Procedure:
(1) Registration
:- general information regarding the patient
Ø Animal
species.
Ø Identification
number or name.
Ø Breed,
sex, age, colour of the coat.
Ø Type
e.g. draught animal.
Ø Address
of the client.
(2) Anamnesis
:-
history
i.
Anamnesis
vitae:- life history
Ø Condition
of the animal before illness.
Ø Type
of management and husbandry practices.
Ø The
plane of nutrition/ animal nutrition.
Ø Water
supply (individual or communal)
Ø Animal
use e.g. draught, beef, diary, dual purpose.
Ø Previous
illness.
ii.
Anamnesis
morbi :- disease history, consider the following;
Ø The
date an animal was discovered to be sick.
Ø Under
which or what conditions e.g. after vaccination, longer draught or feeding on
some pastures.
Ø The
possible cause of illness.
Ø Clinical
signs observed.
Ø Was
there any attempt to treat the animal and what was the response of the drug
used?
Ø Is
the condition improving or worsening.
Ø What
are the common infectious diseases in the locality?
Ø Any
common food poisoning.
Ø Is
there any possible animal contact and contact with game animals?
(3) Habitus:
- bodily condition.
Ø Actual
examination of the body systems.
Ø Examination
of body temperature, pulse rate, respiratory rate.
Ø Examination
of the common integument which includes;
o
Observation
o
Inquiring (questioning)
o
Palpation
o
Percussion; - involve strike to listen
the internal sound e.g. tympanic sound.
o
Auscultation: - stethoscope is used to
listen into internal sound.
o
Biopsy tissue examination.
o
Examine coat, skin, lymph nodes, mucous
membranes and other organs.
(4) Local status:
- status localis, location of
clinical signs and the tentative diagnosis.
(5) Prognosis:-
fatal/ grave, favorable, 50%/50%
(6)
Recommendations
Ø Destroy
or dispose.
Ø Treatment
course and drug of choice
Ø Prophylaxis/disease
control.
Ø Hygienic
measure.
Ø Better
husbandry practices.
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