Case Log Examples Large Animal Internal Medicine Case Log #1 Date: 00/00/0000 Patient ID XXX Species/Breed: Equine/Thoroughbred Age: 3 months Sex: female Weight in kg: 189kg Diagnosis: Lawsonia (PCR Positive) Advanced Skills & Procedures I performed: plasma transfusion, implement isolation protocol, full physical exam Advanced Skills & Procedures I assisted: ultrasound imaging and measurement of intestinal tract wall Outcome: discharged Case Log #2 Date: 00/00/0000 Patient ID XXX Species/Breed: Camelid/alpaca Age: 20 years Sex: female Weight in kg: Unavailable Diagnosis: Neoplasia Advanced Skills & Procedures I performed: drug/fluid calculation and preparation/administration (oxytetracycline, thiamine, dexamethasone, diazepam, etc.) Advanced Skills & Procedures I assisted: Neurologic exam, lumbo-sacral spinal tap Outcome: Euthanized Case Log #3 Date: 00/00/0000 Patient ID XXX Species/Breed: Bovine/Holstein Age: 6 years Sex: female Weight in kg: Unavailable Diagnosis: Lymphoma Advanced Skills & Procedures I performed: passed Kingman tube and refluxed rumen contents (40 gallons), provided nursing care to downer animal, pain assessment and management, physical exam Advanced Skills & Procedures I assisted: placement and management of downer cow in sling Outcome: Euthanized Case Log #4 Date: 00/00/0000 Patient ID XXX Species/Breed: Equine/Saddlebred Age: 7 years Sex: castrated male Weight in kg: 430kg Diagnosis: Pleural pneumonia Advanced Skills & Procedures I performed: full physical exam, sample collection and handling for cytology evaluation Advanced Skills & Procedures I assisted: thoracic radiographs, transtracheal wash, trocar chest tube placement Outcome: Euthanized Case Log #5 Date: 00/00/0000 Patient ID XXX Species/Breed: Camelid/camel Age: 1 day Sex: male Weight in kg: Unavailable Diagnosis: Failure of passive transfer Advanced Skills & Procedures I performed: plasma transfusion, administered feedings via nasogastric tube, reverse isolation protocols, physical exam, restraint Advanced Skills & Procedures I assisted: placement of nasogastric feeding tube Outcome: discharged Case Log Examples Equine Internal Medicine Case Log #1 Date: 00/00/0000 Patient ID XXX Species/Breed: Equine/Clydesdale Age: 6 years Sex: Female Weight in kg: 845kg Diagnosis: Retained placenta Advanced Skills & Procedures I performed: oxytocin infusion preparation and administration, full physical exam Advanced Skills & Procedures I assisted: intrauterine flushing Outcome: discharged Case Log #2 Date: 00/00/0000 Patient ID XXX Species/Breed: Equine/Clydesdale Age: 8 years Sex: Female Weight in kg: 783kg Diagnosis: Fever and colic of unknown origin Advanced Skills & Procedures I performed: cephalic catheter placement and monitoring for thrombophlebitis and abortion, full physical exam, pain assessment Advanced Skills & Procedures I assisted: complete ultrasound Outcome: discharged Case Log #3 Date: 00/00/0000 Patient ID XXX Species/Breed: Equine/Fresian Age: 10 years Sex: female Weight in kg: 614kg Diagnosis: Suspect Equine Protozoal Myeloencephalitis (based on positive Western Blot and physical exam Advanced Skills & Procedures I performed: long-term over-the-wire jugular catheter placement, DMSO preparation and administration, physical exam Advanced Skills & Procedures I assisted: neurologic exam Outcome: discharged Case Log #4 Date: 00/00/0000 Patient ID XXX Species/Breed: Equine/Quarterhorse Age: 6 years Sex: female Weight in kg: 450kg Diagnosis: Equine Herpes Virus Advanced Skills & Procedures I performed: prepared and administered DMSO and thiamine infusions, performed full physical exam, management of patient in sling, collected and handled CSF for analysis/cytology Advanced Skills & Procedures I assisted: removal of down anesthetized horse from trailer, atlanto-occipital spinal tap, placement in sling, urinary catheterization Outcome: discharged Case Log #5 Date: 00/00/0000 Patient ID XXX Species/Breed: Equine/Quarterhorse Age: 5 years Sex: male Weight in kg: 448kg Diagnosis: Pleural pneumonia Advanced Skills & Procedures I performed: setup and administration of oxygen via nasal cannula, maintenance of indwelling chest tube drains, proper collection and handling of fluid samples for cytology evaluation, arterial blood gas collection and analysis, physical exam Advanced Skills & Procedures I assisted: thoracic ultrasound, thoracic trocharization, abdominocentesis Outcome: discharged Case Log #6 Date: 00/00/0000 Patient ID XXX Species/Breed: Equine/Belgian Age: 3 days Sex: female Weight in kg: 60kg Diagnosis: Sepsis, neonatal maladjustment syndrome Advanced Skills & Procedures I performed: cleaned and bandaged wounds on extremities, fluorescein stain eyes, plasma transfusion, calculated and prepared antibiotics pantoprazole, magnesium sulfate CRI, thiamine CRI, 20% dextrose CRI, setup and maintained foal on multiple fluid lines, feedings via nasogastric tube, implemented reverse isolation protocols, restraint, physical exam Advanced Skills & Procedures I assisted: nasogastric feeding tube placement, arterial blood gas Outcome: Euthanized Case Log Examples Production Animal Internal Medicine Case Log #1 Date: 00/00/0000 Patient ID XXX Species/Breed: Camelid/alpaca Age: 3 weeks Sex: female Weight in kg: Unavailable Diagnosis: Failure of passive transfer, septicemia, cryptosporidium infection Advanced Skills & Procedures I performed: long-term over-the-wire jugular catheter placement, plasma transfusion, venous blood gas, neonatal reverse isolation protocol, neonatal restraint and physical exam Advanced Skills & Procedures I assisted: complete ultrasound Outcome: Discharged Case Log #2 Date: 00/00/0000 Patient ID XXX Species/Breed: Bovine/Holstein Age: 7 years Sex: female Weight in kg: 750kg Diagnosis: Hardware disease, reticular abscess, peritonitis Advanced Skills & Procedures I performed: full physical exam, pain assessment and management Advanced Skills & Procedures I assisted: ultrasound exam of thorax, instructed student placement of long-term over-the-wire jugular catheter Outcome: Discharged Case Log #3 Date: 00/00/0000 Patient ID XXX Species/Breed: Bovine/Holstein Age: 3 years Sex: female Weight in kg: 568kg Diagnosis: Outflow obstruction due to Hemorrhagic Bowel Syndrome Advanced Skills & Procedures I performed: obtained and handled samples for milk culture and cytology, administered magnesium sulfate and fresh cow drench via orogastric tube, full physical exam Advanced Skills & Procedures I assisted: complete ultrasound, abdominocentesis Outcome: Discharged Case Log #4 Date: 00/00/0000 Patient ID XXX Species/Breed: Bovine/Polled Hereford Age: 5 months Sex: male Weight in kg: 216kg Diagnosis: Pulmonary hypertension Advanced Skills & Procedures I performed: collected and processed samples for cytology Advanced Skills & Procedures I assisted: radiographs of thorax, complete ultrasound, cardiac ultrasound, abdominocentesis Outcome: Euthanized Case Log #5 Date: 00/00/0000 Patient ID XXX Species/Breed: Bovine/Holstein Age: 4 years Sex: female Weight in kg: 695kg Diagnosis: Lumpy jaw due to Actinomyces bovis Advanced Skills & Procedures I performed: collection and handling of tissue samples Advanced Skills & Procedures I assisted: radiographs of mandible, tissue biopsy Outcome: Discharged Case Log #6 Date: 00/00/0000 Patient ID XXX Species/Breed: Camelid/Llama Age: 22 years Sex: female Weight in kg: 182kg Diagnosis: Hypoproteinemia of undetermined etiology Advanced Skills & Procedures I performed: physical exam Advanced Skills & Procedures I assisted: transport and positioning of downer animal in sling, complete ultrasound Outcome: Euthanized
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