Lecture 3- Physical Examination of the Horse Flashcards

1
Q

What should be evaluated when performing PE of head

A

Mentation, CN, palpate lymph nodes, smell breath

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2
Q

What should be evaluated on the left side of horse during PE

A

Heart, lungs, GI, skin, lymph nodes, palpate limbs

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3
Q

What should be evaluated around the tail on PE

A

Temperature, anal tone

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4
Q

What should be evaluated on the right side of horse during PE

A

Heart, lungs, GI, skin, lymph nodes, palpate limbs

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5
Q

What should be tested during neurologic exam

A

Mentation (BAR, ear position)

Cranial nerves- feed treat (test smell, vision), look in eyes

Ambulation-gait deficits, truncal sway

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6
Q

What should be checked for on dermal exam

A

Masses, insect reactions, rubbing, ventral edema

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7
Q

Gray horses over 15yr are very susceptible to what

A

Melanoma

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8
Q

Where are some common sites melanomas form

A

Parotids, commissure of lips, perineum, tail and mane, ocular adnexa, internally

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9
Q

What is the normal HR

A

28-40

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10
Q

What degree AV block is routinely observed from high vagal tone and how can it be resolved

A

Second degree AV block ad can be resolved with exercise

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11
Q

What happens at S1 heart sound

A

Closure of AV valves, begins systole (lub)

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12
Q

What happens at S2 heart sound

A

Closure of semilunar valves, ends systole and begins diastole (dub)

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13
Q

What happens at S3 heart sound

A

Filling of ventricles

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14
Q

What happens at S4 sound

A

Contraction of atria

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15
Q

Between what ribs should you listen for different valve closures (point of max intensity)

A

Pulmonary- 3rd
Atrial- 4th
Mitral- 5th

Tricuspid 4th

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16
Q

What is a grade 1 heart murmur

A

Audible at 1 valve

17
Q

What is a grade 2 heart murmur

A

Audible at 2 valves

18
Q

What is a grade 3 heart murmur

A

Audible at 3 valves

19
Q

What is a grade 4 heart murmur

A

Audible at all 4 valves

20
Q

What is a grade 5 heart murmur

A

Precordial thrill (feel heart murmur)

21
Q

What is a grade 6 heart murmur

A

Audible with stethoscope off chest

22
Q

How to test hydration

A

Capillary refill time (< 2 seconds), skin tent over shoulder

23
Q

What is a normal respiratory rate at rest

A

< 20

  • in hot summers can be 40-60*
24
Q

What should breath smell like

A

Sweat, bilaterally even

25
Q

Horses and athletes hide respiratory disease so what can be done to uncover issues

A

Exercise, rebreathing examination

26
Q

What lymph nodes are palpable

A

Mandibular, parotid, cervical, inguinal

27
Q

What should be observed/performed in musculoskeletal examination

A

Watch ambulation, palpate all limbs joints, tendons, observe ROM, pain, symmetry, perform lameness if indicated

28
Q

What should be performed during urogenital exam

A

Ensure sex, intact vs gelded
Observe normal anatomy of testicles, sheath or udder

29
Q

What should be performed in GI exam

A

Listen for 10-60 seconds, upper and lower quadrants on left and right side, ventral midline

30
Q

Sound of waves on the beach indicate what

A

Sand impaction

31
Q

What noises should not be heard during GI exam

A

Pings, water dripping in cave, silence, fluid flushing

32
Q

Body condition scores

A

1- poor
2- very thin
3- thin
4- moderately thin
5- moderate
6- moderately fleshy
7- fleshy
8- fat
9-extremely fat