Veterinary Medical Applications Lesson Title: The Physical Examination TEKS Addressed in Lesson: 130.6. (c)(9) (E) 130.6. (c)(5) 130.6. (c)(6) Lesson Objectives: Evaluate several animal species in order to identify traits of healthy and unhealthy animals Analyze unhealthy traits that could indicate illnesses Recall the various systems of the animal body; explain normal conditions of each Demonstrate proper safety and handling techniques Recall normal TPR ranges for a variety of animal species Key Terms/Vocabulary Arrhythmia – a fluctuation in the heart rate Auscultation – the use of a stethoscope to listen to sounds produced by the functions of the respiratory, circulatory, and digestive systems BCS- Body Condition Score Bradycardia – a decreased pulse rate seen most commonly with electrolyte imbalances or heart disease Cyanosis – a bluish discoloration of the skin, resulting from inadequate oxygen concentrations in the blood Dyspnea – difficulty breathing, characterized by shallow rapid breaths with abdominal effort Eupnea – normal breathing Gastrointestinal – a term used to describe the stomach and intestines as one unit Murmur – any abnormal heart sounds produced by improper blood flow through the heart Mucous Membrane- an epithelial tissue that secretes mucus and that lines many body cavities and tubular organs including the gut and respiratory passages Palpation – using touch to determine the character of deeper, underlying body structures Ophthalmoscope – instrument used to examine the interior eye Otoscope – instrument used to examine the interior ear Tachycardia – an increased pulse rate seen often with fear, pain, exercise, and certain heart diseases Tachypnea – rapid breathing Interest Approach/Anticipatory Set -Have students complete a CRT test on their gums or hand. Explain what causes extended capillary refill time and how important it is for animals to remain healthy and hydrated. -Display several photos of unhealthy animals. Have students discuss observations regarding the health of the animals. Ask for students to describe the appearance of a healthy animal. Teaching Plan and Strategy Presentation of New Material Have student record traits of a healthy animal as well as traits of an unhealthy animal. Healthy: 1. Clear bright eyes with pink membranes around the eyes. 2. An appearance of contentment. 3. An alert attitude and interest in surroundings. 4. A good appetite. 5. A sleek, shiny coat with hair that is pliable, not dry and brittle. 6. Feces and urine that is easily passed and normal in appearance. 7. Temperature, pulse, and respiration in normal range. Unhealthy: 1. 2. 3. 4. 5. 6. 7. 8. 9. Lethargic Scared/fractious Emaciated Dull coarse coat/loss of hair Overweight/fat pockets Dull eyes, red eyes Pale mucous membranes Tooth decay/missing teeth Unclean Have students hypothesize several causes of these unhealthy traits. Introduce patient history and explain the need for this information. Patient history should include questions that require a definite answer. Questions that can be answered with “yes” or “no” will not give the vet/technician a clear picture of the animal’s condition. For example: “Is Rex drinking water?” can be answered with a yes which would not raise any flags. However the question: “How much is Rex drinking daily?” could give insight to the condition. Most dogs should consume ½ to 1 ounce of water per pound of body weight per day. For a 22 lb dog that’s 11-22 ounces per day. Review tools and equipment used for a physical examination and demonstrate the process for taking TPR as well as CRT. Students should be provided with a chart for TPR levels. Normal Temperature Pulse Beats/min. Respiration Breaths/min. Cat 101.5 110-130 20-30 Cattle 101.0 60-70 10-30 Chicken 107.0 200-400 15-30 Dog 102.0 70-120 10-30 Goat 102.5 40-60 12-20 Horse 100.00 30-60 8-16 Rabbit 103.0 123-304 30-45 Sheep 102.0 60-90 12-20 Snake Room Temp 12 1-2 Review Bedside manner and how to handle a fractious animal. Students should be reminded that they are responsible for the safety of the animal as well as their own safety. In addition, patient owner’s want their pet to have a positive experience so bedside manner is very important. Teacher PowerPoint “Clinical Examinations.” Students should record the steps for the physical examination or should follow along with their own copy of the “Clinical Exam Steps.” General Appearance Observation-observe the animals’ alertness, energy level, level of curiosity. Observe any signs of limping and, if possible, straining during urination/defecation. Vital Signs Temperature Pulse Respiration Physical Exam-Palpate and examine the 12 areas of the animal and any abnormalities associated with each. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Coat/skin Muscles/skeletal system Circulatory system Breathing/respiratory Digestive Reproductive organs Urinary Nervous system Lymph nodes Eyes Mouth Ears Teacher demonstrates the appropriate Physical Exam of the canine animal interjecting with information regarding livestock animals or feline pets. Activity/Application/Student Engagement/Laboratory Lab: Bring in several animals (depending on class/group size) have students complete a physical examination on each of the animals including: Temperature, pulse and respiration, CRT, tip to tail assessment, palpation for cuts, abrasions as well as inflammation or cysts, assessment of mucous membranes, then have students evaluate the demeanor of the animal to determine level of health. In addition, have students evaluate the body condition score of the animal keeping in mind the norm for various breeds. (for example, a greyhound’s BCS will vary greatly from that of a lab or a pit bull). Lab Sheet example and instructions can be found at: http://www.ruralareavet.org/PDF/Physical_Examination.pdf Students will recall the steps involved in a Physical Examination as well as the purpose of each step. Students will compare and contrast the traits of a healthy animal vs. those traits of an unhealthy animal as well as the various body condition scores. Students should be able to list the normal range of TPR for a variety of animals and should also demonstrate proper safety and restrain techniques throughout the exercise. Evaluation/Summary Written examination to determine level of mastery Lab Activity References/Additional Materials/Extended Learning Opportunities/Enrichment Cornell Introduction to Veterinary Science, Lawhead and Baker, Thomson Publishing http://www.ruralareavet.org/PDF/Physical_Examination.pdf College and Career Readiness Standards: Cross Disciplinary II. C. 1-8 Science VI. A-G