physical exam Flashcards
patient evaluation
history, vital signs, physical exam, soap
(S)ubjective
attitude (mentation), clinical signs (gaping wound? active diarrhea?)
(O)bjective
TPR, weight, physical exam, CRT + MM
(A)ssessment
interpretation of findings
(P)lan
diagnostic, therapeutic, prognostic, done by doctor
history: signalment
patient’s sex, neutered?, age, breed
history: chief complaint
what is P here for?
history: history of present illness
is this a chronic problem? has this happened before? is this exam a recheck? any past potential relevant medical history?
history: current health and medications
verify that owner is giving correct medication per doctor’s instructions
vitals
temperament, weight, temperature, pulse, respiration
normal heart rate in a dog?
70-160 bpm
normal heart rate in a cat?
150-210 bpm
what is a heart rate usually dependent on?
size of animal, how athletic the animal is, stress based on visit
typical respiratory rate of a dog?
8-20 brpm
typical respiratory rate of a cat?
8-30 brpm
typical CRT for dogs and cats?
1-2 seconds
typical body temperature for dogs and cats?
101-102 F
visualization
look over the patient. huge mass? wound?
auscultation
listen to patients heart and lungs
percussion
listen for gut sounds, typically for large animals
palpation
run your hands over the patient, any hidden masses or ticks or wounds?
olfaction
what does the patient smell like?
manipulation
how does the patient move
bright red mucous membranes can indicate?
very high temperature, or sepsis
alopecia
absence of hair
ataxia
imbalanced gait; wobbly walking
blepharospasm
excessive blinking of eye/eye twitch
calcified/mineralized
type of mass (hard mass)
chemosis
swollen/blister-like conjunctiva
exudate
any type of discharge from a wound or abscess
purulent
pus
epiphora
watery eye (not common term)
erythema
redness
fluctuant
when a condition’s state isn’t always the same (ex: sometimes symptoms are worse, sometimes better)
gingivitis
inflammation of gum tissue surrounding the tissue
hemorrhagic
severe bleeding
hyperplasia
excessive growth of something (ex: gingival hyperplasia)
hyperpigmented
dark patches on the skin
injected
when the red blood vessels of the eyes are very noticeable
proliferative
something that is extending its boundaries (ex: a mass that proliferated has spread into the immediate area)
pruritus
itchiness
odiferous
something that has odor
serosanguineous
serum aspect of the blood that comes in form of fluid
ulcerative
open wound/mass, likely oozing
when palpating/manipulating a limb, what are you feeling for?
heat, pain, symmetry, deformity, swelling (soft or firm?), decreased range of motion
soft swelling
swelling that would occur ex if a catheter was taped too tight, it wouldnt be firm
firm swelling
the type where you push your finger in and there is an indent left behind
eye exams
eyelids, cilia (eyelashes), conjunctiva, periocular tissues, nictitating membrane (3rd eyelid), cornea, sclera, iris, aqueous humor
pinnae
external ear flap
many conditions can contribute to ear infections
allergies, parasites, foreign bodies, neoplasia, auto-immune diseases, seborrhea, nutritional deficiencies, hormonal, anatomic conformation
petechiae
bruising of gums, clotting issue
abdominal effort
abdomen is doing the lungs job, cause for concern
abdominal palpation can help you feel
stomach, intestines, liver, kidneys, bladder, prostate
crepitus
cracking sounds of joints during manipulation/movement
valgus limb deformity
limb points away from the body
varsus limb deformity
limb goes inward toward the body