Comp Review 1 - PE/SOAP/Vax
Terms
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- The blue sheet in AU record is for what?
- Invasive procedures
- The white sheet in a AU pt record is called what?
- Face sheet
- What test/vax are given to all feline AU pts?
- FeLeuk test, FVRCP vax, 2 fecals, rabies vax
- What test/vax are given to all canine AU pts?
- Heartworm test (occult & filter) then start prev, DA2PPC vax, bordatella vax, rabies, 2 fecals
- What does SOAP stand for?
- Subjective, Objective, Assessment, Plan
- What things are noted in the O section of the SOAP?
- full PE, test results (highlight), eating, drinking, waste output
- What things are noted in the A section of a SOAP?
- presumptive dx, things like "improving"
- What things are noted in the P section of a SOAP?
- What needs to be done and when.
- What are some general guidelines for completing a PE?
- by exam sheet order or head to toe, clear, specific, correct spelling, no unprofessional language, can't be too thorough
- What are the "categories" of the animal that are looked at on a PE?
- general condition, integument/skin,eyes, ears, nose, mouth & throat, lung sounds, heart, abdomen, genitals, rectum, extremities, neck & back, neurologic, lymph nodes, tpr/crt/mm
- What is noted in the General Condition section of the PE?
- Condition score between 1-9 according to chart, hopefully between 4-6, temperament, nutritional state, alertness, anything that doesn't look normal
- What are some things noted in the Integument/Skin section of the PE?
- dull, matted, oily, alopecia, dandruff, external parasites, lesions, - describe condition in detail and note location
- What might be some things to note about the eyes on a PE?
- discharge (describe), cloudiness, abrasions, ulcers, scars, ectropion/entropion, conjunctiva condition, pupils
- What might be some things to note about the ears on a PE?
- odors, discharge, redness, debris, pinnae damage
- What might be some things to note about the nose on a PE?
- discharge, general appearance, scarring
- What are some things that might be noted in the Mouth & Throat section of the PE?
- teeth condition, gums, bite pattern, gingivitis, CRT, MM, ulcerations, palpate trachea to induce coughing
- Are lung sounds done before or after the heart sounds? why?
- Before - lung sounds are softer and harder to hear after the comparatively loud heart sounds
- Where do you listen for lung sounds? What are you listening for?
- Listen in different areas on both sides. Listen for wheezing, crackling, coughing, fluid sounds
- What things are you listening for when listening to the heart?
- rate, rhythym, murmmur, arrythmia
- What are you feeling for when palpating the abdomen on a PE?
- masses, pain, abnormalities, umbilical hernias, mammary glands
- What are some things that maybe noted about the genitals on a PE?
- swelling, dicharge, testicles (cryptorchid)
- What are some things that may be noted about the rectum on a PE?
- discharge, redness, worms, anal glands
- What are some things that may be noted about the extremeties on a PE?
- toes, pads, nails, gait, mobility, pain
- What are some things that are done/noted about the neck and back on PE?
- palpate along each vertebrae, any pain, move head and neck to check for limited movement
- What things are checked during the neurologic portion of a PE?
- righting reflex, conscious propreception (flip paw), sight, hearing
- Name the 5 sets of lymph nodes
- mandibular, politeal, prescapular, inguinal, axillary
- Which two sets of lymph nodes are normally palpable?
- mandibular and politeal
- Where are the mandibular lymph nodes located?
- under lower jaw
- Where are the politeal lymph nodes located?
- caudal thigh behind stifle
- What three sets of lymph nodes are not normally palpable?
- prescapular, axillary, inguinal
- Where are the prescpular lymph nodes located?
- In front of the shoulder
- Where are the axillary lymph nodes located?
- in the armpit area
- Where are the inguinal lymph nodes located?
- medial thigh
- What should be noted about the palpable lymph nodes on a PE?
- size - measure
- What is a normal feline and canine temp?
- 100.5 - 102.5
- What is a normal feline pulse?
- 110-180
- What is a normal canine pulse?
- 70-130
- What is a normal puppy pulse?
- 220
- What is a normal canine toy breed pulse?
- 160-180
- What is a normal respiration rate for cats and dogs?
- 10-30 rpm
- What are "baby" teeth called?
- Deciduous teeth
- When do deciduous teeth errupt in puppies?
- 4-6 weeks
- When do deciduous teeth errupt in kittens?
- 3-6 weeks
- When do permanent teeth errupt in dogs?
- 4-7 months
- When do permanent teeth errupt in cats?
- 3-5 months
- What is a normal CRT?
- 2 seconds or less
- Where is a pulse taken on a cat or dog?
- femoral artery - high on inside thigh
- What is a sinus arrythmia?
- heart rate slows on ehalation of breath and speeds up on inspiration - normal in dogs
- What are rales?
- Abnormal lung sounds - dry/crackling, moist/bubbling
- What are two types of cough?
- Productive (bringing up material), non-productive
- What is an acute infection of the mammary glands called?
- Mastitis
- In POMR record keeping, what does POMR stand for?
- Problem Oriented Medical Record
- In records, what do CC and PH stand for?
- Chief Complaint and Past History
- Why don't you vax a sick animal?
- The vax isn't as effective, and you could make the animal more sick
- What is the canine vax DA2PPC for?
- Distemper, Adenovirus 2 (hepatitis), parainfluenza, parvovirus, coronavirus
- What is the feline vax FVRCP for?
- Feline Viral Rhinotracheitis, Calicivirus, panleukopenia
- What should be noted in the pt record when a vax is given?
- date, site, route, paste label in record or note maufacturer, type of vax, and serial # - DVM must initital chart
- What is the standard dose for all vax?
- 1 ml
- By what route and where is the DA2PPC vax given? Protocol?
- SQ in left scruff, booster 3 wks after initial vax, then yearly
- By what route is the bordetella/P12 vax given? Protocol?
- IN, booster in 6 months
- By what route and where is rabies vax given in dogs? Protocol?
- SQ right scruff, boostered annually (perhaps longer dep on vax given)
- What else must be done after administering a rabies vax?
- Complete rabies certificate
- By what route and where is FVRCP vax given? Protocol?
- SQ right shoulder, booster in three weeks, then annually
- By what route and where is FeLeuk vax given? Do we give this vax at Argosy?
- SQ left distal hind leg *only* if FeLeuk test is negative - don't give at Argosy as indoor cats do not need
- By what route and where is rabies vax given in cats?
- SQ right distal hind leg
- What is a dz concern with giving vax in cats?
- Vaccine Induced Fibrosarcoma
- Why are vax given low on leg of cats?
- In case fibrosarcoma develops - leg can be amputated