History of Present Illness
Differential Diagnoses
Review of Systems
Past Medical History
Physical Examination
Relevant Testing
Test Results
Test Interpretation
Diagnosis
Relevant Next Steps
Treatment Orders
Question 1
Question 2
Question 3
Question 4
About the Case
Horse with abnormal enlarged ovary
Physical Examination
General appearance
: Healthy appearing mare of good body weight.
Vital signs
:
Temperature: 37.8° C
Pulse: 32 beats/min
Respirations: 12/min
Weight: 521 kg (1149 lb)
Skin
: Unremarkable
HEENT
: Mild scleral injection, mucous membranes pink, no nasal or ocular discharge, ears clean, no submandibular lymphadenopathy, and no oral lesions observed.
Pulmonary
: Eupneic with mildly increased bronchovesicular sounds. No sneezing or coughing.
Cardiovascular
: No murmur or arrhythmia, capillary refill time normal, good jugular refill.
Gastrointestinal
: Gut sounds present and unremarkable.
Genitourinary
: Unremarkable
Musculoskeletal
: Mild right front lameness, unshod, feet in need of trimming, digital pulses normal.
Neurologic
: Limited exam showed no deficits of cranial nerves.
Mental status
: Bright, alert, and responsive.
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