#vetling

[ask-a-vetblr]

In non-emergent cases, should i take complete Hx before PE using an exam sheet or do both simultaneously without writing down collected Hx or PE findings at the time of consult? That approach seems professional but i worry about forgetting important details. I created a comprehensive sheet with sections for various information, including Hx and blank areas for PE findings, DDx and Diagnostic and Therapeutic plans. but, i fear being perceived as socially awkward or beginner for using this sheet.

Hello, It's Sueanoi here

I am going to hazard a guess that you're probably a vetling. You're training to become one very soon, that or you're a very fresh vet. A comprehensive sheet is very useful. It's like a manual paper. Like a gaming guide, a cheat code, a training wheel. Use it often times enough, and you will eventually be able to draw that sheet from inside your head. It would feel like learning to ride a bicycle. Or learning a difficult game like cheese. It's a skill with a very steep learning curve, but once you get to a point you never really forget how to do it.

For me, the first thing I get is Chef Complaint. It's like the start of a branching thought paths. Once you get which tree to follow, the amount of thought that you need to carry will not be so overwhelming.

History will help you prioritize branches on that throught tree. Lessening the load further.

Physical exam will sometimes confirm or deny your thought. but it's ok, because you already pulled up the relevant thoughts, you simply move on to the next most possible in your priority.

When you're training, you are taught to do each of these in order, one by one. But in practise, the process is much more complicated, because people are complicated. They might remember some information they forgot to tell. they might start another thought tree altogether. History might make you want to explore outside of the chef complaint. physical exam might pull you to another problem that's more urgent than CC, and so on.

I'd say there's no right or wrong order of work that you do, when you're talking to people. You can take history, start PE, then history again because you found something suspecious and you need more information. If you're fluent, you can start PE while the owner talks. but I personally don't like to do that only because they like to talk when I'm listening to thorax sound. Now I can't hear the lungs OR the information. So I don't like to do both at the same time.

I hope that helps a bit. You can do it!

#vetling

[spookedbutters]

Norwegian men’s biathlon team beloved

#biathlon #tarjei boe #vetle Sjaastad christiansen #sturla holm laegreid #endre stroemsheim #vebjoern soerum #johannes thingnes boe #johannes dale

[booksanxietyandsports]

vetle sjåstad christiansen bowing after his kick-ass shooting in the relay of hochfilzen (10.12.2023)

#biathlon #vetle sjåstad christiansen #biathlon gifs

[crossed-out-name]

Sturla is so real for this

#biathlon #sturla holm lægreid #johannes thinges boe #tarjei bø #vetle sjåstad christiansen

[la-gazza-ladra]

If I was Sebbe I'd sign up for a yoga class after that finish. Maybe next year he'll beat Vetle with a full split.

#biathlon #sebastian samuelsson #vetle sjåstad christiansen #photo finish #i just imagined him going into the classroom and seeing vetle already there and just slowly backing out again 😂

[moto-leafs]

The love and support in this team ?????? Unmatched 🥹🫶 | Hochfilzen - Mens Sprint | December 8th, 2023

#sturla holm lægreid #vetle sjåstad christiansen #team norway #biathlon

[quentinfiletmignon]

THIS PHOTO 😂

#vetle sjåstad christiansen #johannes thingnes bø #tarjei bø #sturla holm lægreid #🇳🇴 #émilien jacquelin #quentin fillon-maillet #fabien claude #éric perrot #🇫🇷 #biathlon #season 23/24

[everybody-has-a-dream]

Antholz Single Mixed Relay, 20.01.2023

Some of my favorite moments:

Justus and Velte before their last leg

Lukas Hofer not wasting a second at the shooting range (I didn't speed this up lol)

Campbell Wright (when the exchange station is empty) HERE I AM

Justus crossing the finish line with the flag

#justus and vetle being friends is something i didn't know i needed #sorry for the quality🥲 #justus strelow #vetle sjåstad christiansen #lukas hofer #campbell wright #biathlon

[game-set-canet]

Men Individual Interviews | Oslo Holmenkollen | 01.03.2024

#vetle sjåstad christiansen #vetle sjastad christiansen #biathlon #my gifs #my vetle gifs

[enter-the-phantom]

I bought this horse on a whim and I am just so in love with her. Winter Wish is my first draft and a new favorite! She’s such a sweet girl, I love my new giant snow plow. ❤️

#SSO #star stable online #winter wish #vetle #SSO vetle #horses #star stable #horse gaming

[ask-a-vetblr]

Disclaimer: kitten has already seen a vet, enucleation is planned as soon as she hits their minimum weight. Just asking as a vet student who feels like they have way too many little bits of info floating around in their brain to be sure about anything lol.

Kitten was dropped off at shelter with 0 history (of course), and my knowledge on this case is a little vague. Is this likely just from an infection left too long, that probably sealed the eye shut at some point and worsened? (Like, viral -> bacterial?) It looks it’s proptosed to me, but I’m also not sure if that’s just massive swelling. If it IS proptosed, is that a common sequelae of severe infection? Or do you really only get that with trauma in cats, and then secondary infection?

Not sure if my thinking is way off base, just looking for some general insight into how these eyes end up looking so gnarly. I feel like we’ve had quite a few dropped off this year. Thank you!

Hi, it's Sueanoi here.

I'm glad the kitten is getting some vet attention now. I hope the healing goes as smooth as it can.

As to answer your question, I don't think that's proptosis (eyeball goes out of orbit). I think it is ruptured cornea that has severe inflammation on top.

Anything at all can cause a secondary corneal injury if the eye is irritated, causing the animal to scratch it and worsening the lesion. Over time, superficial ulcers can become perforated.

Over here in SEA, young stray cats are very often infected with feline herpes. It is a very common cause of blindness (as the last consequence of virus-induced ulcer) here.

Your thinking isn't entirely off base, because virus -> bacteria -> catastrophic consequense IS probably correct.

Once it is time to enucleate, I suggest you observe the surgery. I am quite certain that the globe itself is still sitting within the orbit. The things that are coming out of the cat's head is the eyeball's insides that are spilled out of the ruptured cornea.

Keep clean and control infection. There is a chance that the cat won't even need the surgery if the eye shrink down and become enophalmos before it reaches minumum weight (which might take weeks...whichever happen first). Downside of keeping the shrunk eye is having to keep it clean for the rest of its life. So if that is a factor for the cat getting an adoption, removing it anyway for ease of care is still a valid choice.

Best of luck!

#ophthalmology #veterinary #graphic content #vetling

[spookedbutters]

My highlights from the World Cup weekend in Holmenkollen in doodles!

#biathlon #sturla holm laegreid #ingrid landmark tandrevold #Lena haecki-gross #otto invenius #suvi minkkinen #vetle sjaastad christiansen #sebastian samuelsson

[booksanxietyandsports]

VETLE POSTED THAT ON HIS INSTA STORY AND AS A REDHEAD MYSELF I CAN’T BREATHE

#biathlon #THE HUMOUR #vetle sjåstad christiansen #johannes thinges bø #johannes dale

[crossed-out-name]

I said Vetle would do something silly and he immediately broke one of his poles. Very on brand.

#called it #biathlon #vetle sjåstad christiansen

[leeenuu]

you would think that kristo won the race given how the comms were yelling but he beat strolia (and got p14)

#biathlon #this is so unreal kristo beat vetle and sturla an estonian beat norwegians??? i cant believe it

[moto-leafs]

Vetle and his pole issues in Hochfilzen;

It started off quite difficult with the poles, breaking one immediately. And then I got Josse´s pole. I think it was 5 centimeters too short. I'm a bit bigger than him. I need a bigger pole. The first half of the first loop was quite annoying with one long and one short pole. So I got one of my own, maybe after one and a half k. But this had too small basket. It was the smallest basket from one way, and today I needed one bigger size. So I think it was Tarjei giving me one the second time. So I think three changes of poles today.

TARJEI TO THE RESCUE. 🥹💥

#vetle sjåstad christiansen #tarjei bø #tarjei boe #johannes thinges bø #johannes thingnes boe #team norway #biathlon #vetle