Nationale, anamnesis, status presens Flashcards
Signalment/ nationale
Name and address of owner
Permanent data of animal
Transient data of animal
Examples of permanent data of the animal
Species Breed Sex Colour Blood group Permanent defects e.g missing limbs Type of coat Forms of ears- pendulous, erect or cropped State of tail- natural vs docked
Examples of transient data of the animal
Age Body weight Height at withers Brand marks Microchip
Anamnesis/ History includes
Inquiries concerning the animal
Inquiries concerning the environment
Inquiries concerning the animal
Health state Previous vet and other interventions Reproductive state Productivity Transport
Inquiries concerning the animal: health state
How long has the animal been ill
Abnormalities observed
Any changes since the observation
Same or any other symptoms previously observed
Inquiries concerning the animal: previous vet and other interventions
Treatments
Immunizations- N.B check rabies vaccine with mouth/pharynx related problems
Dewormings
Previous surgeries
Interventions by others e.g enema, PO treatment, assistance during calving
Inquiries concerning the animal: Reproductive state
Female: estrus, partuition, contraceptives- pyometra
Male: mating
Neuters
Inquiries concerning the environment
Health state of the animal population
Husbandry
Nutrition
Inquiries concerning the environment: health state of the animal population
How many/ species of animals kept together
How many are ill
Previous diseases/symptoms and number infected
Any lab or instrumental exams performed
General epidemiological, parasitic state of the herd
Inquiries concerning the environment: Husbandry
Housing: indoor- plants. Outdoor- insecticides, rat poisin
Hygiene standards
Changes in people managing the animals
Inquiries concerning the environment: Nutrition
Quality and quantity of food
Feeding technology
Water intake
Faeces and urine
*Check the diet for up to a year previously, protein sources should be known
Status praesens= current state
*the order is important
- General impression
- Basic clinical values
- Skin
- Lymph nodes
- Mucous membranes
- Respiratory system
- CV system
- GI
- Urinary
- Genital
- Spleen and haematopoietic
- Hormonal
- Locomotion
- Nervous system
General impression: cat vs dog
Dog- let them walk around
Cat- keep in cage for as long as possible
General impression: areas to assess
Body size Body shape and developmental state Nutritional condition General condition, grooming Consciousness and behaviour Posture Locomotion Obvious abnormalities
General impression: Nutritional condition
Muscle
Thickness of SC tissue
BCS