Problem-oriented Approach to Vet Med

Question 0

T/F: Veterinary diagnoses are often very similar to those made by pathologists.

Answer 0

False - They can differ roughly between 15-45% depending on the case.

Question 1

What are 3 things veterinarians need to do?

Answer 1

• Diagnose
• Treat appropriately
• Stay up-to-date

Question 2

What are 7 things that can be included in the veterinary diagnostic process?

Answer 2

• Complaint
• Ultrasound
• History
• Signalment
• Radiographs
• Laboratory results
• Clinical signs

Question 3

What are 3 aspects of the problem-oriented approach?

Answer 3

• Rules about collection of clinical information (database).
• How to use database to make diagnoses.
• How to monitor treatment.

Question 4

What are the 9 steps for systematic collection of information?

Answer 4

• Signalment
• Owners complaint
• History & TPR
• Physical examination
• Working problem list
• Differential diagnosis list
• Diagnostic plan for DDx
• Prognosis and treatment plan
• Therapy and monitoring

Question 5

When talking about a case to another professional, what should be the first thing mentioned?

Answer 5

Signalment

Question 6

What is the most important thing to address?

Answer 6

The owner’s complaint.

Question 7

70% of diagnoses are made during what step?

Answer 7

3 - History & TPR

Question 8

What is the most important clinical skill?

Answer 8

Physical examination

Question 9

How many working problems lists should there be?

Based on which steps?

Answer 9

• 2

- Step 3: History & TPR and Step 4: Physical examination

Question 10

What are 3 things to monitor for?

Answer 10

• Efficacy
• Side effects
• Toxicities

Question 11

What does SOAP stand for?

Answer 11

S - subjective data (what patient tells you)
O - objective data (what you observe)
A - assessment (what you think is going on)
P - plan (what you intend to do)

Question 12

What are 5 reasons to keep medical records?

Answer 12

• It’s the law
• Recurring/pre-existing problems
• Continuity
• Finance
• Research

Question 13

What can DAMNIT, used to create a DDx list, stand for?

Answer 13

D: developmental conditions, degenerative diseases
A: anatomical abnormalities, autoimmune disease, allergies
M: metabolic diseases
N: neoplastic diseases, nutritional diseases
I: Idiopathic, iatrogenic, inflammatory conditions, infectious
T: toxicities, trauma