History of Present Illness
Review of Systems
Past Medical History
Physical Examination
Testing
Test Results
Lab Interpretation
Relevant Next Steps
Additional Test Results
Question 1
Diagnosis
Treatment Orders
Question 2
About the Case
Kitten with intermittent cough
Physical Examination
General appearance
: Body condition score of 3 out of 9; mildly dehydrated
Vital signs
:
Temperature: 39.4°C (102.9°F)
Pulse: 180/minute
Respirations: 42/minute
Weight: 2.3 kg (5.0 lb)
Skin
: Slightly rough and thin hair coat
HEENT
: No ocular or nasal discharge
Pulmonary
: Mild wheezing bilaterally
Cardiovascular
: No murmurs or arrhythmias heard
Gastrointestinal
: Normal gut sounds ausculted, normal feces
Genitourinary
: Urination not observed
Musculoskeletal
: Unremarkable
Neurologic
: Not examined
Mental status
: Bright, alert, and responsive
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