History taking
In veterinary medicine, history taking is most important from a clinical point of view because animals are unable to describe their pain and problems (symptoms).
2. OBJECTIVE
To identify clinical abnormalities
To identify risk factors
Perfect diagnosis
Perfect Treatment
3. HISTORY TAKING
In veterinary medicine , history taking is most important by clinical point of
view because Animals are unable to describe their pain and problems
(symptoms).
The can’t speak, the owner has to speak for them so that a veterinarian can
find out the main problem or issue with animals.
It is important for veterinarian to assess the accuracy of history by careful
clinical examination.
4. METHODOLOGY OF HISTORY TAKING
Greetings and use of polite behaviors & good manners with owner animal.
The owner or attendant must be handled with diplomacy and tact.
The use of nontechnical terms is essential, since mostly owners are likely to
confused by technical expression or reluctant to express themselves.
5. HISTORY _INCLUDES
Patient History
Age, gender, breed, weight,
status of herd (Number of
animals)
Disease History
disease status (when start, any
previous exposure, single animal
affected or whole herd), previous
treatment if given
Managemental History
Includes
Feeding of animals
Behaviour of animal
Defecation (fecal consistency)
Urination
Housing (where animals are place)
etc.
6. CLINICAL EXAMINATION
History
Patient history, Disease history,
Managemental history
General Clinical examination
Either animal is in normal condition or
emergency condition.
Assess the nature of Disease (contagious,
non_contagious, viral, bacterial, fungal or
any type of injury etc.
Physical examination
1) Distant examination
2) Close examination (Systemic
examination)
7. DISTANT PHYSICAL EXAMINATION
Observe the animal from a distance (about 5 to 10 feet)
Behaviour
Gait
Limbs
Abnormal and obvious injuries
Body condition (body scoring)
Vision and hearing
posture
Abdomen shape
Hair coat
Mucous discharge from orifices
8. CLOSE PHYSICAL EXAMINATION
Hands on examination or systemic examination from head to toe
Note TPR (temperature, pulse, Respiration
rate)
Nose (normal: moist & clean, abnormal: dry &
cracked)
Oral cavity (teeth, mucous membrane color)
Eyes (conjunctivitis, watery or dry, mucous or
pus)
Ears
Palpate the lymph nodes
Forelimbs
Thorax, back (dorsum) & spine
Integumentary system (hydration, body
coat condition, any injury
Abdomen (ventrum)
Hind limbs
Perineal region