.

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37
Q

What inspection is performed after a general inspection during a physical examination?

A

The physical inspection.

38
Q

What occurs during a physical inspection?

A

It involves narrowing down the search for the problem.

39
Q

What are 4 common tools that can be used during a physical examination?

A

Palpation.

Percussion.

Auscultation.

General physical examination.

40
Q

What is the objective of performing a palpation?

A

To try and detect pain in a tissue by noting increased sensitivity through the use of the hands.

41
Q

How is palpation done?

A

By feeling and prodding the area with the hand to try and gauge any abnormalitites in a particular area of the body.

42
Q

Why is the back of the hand often used for palpations?

A

As it is the most sensitive part of the hand.

43
Q

What are 6 common words used to describe findings after palpation?

A

Resilient.

Doughy.

Firm.

Hard.

Fluctuating.

Emphysematous.

44
Q

What is the objective of using percussion in a general physical examination?

A

To obtain information about the surrounding and deeper lying tissues.

45
Q

What areas of the body is percussion mainly used to examine?

A

The subcutaneous emphysema, the lungs, the rumen and the rump.

46
Q

How is percussion carried out?

A

By striking a body part with the hand or with an instrument such as a hammer.

47
Q

What are the 2 techniques of percussion that can be used during an inspection?

A

Intermediate percussion.

Mediate percussion.

48
Q

Define intermediate percussion?

A

The use of the fingers or hammer to directly strike the part of the body that is being examined.

49
Q

Define mediate percussion?

A

A specific type of percussion that is performed through the use of the fingers or a hammer.

50
Q

What organs will often give a resonant sound during a percussion exam?

A

Air containing structures and organs such as the lungs.

51
Q

What organs will often give a tympanic sound during a percussion exam?

A

A hollow organ that contains gas under pressure.

E.g. The rumen.

52
Q

What organs will often give a dull sound during a percussion exam?

A

A solid organ.

E.g. The heart.

53
Q

What is the objective of auscultation?

A

To listen to sounds that are produced by functional organs.

54
Q

What organs are most commonly examined by auscultation?

A

The heart, lungs, trachea and certain parts of the alimentary tract.

55
Q

What are the 2 ways to perform an auscultation?

A

Direct auscultation.

Indirect auscultation.

56
Q

What is direct auscultation?

A

When you place an ear against the tissue to be examined and listen to for any sounds.

57
Q

What is indirect auscultation?

A

Ausculation that is performed through the use of a stethoscope.

58
Q

What are important clinical signt that are usually measured during a general physical examination?

A

Temperature..

Pulse rate.

Respiration rate.

Capillary refill time.

Physical body condition.

Regional or systematic evaluation.

59
Q

What kind of temperatures will indicate that an animal has a problem?

A

Temperatures outside of the normal range.

60
Q

What types of thermometers can be used to take a temperature?

A

Mercury, infrared or digital thermometers.

61
Q

What are the most common places that are used to take a temperature?

A

Either the rectum or the ear.

62
Q

What are other important factors to note when taking a pulse rate?

A

The rhythm of the pulse.

Pulse quality.

63
Q

How is a pulse rate taken?

A

The digits are placed on an artery and gentle pressure is applied until a pulse wave can be detected.

64
Q

How long should the number of pulse rates be recorded for?

A

Over the period of a minute, or at least for 30 seconds, when the pulse rate can be doubled.

65
Q

What are the 3 pulse taking sights on a horse?

A

External maxillary artery.

Transverse facial artery.

Digital artery.

66
Q

What are the 2 pulse taking sights on a cow?

A

Facial artery.

Middle coccygeal artery.

67
Q

What is the pulse taking sight on a dog, goat, sheep, cat and pig.?

A

Femoral artery.

68
Q

How can the respiration or heart rate can be measured?

A

By observing and counting the contractions or expansions of the thorax and abdomen.

69
Q

What are 3 procedures that can be used to determine respiration rates?

A

Inspection.

Palpation.

Auscultation.

70
Q

How is inspection used to determine a respiration rate?

A

By standing behind and slightly to the side of the animal and observing any thoracic movement.

71
Q

How is palpation used to determine a respiration rate?

A

By placing 1 hand in front of the nostril and another hand on the thorax.

The hand in front of the nostril will feel for gas exchanges and the hand on the thorax will feel for movement.

72
Q

How is ausculatation used to determine a respiration rate?

A

Using a stethoscope to listen to respiration sounds in the trachea or in the lungs.

73
Q

How is the capillary refill method performed?

A

By compressing the mucosa of the mouth to expel capillary blood, leaving a pale area.

Once the pale area is formed, the pressure is removed and the time taken for blood to return to the area is recorded.

74
Q

What capillary refill time should healthy animals have?

A

Less than 2 seconds.

75
Q

What capillary refill time is abnormal or may indicate a problem?

A

A CRT scan of over 5 seconds is abnormal.

A CRT of between 2-5 seconds may indicate a developing problem.

76
Q

How is the physical body condition of the patient recorded?

A

It is a visual examination of the patients body condition which is scored between 1 and 5.

77
Q

What is score 1 of a physical body condition?

A

Score 1. Very thin.

The animals skeletal structure is very prominent, particularly the spine, ribs and pelvis.

78
Q

What is score 2 of a physical body condition?

A

Score 2. Thin.

The skeleton is apparent and the spine is prominent, but there is a small amount of tissue over the ribs.

79
Q

What is score 3 of a physical body condition?

A

Score 3. Medium.

Normal body condition with muscle covering the spine, ribs and pelvis. There is a depression between the pelvis and rib cage indicating that the animal is not fat.

80
Q

What is score 4 of a physical body condition?

A

Score 4. Fat.

No spinous processes or depression in the loin area are detectable. The ribs cannot be felt unless firm pressure is applied.

The animal will have a rounded appearance.

81
Q

What is score 5 of a physical body condition?

A

Score 5. Very fat.

The animal is very large with a square appearance. There is a lot of fat in the loin and the skeleton is invisible.

Excessive force must be used to perform a palpation.

82
Q

What region of the body should always be examined first?

A

The head and neck.

83
Q

What 6 areas of the head and neck should be examined in an examination?

A

Visible mucus membranes.

Eyelids and eyes.

Nasal regions and nasal mucous membranes.

Prehension, mastication and deglutition.

Salivation.

Teeth problems.

84
Q

What 9 areas of the skin and appendages should be examined in an examination?

A

Hooves, hair, horns etc.

Sweat glands.

Coat condition.

Skin elasticity.

Pruritus.

Presence of skin lesions.

Dermatitis.

Hyperkeratosis or parakeratosis.

Presence of ectoparasistes.

85
Q

What 9 areas of the thoracic cavity should be examined in an examination?

A

Inspection of respiratory movements.

Palpation.

Percussion.

Auscultation.

Pulmonary and bronchial sounds.

Heart rate.

Heart sounds.

Pericardial friction sounds.

Venous/jugular pulsation.

86
Q

What are 4 extra areas of the body that should be examined in an examination?

A

Examination of the abdominal and digestive tract organs.

Examination of the urogenital system.

Examination of the nervous and musculoskeletal system.

Examination of the superficial lymph nodes.

87
Q

The clinical examination of animals relies on a good knowledge of what 5 sciences?

A

Anatomy.

Physiology.

Pathology.

Animal behaviour.

Pathogenesis of disease.

88
Q

Who often presents an animal disease to the vet?

A

The owner.

89
Q

Who decides what methods should be performed during a physical examination?

A

The vet.

90
Q

Is it best to start by focussing on a small area of the body when performing a physical examination?

A

No.

The idea is to start big and then narrow down to a smaller area so that nothing is missed.