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Author4 Posts
  #1

Do we check the ankle reflex by tapping on Ahiles tendon, right? I know it is a weired Q, but I think I ve read too much by now, I am getting more confused, then clear...
And for orthostatic VS, if I have to check, should I ask patient to lye down, check the pulse and then to sit or stand up and check pulse again?
thanks...

___________________
BeeFoxy

  #2

You are right about the ankle reflex .
Generally you will not have enough time to check orthostatic signs in the exam - you can tell the Pt. that you need to check them and that you are going to do that later . Do not forget to write it down on your evaluation list !
When you do check the orthostatic signs ask the Pt. to lie down , check his BP and PR . Let him lie down for a couple minutes then ask to stand up and check BP , PR again .

  #3

if we can write "check orthostatic BP" in the work-up plan, does it mean we will never need to do BP check in the real exam? thanks.

  #4

http://www.prep4usmle.com/community/topic13524.ht...

it got the answer here. it means we almost don't ever need to do BP check in exam unless we are asked to do it.







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