 |  acute case scenario, what to do?
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| Author | 2 Posts |
nirvanamona
Forum Senior
Topics: 6
Posts: 28
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hi people!
i read in some CS guide about encounters with SPs who look like they are gonna collapse any second. Hmnnn lets say an acute SOB (shortness of breath) which looks like an acute pneumothorax. SP appears to be in lot of distress...what do we do? just ask one or two very relevant Qs and proceed with one or two examinations and leave the room saying ur going to order some very urgent Xrays and blood investigations? the doc who encountered the case said that all u need to do is auscultate the lungs...and your total encounter with the SP shud be less than 2-3 minutes?...
is that so???pls tell me wat u'd do if u encountered such a case??
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| bikerdoc
Forum Senior
Topics: 7
Posts: 110
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I doubt this is true unless it was specifically written on the Introduction note at the door. Always carefully read the points on the doorway information. They are different sometimes. UNLESS and I repeat UNLESS the doorway information states you to be brief in examination....you must do the entire history...exam and COUNSELING. I had such a case (I cannot say what for obvious reason) but the pt was in terrible distress and irritated....but yet I talked him into giving me history and did the entire focussed P/E and the pt then was giving me all the history and allowed me to do all the exam. If they are told not to be co-operative he would have refused my every attempt. So bottomline if you do get such a patient try and do as much as you can until you face absolute resistance from the PT....I doubt the USMLE CS tests judgement calls in an ER scenario...meaning they dont want you to decide what YOU would do to that case...they wanna see how you would manage a general case like every other doctor would do....my 2 cents....
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