WEBVTT

1
00:00:09.539 --> 00:00:11.380 A:middle L:90%
Today we're going to start by showing you how

2
00:00:11.380 --> 00:00:14.839 A:middle L:90%
to perform the physical examination of the dog. Before you

3
00:00:14.839 --> 00:00:17.379 A:middle L:90%
start with the examination, we want to step back

4
00:00:17.500 --> 00:00:19.670 A:middle L:90%
and take a look over the entire dog. We

5
00:00:19.670 --> 00:00:22.980 A:middle L:90%
want to maybe watch them walk throughout the room and

6
00:00:22.980 --> 00:00:25.550 A:middle L:90%
we're looking for any limping or any symmetry in the

7
00:00:25.550 --> 00:00:28.039 A:middle L:90%
gate. I want to look at them overall and

8
00:00:28.039 --> 00:00:31.269 A:middle L:90%
look for our body condition and again looking for any

9
00:00:31.550 --> 00:00:36.409 A:middle L:90%
asymmetry in the muscles. Once we've observed them without

10
00:00:36.409 --> 00:00:38.250 A:middle L:90%
putting our hands on them we can go ahead and

11
00:00:38.250 --> 00:00:41.939 A:middle L:90%
start into the physical examination. For the physical examination,

12
00:00:41.939 --> 00:00:43.969 A:middle L:90%
we're gonna start with the examination of the head,

13
00:00:43.969 --> 00:00:48.100 A:middle L:90%
neck. So we start with the nose and for

14
00:00:48.100 --> 00:00:51.049 A:middle L:90%
the nose we're gonna look for color when I look

15
00:00:51.049 --> 00:00:54.590 A:middle L:90%
for symmetry and we look for any discharge. We

16
00:00:54.590 --> 00:00:57.109 A:middle L:90%
also want to make sure that they're moving air equally

17
00:00:57.109 --> 00:01:00.299 A:middle L:90%
out of both sides of the nose. Once we've

18
00:01:00.299 --> 00:01:00.560 A:middle L:90%
had a look at the nose, we're going to

19
00:01:00.560 --> 00:01:03.979 A:middle L:90%
go ahead and gently lift our lip and look at

20
00:01:03.979 --> 00:01:07.569 A:middle L:90%
our teeth. Let's start with one side. Here,

21
00:01:07.579 --> 00:01:10.890 A:middle L:90%
look at our teeth, look for tartar calculus,

22
00:01:11.099 --> 00:01:14.359 A:middle L:90%
any fractures, anything asymmetrical, any swelling,

23
00:01:14.359 --> 00:01:17.489 A:middle L:90%
redness or discharge. We're gonna go ahead and do

24
00:01:17.489 --> 00:01:19.569 A:middle L:90%
the same thing when lifting lip on the other side,

25
00:01:19.870 --> 00:01:22.920 A:middle L:90%
looking for the same things. Once we've done

26
00:01:22.920 --> 00:01:25.439 A:middle L:90%
that, and then gently place our index finger behind

27
00:01:25.439 --> 00:01:26.939 A:middle L:90%
the canine and the thumb here on the incisors and

28
00:01:26.939 --> 00:01:30.219 A:middle L:90%
very quickly have a look at the tongue and the

29
00:01:30.219 --> 00:01:34.159 A:middle L:90%
pharynx and the palette again looking for any symmetry,

30
00:01:34.159 --> 00:01:37.469 A:middle L:90%
redness, swelling, anything out of the ordinary.

31
00:01:37.780 --> 00:01:41.390 A:middle L:90%
Once we've gone ahead and looked at the mouth we're

32
00:01:41.390 --> 00:01:44.469 A:middle L:90%
gonna go ahead and look at the eyes. To look

33
00:01:44.469 --> 00:01:46.219 A:middle L:90%
at the eyes, we're gonna grab our direct

34
00:01:46.219 --> 00:01:49.370 A:middle L:90%
ophthalmoscope, turn it on and we're going to

35
00:01:49.370 --> 00:01:53.109 A:middle L:90%
get the first eye into focus. From there, we're

36
00:01:53.109 --> 00:01:56.879 A:middle L:90%
gonna dial in the magnification. So we're looking further

37
00:01:56.879 --> 00:02:00.950 A:middle L:90%
in toward the fungus and the retina and then back

38
00:02:01.140 --> 00:02:05.099 A:middle L:90%
looking at the cornea, looking for any redness swelling

39
00:02:05.099 --> 00:02:07.629 A:middle L:90%
or discharge in the eye. We're gonna go ahead

40
00:02:07.629 --> 00:02:09.449 A:middle L:90%
and repeat the process for the other eye again,

41
00:02:09.449 --> 00:02:16.650 A:middle L:90%
looking for anything abnormal redness, swelling, discharge or

42
00:02:16.650 --> 00:02:22.599 A:middle L:90%
anything asymmetrical. Once we've looked at the eyes we're

43
00:02:22.599 --> 00:02:23.979 A:middle L:90%
gonna go ahead and look at our ears. Alright

44
00:02:23.979 --> 00:02:28.050 A:middle L:90%
grab our otoscope. The ears are a sensitive

45
00:02:28.050 --> 00:02:29.789 A:middle L:90%
area so we want to be very gentle with our

46
00:02:29.789 --> 00:02:31.060 A:middle L:90%
otoscope. Well don't want to be pushing or

47
00:02:31.060 --> 00:02:34.509 A:middle L:90%
forcing it down into the ear canal. So we

48
00:02:34.509 --> 00:02:36.680 A:middle L:90%
want to do is gently with our thumb and index

49
00:02:36.680 --> 00:02:39.889 A:middle L:90%
fingers grab your ear and pull it out laterally as

50
00:02:39.889 --> 00:02:43.330 A:middle L:90%
we're doing so with our other fingers we can push up

51
00:02:43.330 --> 00:02:45.740 A:middle L:90%
on the canal. We can then just lay our

52
00:02:45.740 --> 00:02:47.740 A:middle L:90%
otoscope in and maneuver the canal so we can

53
00:02:47.740 --> 00:02:51.430 A:middle L:90%
look for our tympanic membrane, looking for any

54
00:02:51.430 --> 00:02:55.659 A:middle L:90%
discharge evidence of otitis anything out of the ordinary there.

55
00:02:57.240 --> 00:02:58.870 A:middle L:90%
Once we've done that for one ear we can

56
00:02:58.870 --> 00:03:00.560 A:middle L:90%
come around to the other side and look at the

57
00:03:00.560 --> 00:03:05.009 A:middle L:90%
other ear as well and both both of his ears look very

58
00:03:05.009 --> 00:03:07.990 A:middle L:90%
normal. Once we've looked at our ears, we're

59
00:03:07.990 --> 00:03:09.210 A:middle L:90%
gonna feel for lymph nodes, I'm gonna start with

60
00:03:09.210 --> 00:03:12.699 A:middle L:90%
our submandibular lymph nodes here. It should be

61
00:03:12.699 --> 00:03:15.979 A:middle L:90%
right here at the corner of the mandible. They

62
00:03:15.979 --> 00:03:19.889 A:middle L:90%
should be small for him, about pea sized, freely

63
00:03:19.889 --> 00:03:23.539 A:middle L:90%
movable and soft. We're going to move a little bit more medial

64
00:03:23.539 --> 00:03:25.870 A:middle L:90%
and we're gonna feel are parotid salivary glands which should

65
00:03:25.870 --> 00:03:29.169 A:middle L:90%
be a little bit larger about the size of a

66
00:03:29.169 --> 00:03:32.069 A:middle L:90%
lima bean and should be fairly fixed and firm. Now

67
00:03:32.069 --> 00:03:35.500 A:middle L:90%
all of his feel normal. We're gonna go ahead

68
00:03:35.560 --> 00:03:38.270 A:middle L:90%
and finish by feeling down our neck here, along

69
00:03:38.270 --> 00:03:43.379 A:middle L:90%
our trachea for any other enlarged lymph nodes. That finishes

70
00:03:43.379 --> 00:03:44.659 A:middle L:90%
the exam of the head and neck.