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POST OPERATIVE EVALUATION

Use this form to evaluate how well your mouse is after surgery or during illness


Date of Operation ______________ Pre-operative weight ________(g)

Procedure ____________________ Date ______________________

Day post-procedure  
Time  
EXTERNAL OBSERVATIONS  
Active?  
Inquisitive?  
Rough hair/coat?  
Crusty red eyes?  
Eating?  
Drinking?  
Faeces?  
Urine?  
PHYSICAL EXAMINATION  
* Rate & type of breathing?  
Normal gait/paralysis?  
Faecal/urine soiling of coat?  
Diarrhoea?  
** Dehydration?  
Bony/thin appearance?  
Vocalization?  
Body weight?  
% change from pre-op weight  
SUTURE/STAPLE LINE  
Wound edges red?  
Swelling around incision?  
Swelling under incision?  
Sutures/staples missing?  
Exudate from incision?  
Sutures/staples removed? (date)  

* N=normal, L=labored, R=rapid, S=shallow

** Gently pinch up a fold of skin. Skin of dehydrated animals will stay pinched up.

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