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Rotation 1 & 2 - Physical Exam
n/a
56
Veterinary Medicine
Undergraduate 3
02/09/2014

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Cards

Term
What are the important reasons for the physical exam?
Definition

opportunity for the owner to ask any questions about the health of the patient


early detection of health problems at various stages of life


allows for suggestions of improving quality of life for the pet


pre-anesthetic physical exam


Term
What are the 4 areas of primary concern that may affect anesthesia?
Definition
  1. heart
  2. lungs
  3. liver
  4. kidney
Term
What is the signalment of the patient?
Definition
age, breed, gender/repro status
Term
What is the common way to start and finish the physical exam?
Definition
From nose to tail
Term
What are the general body systems?
Definition

1. general appearance

2. integument

3. respiratory

4. cardiovascular

5. gastrointestinal

6. genitourinary

7. musculoskeletal

8. neurologic

9. special senses

Term
What are looking for when you take note of general appearance?
Definition
state of nutrition, apparent age, mental alertness, gross deformities
Term
What is an ectomorph?
Definition
lean body mass
Term
What is a mesomorph?
Definition
muscular build
Term
What is an endomorph?
Definition
overweight
Term
What two things do you examine the head for?
Definition
symmetry and muscling
Term
What abnormalities can be seen when examining the head?
Definition
facial paralysis, alopecia, swellings
Term
What is blepharitis?
Definition
inflammation of the eyelids
Term
What is distichiasis?
Definition
malpositioned eyelids
Term
What is entropion?
Definition
Turning in of the eyelids
Term
what is ectropion?
Definition
turning out of the eyelids
Term
what is lagophthalmos?
Definition
drooping of the eyelids
Term
what is tarsorrhaphy?
Definition
suturing of a portion of the upper and lower eyelids together
Term
what things do you look at when examining the eyes?
Definition
upper/lower eyelids, conjunctiva, sclera, 3rd eyelid, cornea, lens, fundus, Fluorescein staining, Schiotz tonometer, Tonopen, Schirmer tear test
Term
What is a common feline eye condition?
Definition
conjunctivitis
Term
What is the 3rd eyelid also called?
Definition
the nictitating membrane
Term
What causes cherry eye?
Definition
enlargement of the lymph tissue lining
Term
What is keratitis?
Definition
inflammation of the cornea
Term
What is keratitis sicca?
Definition
dry eye
Term
What is hyphema?
Definition
bleeding in the anterior chamber of the eye
Term
What causes glaucoma?
Definition
an increase in intraocular pressure
Term
What is proptosis? What breeds are predisposed
Definition
protrusion of the eye from the socket usually related to trauma; breeds such as Pekinese
Term
Where does the pupil response take place
Definition
iris
Term
what is miosis
Definition
constricting of the pupil
Term
what is mydriasis
Definition
dilating of the pupil
Term
what is uveitis
Definition
inflammation of iris and ciliary body
Term
what is anisicoria
Definition
pupils of different size
Term
what are cataracts
Definition
opacity of the lens
Term
what is sclerosis
Definition
beginning opacity of the lens
Term
What problems can occur with the retina
Definition
retinal detachment and retinal hemmorrhage
Term
what is the tapetum
Definition
portion of the eye that reflects light
Term
what is Fluorescein staining for
Definition
used to determine ulceration of the cornea
Term
How does Fluorescein staining work
Definition
the epithelium has high lipid content
and will repel the water soluble stain
Term
What is the function of the history during the physical exam?
Definition
you get the vaccination and parasite prevention information; an unbiased description of the pet's illness; you can ask objective questions; you can relate questions to the chief complaint
Term
What is the chief complaint?
Definition
reason for the appointment and main concern for the owner
Term
Which peripheral lymph nodes can be palpated?
Definition
mandibular, prescapular, and popliteal
Term
Which lymph nodes are usually only felt when enlarged?
Definition
axillary and inguinal
Term
When palpating the lymphnodes what are you checking for?
Definition
symmetry and enlargement
Term
Where are the prescapular lymphnodes?
Definition
cranial and proximal area of the shoulder joint
Term
What technique for abdominal palpation is used for large animals?
Definition
two handed technique
Term
What technique for abdominal palpation is used for small animals?
Definition
one handed technique
Term
In what direction do you palpate the abdomen?
Definition
dorsal to ventral
Term
What do you divide the abdomen into for palpation?
Definition
cranial, middle and caudal
Term
Define acites
Definition
increase in intra-abdominal fluid
Term
What are the main organs in the abdo?
Definition
bladder
spleen
kidneys
large intestine
small intestine
stomach
liver
mesenteric lymph nodes (if enlarged)
Term
Where is a heart murmur best heard?
Definition
4th or 5th intercostal space on the left side of the chest
Term
What are the grades of heart murmurs?
Definition
Grade 1 = a very soft, localized murmur detected only in a quiet room after minutes of intense listening.
Grade 2 = a soft murmur, heard immediately, localized to a single valve area.
Grade 3 = a moderate intensity murmur that is evident at more than one location.
Grade 4 = a moderate intensity to loud murmur; radiates well; but a consistent precordial thrill is not present.
Grade 5 = a loud murmur accompanied by a palpable precordial thrill.
Grade 6 = a loud murmur with a precordial thrill, audible when the stethoscope is removed from the thorax.
Term
What are bronchovessicular sounds?
Definition
sounds produced by air moving through the bronchioles and alveoli
Term
What are the abnormal respiratory sounds?
Definition
rales, crackles, wheezes
Term
What are rales?
Definition
louder than normal respiratory sounds
Term
What are crackles?
Definition
associated with fluid in the alevoli
Term
What are wheezes?
Definition
produced by airway obstruction
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