#: locale=en ## E-Learning ### Answer questionOption_67D2A600_232B_96AA_4181_DB65DFECCE00.text = Anemia questionOption_40271CBE_2F5A_26B7_41BF_36B331471C68.text = Anemia questionOption_1FC656B4_3A8C_1E76_41A2_E0696294E2DF.text = Anemia questionOption_1FBB8871_3A8C_320E_41AF_4AB23E7C8994.text = Aortic valve regurgitation questionOption_600B2715_233B_96AA_41A4_BD529B9E9AB5.text = Aortic valve regurgitation questionOption_403D7D06_2F5A_2757_41B0_7C905EFCA849.text = Aortic valve regurgitation questionOption_67CE3995_232B_9DAA_41BD_E94B586AA2E4.text = Dehydration questionOption_1FC666B4_3A8C_1E76_41C0_D1C9E970B6D6.text = Dehydration questionOption_40276CBE_2F5A_26B7_41B1_7B07D779C0EB.text = Dehydration questionOption_204069FC_3252_551B_41C3_78057DD73FF9.text = Does he drink more than usual? questionOption_23A5117A_3252_55F2_41C5_036810897800.text = Everything is normal questionOption_67FD6F37_232B_96D6_41B5_88BAEB0BCEAA.text = Fever questionOption_40274CBE_2F5A_26B7_41A8_C5AFB6E11F25.text = Fever questionOption_1FC686B5_3A8C_1E76_41C2_E9899AE812CF.text = Fever questionOption_23AF6441_3252_536D_41B5_F0A27C680C12.text = Have you noticed anything else? questionOption_26C863DA_3253_F524_41B5_83D792BD5C75.text = Heart rate and temperature are normal questionOption_26923B78_3253_F5E4_41B3_38238C4ED38E.text = Heart rate and temperature are too high questionOption_269ED9B5_3253_F56C_41B6_1DFF8557E49C.text = Heart rate normal, temperature too high questionOption_26F366A7_3253_FF6C_41C6_91E8F5CE0BE7.text = Heart rate too high, temperature normal questionOption_26433D4C_324E_AD3A_419D_F27F4867DC64.text = Is the horse dewormed correctly? questionOption_265F29D9_324E_B4DA_41A8_A77E0CFCAC93.text = Is the horse still eating and drinking? questionOption_2045582A_3252_533E_41BA_E557E127455B.text = Is there blood in his stool? questionOption_6018F388_233B_8DBA_41BC_7162848E4641.text = Mitral valve regurgitation questionOption_403D8D06_2F5A_2757_41BF_5D2D95315FFB.text = Mitral valve regurgitation questionOption_1FBB9871_3A8C_320E_41A5_F714F627B569.text = Mitral valve regurgitation questionOption_6025DDBE_233B_95D6_4195_A1796A7370A3.text = Pulmonary valve regurgitation questionOption_403DBD07_2F5A_2755_41B8_C5988FC7DD05.text = Pulmonary valve regurgitation questionOption_1FBA5871_3A8C_320E_41B1_184CFD2D3955.text = Pulmonary valve regurgitation questionOption_207DF3C3_3252_5513_41B7_2F444B48A15B.text = The calf has fever questionOption_206967DC_3252_5D35_41BB_6085BB323CBC.text = The calf has fever and tachycardia questionOption_20724595_3252_5D36_41C5_3CDD3410525C.text = The calf has tachycardia (heart rate too high) questionOption_6033897B_233B_9D5E_4172_7C2AD3CBA0DD.text = Tricuspid valve regurgitation questionOption_403D6D06_2F5A_2757_41B5_C2AA7A237A18.text = Tricuspid valve regurgitation questionOption_1FBBA871_3A8C_320E_41B6_2679B1C66804.text = Tricuspid valve regurgitation questionOption_40277CBE_2F5A_26B7_418F_B70ED68E6BC3.text = Ventral edema questionOption_67C58D6C_232B_957A_41B6_9B510DF9DAA8.text = Ventral edema questionOption_1FC676B5_3A8C_1E76_41A1_4707A6050E10.text = Ventral edema questionOption_26496BCD_324E_B53A_41AC_FDB6B5AD4D18.text = What is the consistency of the feces? questionOption_267D1EFE_324E_ACD6_4197_810E55B93903.text = When did the colic signs start? questionOption_205E0677_3252_5F15_4175_81E1CE9F3B32.text = When did the diarrhea start? ### Question question_60BCFBC8_233B_9DBA_4191_A0C20FB741C2.title = A 6 year old mare is presented in the clinic because a cardiac murmur was detected during a routine exam. \ \ Auscultation over the left heart region reveals this murmur. \ \ What is your diagnosis? question_403DCD06_2F5A_2757_419C_9FA343F2D624.title = A 6 year old mare is presented in the clinic because a cardiac murmur was detected during a routine exam. \ \ Auscultation over the left heart region reveals this murmur. \ \ What is your diagnosis? question_1FBBD871_3A8C_320E_41B6_FCC11659A954.title = A 6 year old mare is presented in the clinic because a cardiac murmur was detected during a routine exam. \ \ Auscultation over the left heart region reveals this murmur. \ \ What is your diagnosis? question_60581DE2_232A_956E_41C1_646669B2225D.title = During the clinical exam of a horse you notice the following (see video) during inspection \ \ Which clinical sign would typically occur in this horse? \ question_40277CBD_2F5A_26B5_41BD_DE730132E8AD.title = During the clinical exam of a horse you notice the following (see video) during inspection \ \ Which clinical sign would typically occur in this horse? \ question_1FC616B4_3A8C_1E76_41BB_A91EE8D0CB47.title = During the clinical exam of a horse you notice the following (see video) during inspection \ \ Which clinical sign would typically occur in this horse? \ question_23BA78A7_3252_5317_41C9_1ACDF2A3CE7B.title = The picture shows the findings during general examination of a 1 month old calf with anorexia and lethargy. What do you think? question_269A82FC_3256_74EB_418F_6D26BE8CF9C9.title = The picture shows the findings during general examination of a hospitalized adult horse presented for colic. What do you think about the heart rate (“pols”) and temperature? question_21F792E0_324E_54EA_41C6_6BB168760C32.title = When gathering information about a horse with colic, which question is best formulated? question_218EDD62_3252_6D2B_41B6_D0A3143824DF.title = You are gathering information about a dog with gastrointestinal disease. You have started with an open question “What is going on?” and the owner told you that the dog has diarrhea. 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Avoid asking 2 questions at the same time (“eating and drinking”), avoid jargon (“feces”) and avoid suggestive questions. E.g. when you ask “dewormed correctly” the owner is very likely to say yes. A better question could be “what is your deworming schedule?”.
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Have you noticed anything else?” is a good question at the start of the consultation. This allows you to get an idea of all different clinical signs before you gather more detailed information about each complaint.
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In this darkened hall examinations of the heart are performed.
The most frequent examination techniques are heart ausculatation (to detect murmers and arythmia), electrocardiography (ECG) and echocardiography
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The calf has tachycardia, the temperature and respiratory rate (“AH”) are normal.
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The temperature is normal (reference range adult horse 37-38°C). The heart rate is too high (reference range 28-44 bpm). The respiratory rate (“AH”) is normal, reference range 8-16/min but 20/min can still be considered normal for in clinic circumstances.
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This horse shows pathological pulsation of the jugular vein.
During every heart beat, blood is being pushed back in the jugular vein, in the direction of the head.
Because of the jugular congestion, it is very likely that edema develops.
In horses, edema due to venous congestion is typically found ventrally (ventral part of the abdomen/thorax).
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This horse shows pathological pulsation of the jugular vein.
During every heart beat, blood is being pushed back in the jugular vein, in the direction of the head.
Because of the jugular congestion, it is very likely that edema develops.
In horses, edema due to venous congestion is typically found ventrally (ventral part of the abdomen/thorax).
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This horse shows pathological pulsation of the jugular vein.
During every heart beat, blood is being pushed back in the jugular vein, in the direction of the head.
Because of the jugular congestion, it is very likely that edema develops.
In horses, edema due to venous congestion is typically found ventrally (ventral part of the abdomen/thorax).
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You can hear the murmur between the first (S1) and second (S2) heart sound which means that it is a systolic murmur.
The differential diagnoses for a left-sided systolic murmur are:
Ejection murmur: these are early-mid systolic murmurs that stop before S2 which is not the case here.
Mitral valve regurgitation: usually holosystolic, plateau-shaped murmur which fits with the auscultation.
Congenital heart disease (pulmonary stenosis or infundibular septal defect) which result in a pan-systolic murmur, which is not the case here
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You can hear the murmur between the first (S1) and second (S2) heart sound which means that it is a systolic murmur.
The differential diagnoses for a left-sided systolic murmur are:
Ejection murmur: these are early-mid systolic murmurs that stop before S2 which is not the case here.
Mitral valve regurgitation: usually holosystolic, plateau-shaped murmur which fits with the auscultation.
Congenital heart disease (pulmonary stenosis or infundibular septal defect) which result in a pan-systolic murmur, which is not the case here
htmlText_4039CD06_2F5A_2757_41A5_4809EDBF423C.html =
You can hear the murmur between the first (S1) and second (S2) heart sound which means that it is a systolic murmur.
The differential diagnoses for a left-sided systolic murmur are:
Ejection murmur: these are early-mid systolic murmurs that stop before S2 which is not the case here.
Mitral valve regurgitation: usually holosystolic, plateau-shaped murmur which fits with the auscultation.
Congenital heart disease (pulmonary stenosis or infundibular septal defect) which result in a pan-systolic murmur, which is not the case here
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ANAMNESE & ALGEMEEN ONDERZOEK
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Welcome to this virtual clinic!


Before you start walking, here is a reminder of the learning goals of this exercise:


1. To let you get accustomed with, and guide you through, the various parts of the clinic here at Merelbeke - at your own pace!


2. To show you the various activities happening around the clinic.


3. To help you study by showing real life cases, accompanied by questions, answers, and feedback. Can you find them all?


There are some 'hidden' exercises and information points for you to discover! You can move about by clicking on the white arrows. The green icon on the bottom of your screen houses some maps for guidance. Go on and explore!
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Questions
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