Final attainment levels - Veterinary Medicine Curriculum Final attainment levels - Veterinary Medicine Curriculum Project group
Annexure 1: Skills List Annexure 2: Diseases list
Table of contents List of Abbreviations Introduction with the Annexure Annexure 1: Skills List Explanations - Skills List General Respiration and Circulation system Digestive system Reproduction, Kidneys and Urinary Tracts Skin Mammary glands Senses and Nervous system Locomotion Anaesthetics Laboratory examination Diagnosis imaging Public health Zoo technical aspects / Support Unit Pharmacology and Practice Additional surgical skills Detailed definition regarding various aspects of the skills list
3 4 5 6 7 8 8 9 10 10 11 11 12 12 13 13 13 14 15 19
Annexure 2: Diseases list Explanation Diseases list System diseases Respiration Circulation Blood and Blood forming organs Digestion Liver and Pancreas Endocrine and Metabolism Reproduction Kidney and Urinary tract Skin Mammary glands Senses and Nervous system Locomotion Colophon
21 22 25 26 28 29 30 34 35 37 39 40 42 43 45 47
2
List of Abbreviations AIHA Auto-Immune Haemolytic Anaemia M&P Management and Policy BHV2 Bovine Herpes Virus type 2 BRSV Bovine Respiration Syncytial Virus BSE Bovine Spongeous Encephalopathy CAE Caprine Arthritis Encephalitis CBPP Contagious Bovine Pleuro Pneumonia CCN Cerebro Cortical Necrosis CCP Critical Control Point CEH Cystic Endometrial Hyperplasia CMT California Mastitis Test CRD Chronic Respiratory Disease Dept. Department ECG Electrocardiogram EMCV EncephaloMyoCarditis Virus EP Enzootic Pneumonia e.p.g. Eggs per gram FEI Fédération Equestre International FSE Feline Spongious Encephalopathy CA Companion animals HACCP Hazard Analysis and Critical Control Point HNP Hernia Nuclei Pulposi IBD Infectious Bursal Disease ICT Information and Communication Technology IFTES Interfaculty Institute for Teachers Training, Educational Development and Study Skills ADA Agricultural Domestic Animals LPA Los Processes Anconeus LPC Los Processes Coronoïdeus o.p.g. Oocysts Per Gram OVE Ovariectomy H Horses PCV2 Porcine CircoVirus type 2 PFCV Final attainment levels - Veterinary Medicine Curriculum Project group PED Porcine Epizootic Diarrhoea PRA Progressive Retinal Atrophy PRRSV Porcine Reproductive and Respiratory Syndrome Virus PSS Porcine Stress Syndrome Spp. Species TGE Transmissible Gastroenteritis TPO Triple Pelvic Osteotomy VP Veterinary Public health en Food Safety SR Scientific Research
3
Introduction to the Annexure The annexure (Skills List and Diseases list) forming part of the ‘Final attainment levels Veterinary Medicine Curriculum’ report, is drafted by the Final attainment levels - Veterinary Medicine Curriculum Project Group (PFCV). The staff composition of the Final attainment levels - Veterinary Medicine Curriculum Project Group was as follows: Dr. Hetty M.G. van Beers - Dept.1 Healthcare Agricultural domestic animals Dr. Herman F. Egberink - Dept. Infectious diseases & Immunology Prof. Ludo J. Hellebrekers - Educational Board Prof. Jolle Kirpensteijn - Dept. Medical Science - Companion Animals Dr. Len J.A. Lipman - Institute for Risk Assessment Sciences, Public Health & Food Safety Division Dr. Joop B.A. Loomans - Dept. Healthcare - Horses Dr. Wim D.J. Kremer - Dept. Healthcare - Agricultural domestic animals Prof. Peter van Beukelen - Educational Director (to 1-1-2005), chairman Dr. Hellen G.G.M. van der Maazen - Education and Student Affairs, official secretary Dr. Jan C.M. Haarhuis - Education and Student Affairs, advisor Dr. Stefan P.J. Ramaekers - IFTES2, advisor
The concept Skills list was submitted to the following representatives of the Faculty of Veterinary Medicine and the Royal Dutch Society for Veterinary Medicine (KNMvD) by the PECD for recommendation. Faculty of Veterinary Medicine: ▪ All chairmen of Educational Study Groups (ESG’s) ▪ All professors KNMvD: ▪ Management of the Group - Medical Science - Companion Animals (GMCA) ▪ Management of the Group - Medical Science - Horses (GGP) ▪ Management of the Group - Medical Science - Cattle (GMC) ▪ Management of the Group - Pigs Healthcare (GPH) ▪ Management of the Group - Poultry Sciences (GPS) ▪ Management of the Group - Health and Quality Control (GHQC) ▪ Management of the Group - Veterinarians employed in Trade and Industry (VTI) ▪ Management of the Group - Practitioners Large Domestic Animals (GPLD) ▪ Management of the Group - Veterinary Specialists (GVS) ▪ Management of the Group - Homeopathic Practicing Veterinarians (GHwV) ▪ Management of the Interest Group - Employed Practitioners (IEP) The concept – Diseases list was submitted to the following representatives of the Faculty for Veterinary Medicine for recommendation. Dr. A. van Nes Dept. Healthcare - Agricultural domestic animals Dr. T.J.W.M. van Gerwe Dept. Healthcare - Agricultural domestic animals Dr. J.J. Lievaart Dept. Healthcare - Agricultural domestic animals Dr. R.A. van New Dept. Healthcare - Horses Dr. E.R. Nijsse Dept. Infectious diseases & Immunology The PFCV has received a lot of valuable advice from the above persons and bodies, both from within and outside the faculty, which has contributed to the establishment of the annexure ‘Skills List and ‘Diseases list’, forming part of the ‘Final attainment levels - Veterinary Medicine Curriculum.
4
Final attainment levels - Veterinary Medicine Curriculum Annexure 1: Skills List
5
Explanations - Skills List ı In the skills list, 4 levels are indicated, with the following meanings: 1. only ‘knowledge of’ 2. seen or attended a demonstration 3. personally performed once or more under supervision 4. able to perform independently ı If only a number is indicated in the skills list under the ‘Common’ section in de column ‘cross animal species’, it means that the mentioned skill should be performed for all animal species mentioned on that level. It is not necessary to actually practise the skills on all mentioned animal species. ı In the column ‘graduation fields’ a number is only mentioned if the relevant skill with this animal species or sectors is performed on a level higher than in the ‘common’ part. ı In the columns under ‘graduation field’ VP, M&P and SR, the figures relate to the animal species as indicated in the common part. ı The Final attainment levels - Veterinary Medicine Curriculum Project Group (PFCV) want to specifically mention here that practise of a specific skill in a study completion field usually means that this skill can also be performed with animal species other than those from the related study completion field on a higher level.
6
Common
Study completion field CA VP
Horse
Dog
Cat
Rodent Rabbit Ferret
Bird
H
4 4
2 4
2 4
4
4
4
4
4
4
4
2 2
2 2
3 3
4 3 4 4 3
3 3
3 3
2
2
4 4
4 4
4 4
4 4
4 4
4
4
4
4
4 3 4 3
4 3 4
3 3
2
Poultry
Ruminant
Pigs
Cross animal species
Bird
Rodent Rabbit Ferret
Cat
Dog
Horse
Poultry
Ruminant
SKILLS
Pigs
ADA
M&P
SR
General Assessment of conduct Animal handling/positioning Description recording/checking1 Age estimation based on teeth Identification application Identification read-out Recording/analysing treatment history Recording of anamnesis Performing a general examination2 Discussion of diagnostic plan of approach Discussion of intervention plan Discussion of prognosis Clinical examination X-ray examination Complete FEI passport Drafting of an insurance statement Drafting a statement for purchasing purposes Collection of blood Biopsy, aspiration Biopsy, incision/excision Topical and oro-nasal administration Intracutaneous/percutaneous injection Subcutaneous injection Intramuscular injection Intravenous injection Insertion of a venous catheter /setup of an IV Intra-peritoneal injection Initial treatment of a trauma patient Blood transfusion Acute wound treatment (incl. skin correction)
4 4 4 3 2 4 3 4 4 4 4 4
1 4
1
4
4
1 1 1 1 2 4 1 1
2 2
3 3
3 3
3 3
2
2
2
3 3
3 3 3 2
4
3 3 4 4
4 2
2
2
3
3
4
4
4 4 4 2
3 2
3
3 2
3 2
2 2
1 2 3 2 4
4 4
4 3 4 3
4 4 4
ADA
H
4 4
7
Cat
3
3
3
3
4
4 4
4 4
4 4
4
4 3 2 3 3
2
2
1
3 4
2 4
3
4
4
4 3
Bird
Dog
Rodent Rabbit Ferret
Study completion field VP CA
Horse
Poultry
Ruminant
Pigs
Cross animal species
Bird
Rodent Rabbit Ferret
Cat
Dog
Horse
Poultry
Ruminant
SKILLS
Pigs
Common
General Preparation of patient for operation and preparation of the operative area Wound reconstruction Wound treatment/rinsing Wound closure primary/secondary Dehiscence treatment Abscess drainage Applying bandaging
4 2 4 3 3 4 4
Examination of the nose and sinus, pharynx, neck, lungs3 Examination of the heart (circulation system)4 Sputum collection Endoscopy of the upper airways 1 Tracheotomy/air sac trepanation 1 Lung function examination/pressure measurement Bronchi-alveolar rinsing 1 Taking an ECG and interpretation of it
Respiration and Circulation system 4 4 2 1 2 1
2 2 1 1
1 2 1 1
1 2 1 1
1
3 2 3
1
1
2 2
2 3
2 2
Digestive system Examination of the mouth cavity, pharynx and the neck5 Throat inspection Insertion of an oesophageal (crop) probe Oesophageal blockage treatment Insertion of a magnet/bolus Regular dental maintenance/cleaning of teeth Examination of the abdomen, groin, peri-anal area5 Rectal examination /internal Ultrasound abdomen general / trans-abdominal Abdominal piercing Caecum/colon piercing
4 1 1
1
2 4 3 2 1
3 4 3
4 3
2
2
4 2
2 1
2
1 1
3
2
4 4
2
4 4 2
3
4
4
4
2
4
4 3 4 3
4 2 4
4 2 4
2 3
4
4 1
3
3
3
3 1
2
2
2 2
2
2
2
8
1
3
1 2 2
M&P
SR
1 2
2
3 3 4 3 4 3 3 3 3 3
1 1
1 2 2 1 2
3
3 3
3
3
2 2
2
2
2
2
2 4
4
4
3 4
3 4
3
3 4
Horse
Poultry
Ruminant
Pigs
Cross animal species
Bird
Rodent Rabbit Ferret
2
1
Rodent Rabbit Ferret
1 2
Cat
Horse
Poultry
Dog
General 1
1
Cat
2
1 2 1 2 2 1 2 2 1
Study completion field CA VP
H
Dog
Biopsy of the liver Collection of stomach fluid sample/transfaunation Penstrocard insertion Rumenotomy Cow rolls Roll and suture abomasum Laparoscopy Laparotomy / celiotomy Abomasum dislocation operation Torsio ansa proximalis operation Entrapment colon “rolls” Hernia umbilicalis treatment Enema administration Rectum rupture repair Rectum prolapsed repair (Circum gland)Anal gland examination / drainage
Ruminant
SKILLS
Pigs
ADA
2 3 3 2
4
M&P
SR
Bird
Common
2
2 3
3
Reproduction, Kidneys and Urinary Tracts External examination of the urinary tract and sexual organs6 Gestation diagnosis/fertility diagnosis manual 1 Gestation diagnosis - ultrasound Fertility diagnosis - ultrasound Collection and treatment of sperm Insemination Embryo transplantation Ovum Pick Up / In Vitro Fertilisation Castration – female animal 1 (Ovarian)hysterectomy 2 Ovariectomy via laparoscopy Castration of male animal 2 Hernia scrotalis treatment 2 Pap smear vagina/uterus
4 3
3
3
3
3 2
4
2 2 2 1 1 1
1
2 1
1 2 1
2 2 1 2 2
2 2 1 2 1
3
2 2
2 3
2 1
4 3 1
4 4 4
4 4
4 4
4 4 2 2
3 3
3 2 2 2 2 1 3 2 2
4 2 4
ADA
H
4 4 2 4 3 3
4 4
4 4
4 4
1
4 2 3
4
1
9
3 2 2
2
2 2 2 2 2
1 1
2 2
2
2
4 3
2 2 1
2 2 1
1 2 1
2 2 2 1
2 1 2 1
1 1 2 1
3 3 3 4 3
1
4
3
1 1
1
1
4
3
1
4 4 4 3 2 4
3 3
2
3
3
3
4 4 4 4 2 2 2
4 2 2 4
2 2 2
4 4 4 4 2 3 3
4
4
4
4
4
4
4 4 4 4 4 4
M&P
SR
Bird
3 1 2
2 4
Rodent Rabbit Ferret
3 1 2
4 4 4 4 4
2 4 2 2 4
Cat
2 4
Dog
1 2
4
Study completion field VP CA
Horse
1 3
1
Poultry
1 3
Ruminant
General 3 2
Bird
3
3 2 2
Pigs
Cross animal species
Rodent Rabbit Ferret
3 3 2 3 2 2
3 1 1 3 2 3 2 2 1 1 2 2 3 2 1
Cat
1 3
Horse
3
Poultry
1
Dog
Biopsy - uterus Intra-uterine treatment Twins reduction Inversio et prolapsus vaginal treatment Obstetric examination Reposition torsio uteri Normal partus/extraction Repositioning of deviating position Forced extraction Episiotomy Foetotomy - total Foetotomy - partial Caesarean section Afterbirth check-up and possible treatment Inversio et prolapsus uterine treatment Benesch/Caslick operation Neonatal treatment Bladder catheterisation - male animal Bladder catheterisation - female animal Bladder piercing Cystoscopy Urachus fistula repair Bladder rupture repairs
Ruminant
SKILLS
Pigs
Common
2
Skin Examination of hair, skin and horny structures7 Collecting skin samples (scraping) Skin Biopsy De-horning young ruminant De-horning adult ruminant Removal of sign
4 4 2 2 2 3 Mammary glands 10
4
4 4 3 4
4
M&P
SR
Bird
Dog
Horse
Rodent Rabbit Ferret
Study completion field CA VP
H
Poultry
Ruminant
General 1
Pigs
2
Cross animal species
2
Bird
Cat
Rodent Rabbit Ferret
Dog
3
Poultry
1
Horse
Examination of the mammary glands8 Taking of milk samples for (bacteriological) research Macroscopic assessment - milk Intra-mammary treatment Treatment of teat, udder and milk gland injuries Treatment of teat blockage
Ruminant
SKILLS
Pigs
ADA
Cat
Common
4 4
4
4 4 4
2
3
4
1
4
4 3 2 2
1 1
1
1
1 2
1
3
3
3 3 3
3 2
1 1
Senses and Nervous system Examination of the ear8 Hearing examination 1 Application of ear ointment/drops Othaematoom treatment 1 1 Removal of corpus alienum from ear/from external auditory 1meatus 1 Ablation ear 1 Examination of the eye8 Repositioning - luxatio bulbi Application of eye ointment/drops Rinsing of the eye and eye sac Lens luxation treatment/chirurgical removal Eyeball removal Eyelid operation Removal of the third eyelid Examination of the central and peripheral nervous system 11 Coping with deviating behaviour/aggression Performing a fluid piercing
4 1
2
2
1
1
2 2 2
2 2 1
1 1
1
1
4 2
2
4 2 4 4 1
1
1
1 1 1 1 4 3 1
2 2 2
2 2 3 2
2 2 3 2
2 2 2
2 2
4
4 2
4 2
4 2
4
4
3
3
3
3
4
4
4
Locomotion Examination of the locomotion system incl. spinal column 12 Tail amputation Posture correction Preventive hoof/claw cutting 2 Curative hoof/claw cutting 2 Nail cutting
4 2 1 2 3
2 3
1
4
4
4
4 4
2 3 4
ADA
H
4
11
Rodent Rabbit Ferret
Bird
3
3
4 4
4 4
4 4
2 4
4
4
4
4
4
4 4
4 4
4 4
4 4
4
4
4
4
4
4
4
4 4
4 4 4
4 4 4
4 4 4
4 4 4
Dog
2
Horse
2
Poultry
3
Ruminant
Pigs
Study completion field VP CA
Cat
2
Cross animal species
General 2 1
Bird
3
2 1
Rodent Rabbit Ferret
Cat
Horse
Poultry
Dog
Horseshoe removal Claw(tip) amputation/toe amputation Application of (rigid immobilising) bandage Fracture and joint treatment Wing clipping Conduction anaesthesia Rinsing of joint/tendon sheath Joint piercing Arthroscopy / tenoscopy
Ruminant
SKILLS
Pigs
Common
M&P
SR
4 1
3 4 2
4
2 2
3 3
4 3 4
2 2
4 4
4
3
2 2
2
1
2 2
Anaesthetics Pre-anaesthetic examination Insertion of trachea tube Anaesthetic - total inhalation Anaesthetic - total injection Monitoring, maintenance and recovery - anaesthetic Local anaesthetic techniques Sedation Euthanasia
4 1
1
2 2
3 2
3 2
2 2
1 1 4 4 3 4 4
Laboratory research Urine examination - similar weight Making (and assessment) of urine sediment Application of urine rapid diagnostics (strips: pH, protein, etc.) Determining the haematocrite clinical-chemical examination regarding rapid diagnostics (strips, analyzers) Haematological examination Simple laboratory research Simple pathological examination Macroscopic assessment of faeces, urine, milk and egg
3 3 3 4 4 3 3 3
3
4
3
3
3
3
3
4 4
12
4 4 4
4 4
4 4 4
2
2
2
1
4
4 4
3 4 4
4 4
4 4
4
4
4
4
4
4 4 4 4 4
4 4
4 4
4 4
4 4
4 4
4 4
M&P
SR
Bird
Horse
Poultry
3 3 3
2
3 3 2 3 3 4
Ruminant
Pigs
3 2
Cat
2
Cross animal species
Bird
Rodent Rabbit Ferret
Cat
Dog
Horse
Poultry
General
Study completion field CA VP
H
Dog
Centrifugal sedimentation flotation method - faeces Determining e.p.g. / o.p.g. (amongst other McMaster) faeces Baermann method (lung worm larvae) 1 Sticky tape method (parasitological) Making and assessment of microscopic preparation (fungus/ecto-parasites) Using an “in-house” fungus culture (skin / hair) Microscopic assessment of sperm Preparing and dispatching of body tissue Simple bacteriological examination Preparing a smear for cytology Determining the milk cell count (T-pol, CMT) Implementation of modern laboratory techniques Application of laboratory protocols
Ruminant
SKILLS
Pigs
ADA
Rodent Rabbit Ferret
Common
3 3
4 4 4 4
4 4
4 4
4 4
4 4
4 3 3 Diagnostic imaging
Making of X-rays Assessment of quality and interpretation of X-rays Taking and interpreting ultrasound scans
2 2 2
4
4
4 3 4 4 4 3
4 3 4 4 4 3
4 3 4
4 4 3
4 4 3
4 4 3
4 4
4
4
4
4
4
Public health Examination of products of animal origin Ante mortem examination Post mortem examination Emergency culling before slaughtering Preparing a risk analysis Audit HACCP plan Examination of the direct environment (CCP) Examination of water quality Sampling in the scope of CCP Export certification
4 4 4 4
4 4 4 4
4 4 4 4
4 4 4 3 3 2 3 2 3
1
1
1
4 3 4 4 4 3
4 4 4 4 4 3
Zoo technical aspects / Support 13
Common
3 2
4 4
2 2 2 2 2 2 2 2 2 1 1
3 3 3 3 3 3 3 3 3 3 3 3 4
3 3 3 3 3 3 3 3 3 3 3
3 4
3 4 3 3
2
1 2
2
1 2
Stable climate assessment: ventilation (system), implement smoke test, air speed and humidity level 1 1 1 Drafting of a business treatment plan 2 2 2 Assessment of wet milk measurement 1 Interpretation of milk inspection results and milk money settlement 1 Dispensary and Practice 14
Bird
1
Rodent Rabbit Ferret
1 1
Cat
1
4 3 4
2
Dog
General 2 2
4 3
4 3
4
4
4 3
4 4
4 4
4 4
4 4
4 4
4 4
3 3 3 3 3 3 3 3 3 3 3 3 4
3
3
3
3
3
3 3 3 3 3 3 3 3 3
3 3 3 3 3
3 3 3 3 3
3 3 3 3 3
3 3 3 3 3
3
3
3 3 3 3 3 4 4 4 3 3 4
3 4
3 3
Horse
2
Poultry
2
Ruminant
Cat
3 1
Pigs
Dog
3 2
Cross animal species
Horse
3 1
Bird
Poultry
Rodent Rabbit Ferret
Ruminant
Animal selection for detailed examination Condition score Measurement of zoo technical variables Claw score Teat score Assessment feeding/feeding schedules Assessment of accommodation Implementation of periodical site visits to dairy farm Preparation of a SWOT-analysis based on datainspection, site inspection and animal inspection in the area of: - animal health aspects - production - aspects of reproduction and breeding - accommodation/accommodation systems - climate - welfare - use of veterinary medication - public health - nutrition - economy of the industry - environment Ammonia quality measurement CO2 quality measurement
Pigs
SKILLS
4 3 4 3 3 4 4 3
4 3 4
3
4 4
4
Study completion field VP CA
H
ADA
3
2
M&P
SR
4
Common
Dog
Cat
Rodent Rabbit Ferret
Bird
Poultry
Ruminant
Pigs
Cross animal species
Bird
Rodent Rabbit Ferret
4
4
4
4
4
M&P
SR
General 4 2 4 4 4 3 3 4 3
Adrenalectomy Anal sac extirpation Arthrodesis Pelvic osteotomy - TPO Blepharoplasty Cervical-stump resection OVE complication treatment Colposuspension Composite reconstruction Cornea sequester treatment Cornea trauma treatment Cystotomy Debridement/wound cleaning Drainage Entropion / ectropion treatment Chirurgical egg removal Elbow luxation - operative Endodontic treatment Fracture ‘conservative treatment’ Hernia treatment
Study completion field CA VP
H
Horse
Packaging, labelling of veterinary medication to be delivered Magistral preparation Writing up of prescription Stock control Writing of the certificate Cleaning and disinfection - practice / vehicle / instruments ‘Good Laboratory and Veterinary Practice’ Working with databases and ICT-use Working with literature search engines
Cat
Dog
Horse
Poultry
Ruminant
SKILLS
Pigs
ADA
3
4 4
4 4
4
4 4
4 4
4 4
4 4
4 4
4 4
4
4
4
4
4
4
4
4
4
4
4
4
4
2
2
3
2 3 2 2 3
2
2
2 3 2 2 3 3 2 2 3
3
3
2 3
3 4
3 4
3 4
3
3
3
M&P
SR
Additional surgical skills 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
1 1
1
1
2 1 1 2
2 1 1 2
1
2 2
1 2 2 1
2 3 4 2
2 3 4 2
2 3 4 2
2 1
1 1 2 1
1 1 2 1
2
1
2 3
2
2
3 4
3 3 2 3 3 2
3 3 1
1 2
3 2
1 2
2 2
2 1
3
4
4 3
2
ADA
H
2 2 3 2
2 3 2
15
2
1
2 1
2
2
2
1 1
2
1 1
1
1
2 2 1 1 1 1 1 3 2
3
2 3 3
1
3
3
3 3 3
2
2 3 2 2 3 4 3 2 3 3 2 2 2 2 2 3 3
3 3 2 2 2 2 3 4 3
1
3 3
2 2
2
2
2 2 2 1
2 1 1
Bird
2
Rodent Rabbit Ferret
Cat
2 2
3
1
1 1 2
Study completion field VP CA
Dog
Horse
2
2 2
Poultry
2 1 1
Ruminant
2 1 1 1 1 1 2 2 2 2
Pigs
General 1 1
Cross animal species
1 1 4 2 2 2 2 1 1 1 1 1 3 2 1
Bird
Rodent Rabbit Ferret
Horse
Poultry
1
Cat
1
Dog
Hip luxation - operative Caput resection Hubertus claw amputation pup Hubertus claw amputation adult animal Hygroma elbow Removal of implant Jaw-symphysis luxation Jaw resection Knee /shoulder joint arthrotomy Los Processus Anconeus / Arthrotomy - elbow Los Processus Coronoïdeus / Arthrotomy elbow Luxation – non-invasive repositioning Lymph gland removal Mastectomy Nostril adjustment Eyelid trauma treatment Eyelid tumour treatment Open abdominal drainage Patella luxation Peritoneal rinsing Pyloromyotomy, Fredet Ramstedt / pyloroplasty Rectum prolaps treatment Resection mandibular/sublingual saliva gland Resection vaginal tumour Scrotum amputation Sinus trepanation Beak correction Beak reconstruction synthetic resin Splenectomy Tongue amputation Total ablation external auditory meatus Feather cyst removal
Ruminant
SKILLS
Pigs
Common
2 1 1
4 2 3 2 2
1 16
2 3
SKILLS
Removal of polyp, middle ear Wing amputation / Leg amputation
Pigs Ruminant Poultry Horse
General 2
Cat
Common
2
17
Dog
Rodent Rabbit Ferret
2
Bird Cross animal species Pigs
ADA
Ruminant Poultry
3
Cat Rodent Rabbit Ferret
3
Bird
Study completion field CA VP
3 3
Dog
H
Horse
M&P SR
Detailed definition regarding various aspects of the skills list For all mentioned actions, the following applies: for as far as relevant to the animal species involved. 1 Description recording / checking: Animal species, race, sex, age, colour and markings and particular characteristics. Age estimation only based on external characteristics; dental assessment is a separate skill. 2 Performing a general examination: General impression: assessment of behaviour, posture and gait, physique, nutritional state (birds too) and noticeable clinical Breathing deviations: recording and assessment of frequency, type and rhythm (looking) of Pulse: recording and assessment of frequency, rhythm and quality (feeling/listening) Temperature: rectal recording Hair, skin: colour, temperature, turgor, lift ability, thickness and sensitivity, lesions, blood and oedema Horny structures: form, size, colour, sensitivity, nature of surface Mucous membranes: colour, moistness, bleeding and/or defects, filling time of capillaries (External) lymphatic nodes: size, form, consistency, sensitivity, movability 3 Examination of nose and sinus, pharynx, neck, lungs (respiration system): Respiration movement and sounds Nose and sinus: airflow, nasal flow, inspection, palpation and percussion of nose and sinus, laryngoscopic examination Larynx and trachea: inspection and palpation (including thyroid glands), in horses and birds: inspection of air sacs Thorax: inspection, auscultation and percussion 4 Examination of the heart (circulation system) Heart: inspection, palpation and auscultation, venous tension, venous pulse assessment, assessment of oedema and ascites, dog: liver palpation 5 Examination of the mouth and pharynx, neck, abdomen, groin, peri-anal area (digestion system) Mouth cavity, pharynx and neck: inspection (external and internal, as far as relevant), palpation (external and internal, tongue), odour, swallowing reflex, oesophagus palpation. Abdomen: inspection, palpation and percussion, auscultation, steel band test, generating splash sounds; ruminants: Recording of stomach movement , pain tests, abomasum examination, liver percussion Peri-anal area: inspection and palpation 6 External examination of the urinary tracts and sexual organs General: Urination inspection.♂ - External sexual organs: inspection and palpation♀ - External sexual organs: inspection (and palpation) 7 Examination of hair, skin and horny structures: Inspection and palpation – similar to ‘general examination’, but more detailed. Including inspection of feathering 8 Examination of the mammary glands Inspection and palpation (ditto skin) 9 Examination of the ear: Pinna and external auditory meatus: external inspection (see skin), otoscope inspection, (overall) hearing examination 10 Examination of the eye: External inspection, eyelid reflex, inspection with slit lamp, fluorescence test, pupil reflex Examination visus: Obstacle test, movement reactions, threatening reflex, optical Stell reflexes, Examination of the retina with an ophthalmoscope 11 Examination of the nervous system Assessment of behaviour and consciousness level, also birds Assessment of posture and gait (overlapping with movement system), also bird Skull and spinal column: inspection, palpation, percussion, passive movements (overlapping with ‘movement system’) Reflexes: posture reactions (stell and correction reflexes), cerebral reflexes (overlapping with eye), spinal reflexes (i.e. tail muscle tone), vegetative reflexes/examination of pain perception and sensitivity 12 Examination of the movement system Limbs (lameness diagnosis): inspections in rest and in movement (samples), palpation, percussion, passive movements, bending and stretching tests; with dog and cat with both standing and lying animal Neck, back/spinal column: inspection, palpation, percussion, passive movements, (rectal examination/internal) ı ı
ı
Respiration system: runny sinuses/air sacs, dyspnoea, tone of voice ı Feathering ı Obvious clinical deviations Examination with fixed animal: ı Assessment of nutritional state ı Inspection and palpation of head (assessment of beak, mouth cavity if necessary, and eye), neck, wings, feet, feathering, breast and abdominal cavity, cloacae
Explanations with birds: Inspection at a distance: Nervous system/locomotive system: behaviour/consciousness level, posture and gait/flight 19
20
Final attainment levels - Veterinary Medicine Curriculum Annexure 2: Diseases List
Utrecht, 6 June 2005
Explanations Diseases List Explanation The Diseases are described in comparable order such as in the “Questions/Problems list” (and as in the “Skills List”). The anatomic order was treated per “organ system” where relevant. Sometimes this ranges from “outside to inside” as with Respiration, sometimes also from “inside to outside”, as with Reproduction. A further classification was then made between “Non Infectious” and “Infectious”. The sub-division under “Non Infectious” is as follows: - Congenital - Trauma - Neoplasia - Other Under “Infectious” the basic order below is maintained: - Virus - Bacterial - Parasite/Protozoa - Fungus/Yeast A disease is included in the Disease list under the most relevant organ system. With diseases where multiple organ systems are affected, the following solution is selected. In the disease list, a column “other organ systems” is included. If one of the letter combinations below is included in this, it implies that the mentioned disease/agent also has an effect on the mentioned organ system or organ systems. In exceptional cases, namely where it concerns a clearly specified disease, it is mentioned in 2 or more organ systems. S System diseases V Reproduction R Respiration N Kidney and Urinary tracts C Circulation H Skin B Blood and Blood forming organs M Mammary Glands D Digestion Z Senses and Nervous system Liver and Pancreas Lo Locomotion E Endocrinology and Metabolism ı ı Knowledge levels of diseases for the communal part and the graduation fields: Knowledge Level 1: know how to categorize The veterinary has heard of the disease, which means that he knows how to categorize the disease if he is confronted with it in literature or correspondence. Knowledge Level 2: consider diagnosis/dealing with it in practice
21
22
The veterinary can cope with the disease in the practice. In other words he has knowledge of, and insight into the event and of the most significant possibilities for diagnosis, therapy and prevention. Knowledge Level 3: make own diagnosis, perform therapy and take preventive measures/be able to solve it himself The veterinary has a wide knowledge of, and insight, in the disease and can make the diagnosis in practice. The veterinary has knowledge of, and insight, in developments of a disease, the prognosis, the possibilities towards therapy and the prevention, and he can personally establish a therapy and/or take preventive measures. If a number is only indicated in the disease list’s ‘Common part’ under the column ‘across animal species’, that means that the mentioned disease is considered to be known for all mentioned animal species on that level. That does not mean that the disease must be treated to the same level with all animal species; sometimes discussion of the disease with an example, i.e. the most relevant animal species, will be acceptable. Under the columns of the various graduation fields, a number is only mentioned if the relevant disease is assumed with this animal species or sector on a higher level than under the ‘common part’. Under the columns of the graduation fields VP, M&P and SR the figures are related to the animal species as indicated under the common part.
23
1 DVHZ
2
2
2
2 1
3 2
RDNZ RV RCDVZ RDHZ BV RDZ
2 2
1
3 3
2 2 2
3 3 3
2
2 2 2 3 3 3 3 3
2 2 2
2
3 3 3
1
2
1
2 2 2
3 3 2
3
2
3
3 3 1 3
2 2 1
2 1
2 1
3 2 2
2
3
2
M&P
SR
2
2
1
2
1
1
1
Study completion field
1 2 3
VP
Bird
Cat
2 2 1 2 3
Rodent Rabbit Ferret
Dog
1 2
C
2
CA
2
1 2 1 1 1 1 2 2
Z
Horse
H
Poultry
Pigs
Cross Animal species
1 1
Bird
2 1 1
ADA
Rodent Rabbit Ferret
Cat
Horse
Poultry
Ruminant
1
Dog
Upper airways Non infectious Congenital Too long palatum molle Brachiocephalic Obstructive Syndrome Laryngeal collapse Trachea collapse Trauma Corpus alienum Trachea rupture Ethmoidal haematoma / bleeding Neoplasia Nasopharyngeal polyp Other Allergic rhinitis / bronchitis Glottis oedema Reverse Sneezing Larynx paralysis / Cornage Epiglottis entrapment Dorsal Displacement Palatum Molle Movement palatopharyngeal arch Webbing Air sack tympani Infectious rhinitis Inclusion Body Rhinitis Cat Flu Atrophic Rhinitis Pasteurellosis Aspergillosis Infectious pharyngitis Droes (Str. equi) Infectious laryngitis / tracheitis Infectious LaryngoTracheitis Turkey Rhino Tracheitis Infectious Bovine Rhinotracheitis / Infectious Pustular Vulvovaginitis Epiglotitis Laryngitis Diphtheria Syngamus trachea-infection
Other organ systems
Pigs
Disease
Common
Ruminant
RESPIRATION
2 2
1 1
3 2 2 1
1
3 2
2 2
2
1 2 1
2
2
2 V
2
3
2
3
3
1
3
1
2
2 2
DZ
2
3 2
2 V
2
D
2
3 2 3 2 3
2
SR
2
1 RDV DHZ R D Le H Z B Le N V C V H Lo C R D Lo Z R R C D H Lo Z RH R B Lo BV
M&P
Bird
Cat
2
Rodent Rabbit Ferret
Dog
Study completion field CA VP
Horse
H
Poultry
Pigs
1
Cross Animal species
Cat
1
Bird
Dog
1
ADA
Rodent Rabbit Ferret
Horse
Poultry
Ruminant
Other organ systems Lo
Pigs
Disease Immune-mediated Systemic Lupus Erythematosus Infectious Cattle plague Classic swine fever African swine fever Canine distemper/ Carré disease Canine herpes virus infection Feline Infectious Peritonitis Feline immunodeficiency Virus Feline Leukaemia Virus Blue tongue African horse sickness Peste des Petits Ruminants Myxomatosis Viral Haemorrhagic Disease Leptospirosis Swine erysipelas (Membranous) Polyserositis (i.e. Glasser disease) Pasteurella septicaemia Streptococcus Suis-infection Malleus Tularaemia Ehrlichia infection Zoonoses (that causes no symptoms with the animal) Trichinellosis
Common
Ruminant
SYSTEM DISEASES
2
3
3
RESPIRATION
Common
Sinusitis Air sack infection Infectious bronchitis New Castle Disease Influenza Kennel cough Chronic bronchitis (incl. emphysema) COPD Inner airways Non infectious Trauma Pneumothorax / pneumo mediastinum Lung lobe torsion Neoplasia Other Allergic reactions: Emphysema / oedema Intoxications (smoke / CO) Hydro- / Chylo- / Haemothorax Infectious (bronchial and/or pleura) pneumonia Rhino pneumonia / Herpes virus infection PRCV (Corona-infection) Bronchial pneumonia (BRSV) ‘Shipping fever’ Maedi/Visna / CAE Paramyxo virus infection ( type 1) Aujeszky’s Disease PRRSV-infection Aspiration pneumonia Rhodococcus equi-infection A. pleura pneumonia-infection Mycoplasma spp. infection, i.e. CBPP, EP and CRD Tuberculosis Pseudo-tuberculosis Psittacosis / Ornithosis Coryza contagiosa Aspergillosis Lung worm infection, i.e. Dictyocaulus and Muellerius Other worm infections, i.e. Ascarides
2
2
CA
2
3 3
3
VP
M&P
3
3
3
2
2
3
2
3
3
3 3
3
2
3 2
2
3
1 2
2
1 2 2 2 2 SVZ
2
1 3 3 3 3 3
3
3
3
1
2
2 3 1 2 3
2 3 1 2 3
3 2
3
2
2
3
3
3 2 2 2
M Lo Z
2 3
3 3 3 2
VZ V D D
2 2
1
1
3
1
3 3 2
3
3 3
2 2 2
D
1 2 1
3 3 2
1 2
1
1
D
2 3 2
2 2 2
3
2 1
3 2
2 2
H
Poultry
Pigs
Cross Animal species
Bird
ADA
Rodent Rabbit Ferret
Cat
Dog
Horse
Poultry
Ruminant
Pigs
Common
R RD R R R
2
3
3
3
1 1 1 1 1
3
Study completion field CA VP
2 2
2 2
M&P
SR
Bird
1
Rodent Rabbit Ferret
1
Horse
2
Ruminant
D Le
3
Cat
2 1
Other organ systems
3
Dog
Heart Non infectious Congenital Ventricle Septum Defect Persistent Ductus Arterial Botalli Tetralogy of Fallot Pulmonalis-stenosis Aorta stenosis Neoplasia Heart based tumour Other Pericarditis Urica (gout) Pericardial overload Cardiomyopathy / Myocardial degeneration Myocardial infarct Infectious EMCV-infection (Traumatic) Pericarditis Myocarditis (Thrombo-)Endocarditis Valve sclerosis / valve fibrosis (i.e. parasitic) Veins Non infectious Atherosclerosis Infectious Equine Arteritis Virus-infection Thrombophlebitis
H 3 3
2 Z Z
CIRCULATION
Disease
ADA 3
2 1
2 1
1
1
R R RVZ
2 1 1 1
1
2
2 2
2 3
2 3
2
2
2
2
2 2
2 2
1 1 2
R Le 1
1
1
3 2 3 1
2
2
3 2
2 1
SV
1 2
3
2 3
2 3
2
SR
Cat
Rodent Rabbit Ferret
Bird
3 3
3
3
3
3
3
3
3
2 3
3
2 2 AIHA Neonatal iso-erythrolysis
1 2 1
Copper Water Nitrite, nitrate Onions
Le
1 1 2 1
1
3
1 3 2
Infectious
3 3 2 3 2
Study completion field CA VP
Dog
Poultry
H
Horse
1 2
Intoxications
M&P
2
SR
2
2
1
1 Chicken Anaemia Virus infection Babesiosis
1
2
1
2
2
2
3
2
3
3
3
2
2
2
2 2
1
3
CH
2
2 1
H
1 1 1 2
Anthrax Malaria
3
3
1
2
2 1
2 1 2 1
2 2 3
1 2 2 1
1
2
2
2
1
1
1
2 3
3
2
Study completion field Horse VP CA
ADA
Rodent Rabbit Ferret
Cat
Horse
Poultry
Ruminant
2 2 2 3
2 3 3 2
2 2 2
3
Bird
3
Common
Pigs
Other organ systems Disease Mouth, beak and throat Non infectious Congenital Malocclusion Palatoschizis / cheiloschizis Trauma Trauma (teeth, jaw, wounds) Corpora Aliena blastoma Other Saliva cyst Dental problems + Paradontopathy Stomatitis Gingivitis Complex Hypovitaminosis A Feline Eosinophilic Granuloma Myositis Eosinophilica Lo (Pharynx-) Dysphagia Z Infectious Stomatitis / Gingivitis / Cheilitis / Pharyngitis Foot and Mouth disease S C Lo Bovine Virus Diarrhoea / Mucosal Disease (see intestine) S Ecthyma HM Smallpox diphtheria RH Stomatitis Vesicularis S Lo Swine Vesicular Disease Papillomatosis H Beak and Feather disease H Diphtheria R Actinobacillosis Actinomycosis Lo Oesophagus and crop Non infectious blastoma Other Oesophagus obstruction R Oesophagus stricture Oesophagus dilatation CZ Oesophagitis Infectious Crop infection Trichomonas / Candida
1 2
Poultry
DIGESTION
1 2
Ruminant
1 1 2
Rodent Rabbit Ferret
1
2
Cat
Le D Le H Lo Z
2 2
Dog
1
Horse
CD H
Dog
Blood forming organs Non infectious Congenital A-/ hyperplasia (Bovine) Leukocyte Adhesion Deficiency Trauma Namely Spleen rupture Neoplasia Juvenile lymph sarcoma Leukaemia Plasma cell tumour Infectious Neoplasia Leucosis Virus-infection Marek’s Disease
3
Pigs
i.e. Thrombocytopenia purpera
Bird
Anaemia due to inadequate blood production Non infectious Iron deficiency Haemorrhagic diathesis Clotting defects Non infectious Congenital Other Immune-mediated Intoxications / deficiencies Infectious
Pigs
Cross Animal species
Bird
Rodent Rabbit Ferret
Cat
Dog
Horse
Poultry
Ruminant
CV D
Cross Animal species
Blood Anaemia due to blood loss Non infectious Trauma (internal and external) Infectious Hemonchosis Anaemia due to increased blood decomposition Non infectious Other Immune-mediated
Pigs
Other organ systems
Disease
ADA
Common
Ruminant
BLOOD and BLOOD FORMING ORGANS
2
2
2
2
3 3 3 3 3
3 3 3
2
3 3
3
3 1
2
2 2
2 2 2
2 2
2
2
3 3
3 3 3
3 3
3
2
3
3
1
2 2
2
3
3 3
3
1 2
2 3 3 3
1
2
2 1 1
2
3 2 2
2
1 2
1 1 1 1 1
3 2 2 2
3 2 2 2
2 3 2 2 2
2 1 2 2 2
SR
2
3 2
1 2 1
M&P
3 3
3
1
2 2 1
1
3 3 2
2 2 2
1
2
1
1 2
2
2
2 2
3 2
3
2 1
2
2 2 2
2
3 2 3
3
2
2 3
1
Bird
2 3
Rodent Rabbit Ferret
Cat
3 3 3 3 2 3
Dog
3 3 2
2 2 2 1 2
Horse
Poultry
Ruminant
Pigs
Cross Animal species
1
Bird
Cat
1
Rodent Rabbit Ferret
Dog
2
2 2 2
2
3
1
2
1
2 2
1
1
1
2
3
2
3
2 2 2
2
3 3
3
2
2
3
3
3
2
2 2
3 3
3 3 1
2 1 2 2 2
3 3 3
2 3 3 3
2 2 3 3
1 1 1
1
2 3 3 3 1
2 3 3
3 3
3 3 3 3 2
2 3
2 2
Bird
Cat
2
Rodent Rabbit Ferret
Dog
Horse
Poultry
Ruminant
Pigs
Cross Animal species
Bird
Rodent Rabbit Ferret
Cat
Dog
Horse
Poultry
Ruminant
Pigs
1
1 1
2
2 3 3 2 3 3
Horse
Other organ systems Disease Small intestine and colon Non infectious blastoma Other Ileum small intestine (volvulus, intus susception, strangulation) Le Meteorismus Caecum / Colon Torsio Caecum and/or Colon Positional changes Colon Intussusception Caecum Constipation Colon, incl. sand Idiopathic mega colon Steatorrhoea Inflammatory Bowel Disease Oestrus diarrhoea Gastro-intestinal nutritional allergy Infection - Enteritis Viral Rotavirus-infection Corona virus-infection TGE- / PED Parvo virus-infection Bovine Virus Diarrhoea V Malignant Catarrhal Fever SVZ Adeno virus - E. coli complex Reo virus-infection Bacterial Dysbacteriosis E. coli-infection SM Salmonellosis S V Lo Cl. perfrigens and other Cl.spp infection (Colitis X) S Tyzzer’s Disease Le Campylobacter-infection Proliferating Enteropathy Para-tuberculosis Dysentery / Spirochaetosis Mucous Enteropathy
1 2 1 1 1 2
Poultry
Upper stomach Non infectious blastoma Cardia tumours Other Tympani Pensacidosis Fermentation disorder / alkalosis “Kleischijter” Traumatic reticulitis Le Stomach Non infectious blastoma Other Saburra Grass sickness Z (Abomasum) stomach impaction Corpus alienum / hypomotility Stomach dilatation (Volvulus) Syndrome Abomasum dislocation Pylorus stenosis Frontal and Back Stenosis Abomasum ulcer i.e. Helicobacter / PCV2 Abomasum bleeding B Infectious - Gastritis Vomiting and Wasting Disease Z Ostertagia / Hyostrongylus / Haemonchus spp. Infection Gasterophilus spp. h
Ruminant
Other organ systems
Pigs
Disease
3 1
3 3 2 2
2 3
1
2 3 3
2 3
2 2
2
2
2 2 2
1
2
1
2
2
2 2 2
2 2
3
3 3
1
3
1
2
Cat
Dog
Horse
Ruminant
Poultry
Pigs
3 2
2 1
3
3
3
3 2
3
3 3 3 3 3 3
2
3
3
3 3 3
3 3
2
2
3
3
1
3 3 2
1
3 3
2
2 2 1 1
3
3
2 3
3 3
2
3
3
2 2 3 2 3
2
1
1 1
3 3
3
3
1 (Viral) infections / Toxins
1 B
2
2 1
D
1
1
2 2
2 2
2 2 2 3 2 3
3 2 2
2
1 1
1
3 3 2
1
3 1
2 2
2 2
1 2
2 2
1 Z
Pancreas Non infectious blastoma
2 1
1 1 E
1
SR
2
2
2 2
2
1 2
2
2 2 2 2 2 2
2 2
M&P
Bird
3 2 2
1
1 H
Study completion field CA VP Rodent Rabbit Ferret
H
Poultry
Pigs
Cross Animal species
1 1
Bird
Cat
2 1 1
Rodent Rabbit Ferret
Dog
Horse
Poultry
Ruminant
Pigs
Z
ADA
Cat
2
Dog
2
3
Horse
2 1
C S
2
3 2
Other organ systems
3
3
1
2
3
3
1 1
3
Ruminant
2
Common
Cirrhosis / Fibroses Liver abscess Bacillary Hepatic necrosis Non specific Reactive Hepatitis Liver fluke infection (Internal or external)hepatic cholestasis / cholangitis Bile duct coccidiosis Echinococcus-infection
3
1
Chalcosis B Iron overload disorder (Haemosiderosis) Z
Exocrine Pancreas Insufficiency Acute Pancreatitis (incl. recidive)
3
R
Disease
'infectious’
Cross Animal species
Bird
Rodent Rabbit Ferret
Cat
Dog
Horse
2 2 2
LIVER and PANCREAS
Liver Non infectious Congenital Porto systemic shunts blastoma Primary tumours Metastasis Other Thrombosis Vena cava caudalis Liver steatosis / Liver rupture Amyloidosis Infectious Acute Hepatitis Hepatitis Contagiosa Canis Chronic Hepatitis
3
1 1 1
Bird
B R Le
2 2 2 2
Rodent Rabbit Ferret
Le
Poultry
Ruminant
Other organ systems
Pigs
Disease Parasitic/protozoal Coccidiosis Blackhead Cryptosporidiosis (Tricho-) Strongyloides-infection Strongyloides infection Ascarides / Heterakis spp.-infection Capillary infection Cestoidean-infection Ancylostomatidae-infection Trichuris spp.-infection Giardiasis Abdominal Cavity Non infectious Hernia Diaphragmatica Hernia Ventralis 'infectious’ Peritonitis Rectal and anal Non infectious Congenital Atresia recti / ani Trauma Rectum prolaps/ cloacae prolaps Intestine-/ rectal bruises regarding partus Peri-anal fistula Hernia perinealis Trauma, incl. bestialities blastoma Infectious Gumboro Disease / IBD (Circum-)Anal gland infection Arse maggot infection
2
2 2
2 1
2 2 2 2 2 2 3
2 2
2
3 3
3 2
1 1
1 2
Lo Z Lo Z DNZ
1 1
1
1
2 3
1 2
2
1
3
3
2 1 1
2 1 1
3 1 1
2 2 1
2 1 1
2
2
2
1 3 2
1
1
1 1
1
Lo Lo 1
Z
2
2
C Lo Z Lo DZ Lo DVZ Lo Lo
3
1 1
2 1
3
2 3
1 2
2
2
2 3
2 1
Cat
2 3
2 3
Bird
Dog
Horse
Poultry
Ruminant
2
3 3 2
3 2 2
3 3 3
2 2
2 1 1
1
1
2
2 2
1
2
2
Pigs
Cross animal species
1 1
Bird
1 1
Rodent Rabbit Ferret
Cat
1 1 1
Horse
Lo Z D Le Z Le D Le Lo Lo R Lo Lo D M
2
1
Poultry
Downer cow Ketosis / Acetonaemia Hyperlipaemia Polyphagia with weight loss Obesitas / Adipositas Myopathy / Muscle degeneration Tying-up Porcine Stress Syndrome Myotonia congenita Myopathy masticatory muscles Low milk fat syndrome
1
1
Ruminant
Other organ systems
2
2 1
Disease
1
1 3
Dog
V Lo Z N Lo Z
SR
2
Rodent Rabbit Ferret
Lo
M&P
Bird
Cat
2 2 2
Rodent Rabbit Ferret
Dog
2
2 2 2 2
1 Lo N
Study Completion Field CA VP
Horse
2 1
H
Poultry
2 2
Pigs
1
Cross animal species
Cat
1 1 1
Bird
Dog
1
1 1 1
ADA
Rodent Rabbit Ferret
Horse
Poultry
Ruminant
Pigs
Other organ systems
Pigs
Disease Hypothalamus and Pituitary gland Congenital Pituitary hyper secretion / Burnier syndrome Congenital Aplasia / Hypoplasia Neoplasia Pituitary Hyper secretion Acromegaly blastoma Central Diabetes Insipidus Idiopathic / Neoplasia Adrenal Gland Addison’s Disease Primary Hypoadrenocorticism Cushing’s Syndrome Hypercortisolism Hyperadrenocorticism Thyroid Hypothyroidism Atrophy / atrophitis / Blastoma Hyperthyroidism Blastoma Endocrinal pancreas Non infectious Blastoma Hypoglycaemia Insulinoma Other Hypoglycaemia (hypothermia) Diabetes mellitus Hyperglycaemia Parathyroid Primary hypoparathyroidism Parathyroiditis Primary hyperparathyroidism Secondary (renal / alimentary) hyperparathyroidism Electrolyte disorders Hypocalcaemia / Tetany Hypocalcaemia Hypo and hyperphosphatemia Grass tetany Hypomagnesaemia Hyperkalemia Nutritional deficiencies Vit-E / Se-deficiencies Myodegeneration Steatitis Hypovitaminosis A Hypervitaminosis A Co- / Vit.B12-deficiency Hypovitaminosis D Rachitis / Osteomalacia Hypervitaminosis D Other
Common
Ruminant
ENDOCRINOLOGY and METABOLISM
2
2
2 2
1 1 N
1
2
1 1 2
2
2 1
1 1
2
1 1
3
3 3 3
3 3 3 2 3
1
Bird
Rodent Rabbit Ferret
Cat
Dog
1 2
2
1 3 3
1 3 2
2 2
1
3
2
3 2
1 2
2 2
2 3
1 2
3 2 1
1
1
1
1 2 2
1
2 2 2
1 2
1
1 3
1
2
2 1
1 1 1 1
H 1
2 2
2 2 2 3 2 2
3
1 1
1 2 2 2
1 1
1 1
1 1 1
1
2
2 2 3
2
1
1 2
3 2 2 2 2
2 2 1 2 2 3
3 1 2
1 1
2 1 1
1
Bird
3
Rodent Rabbit Ferret
Ruminant
2 2 2 2
1
3
Cat
Pigs
1 1
2
Dog
3 3
Horse
3
Poultry
1 2
Cross Animal species
Bird
Rodent Rabbit Ferret
Cat
Dog
2
Horse
1
Poultry
Other organ systems
2 3 3
2 2 3
1 1
S Z S Lo Z
2 2 2
M&P
3 3
2 2 2 1 1
3
Study Completion Field VP CA
3
1 1
Horse
1
Poultry
Pigs
Cross Animal species
Bird
Rodent Rabbit Ferret
Cat
Dog
Horse
Poultry
Ruminant
Pigs
1 1
H
ADA
2
Ruminant
Disease Vagina, vestibulum and vulva Non infectious Congenital Fleischspangen Persistent hymen Trauma Trauma / incl. Corpora Aliena Perivaginal infection Blastoma Other Pneumo vagina Inversio (& prolapsus) vaginae Varices in vagina Infectious Transmissible Veneral Tumour Vaginitis Testicle and scrotum Non infectious Congenital Cryptorchidie Sperm defects / Infertility Blastoma Other Hernia Inguinalis / Scrotalis Torsio Testiculi Infectious Orchitis / Epididymitis Prostate Non infectious Congenital Paraprostatic cysts Blastoma Other Prostate hyperplasia Infectious Prostatitis Penis and preputium Non infectious Congenital Persistent fraenulum Trauma Trauma of the penis Blastoma Other (Para-)phimosis Infectious Transmissible Veneral Tumour (Balano)posthitis
Other organ systems
Pigs
Disease Algemeen Congenital Intersexuality / Kwee / Freemartin Ovaries Non infectious Blastoma Other Cystic Ovarian Follicles Anoestrus Uterus and cervix Non infectious Congenital White Heifer Disease Cervix duplex Blastoma Other CEH-complex Pseudo pregnancy Hydrallantoïs / Hydramnion (Inversio et) Prolapsus Uteri Sub involution placenta position / Metrorragie Infectious Acute puerperal endometritis / Lochiometra Retentio Secundinarium Chronic Endometritis Puerperalis / Pyometra Endometritis during (di-)oestrus Contagious Equine Metritis Foetal death / abortion Non infectious Congenital Foetal Defects Other Early-Embryonic Death / Repeat Breeder Zealerone intoxication Infectious Porcine Parvo Virus infection Brucellosis Campylobacter infection Chlamydia infection Q-fever / Coxiella burneti infection Neospora Infection Toxoplasmosis
COMMON
Ruminant
REPRODUCTION
2
SR
1
3 1
1 2
1
2 2 2
SKIN
3 3
1
Pigs
1
Cross Animal species
2
ADA
Bird
2
Rodent Rabbit Ferret
Cat
Horse
Poultry
Dog
Non infectious Congenital Collagen displasia Epitheliogenesis imperfecta Alopecia Immune-mediated Food sensitivity Atopy Urticaria / angio oedema based on allergic reaction Pemphigus complex Toxic Epidermal Necrolysis Plasma cellular pododermatitis Juvenile cellulites Flea allergy Eosinophile granuloma complex Tail and mane eczema Udder eczema Urine eczema Blastoma Papillomas (viral) Adenocarcinoma Melanomas Sarcoid Mast cell tumour Trauma Trauma general Local hyper keratosis as a result of ‘pressure’ Burn wounds Interdigital trauma / pyodermia Other Zn-deficiency Vit-A deficiency Intoxications Nodular dermatofibrosis Acanthosis (nigricans) Seborrhoea Tail gland hyperplasia Photo sensibility Alopecia
Other organ systems
Ruminant
Disease
Pigs
Common
2
3
3 2
2 2 3
3
2 3 3
2 3 3
2 3 2
2
2
2
2
2 2
D
3 3 3
2
2 3
1 E
3 2
2
2 1
2 1 2 3 3
3 3 3
3
3
3
3
2 2
1 1
2
2
1
1
1 1 1 1
3
2
3 1 2
Le
3
3 1 2 2 1 1
1
3 1
2 2
2
Study completion field CA VP
3
1
M&P
SR
2 2
2 2
2 3
2 2
1
Z
3 2
1 1 1
1 2 1
D
3
H
Poultry
V
2
Ruminant
2
Bird
1
2 2
2 1 2 2
1 1
3
3
Bird
2
Rodent Rabbit Ferret
2
2 2 1 3
Rodent Rabbit Ferret
1 2 1
Cat
3
1
2 2 2 3
Cat
1
2
Dog
2
1 1 1
Dog
Horse
3
1 2 2
Study completion field CA VP
Horse
1
H
Poultry
1
Pigs
Rodent Rabbit Ferret
2
1 1
Cross Animal species
Cat
1
1 2
Bird
Dog
ADA
Horse
Poultry
Ruminant
Other organ systems
Pigs
Disease Kidney Non infectious Congenital Hydronefrosis / kidney cysts Blastoma Other Amyloidal nefrosis (Chronic) Interstitial Nephritis Embolic nephritis Infectious (Glomerulo-)Nephritis Pyelonephritis Urinary tract Non infectious Congenital Ectopic Urethras Blastoma Bladder tumour Other Bladder rupture Bladder prolapse Obstructions urethra(s) Urolithiasis / Urethra obstruction Infectious Cystitis
Common
Ruminant
KIDNEY and URINARY TRACT
M&P
SR
2
3 3 3 2 3
1 2
Lo
1 1
2 2
1
2 2
R C V Lo
3 3
3
2 3
3
Bird
Rodent Rabbit Ferret
Dog
3 2
Cat
2
Horse
Poultry
Ruminant
2
M
Pigs
2
Cross Animal species
2 2 1 1
Bird
Rodent Rabbit Ferret
Horse
Poultry
Ruminant
Cat
Small pox Bacterial dermatosis and pyodermia Intertrigo Superficial folliculitis Acne Subcutaneous abscesses Pseudo-tbc Dermatophilosis Staphylococcus hyicus/ aureus Swine erysipelas
Dog
Infectious Viral Bacterial
Pigs
Other organ systems
Disease
3
3
3
2 2 2 3
2
3 3
Fungus / yeasts
1 2
3
3
1 2
2
3 3 3
2
2
1
1
2
3 3
1 3 3
3 3
2
3 3
3
3 3 3 3
3 3 3 3
2
2 2
3 2 3 3
1
3 2
Horse
2
1
1
3
3
2 2
2 2
2
1
3 3
2
3 3 3 3 3 2 1
3 3
Study completion field CA VP
2
V
2 3 3
2
Cat
1 1
2 2 2 2 2 2 2
3 2 2 3 3
3
H
Poultry
Pigs
Cross Animal species
ADA
Bird
Rodent Rabbit Ferret
Cat
Dog
Horse
Poultry
Ruminant
3
3 3 3
2
2
Common
Pigs
2
3 1
H
2
3
2 2 2
Bird
2
2 2 2
H
3
3 2
S
Other organ systems
3
Dog
Non infectious Congenital Extra nipples Nipple fistulas Trauma Udder/ Mammary trauma / Haematoma Nipple trauma / nipple necrosis Blastoma Other Udder eczema Nipple stenosis Infectious Bovine herpes mammilitis (BHV2) Mastitis Streptococcus spp. Infection Staphylococcus aureus-infection Coliform-infection (E. coli / Friedländer spp) Actinomyces pyogenes-infection (acid) Pasteurella haemolytic-infection Mycoplasma-infection Fungus- / yeast infections Mastitis Metritis Agalactie
3
1
MAMMARY GLANDS
Disease
3
Rodent Rabbit Ferret
B B B B Lo Z
1
2
Ruminant
Trichophyton / Microsporum Parasitic/protozoal Hypoderma spp. Infection Myiasis Diphtheria / flies Tick bites Melophagus ovinus Fleas Lice Scabies Demodicosis Demanyssus Leishmaniasis
M&P
SR
2 3 2
3
2
3
3
2
Rodent Rabbit Ferret
1 2
1
1
2 1
3
1 1
2
1 1 1 1 1 1 1
1
1
1
S
2 1
2
3
Pigs
Ruminant
1 1 1
2
2
Poultry
Cross Animal species
Other organ systems
2
3
2
2
2 2 2 2 3 2 2 1
2
2 2
2 1
Nervous system Non infectious Congenital Hydrocephalus Dysraphia Aplasia / hypoplasia i.e. as a result of intrauterine virus infection. Lysosomal disease Epilepsy Atlanto-axial instability Trauma Commotion / Contusion / Laceration Lo Horners syndrome Intervertebral Protrusion / HNP Lo Spinal ataxion / Cervical spondomyelopathy / Wobbler Lo Radial paralysis Lo Blastoma Other Deficiencies and intoxications Thiamine Deficiency / CCN E Vitamin E deficiency E Salt intoxication Heavy metal intoxication (i.e. lead) Plant intoxication Propylene glycol intoxication Cu-Deficiency EZ Degenerative myelopathy Infectious (Meningo-)Encephalitis / Encephalomyelitis S Rabies Avian encephalomyelitis Lo Border Disease V H Lo Listeriosis Nosema Encephalopathy Prionen / BSE / FSE / Scrape Neuritis Neuritis Caudal Equine (P.M. Paralysis of the bladder) N Neurotoxins Tetanus D Lo Botulism D Lo
SR
2 2
1 1 1 1
1 1
2
1 2 2
1 1 1
2 2
3
2
2
1 2 1 2 2 2 2
2 2 2 2
2 2
2
2
2
3 1 1 1
1 1
2
2 2 2 2 2
3 2 2
1
2 1 3
2
2
2
2
2
2
3
1 1
2 2
3 2
2
1 2
Bird
1
3
M&P
Bird
Cat
1 1
3
1 2
Rodent Rabbit Ferret
Dog
2 3 2 2 2 2 2 2 3 3 2 1 2 2 2 2 2 2 2 1 2 3 2
Cat
Horse
3 2 3 1
Dog
Poultry
3 2 3 1 2 3
2
1
Study completion field CA VP
Horse
Pigs
Rodent Rabbit Ferret
Cross Animal species
Cat
Bird
Dog
Horse
Ruminant
Poultry
1 2 1 1 1 1 1
2
Bird
Disease
H
2
Rodent Rabbit Ferret
Dermoid Entropion Ectropion Distichiasis and ectopic cilia Trichiasis Microphthalmy Eversio cartilage 3rd eye lid Luxatio bulbi / Exophthalmia Trauma eye lids / cornea Tumours eye lids / conjunctiva / cornea Keratoconjunctivitis Sicca Cornea dystrophy Pannus Uvietis Lens luxation Glaucoma Cataract Ablation retina PRA / Retinal dystrophy Collie Eye Anomalies Retrobulbary procedures Conjunctivitis / Blepharitis Keratitis Infectious Bovine / Ovine (kerato)-conjunctivitis Cornea ulcus / -sequester
Cat
Infectious
1
Dog
Neoplasia Other
1 2
1 1
Horse
Trauma
1 2
Otitis externa/ media Ear scabies
Poultry
Eye Non infectious Congenital
ADA
2 1
Ruminant
Blastoma Infectious
General Othaematoma Ruptured Eardrum
Pigs
Ear Non infectious Trauma
Other organ systems
Pigs
Disease
Common
Ruminant
NERVOUS SYSTEM
2 1
3
2 2
3 3
2
2
2
2 3
3
3
3
3 3
2
1 1 1
1
CE B
2 1 1 1
2
3 3 2 2
2
3 2
1 2
1 3
3
1
1
3
3
2
3 1
(Pseudo-)Back quarter / Malignant oedema
1
1
1
Chapped hock Cysticercosis Sarcocystiosis
1
2
1
2
3
2 2 1
3 2 1
1 1
2
2 1 1 1
2
3
3 2
3
3
3
2 1
1
1
2 1
1
1 1
2 1
2
2 2
2
1 1
2
1 1 D
1
Cat
Rodent Rabbit Ferret
Bird
VP
Dog
CA
Horse
H
Poultry
Pigs
Cross Animal species
ADA
Bird
Rodent Rabbit Ferret
Cat
Dog
Horse
Poultry
Ruminant
Other organ systems
Pigs
Common
Disease
2 3 3
3 2
3
Ruminant
(Pseudo-)Perosis / Turned legs Hypertrophic osteotomy Spondyloisthesis Kinky back Varus and valgus deviation / Radius Curvus Syndrome Osteoporosis Osteosclerosis Cranio-mandibulary osteotomy Persistence of enchondral cartilage Tybial dyschondroplasia (Peri-)ostitis / Osteotmyelitis
LOCOMOTION
2 3
3 2 3
2 3
3
3
Joints Non infectious Congenital Hip dysplasia Patella luxation Trauma Blastoma Other
1 1 2 1
(Osteotomy)arthrosis i.e. Spat/Low and High over hoof Podotrochleosis Sesamoidosis Osteochondrosis dissecans / LPA / LPC Spondylosis Disease of Calve Legg Perthes
2 2 1 1 1
1
1
2 1 1
2 1
1
3
3
3 3 2 2
2 1 3 2 2
1
'infectious’ (Poly-)arthritis
2 Gout
Borreliosis Discospondylitis Hooves, claws, nails Non infectious Trauma i.e. Nail tred Other White line defect Sole haemorrhages / Sole ulcers Hoof cancer/Radial cancer Hoof cancer Interdigital flegmona 'infectious’ (Inter) Digital dermatitis
2
3
3
BEN
SR
2
3
RD
M&P
Bird
Cat
1 2
1
3
Rodent Rabbit Ferret
Dog
Study completion field CA VP
Horse
Poultry
Pigs
3 2
H
3
Bones Non infectious Trauma Fractures Blastoma Other Chondrodystrophy
'infectious’
1
1 1
Myositis Tendovaginitis / Tenosynovitis Bursitis Parasitic myositis
Cross Animal species
Bird
Rodent Rabbit Ferret
Cat
Dog
Horse
Poultry
ADA
Stilt foot / scoliosis / torticollis
Heriditary Muscle degeneration PSS / Malignant Hyperthermia Tying up / Monday Syndrome 'infectious’
Ruminant
Other organ systems
Disease Muscles and nerves Non infectious Congenital Congenital Hyperplasia / Dikbil Myofibrillary hypoplasia / Splay leg Congenital contractures Arthrogyposis Spastic paresis Crampedness Glycogen stacking disease Trauma Tendon rupture Blastoma Other Myopathy
Pigs
Common
Ruminant
LOCOMOTION
1 SBHZ
3 2
3
1
3 1
1 1 1 E Rot foot / Dermatitis Intertigitale / Mortellaro
2 1 1
2 1 1 2 2
3
2 3 3 3 3 3
3 3 3 3 3
3
3
3 3
M&P
SR
Colophon © 2006 Editors Prof. P. van Beukelen Dr. W.G.G.M. van der Maazen Utrecht, January 2006 ISBN-10: 90-6159-037-X ISBN-13: 978-90-6159-037-8 Publisher University of Utrecht, Faculty of Veterinary Medicine Design and styling Marije Brouwer, Faculty of Veterinary Medicine/Multimedia Department Printing Ridderprint Printers, in Ridderkerk Final outcomes - Veterinary Medicine Curriculum ISBN-10: 90-6159-036-1 ISBN-13: 978-90-6159-036-1
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