What is a wellness examination?
A wellness examination is a routine medical examination of a patient that is apparently healthy, as opposed to an examination of a patient that is ill. A wellness examination may also be called a 'check-up' or a 'physical examination'. The focus of a wellness visit is the maintenance of optimal health.
How often should my cat have a wellness examination?
The answer to this question depends on your pet's age and current health status. During early kittenhood wellness exams are recommended on a monthly basis, while for the average adult cat annual wellness examinations are the norm, and semi-annual examinations are recommended for middle aged and geriatric cats.
Pets age at a faster rate than people. It is a popular misconception that one calendar year equates to seven years in a cat's life. In actual fact, in one calendar year a cat may age the equivalent of four to sixteen years in a human's life. The reason for this dramatic difference is that kittens reach maturity very quickly, and are essentially adolescents or young adults by a year of age - thus they are considered to be the equivalent of a 15-16 year old by their first birthday. During the second year, the rate of aging slows down a little so that your cat will be the equivalent of a 24-25 year old by their second birthday. After that, the rate of aging stabilizes to about 4 cat years per calendar year. This means that cats will be middle-aged by about 6 years of age and a 10 year old cat is considered to be geriatric.
What we check during a wellness examination
During a routine wellness examination, we will ask you questions about your cat's diet, exercise, thirst, breathing, behavior, habits, litterbox habits, lifestyle (indoors or outdoors), and general health. We also perform a physical examination of your cat. Based on your pet's history and physical examination, we will then make recommendations for specific preventive medicine treatments such as vaccination, parasite control (for both external parasites such as fleas, ticks and ear mites, and internal parasites such as worms or heartworms), nutrition, skin and coat care, weight management or dental care. In addition, we will discuss your pet's individual circumstances and decide whether any other life-stage or lifestyle recommendations would be appropriate.
What we check during a physical examination
A physical examination involves observing the general appearance of the cat, listening to the chest with a stethoscope ("auscultation"), and "palpation", or feeling specific areas of the body.
We will observe or inspect:
- Your cat's general level of alertness and interest in its surroundings
- Your cat's general body condition - whether your pet has an appropriate body weight and body condition (neither too fat nor too thin)
- The haircoat - looking for excessive dryness, excessive oiliness, evidence of dandruff, excessive shedding, or abnormal hair loss
- The skin - looking for oiliness, dryness, dandruff, lumps or bumps, areas of abnormal thickening, etc.
- The eyes - looking for redness, discharge, evidence of excessive tearing, abnormal lumps or bumps on the eyelids, how well the eyelids close, cloudiness, or any other abnormalities.
- The ears - looking for discharges, thickening, hair loss, or any other signs of problems.
- The nose and face - looking for symmetry, discharges, how well he pet breathes, whether there are any problems related to skin folds or other apparent problems.
- Mouth and teeth - looking for tartar build-up, periodontal disease, retained baby teeth, broken teeth, excessive salivation, staining around the lips, ulcers in or around the mouth, etc.
We will auscultate:
- The heart - listening for abnormal heart rate, heart rhythm ("skipped beats" or "extra beats"), or heart murmurs
- The lungs - listening for evidence of increased or decreased breath sounds
We will palpate:
- The pulse - depending on the results of auscultation, your veterinarian may simultaneously listen to the chest and palpate the pulse in the hind legs
- The lymph nodes in the region of the head, neck and hind legs - looking for swelling or pain
- The throat - looking for evidence of abnormalities in the thyroid glands
- The legs - looking for evidence of lameness, muscle problems, nerve problems, problems with the paws or toenails, etc.
- The abdomen - feeling in the areas of the bladder, kidneys, liver, intestines, spleen and stomach in order to assess whether these organs appear to be normal or abnormal, and whether there is any subtle evidence of discomfort
What else might be checked during a wellness examination?
We recommend that a fresh sample of your pet's feces (bowel movement) is examined as part of every wellness examination. This sample will be processed and microscopically evaluated for the presence of parasite eggs. In kittens, monthly fecal examinations are extremely important since many kittens will have intestinal parasites.
As part of a complete wellness examination, we may recommend "wellness screening tests". There are four main categories of wellness testing recommended for the cat: complete blood count (CBC), biochemistry profile, urinalysis, and thyroid hormone testing. Within each category, your veterinarian will advise you about how extensive the testing should be. In younger cats without noticeable health complaints, relatively simple testing may be adequate. In middle-aged or geriatric cats, more comprehensive testing is advisable.
Why are these additional tests recommended?
Pets cannot tell you how they are feeling, and as a result, disease may be present before you are aware of it. To further complicate matters, as part of their survival instincts most cats will hide signs of subclinical disease (i.e., a disease that is in its early stages and is only causing minimal symptoms). This means that a health condition may become highly advanced before your cat shows any obvious or recognizable problems. Some early warning signs may be detected by us during the physical examination, or subtle changes that are suggestive of underlying issues may be found, prompting recommendation for further testing as outlined above.
If a disease or condition can be detected before a pet shows obvious signs of illness, steps can often be taken to manage the problem before irreversible damage occurs, and the prognosis for a successful outcome improves. In addition, early detection and treatment is often less costly than waiting until a disease or problem becomes advanced enough to affect your pet's quality of life.
Wellness examinations and testing are particularly important in the geriatric pet, since there is a greater chance that underlying disease may be present. This is the reason why semi-annual examinations are recommended for senior pets.
This client information sheet is based on material written by: Cheryl Yuill, DVM, MSc, CVH