History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Relevant Testing
Test Results 1
Differential Diagnoses
Relevant Next Steps
Test Results 2
Test Interpretation
Diagnosis
Treatment Orders
Question 1
Question 2
Question 3
About the Case
Shar-Pei with Icterus
Physical Examination
General appearance
: Middle-aged dog with yellowish skin and sclera. Body Condition Score of 6.
Vital signs
:
Temperature: 38° C
Pulse: 102/min
Respirations: 23/min
Skin
: Yellow coloration but otherwise normal.
HEENT
: Sclera and mucus membranes appear yellow. No cervical lymphadenopathy.
Pulmonary
: Regular rate and rhythm with no increased effort. No cough, nasal discharge. Lung sounds normal.
Cardiovascular
: Mildly increased capillary refill time. No jugular distension, murmur, or arrhythmia.
Gastrointestinal
: Gut sounds present and unremarkable.
Genitourinary
: Unremarkable
Musculoskeletal
: No pain or swelling of joints. Gait normal.
Neurologic
: No cervical nerve deficits or other abnormalities noted.
Mental status
: Quiet, alert, and responsive
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