Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
procedures pro
c o n t i n u e s
p ro ce d u re s p ro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N AV C c l i n i c i a ns b r i e f. . . . . j a n u a r y. 2 0 0 6 . . . . . 1 1
procedures pro
CONTINUED
Temporal/masseter muscles.
Palpate these muscles for atrophy.
Muscle atrophy indicates a lesion of
the motor portion of the trigeminal nerves
(CN5), the associated brainstem region, and
the muscles themselves.
PROCEDURE PEARL
Pupil size and symmetry, eyelid aperture, and the position of the third eyelid are
affected by CN2, CN3, and sympathetic innervation to the eyes.
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1 2 . . . . j a n u a r y. 2 0 0 6 . . . . . N AV C c l i n i c i a ns b r i e f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p ro ce d u re s p ro
GAIT EVALUATION
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POSTURAL REACTIONS
Palpebral reflex, aural reflex,
and buccal reflex. Touch the
palpebrae, tickle the ears, and pinch
the lips to elicit movement of these structures
to evaluate the three branches of the sensory
portion of CN5, the motor portion of CN7, and
their caudal brainstem connections.
PROCEDURE PEARL
Reduced range of motion usually
indicates muscle disease.
PROCEDURE PEARL
Hemistanding and hemiwalking
(standing and walking on one side)
isolates the left and right sides to
determine if one side is less
coordinated or weaker than the other.
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c o n t i n u e s
p ro ce d u re s p ro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N AV C c l i n i c i a ns b r i e f. . . . . j a n u a r y. 2 0 0 6 . . . . . 1 3
procedures pro
CONTINUED
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Conscious proprioception.
Individually knuckle the paw of
each limb onto its dorsum. It should
immediately return to the correct position if
conscious proprioception is normal.
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1 4 . . . . j a n u a r y. 2 0 0 6 . . . . . N AV C c l i n i c i a ns b r i e f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p ro ce d u re s p ro
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25
PROCEDURE PEARL
Pain is present if the animal turns
to look, cries, or growls when the
toe is pinched.
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c o n t i n u e s
p ro ce d u re s p ro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N AV C c l i n i c i a ns b r i e f. . . . . j a n u a r y. 2 0 0 6 . . . . . 1 5
procedures pro
CONTINUED
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PROCEDURE PEARL
Extension of the digits is a positive Babinskis sign and indicates a lesion
somewhere between the brain and C5 (thoracic limb) or the brain and L5
(pelvic limb).
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Acknowledgments: In memory of my beloved whippet, Solo Windsomes A Simple Twist of Fate, 1993-2005, the
model in the photographs. The author thanks Mark Hoffenberg for the photography.
1 6 . . . . j a n u a r y. 2 0 0 6 . . . . . N AV C c l i n i c i a ns b r i e f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p ro ce d u re s p ro