History of Present Illness
Review of Systems
Medical History
Physical Examination
Testing
Test Results
Differential Diagnosis
Relevant Next Steps
Additional Test Results
Treatment Orders
Question 1
Question 2
About the Case
Horse with colic
Physical Examination
General appearance
: Quiet and alert
Vital signs
:
Temperature: 38.8°C (101.8°F)
Pulse: 48 beats/min
Respirations: 54/minute
Weight: 242 kg (535 lb)
Skin
: Long, dull haircoat
HEENT
: Mucous membranes tacky
Pulmonary
: No abnormalities
Cardiovascular
: Capillary refill time >2 s; no arrhythmias or pulse deficits
Gastrointestinal
: Decreased borborygmi on left, normal on right with gas sounds. A dorsal perirectal mass is noted on digital palpation. Fecal balls are disc-shaped.
Genitourinary
: Urination not observed
Musculoskeletal
: No abnormalities
Neurologic
: No abnormalities
Mental status
: Quiet but responsive
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