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).

1. SHAHZAD HUR
DVM STUDENT
UNIVERSITY OF VETERINARY AND ANIMAL SCIENCES, SUB-CAMPUS JHANG
HISTORY TAKING AND CLINICAL EXAMINATION

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

9. Oral cavity examination Eye examination

10. Ear examination Lymph nodes

11. Fore limbs and Hind limbs Dehydration status

12. Abdomen examination Perineal region