ankamo
Forum Junior
Topics: 11
Posts: 41
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Hi,
does anyone know if we have to do PAM HUGS FOSS in a patient who is fatally ill....cases such as "terminal cancer asking for pain medication"?
Thanks for your reply!
anka
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| 2bmd
Forum Senior
Topics: 8
Posts: 100
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I seriously doubt you will have a patient like that. Most of the encounters are new patient visits (some ER) with something pretty simple. If you had a terminally ill cancer pt, theres not much to get from the patient in terms of history (maybe quality of life from progression of the disease), but you wouldnt have a differential, or anything...pretty dead end situation. Focus on the common clinic complaints as a primary then ER complaints as a secondary. If youre well prepared for clinics, ER shouldnt be a prob. The main difference most likely being the intensity of the pain (chronic vs acute).
Good Luck
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| ankamo
Forum Junior
Topics: 11
Posts: 41
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Thanks for your reply- ER for me always meant Emergency Room...do you use the abbreviation for that, too?
Anka
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| sk
Forum Senior
Topics: 23
Posts: 122
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hey...Im lost....what exactly is PAM HUGS FOSS?
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| ankamo
Forum Junior
Topics: 11
Posts: 41
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P-ast medical history
A-llerergies
M-edication
H-ospitalization
U-rinary tract
G-astrointestinal Tract
S-leep pattern
F-amily history
O-bstetrics/Gyn
S-ocial History
S-exual History
By the way, I did the exam two days ago- it is worth practicing usmleworld.com
good luck
Anka
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