24 February 2014

Your Pet's Health - Episode 1 - General Exam

Hanover Animal Hospital presents 'Your Pet's Health' with Dr. John Billeter, DVM. Episode 1 features information about what your veterinarian is looking for ...

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good morning my name is dr. John bellator and I'm with Hannover Animal Hospital the purpose of this video is to go over the details of a good thorough physical exam so that we can hopefully help you to understand the value and the importance of having one done most people are aware that one year to us is approximately six or seven years in the life of the dog or cat so that if you go to the doctor every 14 to 21 years that's equivalent to taking your dog to either the veterinarian for every two or three years and it's important to do that annually because a lot of changes can occur in one year this is Jackson he's helping us out this morning so we're going to kind of demonstrate how to do a physical exam purpose basically being so that you can understand when you go to your veterinarian or if you come to us that what we're doing when we're doing the physical exam and trying to determine what if anything maybe wrong I like to start at the head and work my way back everybody has their own technique everybody has their own style of how to do this what's important is that you're thorough and you take advantage of some of the things that

nature has provided primarily symmetry if we look at Jackson he's going to the left side he's got a right side they should be essentially symmetrical and that applies to joints and head the skull really looking at him in a lot of different ways so we're going to start up in his nose and we want to look at his nose make sure there's no discharge make sure there's no abnormalities and the contours we're going to lift his lip we're going to look at the color of his gums they should be nice and bright pink we're going to press lightly on that it should Blanche out white and then come back within about one or two seconds to the nice bright pink he's got a little bit of tartar and calculus accumulating on these teeth so we'll need to get those cleaned eventually so those are things we want to look for if they're particularly cooperative you want to look inside the mouth making sure that everything in there looks good there are no tumors there's no loose teeth or broken teeth and as I'm doing this I'm always going to be moving my hands around feeling the ears feeling the submandibular lymph nodes feeling the salivary glands maybe

any problems there I may then go ahead and take either an ophthalmoscope where they has an utter scope and look at his eyes I'm again i'm looking for symmetry I'm looking for equality and the size of the pupils I'm looking for the reaction to light I'm looking for clarity in the cornea clarity and the fluid in the front part of the eye those are all things that are very important it can give you clues as to what you may be dealing with if there are problems most people do not have a notice stuff at home they're extremely helpful because when you look in their ears that can appear to be totally normal on the external ear canal the dogs have a very long el sheikh ear canal and so it's important to be able to take the other scope and look down into both portions of the ear canal and examine the eardrum if you can if there's not a lot of debris or hair things like that is that are cluding your view Jackson's being nice and cooperative as I move down we want to go ahead and feel right in front of his shoulders there are lymph nodes in front of the shoulders there are also lymph nodes up underneath the armpits or the axle area area and you want to feel

those for any enlargements any lumps or bumps or swellings and as I said as I'm doing this I'm running my hands down over his body just feeling the contours just seeing what his overall body condition is seeing if he's overweight running my hand down his back trying to feel there's any sort of pain or abnormal response and again most people don't have stethoscopes at home I'm not going to demonstrate listening because if beyond the scope of this video but you want to be able to when you take a stethoscope and listen to them you want to listen to their heart you want to check the right the rhythm you want to listen to the lungs make sure they sound clear there's no abnormal sounds there's no abnormal dullness i oftentimes like to also as I'm checking their heart rate with a stethoscope feel on the inside for the femoral artery so that i can make sure that they have pulses that are beating along with the heart in male dogs obviously you want to check their external generals make sure there's no swellings lumps bumps discharges if it's an intact male you all to test to palpate both testicles and obviously most male dogs also you have to go ahead

and check the prostate which I'm do here because Jackson is in fact neutered but it is an important part of the exam in female dogs or cats and obviously all of these comments will apply equally to cats you want to make sure that in a female dog that they don't have any excessive discharge or any discharge things are not your regular and it's important to understand that what you've got to do is be able to recognize what is normal before you can recognize what is admirable at this part of the exam i would also generally do a dominant palpation i'm feeling for any evidence of any enlargement of organs i'm feeling for swellings and feelings are fluid feeling for anything that seems irregular it is probably also beyond the scope of this video to try and teach people how to do abdominal palpation but it's a difficult skill to learn takes a long long time you really do it well but it's a very important part of the exam the last part i would probably recommend or the last part of a comment on we turn him back around is very important part of the exam and that is one that i probably should have mentioned from the very beginning and

that is that when you come into a room when you look at a dog or a cat you want to watch for their overall level of mentation are they bright are they aware are they able to walk around unassisted are they limping do they seem to have a head tilt all of those things can get any subtle clues and indicators as to what the problems maybe if in fact they're having difficulties that should give you the basic idea of what a physical exam is for what we intend to learn or what we try to learn I hope this has been helpful and we'll be doing some more videos in the future that hopefully will clarify some more things that we do here at hannover enema you