Topic 1 - Objective and methods of Clinical Diagnostics. The diagnosis. Diagnosis types. The causes of misdiagnoses. Status praesens. The order of organ system examinations Flashcards

1
Q

Objective of clinical dianostics:

A

To detect abnormalities and to determine the body system involved, and to find the purpose of clinical examination

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2
Q

What is the purpose of a clinical examination?

A
  1. Being able to recommend specific TREATMENT
  2. Provide accurate PROGNOSIS
  3. To make recommendation for COST EFFECTIVE CONTROL
  4. PREVENTION of new cases - If animals are at risk
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3
Q

Methods of clinical diagnostics

A

Physical examination
Additional examination
Laboratory examination

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4
Q

Methods for physical examination:

A
  1. Inspection
  2. Palpation
  3. Auscultation
  4. Percussion
  5. Smelling
  6. Measuring
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5
Q

Name additional exams done for examination:

A

Non-instrumental:
1. Aspiration
2. Biopsy
3. tubing
4. Catheter
5. Centesis = puncture into body cavity (abdominocentesis)
6. Excision = surgical removal

Instrumental:
1- X-ray
2. ECG
3. Ultraosund
4. Endoscopy
5. MR

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6
Q

Name laboratory examinations:

A
  1. Blood
  2. urine
  3. Rumen-content
  4. Faeces
  5. Milk
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7
Q

What is a diagnosis?

A

the identification of the nature of an illness or other problem by examination of the symptoms

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8
Q

How to develop the correct diagnosis?

A
  1. Deductive diagnosis
  2. Excluding diagnosis
  3. Diagnosis obtaining from the therapeutic results
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9
Q

Name the different diagnosis types:

A
  1. Causal, ethological diagnosis
  2. Topographical diagnosis
  3. Symptomatic diagnosis
  4. Functional diagnosis
  5. Tentative diagnosis
  6. Main and additional diagnosis
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10
Q

Example of causal, ethological diagnosis:

A

Parvovirus enteritis

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11
Q

Example of Topographical diagnosis:

A

Hepatitis

(concerning organs)

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12
Q

Example of Symptomatic diagnosis

A

Jaundice, fever

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13
Q

Example of Functional diagnosis

A

Lameness of the urinary bladder

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14
Q

Example of Tentative diagnosis

A

Sarcoptes

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15
Q

Example of Main and additional diagnosis

A

Enteritis
Flea allergy

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16
Q

List possible causes of false diagnoisis/misdiagnosis:

A
  1. Diagnosis without doing an examination
  2. the examination was not accurate, you need to take your time
  3. Misunderstanding one or more of the symptoms
  4. Insufficient diagnostic equipment
  5. Inappropriate reading of the laboratory result
  6. Neglect of repeated examinations
17
Q

Parts of the current clinical state (status praesens):

A

Signalement/nationale
Amnesis
Current state

18
Q

What is included in “Signalement/nationale”?

A

Name and address of the owner
Permanent data of the animal
Transient data of the animal

19
Q

List the order of examination of organs and the organs-system

A
  1. General impression
  2. Basic clinical values
  3. Skin
  4. Lymph nodes
  5. Mucous membranes
  6. Respiratory system
  7. Cardiovascular system
  8. GI-system
  9. Urinary system
  10. Genital system
  11. Spleen and haemopoetic system
  12. Hormonal system
  13. Locomotor system
  14. Nervous system
20
Q

Where can we find mucous membranes to examine?

A

Conjunctiva
Oral
Nasal
Anal
Genital