beefoxy Forum Senior
Topics: 18 Posts: 123
| | 01/30/05 - 06:14 PM  
 
   
 
|   #1 |
Please, tell me if you need to check orthostatich changes in BP and pulse in appropriate situations, or you just mention this in you work-up list? The same for the BP check in both arms, do we actually have to do that or just mention in work-up? Thanks!
___________________ BeeFoxy
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| retroviridae Forum Guru
Topics: 29 Posts: 871
| | 01/31/05 - 07:33 AM  
 
   
 
|   #2 |
If you feel you must do it, you must. I would tell you to remember that your time is limited though.
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| beefoxy Forum Senior
Topics: 18 Posts: 123
| | 01/31/05 - 08:45 AM  
 
   
 
|   #3 |
Thank you, retroviride!
___________________ BeeFoxy
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| reasonabledoc Forum Newbie
Topics: 3 Posts: 6
| | 01/31/05 - 07:54 PM  
 
   
 
|   #4 |
Hi I just took my exam on January 26, my advice to you guys is, just tell the patient that you will check blood pressure in different limbs and different positions later, and of course mention it in your workup. That is all that is needed. Dont waste the precious minutes on this, and let this be the last thing to worry about
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| retroviridae Forum Guru
Topics: 29 Posts: 871
| | 02/01/05 - 12:41 AM  
 
   
 
|   #5 |
that is actually a good point. Realize that there are rarely any real clinical findings. So just make a motion of doing the exam. Don't spend time trying to auscultate, or palpate or percuss, etc. Just show that you are doing that test. The SP just has to check a box that you did this or that. And the doctor reading your should see you did it and the findings were normal. I ran out of time with 4 of my patients and didn't get to say what I thought was wrong, what tests to do, and ask if they have any other quetions. Luckily, I still passed. I didn't know at the time you have to pass each of the three components testes by 70%. So it is important to have time to talk to the SPs after examining.
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