Карточка анализа мочи

Клиника _________________________________________________________________

История болезни № ____

Вид животного _________________________________ пол _______________________

Возраст ________________ кличка _______________ инв. № ______________________

Владелец животного ________________________________________________________

Диагноз основного заболевания ______________________________________________

Начата « ___» ___________201____г. Окончена « ___» ________________ 201 ____г.

Исход ____________________________________________________________________

Преподаватель ______________________________________________________

Ординатор___________________________________________________________

Куратор,студент___________группы___________________курса____________

Ветфака_____________________________________________________________

Клиника .

История болезни № _______

1. Регистрация

Владелец животного (хозяйство) и его адрес ___________________________________________

Сведения о животном: вид _______________________________________ пол _____________________

возраст _____________________ масть и приметы ____________________________________________

кличка, № ____________________________ порода ___________________________________________

вес ________ беременность _______ продуктивность __________________________________________

дата поступления ______________________________ дата выбытия _____________________________

исход заболевания _____________________________ число дней лечения ________________________

Первоначальный диагноз _________________________________________________________________

Последующие диагнозы основного заболевания ______________________________________________

Сопутствующие заболевания ______________________________________________________________

Осложнения ____________________________________________________________________________

Принял животное на лечение ______________________________________________________________

II. Анамнез

(Сведения об условиях содержания, кормления, эксплуатации, о проведенных диагностических исследованиях, профилактических обработках и заболеваниях).

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III. Состояние животного при поступлении

________________________________________________ « ____ » ____________ 201 __ г. часов

Габитус: телосложение ________________________упитанность ________________________________

положение тела в пространстве ____________________________________________________________

конституция _________________________________ темперамент _______________________________

Волосяной покров, кожа и подкожная клетчатка ______________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Лимфатические узлы _____________________________________________________________________

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Конъюнктива и слизистые оболочки _______________________________________________________

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Система органов кровообращения __________________________________________________________

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Система органов дыхания _________________________________________________________________

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Система органов пищеварения _____________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Мочеполовая система _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Молочные железы _______________________________________________________________________

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Нервная система _________________________________________________________________________

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Система движения _______________________________________________________________________

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IV. Описание основного патологического процесса (очага)

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________V. Заключение о состоянии животного, характеристика тяжести заболевания и прогноз

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VI. Дневник течения болезни, дополнительных исследований и лечения животного

Диагноз

(основное, сопутствующие заболевания и осложнения)

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Исход

(Полное выздоровление, выздоровление с неустранимыми последствиями, степень хозяйственной годности, пало, уничтожено и их причины. Результаты патолого-анатомического вскрытия, гистологических, бактериологических и прочих исследований. Рекомендации по кормлению, уходу, содержанию и эксплуатации)

Животное передано _____________________________________________________________________

(должность, фамилия, имя, отчество)

Животное принято ______________________________________________________________________

(должность, фамилия, имя, отчество)

«_____» _____________________ 201 ___ г.

ЭПИКРИЗ

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ФГБОУ ВПО « Донской государственный аграрный университет»

Клиника _________________________________________ Приложение к истории

болезни № .

Карточка анализа мочи

Вид животного _______________________________ пол _______________________________________

возраст __________________________________________ порода __________________ масть ________

приметы ________________________________________________ кличка, инвентарный номер _______

Владелец животного и его адрес ____________________________________________________________

Клинический диагноз _____________________________________________________________________

Дата, время и способ взятия мочи __________________________________________________________

Сведения о консервировании мочи _________________________________________________________

Дата и время исследования мочи ___________________________________________________________