Comprehensive Guide to Pet Health Examination and Assessment

I. Physical Examination

• A. Weight and Body Condition Score

  Assesses the pet’s overall weight and condition, indicating potential issues with nutrition, metabolism, or other health concerns.

• B. Skin and Coat Condition

  Examines the skin for any redness, irritation, or parasites. Checks the coat for any matting, dryness, or dullness, which can indicate underlying health issues.

• C. Eyes and Ears

  Inspects the eyes for any discharge, swelling, or cataracts. Checks the ears for any redness, discharge, or ear mites.

• D. Teeth and Gums

  Examines the teeth and gums for any signs of dental disease, such as plaque, tartar, or gingivitis. Assesses the pet’s dental hygiene habits.

• E. Lymph Nodes

  Palpates the lymph nodes in the neck, armpits, and groin areas for any enlargement or tenderness, which can indicate an infection or other underlying condition.

• F. Musculoskeletal System

  Examines the pet’s posture, gait, and range of motion. Tests for any signs of pain, stiffness, or lameness that may indicate orthopedic or neurological issues.

• G. Neurological Exam

  Evaluates the pet’s coordination, balance, and reflexes. Checks for any signs of tremors, seizures, or other neurological abnormalities.

II. Vaccination Record

• A. Core Vaccines

  Ensures the pet is up-to-date on essential vaccines, such as rabies, distemper, parvovirus, and others depending on the species and geographical location.

• B. Non-Core Vaccines

  Advises on non-core vaccines based on the pet’s lifestyle, environment, and potential exposure to specific diseases, such as Lyme disease, influenza, or kennel cough.

• C. Vaccination Schedule

  Recommends a vaccination and booster schedule tailored to the pet’s age, species, and lifestyle, ensuring optimal protection against preventable diseases.

III. Parasite Control

• A. Internal Parasites

  Administers deworming treatments for roundworms, hookworms, whipworms, and other intestinal parasites. Advises on regular fecal examinations for early detection and treatment.

• B. External Parasites

  Applies parasite prevention treatments to protect against fleas, ticks, mites, and other external parasites. Recommends the most appropriate products based on the pet’s species and lifestyle.

• C. Treatment Schedule

  Establishes a regular deworming and parasite prevention schedule to maintain the pet’s health and prevent future infestations.

IV. Medical History

• A. Previous Illnesses

  Reviews the pet’s medical history, including previous illnesses, allergies, surgeries, or injuries. This information helps identify potential health risks and guide preventive care.

• B. Current Medications

  Lists any current medications or supplements the pet is taking. Discusses potential side effects, interactions, and monitoring requirements.

• C. Allergies and Sensitivities

  Records any known allergies or sensitivities the pet has, ensuring the avoidance of potential triggers and appropriate treatment in case of exposure.

• D. Diet and Exercise

  Gathers information on the pet’s diet and exercise routine. Assesses the adequacy of nutrition and activity level to maintain optimal health and prevent weight-related issues.

V. Dental Health

• A. Dental Hygiene

  Evaluates the pet’s dental hygiene practices, including the frequency of brushing and professional dental checkups. Advises on proper dental care techniques and products.

• B. Dental Problems

  Inspects for signs of periodontal disease, tooth decay, or other dental problems. Recommends professional cleaning, extractions, or other treatments if necessary.

• C. Dental Procedures

  Provides information on the frequency and nature of past dental procedures, ensuring the pet receives necessary ongoing care.

VI. Nutritional Status

• A. Diet Quality

  Assesses the type and quality of food the pet is fed. Recommends a balanced and nutritious diet tailored to the pet’s species, age, and activity level.

• B. Feeding Frequency

  Determines the appropriate frequency and amount of feeding based on the pet’s needs. Avoids overfeeding or underfeeding, which can contribute to health problems.

• C. Weight Management

  Monitors the pet’s weight and body condition score to ensure they maintain a healthy weight. Advises on dietary adjustments or exercise recommendations if necessary.

• D. Nutritional Issues

  Identifies any signs of nutritional deficiencies or excesses. Recommends dietary supplements or modifications as needed to address nutritional imbalances.

VII. Behavior and Temperament

• A. Socialization History

  Reviews the pet’s socialization history, including their interactions with people, other animals, and different environments. Assesses their level of comfort and ability to handle various situations.

• B. Behavioral Issues

  Observes the pet’s behavior during the examination and inquires about any behavioral issues at home. Identifies any signs of aggression, anxiety, fear, or other behavioral problems.

• C. Training and Exercise

  Discusses the pet’s training and exercise routine. Recommends appropriate training techniques and physical activities based on their temperament and energy level.

VIII. Emergency Contact Information

• A. Veterinarian Information

  Records the name, address, and phone number of the pet’s primary veterinarian. Provides after-hours emergency contact information for urgent situations.

• B. Emergency Veterinarian

  Provides the name, address, and phone number of an emergency veterinarian clinic for after-hours emergencies or when the primary veterinarian is unavailable.

• C. Pet Insurance Information

  If applicable, collects the pet insurance policy number and contact information. Advises on the benefits and coverage of their pet insurance policy.