Text book of veterinary medicine, Volume 1 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 1 (of 5)
Law, James
Veterinary medicine
7. =Premonitory= or =precursory symptoms= precede the diagnostic
symptoms of some diseases, thus dullness and languor often heralds an
approaching fever, and the strangles of young horses is often preceded
by a general unthrifty appearance, poor appetite and indisposition to
exertion.
In observing symptoms as in other things, some have far greater natural
ability than others, but in all a careful training will do much to
develop and improve the power and habit. A most important thing in such
habits is the strict maintenance of a system, not to be followed as a
cast iron rule but to be constantly kept in mind and strictly carried
out except when sound judgement and experience show it to be
unnecessary.
=Anamnesis.= As a rule the first thing to be learned about a patient is
his history, and personal and hereditary characteristics. What are his
general health, temperament, previous attacks, hereditary
predisposition, environment? Is the site of the building, its condition
as regards soil, springs, drainage, structure, ventilation, light,
cleanliness such as would favor any particular disorder or class of
disorder? Is the patient in high, low, or moderate condition, robust or
debilitated, alert and lively or dull and stupid? Have other animals
suffered recently, or at a corresponding season, or under similar
conditions in apparently the same manner? How long has the patient
suffered, were there any premonitory indications of illness, what were
the first symptoms, and what symptoms have followed up to the present?
Has there been any change of food, water or management that might throw
light on the cause? Has there been any change of weather or unwonted
exposure to cold, storm, overwork, compulsory abstinence or enforced
retention of some secretion? If a female is she pregnant?
Having exhausted this method, using such lines of inquiry as promise
good results in the particular case, the veterinarian is prepared to
bring his own powers of observation to bear more directly.
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