Pt History Flashcards
Chief Complaint - why is the owner brining the Pt in? (2?s)
- The reason the client is brining the pet into the hospital?
- Why the owner feels the pet is sick/injured?
What is signalment?
- Age
- Breed
- Sex (neutered or intact)
If an animal is having diarrhea, coughing, or sneezing what could the prime problem area be?
Diarrhea or vomiting is GI issues and coughing/sneezing is respiratory
Past medical history…what questions should be asked?
- Previous illness?
- Previous surgery?
- On any medications or treatments?
Current health status…what needs to be known? (6)
- Vaccine history
- Indoor/Outdoor pet
- Other pets
- Environment
- Diet
- Toxin exposure
Name the 4 prime vital signs
- Weight
- Temp
- Pulse
- Resp
Name the 2 additional vital signs that are a great measure for BP and blood circulation
Capillary (crt) and mucous membrane (mm)
Name the 4 techniques
- Inspection
- Palpation
- Percussion
- Auscultation
When inspecting an animal, what is being done?
A visual, over body look of the animal is done
When palpating an animal, what is being done
Over all touching the animals body feeling for any abnormalities
When percussing an animals, means?
when auscultating an animal, what is
When auscultating an animal, what is being done?
One is listing to the animals heart, lungs, GI tract
SOAP stands for
S- subjective information
O- objective information
A- assessment
P- plan
In SOAP, the subjective information is considered to be
Complaint and history
In SOAP, the objective part is considered to be
The physical exam (T.P.R.Ws)
In SOAP, the assessment is considered to be
Tentative diagnosis (causes)
In SOAP, the plan is considered to be
Diagnostic test and treatment
Behavior & Mentation is considered what technique?
Inspection
BAR and QAR stand for
Bright and alert or quiet and alert
What is the normal temp range for cats/dogs?
99-103
What is the average temperature for cats/dogs?
102.3
What temperature is a dog/cat considered to be hypothermia
Less then 99
What temperature is considered febrile
103.5
The skin turgor test is used to show signs of this
Dehydration
Normal RR for dog
16-24
Normal RR for cat
16-30
Normal heart rate for dog
70-180
Normal heart rate for cat
160-240
Mucosa Membrane (MM) is pink means
Normal
Mucosa Membrane (MM) is pale to white means
Anemia or poor perfusion
Mucosa Membrane (MM) is blue means
Cyanotic
Mucosa Membrane (MM) is icteric means
Liver disorder (jaundice)