Rotation 1 Physical Examination Procedures
Form for Recording of Physical Examination
Click here for an example of a completed physical exam form
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The technician should perform palpation of all abdominal organs as part of the evaluation of the gastrointestinal, genitourinary, and lymphatic systems. Any organ enlargement or tenderness noticed must be recorded. If no abnormalities are evident, the technician can record this as 'characteristic'. |
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The integumentary system evaluation should include a complete examination of the skin and haircoat. Evidence of parasites, or any abnormal lumps, bumps, redness, etc, must be recorded |
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An otoscope and ophthalmoscope must be used to examine the patient's eyes and ears. Any evidence of unusual discharge from ears or eyes must be recorded. Abnormal odors or evidence of parasites within the may require additional procedures (i.e. ear swab, culture, etc.) |
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The skin turgor test can be used to provide preliminary information regarding the patient's hydration status. This test should be completed as part of a general evaluation of the patient. Results can be recorded as 'hydration adequate' should the test not indicate any level of dehydration. A subjective rating of percent dehydration can be recorded should any abnormalities be evident. |
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Auscultation of the heart, lungs, and abdominal cavity must be completed and recorded as part of the complete physical examination. Heart and respiratory rates and rhythm should be evaluated. Presence or absence of unusual abdominal sounds should also be recorded. |
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