Name:

Main Topics: Species: BW:

Breed: Temp

Sex:
- Px. History
Chapter I:
:
BW
p Age:
Tem

Na
me
:
cie
Spe :
s: - Physical History:
ed
Bre

Examination
Px History
x:
Se
: Diet:
Age

PREOPERATIVE PATIENT
: Last Heat:
tory
His
Die
t:
tH
eat: dic
al c
on
diti
on/
- Laboratory Data Previous medical condition/
Las me
us Surgeries:
vi o
- Diagnostic Imaging
Pre :
e ries
rg ns:
Su ati o

ASSESSMENT
dic
Me
nt
rre Current Medications:
Cu

m p lain
t: - Assessment of
Co
Complaint:
Surgical Risk

Name:

Px History Species:
Breed:
BW:
Temp
Full Examination
Laboratory Data

Sex: • Head & Neck ______________

To help guide the vet. inhis/ Age:
Physical • Lymph Nodes
• Cardiovascular System
These tests help find possible problems
her: History: that might complicate the surgery if not

Diet: Examination • Respiratory system

• Digestive Tract
found and treated early

• decision- making Last Heat:

regarding anesthetic
protocol
• type of procedure to be
performed
• pain management
• post-operative care
A consistent, systemic approach is
Previous medical condition/ • Urogenital System
Surgeries: recommended for physical examination
• Integumentary System
Current Medications:
• Musculoskeletal
System
Nt. The precise order of the examination is not
Complaint:
dictated

Assessment of Surgical Risk

Diagnostic Imaging

References:
* https://www.avtaa-vts.org/asa-ratings.pml
* Fundamentals of small animal surgery