Okay. So now we're gonna move on to the
exam of the thorax. And so to start here
we want to start with feeling for our prescapular
lymph nodes which as the name suggests are right here
in front of the scapula and his feel normal because
he's a good healthy dog. So at this point
we're just gonna go ahead and quickly run our hands
down his legs and over the rest of his chest.
Here we're feeling for anything asymmetrical lumps or
bumps or anything that you're finding that might be feel
abnormal that we want to look at. So at
this point we're gonna go ahead and move on to
auscultation of the chest. And so first we want
to feel for our point of maximum intensity of our
heartbeat here on our left side which is where we're
gonna start. And once we feel that we can
go ahead and get out our stethoscope. Once we
have our stethoscope out we can go ahead and we
can place it on a point of maximum intensity.
Start there, we're gonna move around in a triangular
motion, starting our pulmonic area, heading up to
our aortic valve and then over to our mitral valve
and making sure that we're going to take a couple
of heartbeats on each of those to listen. Once
we've looked at all those three valves we're gonna move
on to the other side and we're gonna listen for
our tricuspid valve. Once we've had a good
listen to all four valves, we're gonna go ahead
and listen to our lung fields starting from a caudal-dorsal
and heading cranial-ventral. At each point we're
stopping to listen to a couple of breaths just listening
for anything abnormal such as crackles or wheezes. So
while we're listening to our lung fields, this is
also a time where we can be counting his breaths.
We're gonna count them over 15 seconds and then
multiply that by four to get the breaths per minute
and we'll go ahead and repeat for the other side
and all of his lung sounds sound normal. So
last but not least. I want to go ahead
and while listening to our heartbeat, come here and
feel our femoral pulse and make sure that the two
are synchronous. Once we've done that that ends the
thoracic exam.