History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Testing
Test Results
Test Interpretation
Differential Diagnosis
Additional Test Results
Diagnosis
Treatment Orders
Question 1
Question 2
About the Case
Dog with anorexia, lethargy, and vomiting
Physical Examination
General appearance
: Unremarkable
Vital signs
:
Temperature: 40.1° C (104.1° F)
Pulse: 180 beats/min
Respirations: 35/min
Weight: 2.5 kg (5.5 lbs)
Skin
: Hair coat normal with some flaky skin over dorsum.
HEENT
: No abnormalities
Pulmonary
: Eupneic with no abnormal lung sounds.
Cardiovascular
: Capillary refill time <2 seconds, no arrhythmias or pulse deficits.
Gastrointestinal
: Gut sounds present.
Genitourinary
: No abnormalities.
Musculoskeletal
: No abnormalities.
Neurologic
: No abnormalities.
Mental status
: Bright, alert, and responsive.
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