Download Assignment/Coversheet - Case Report

RURAL MIXED PRACTICE
CASE REPORT
ACADEMIC BOARD POLICY: ACADEMIC DISHONESTY AND PLAGIARISM
COMPLIANCE STATEMENT
INDIVIDUAL / COLLABORATIVE WORK
I/We certify that:
(1)
I/We have read and understood the University of Sydney Academic Board Policy: Academic
Dishonesty and Plagiarism;
(2)
I/We understand that failure to comply with the Academic Board Policy: Academic Dishonesty and
Plagiarism can lead to the University commencing proceedings against me/us for potential student
misconduct under Chapter 8 of the University of Sydney By-Law 1999 (as amended);
(3)
I/We accept that the Work submitted with this Compliance Statement is the version of the Work that
will be assessed.
Complete all fields in the following table. Typewritten name(s) in the signature column will be
accepted as signature(s) for electronic submissions only.
Veterinary Student Intern’s Name:
Veterinary Student Intern’s Signature:
SID:
Date:
My Placement ID:
Site Name:
Rotation:
Unit of Study:
Placement Start Date:
Placement Finish Date:
Supervisor’s Name:
Supervisor’s Email:
Supervisor’s Phone:
Unit of Study Coordinator:
I agree to this document being made available
on the Faculty’s secured Partners in
Veterinary Education web site where it maybe
accessed by our Partners in Veterinary
Education.
Yes/No (delete not applicable)
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Rural Mixed Practice Intern Case Recording Form
Date
Veterinary Intern’s Name
Intern’s Case Number
Clinic Case Number
Practitioner
Patient’s Name
Species
Breed
Sex
Age
Presenting Complaint
History
Presentation, progression, and duration of problem
Number affected
Number at risk
Number dead
Type of Management system
Diet (Composition and recent changes)
Vaccination (Product and timing)
Worming (Product and timing)
Prior and current production
Physical findings (highlight abnormalities)
Problem List
2
Differential Diagnoses
Diagnostic Plan (Actual or Potential - discuss how the diagnostic plan could rule in or out each of the
differential diagnoses)
Interpretation of Diagnostic Results
Prognosis
Therapeutic Plan
(Discuss the logic of the therapeutic plan relative to the pathophysiology of the disease process)
Patient or Herd Outcome (Describe the patients outcome and in the event of a complicated recovery
explain what may have contributed to the development of complications)
Recommendations Regarding Disease Prevention (Individual and Herd)
Summaries costs (account to date, financial restrictions imposed on case management)
3
Rural Mixed Practice Intern Case Recording Form
Date
Veterinary Intern’s Name
Intern’s Case Number
Clinic Case Number
Practitioner
Patient’s Name
Species
Breed
Sex
Age
Presenting Complaint
History
Presentation, progression, and duration of problem
Number affected
Number at risk
Number dead
Type of Management system
Diet (Composition and recent changes)
Vaccination (Product and timing)
Worming (Product and timing)
Prior and current production
Physical findings (highlight abnormalities)
Problem List
4
Differential Diagnoses
Diagnostic Plan (Actual or Potential - discuss how the diagnostic plan could rule in or out each of the
differential diagnoses)
Interpretation of Diagnostic Results
Prognosis
Therapeutic Plan
(Discuss the logic of the therapeutic plan relative to the pathophysiology of the disease process)
Patient or Herd Outcome (Describe the patients outcome and in the event of a complicated recovery
explain what may have contributed to the development of complications)
Recommendations Regarding Disease Prevention (Individual and Herd)
Summaries costs (account to date, financial restrictions imposed on case management)
5
Rural Mixed Practice Intern Case Recording Form
Date
Veterinary Intern’s Name
Intern’s Case Number
Clinic Case Number
Practitioner
Patient’s Name
Species
Breed
Sex
Age
Presenting Complaint
History
Presentation, progression, and duration of problem
Number affected
Number at risk
Number dead
Type of Management system
Diet (Composition and recent changes)
Vaccination (Product and timing)
Worming (Product and timing)
Prior and current production
Physical findings (highlight abnormalities)
Problem List
6
Differential Diagnoses
Diagnostic Plan (Actual or Potential - discuss how the diagnostic plan could rule in or out each of the
differential diagnoses)
Interpretation of Diagnostic Results
Prognosis
Therapeutic Plan
(Discuss the logic of the therapeutic plan relative to the pathophysiology of the disease process)
Patient or Herd Outcome (Describe the patients outcome and in the event of a complicated recovery
explain what may have contributed to the development of complications)
Recommendations Regarding Disease Prevention (Individual and Herd)
Summaries costs (account to date, financial restrictions imposed on case management)
7