Physical Exam Flashcards

1
Q

What do you need to know in order to perform a physical examination?

A

Health Status
Behavior
Risks
Species
Individual

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2
Q

What equipment do you need for restraint?

A

Gloves
Towel
Squeeze cage
Net

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3
Q

What equipment do you need for a PE?

A

Stethoscope
Thermometer
Glucometer
Blood tubes, syringe, needle
Blood pressure monitor
Pulse Oximeter

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4
Q

What is an example of what can help a PE go more smoothly?

A

Training the animal beforehand.

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5
Q

What are the recorded vitals for a PE?

A

General appearance (BAR?)
Hydration
Heart rate
Respiratory rate
Temperature
Capillary refill time
Mucous membrane color
Weight!

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6
Q

What are we looking for when we are considering general appearance?

A

Any asymmetry (from a distance)
Body condition score
Mentation (reactions, consciousness)
Posture and gait

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7
Q

What is considered adequate hydration?

A

0% - 5%, skin immediately returns to normal

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8
Q

What is considered marginal hydration?

A

5% - 8%, slight delay of skin returning to normal

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9
Q

What is considered inadequate hydration?

A

8% - 15%, obvious delay, skin remains tented, or state of shock (death probable)

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10
Q

What do pink gums indicate?

A

Normal, adequate perfusion/oxygenation

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11
Q

What do pale or white gums indicate?

A

Anemia, poor perfusion, vasoconstriction

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12
Q

What do blue (cyanotic) gums indicate?

A

Inadequate oxygenation.

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13
Q

What do brick red gums indicate?

A

Increased perfusion, vasodilation

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14
Q

What do yellow (icteric) gums indicate?

A

Build up of bilirubin (hepatic disorder)

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15
Q

What do brown gums indicate?

A

Methemoglobinemia

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16
Q

What do petechiae (red spotting) gums indicate?

A

Coagulation disorder

17
Q

What general areas does a PE cover?

A

Ears
Eyes
Nose
Mouth
Teeth
Lymph nodes
Coanas & beak for birds

18
Q

What do we look for when examining feathers/fur?

A

Body condition
Ectoparasites
Wounds

19
Q

What are we looking for when considering respiratory rate?

A

Effort
Abnormal sounds
Open mouth breathing

20
Q

What are we looking for when considering heart rate?

A

Pulse rate, strength and quality

21
Q

What are we looking for when considering the abdomen?

A

Sounds - GI movements

22
Q

What are we considering when palpating lymph nodes?

A

Site
Shape
Size
Consistency
Mobility
Tenderness

23
Q

What are we checking for during
a musculoskeletal PE?

A

Movement/Range of motion (extension)
Symmetry
Fracture/Luxation
Pain/inflammation
Condition
Muscles and joints

24
Q

What are some conditions related to the anus/cloaca/tail/genitals/mammary glands?

A

Diarrhea, wounds, parasites, mass/tumor, prolapse.

25
Q

What are examples of further diagnostics?

A

Blood sample
Fecal
Fine Needle Aspirate, biopsy
Imaging (Xrays, AUS)

26
Q

What are the components of a SOAP?

A

S - Subjective: Findings regarding history/observation
O - Objective: Findings that are measurable
A - Assessment: Diagnosis
P - Plan: Treatment