History Taking

Question 1

Information gathered about the patient at every visit

Answer 1

History (Hx)

Question 2

What is a leading question

Answer 2

Questions that suggest a particular answer is expected

Question 3

Origin includes

Answer 3

Birthplace and date (Estimate birthdate at time of initial PE if it’s unknown)
Breeder or source

Question 4

An occasion where there is consumption of an inappropriate, atypical, or excessive amount

Answer 4

Dietary indiscretion

Question 5

Examples of dietary indiscretion that is the owners fault

Answer 5

Over feeds animal
Inappropriate food
Abrupt changes in animals diet

Question 6

What to write ab diet/nutrition in history

Answer 6

What? How much? Changes in appetite? Recent changes in diet? Dietary indiscretions

Question 7

What to write about water consumption in history?

Answer 7

How often fresh water is provided?
How often bowl washed
How much it drinks
Changes in consumption

Question 8

First 2 most important things for determining a baseline for care

Answer 8

1. History

2. Physical exam

Question 9

Urination and defecation info to write in history

Answer 9

Frequency, volume, color, odor, consistency, pain or discomfort, appropriate (on belongings, etc)
Change in habit

Question 10

Consistency of defecation examples

Answer 10

Diarrhea, constipation, blood, mucus

Question 11

examples of routine disease screening and preventatives

Answer 11

Heart worm and Lyme disease testing and preventatives
FIV/ FeLV testing
Fecal flotation or centrifugation and deworming

Question 12

Fecal flotation or centrifugation tests for

Answer 12

Worms

Question 13

Past medical history includes

Answer 13

Vaccination Hx 
Routine screenings and preventatives
Reproductive Hx 
Past med problems 
Permission to obtain record from previous vet

Question 14

Information to include for medications taking currently

Answer 14

Name of medication, dosage, frequency of administration, how long

Question 15

If no drug allergies write

Answer 15

NKDA no known drug allergies

Question 16

For past medical problems you should note

Answer 16

How it was treated? Who by? Recurrence?

Question 17

FIV/ FeLV

Answer 17

Feline immunodeficiency virus

Feline leukemia virus

Question 18

Children in household and their ages or other pets in household would be which section of history

Answer 18

Environmental

Question 19

At each visit, client should be questioned about _____ in the history since last visit

Answer 19

Changes

Question 20

Moved furniture within home leading to animal confusion could indicate

Answer 20

Eyesight problems

Question 21

New people or animals in home
Or
New animals next door or outside could lead to

Answer 21

Feeling competitive, jealous, stress. Urinating in house

Question 22

History of the present problem (the reason the owner brought the animal in currently)

Answer 22

Chief complaint or Present Problem

Question 23

Things to list about chief complaints/ presenting problems

Answer 23

Onset, frequency, trigger, duration, progression, relief