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Physical Exam
There are 2 small (1cm) abrasions on the lateral aspect of the right hock
and the dorsum of the R hind paw. These abrasions do not penetrate full
thickness skin. There is a palpable instability of the R femur.
The quadriceps compartment is distended and filled with fluid. The leg is
held in flexion with the foot off the ground. Pain sensation is present in
the R hind foot, and a withdrawal reflex is present as well. No wounds are
visible in the area of the femur. Respiratory sounds are harsh on the right
hemi-thorax. Breathing is shallow. The abdomen is tense which makes palpation
of abdominal organs impossible. Manipulation of the neck was resisted in all
directions.
Thoracic skin tenting is prolonged and the mucus membranes appear tacky.
Capillary refill time is 2.5 seconds in the gums.
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