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Kaplan Qbank USMLE



Author3 Posts
  #1

if a patient comes in for insurance purposes and hands out a paper do you do only the PE or take a brief history also and then proceed to PE?


another confusion was........if a patient comes in with chest pain and you have unstable angina as your first DD.after histoy and PE.......what do you tell the patient?........will you mention at any point " you need to be hospitalised"? cos i read that hospitalizations and referrals are not suppsed to be written on PN.and so do you have to tell the patient ?how to handle this?

  #2

i think for insurance do whats in the form and just take a brief history
iam not sure whether u can tell to a pt that he needs to be hospitalised bcos u will not be sure abt the diagnosis until u get the lab tests done-'i think'

  #3

First case you do a complete physical. Note very detail but you do ascultate heart and lungs, auscultate abdomen and palpate, check CN, DTR'S, muscle strenght and if necesary on your diagnostic work up write rectal or breast exam.

Second case you only council patient about probable diagnosis and tell what you suspect and will run more test and will get back to him as soon as you get lab results.


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