Transcriptio
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i come across some questions that need some clarification.. appreciate for anyone who can shed some light on them.. thanks
1. can u put orhtostatic sign on the w/u? if not, how do u check on that assuming we do not need to measure BP twice during SP encouter?
2. is it wise enough to ask 'any other symptoms' during encounter? would the SP give away other symptoms.. if they just said 'no', can we assume that there r absolutely no other symptoms.
3. Do we need to do Dix-Hallpike manuever during encouter? can we just write that on w/u?
4. how important is the order of w/u or d/d? suppose u put CBC, U/A, U/S-ABD on w/u but out of order, how would they grade that?
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| Transcriptio
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can someone please answer my questions??
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| egomez2001
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Hi transcripto, I´m preparing for cs on jan..., to your qs:
1.Yes you can order orthostactic vitals on the w/u, just let the SP you will do it later, so that he marks his thing. Actually taking them takes a lot of time and you will miss a lot of other important stuff.
2.You can ask about associated symptoms in relation to the chief complaint, maybe the SP will give you a few, but you HAVE to ask for specific ones. As for ROS I think it´s better to be specific if the symptoms could be related to your DDs, if the chance of relation is low I would just ask something like "any urinary problems instead of any hematuria, foamy urine, dribbiling, etc.
3.I would do Dix-Hallpike since it´s almost diagnostic and it´s really fast to do it. Check the image http://www.cmaj.ca/cgi/content/full/169/7/681)
4.You should write the w/u in order of importance and of simplicity, begining with most specific test, least invasive and least expensive and the DD in order of probability. I´m not sure how would the cs people would grade your note if I doesn´t do it that way, maybe the will not check or mark a box in reference to "order in DD or w/u".
Hope it helps and good luck
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| egomez2001
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Topics: 51
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The face should be
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| Transcriptio
Forum Senior
Topics: 39
Posts: 166
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egomez2001
thank u so much for generous inputs. i appreciate your kindness.
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| egomez2001
Forum Guru
Topics: 51
Posts: 930
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Sorry about the incorrect grammar I used at the last paragraph,  should be:
I´m not sure how the cs people would grade your note if you don´t write it that way, maybe the will not check or mark a box in reference to "order in DD or w/u".
GL
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| egomez2001
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Topics: 51
Posts: 930
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Transcripto I don´t know when is ur test, but I have gone through the cases againg and it seems there is no time to do Dix-Hallpike on the PE and it´s better to order it in the w/u
GL
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