Patient History
BM
Bowel Movement
Wt
Weight
L
Left
A dog was hit by a car yesterday and is now having trouble walking.
HBC - Hit by car
Horse presented with an acute injury to the L front leg.
The horse has a recent fracture of the left front leg.
V
Vomiting
Chronic
Long Term
Acute
Short Term
A healthy dog is awake, energetic, and responds normally to the veterinarian.
BAR - Bright, Alert, Responsive
Patient is BAR. Wt: 52 lbs. PE: NSF
The patient is bright, alert, and responsive; weighs 52 pounds; and no signs were found during the physical exam.
HBC
Hit By Car
Tx
Treatment
Dx
Diagnosis
A cat has had kidney problems for several years.
Chronic - Long Term
Dog presented for V/D. Dx: gastroenteritis. Tx: fluids and rest.
The dog was brought in for vomiting and diarrhea. The diagnosis is gastroenteritis, and treatment includes fluids and rest.
V/D
NSF
No Signs Found
PE
Physical Exam
The veterinarian examines the patient from head to tail.
PE - Physical Exam
Patient presented QAR following HBC. PE reveals decreased mobility of the R hind limb. TPR elevated.
The patient is quiet, alert, and responsive after being hit by a car. The physical exam shows pain and decreased movement of the right hind leg. Temperature, pulse, and/or respiration are higher than normal limits.
Lethargic
Tired/Inactive
QAR
Quiet, Alert, Responsive
Daily Double:
Temperature, Pulse, Respiration
The veterinarian gives the owner instructions for medication to give the patient at home.
Rx - Prescription
Patient presented with an acute injury following a fall. Owner reports no U or BM since the incident. Dx: abdominal trauma. Tx: supportive care and monitoring.
The patient has a recent/short-term injury from a fall. The owner reports that the patient has not urinated or had a bowel movement since the incident. The diagnosis is abdominal trauma, and treatment includes supportive care and monitoring.