Читать книгу Diagnostics and Therapy in Veterinary Dermatology - Группа авторов - Страница 38

A complete dermatologic examination should be performed on all patients presenting with skin‐related problems. The key to performing a good exam is consistency and completeness. Good habits that are developed when examining common, simple cases (such as flea allergy dermatitis in a young dog) can be crucial when evaluating complicated or confusing cases. Dermatologic exams should be consistent at each visit so that subtle lesions aren’t missed. Taking the time to evaluate each interdigital space, every mucous membrane, the skin around the vulva, the axillae, the ventral neck, and every nail can provide important information about each patient. Patients will need to be rolled over, have their heads, paws, and tails lifted, and their mouths opened. The exam can start with observing the patient at a distance (often while gathering verbal history from the owner). General body condition, hair coat, behavior, and attitude can all be noted. Performing the exam with the owner present is helpful, as information regarding duration and changes in appearance of lesions can be provided in real time.