04/22/2023
THE PHYSICAL EXAM
“He doesn’t need a whole exam Doc, I just need you to look at his tooth.”
“I just want to drop off a urine sample, I don’t need to bring Missy in for an exam. She’s healthy, but her urine doesn’t look right.”
“Buddy is here for his leg Doc, why are you taking his temperature, he doesn’t like that.”
These are 3 very real examples of comments I get from well meaning owners EVERY. DAY.
Your dog with a tooth problem might need a dental and tooth extractions and therefore need to be put under anesthesia in order to properly do so- we want to know about the heart murmur that he has which might affect his safety under anesthesia or change our anesthetic plan & protocol.
Your dog with dark urine might be jaundiced and having severe liver problems - but we can’t see that if you don’t bring your dog into the building and let us provide a thorough exam.
Your dog with a limp who you thought just stepped on something might have a 104F fever and actually be limping due to a Lyme disease infection.
But I won’t know these things unless I do a complete exam. EVERY. TIME. I need to listen to those heart and lungs, examine the gums, take a temperature, palpate that abdomen, put my hands on the lump you noticed (not just look at a picture you emailed us).
As a small animal veterinarian, the physical exam is THE. MOST. IMPORTANT. diagnostic tool I have at my disposal. Not only is it the most useful, but it is the most cost effective. Our pets cannot use words so their body must tell us what the problem is.
Now, can I diagnose every condition from a physical exam? Absolutely NOT. But I can provide a solid differential in 90% of cases. What that exam also buys you is a diagnostic plan, possible prognosis, an estimate for further tests, and then a treatment plan. I will offer your pet the gold standard of care and if that is not within financial or physical reach, we will tailor that plan to your pet and your needs.
Sometimes your pet really is perfectly healthy and we don’t need to do anything else. Yay!! that’s great- I am truly happy in those cases. But PLEASE don’t disregard the value of the physical exam.
-Dr. Kate Felts.