UNIVERSITATEA AGRARĂ DE STAT DIN MOLDOVA

FACULTATEA DE MEDICINĂ VETERINARĂ

CLINICA CATEDREI DE TERAPIE

Medicul veterinar (studentul ) care

întocmește foaia______________
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(numele și prenumele de fam.,gr.,anum.)

FOAIE DE OBSERVAȚIE CLINICĂ

Rasa_____________vîrsta_____________talia________________sexul__________
Serviciu_________________culoarea și particularitățileei_______________________
semne particulare______________________greutatea corporală________________
nume__________Nr. matricol______________proprietate______________________
adresa proprietarului____________________________________________________

Data internării___________________
Data externării__________________
Diagnosticul la internare___________
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Sfîrșitul bolii____________________

1. ANAMNEZA.
( Interogatoriul clinic - anamnezis vitae)
1. Anamneza vieții (proveniența, productivitatea, randamentul,), tehnologia de
întreținere, hrănire și adăpare; datele despre aplicarea vaccinărilor obligatorii și analizele
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2. Istoricul actulei boli (Anamnesis morbi)- debutul, anamneza și ordinea în care a

apărut ,evoluția boli; tratamentul și eficacitatea lui; situația epizootologică în gospodărie
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STAREA PREZENTĂ A ANIMALULUI

(Status praesens)
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Temperatura (C)_______Frecvența pulsului ( 1 min )_______________________________
Frecvența respirației( 1 min )__________________________________________________
Starea gemerală_____________________________________________________________
Conformația__________________________Constituția_____________________________
Temperamentul_______________________________Starea de ăntreținere______________
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Faciesul si mimica___________________________________________________________
Atitudinea animalului în stațiune, în decubit, ăn deplasare( mers )_____________________
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Pielea și fanerele____________________________________________________________
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Sistemul limfatic____________________________________________________________
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Mucoasele aparente și conjunctura______________________________________________
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Ordinea examinării pe aparate

1. Aparatul digestiv________________________________________________________
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2. Aparatul respirator_____________________________________________________________
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3. Aparatul cardiovascular________________________________________________________
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4. Aparatul uro -genital___________________________________________________________
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5. Sistemul nervos_______________________________________________________________
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6. Aparatul locomotor____________________________________________________________
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7. Sistemul endocrin______________________________________________________________
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8. Examenul radiologic, electrocardiografia___________________________________________
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Diagnosticul_____________________________________________________________________
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CONCLUZIE
despre starea animalului și caracterul procesului patologic
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Data Ora T P R Evoluția bolii, dieta, regimul de întreținere,

tratamentul
 Diagnosticul precizat__________________________________________________
a)pozitiv_______________________________________________________
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b) bolile însoțitoare___________________________________________________
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c) complicații________________________________________________________
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Tabelul nr. 1

Examenul urinei
a. Examenul fizic
Cantitatea în 24 de ore Culoarea Transparența Consistența Mirosul Densitatea
 b.Examenul chimic
pH Proteine Glucidele Corpii Pigmenții Sînge,Hb Indican Urobolină
cetonici biliari mioglobină

Tabelul nr.2

Examenul sîngelui
a. Examenul fizic
Culoarea VSH Hematocrit Hemoglobină Proteine

b. Examenul citologic
Numărul Formula leucocitară

Eritro- Leuco- Trombo- Bazofile Euzono- Neutrofile Limfocite Monocite

cite cite cite file
Metamie Basto- Seg-
locite nașe mentate

Epicriza
(Concluzie generală despre animalul bolnav și tratament)

1.Argumentarea diagnosticului pozitiv și diferențial. ; 2 Etiologie ; 3.Patologeneza 4.Evoluții

5.Prognosticul ; 6.Tratamentul.Profilaxia
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Semnătura mediculul_____________________________________