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150 D ext er Rd S part an b urg, SC 29303 864 ‐583 ‐4805
150 D ext er Rd S part an b urg, SC 29303 864 ‐583 ‐4805

Animal Information:

Horse Name (if known):

Shelter Accession #:

Breed (species):

Color:

Gender: Ma l eintact Ma l eNPT Fema l e Age Class: Juvenile Young Adult Adult Aged Estimated Age :

Equine Physical Examination Findings

Case Information:

Case ID #:

Case Horse #:

Owner (if known):

Exam Date:

Custody Date:

Environmental Conditions:

Time of Examination:

History (per owner): include vet, farrier, deworming, etc.

Physical Examination Findings:

T:

P:

R:

Attitude / Behavior:

MM: Pink Moist Pale Tacky

CRT: <1 sec. 1 2 sec. >2 sec.

Ext. Parasites: Non Observed Ticks Lice

Few Moderate Numerous

Assessment (brief):

E y es / Ears: NSF Other:

Nose / Mouth: NSF Other:

Lameness / Feet: NSF Other:

Integument: NSF Other:

Cardio / Resp: NSF Other:

GI Abd

/

omen:

NSF O h

t er:

NM / MS: NSF Other:

Other:

Henneke BCS

Neck

Withers

Loin

Tailhead

Ribs

Shoulder

Overall

Weight Date Weight Initials
Weight
Date
Weight
Initials

Height:

est / msrd

Other: Henneke BCS Neck Withers Loin Tailhead Ribs Shoulder Overall Weight Date Weight Initials Height: est

Equine Physical Examination Continuation

Animal Name (if known):

Case ID #:

 

Shelter Accession #:

Case Animal #:

S/O Continued:

Dental Condition:

 

Not Examined

NSF

 

Hooks , Rostral / Caudal (

 

)

Enamel Points (

 

)

 
 

Incisor Malocclusion (

)

 

Missing Teeth ( Mucosal Ulceration ( Loose Teeth ( Step Defects (

 

)

 

)

 
 

)

   

)

 

W ave Mouth (

)

 

Lameness / Condition of Feet:

 
 

NE

Standing only

NSF

 

Abscess ( ) Atrophic frogs (

)

 
 

Chips / Cracks ( ) Club ( ) Overgrown ( ) Under run heels ( ) Lame ( ) Grade 1: Intermittent Mild Grade 2: Circumstantial Grade 3: Consistent @ Trot Grade 4: Marked Consistent Grade 5: Minimal Weight Bearing

 
 
 
 
 
 
 
 

Integument:

 
 

Not Examined NSF Abnormal Shedding ( )

 
 

Alopecia, Generalized ( ) Alopecia, Other ( ) Foreign Material ( ) Fecal Pasting ( )

 
 

Matted (

 

)

 

Rain Rot ( ) Other ( )

Plan:

Diagnostic Testing Recommendations:

CBC Chem UA Electrolytes

EIA / Coggins Quantitative Fecal

Rads:

Other:

Samp. Collected Recommend to ō

Vaccination: now following weight gain

Deworming: now gradual (after fecal)