Coughing and bleeding cow

Review of Systems

  • General: Lethargic, dull appearance

  • Skin: Noncontributory

  • HEENT: Moderately enlarged mandibular and prescapular lymph nodes, prolapsed 3rd eyelids

  • Pulmonary: Increased respiratory rate

  • Cardiovascular: Increased heart rate

  • Gastrointestinal: Nonpainful abdomen with decreased gut sounds

  • Genitourinary: Noncontributory

  • Musculoskeletal: Noncontributory

  • Neurologic: Quiet and slowly responsive