These will be just from my own notes. Please add your own
Case of Vomiting: Always ask about LMP, If young ask about DM type 1 Ask if projectile (clue to intracranial problem) check for signs of GI and GU problems both
Edited by khorshid on 03/29/07 - 09:16 AM
khorshid Forum Guru
Topics: 32 Posts: 591
03/29/07 - 09:04 AM
#2
Don't forget to check for clubbing in pts with hemoptysis or breathing problems.
in case of menopause ask about family hx of breast and uterus CA. Ask about clotting problems in pt and family. ask about sexual problems(offer counseling for partner) Remember to tell the pt about the need for supplemental Ca and weight bearing excercises Check for possible osteoprosis
khorshid Forum Guru
Topics: 32 Posts: 591
03/29/07 - 09:08 AM
#3
in diabetic patient ask for clues to see if complications had occured(eye, kidney, heart....) also in social hx ask about excercising. remember to check sensation and distal pulses. remember to order lipid profile and BUn/Cr.
Check Carotid Bruit in diabetic pts and pts with history of syncope.
khorshid Forum Guru
Topics: 32 Posts: 591
03/29/07 - 09:11 AM
#4
In pt with Vaginal bleeding don't forget to check for bleeding problems: by checking other possible sites of bleeding like gums examining the liver and asking about hx. and family hx.
Remember Cocaine can cause bleeding, don't forget illicit drugs in cases of bleeding
khorshid Forum Guru
Topics: 32 Posts: 591
03/29/07 - 09:16 AM
#5
In cases where you doubt abnl pregnancies like molar...:order both urine and serum BhCG
Don't shake hand with pt with shoulder or hand problems, don't try to change their position, remember to say you're sorry if you caused pain while examining.
in pt with obesity don't forget to ask about hx of steroids. and check for sleep apnea.
in pt with syncope remember to ask if any one witnessed the episode and what is their version of the story.
khorshid Forum Guru
Topics: 32 Posts: 591
04/02/07 - 09:56 AM
#6
in case of sickle cell pt: remember to check legs and fingers in physical. to tell them of importance of hypoxemia and hydration and ask if these were precipitating factors.
lakme Forum Junior
Topics: 10 Posts: 47
04/02/07 - 12:26 PM
#7
In a case of chronic cough always ask for intake of ACE inhibitors in a HTN patient.
lakme Forum Junior
Topics: 10 Posts: 47
04/02/07 - 12:27 PM
#8
ask for prior use of cocaine in a chest pain and vaginal bleeding cases.
khorshid Forum Guru
Topics: 32 Posts: 591
04/03/07 - 08:19 AM
#9
Thanks Lakme for joining
Case of acute diarrhea: remember to ask about recent infections and history of antibiotic use. in chronic diarrhea or acute diarrhea without clues to infection....ask about sexual practices and contraception.
khorshid Forum Guru
Topics: 32 Posts: 591
04/03/07 - 08:59 AM
#10
In DDx of sore throat don't forget primary HIV(acute retroviral infection)!
In case of constipation remember Ca and DM tests in your workup!
khorshid Forum Guru
Topics: 32 Posts: 591
04/04/07 - 08:57 AM
#11
In case of impotence remember to ask about claudication, pituitary tumors and spinal trauma.
In case of poluria: remember to ask about psychologic problems and if pt is taking lithium, also don't forget hypercalcemia in ddx.
lakme Forum Junior
Topics: 10 Posts: 47
04/05/07 - 09:46 AM
#12
always check for psoas sign and obturator sign in acse of abdominal pain.
always remember to look for cva tenderness in abdominal pain case.
lakme Forum Junior
Topics: 10 Posts: 47
04/05/07 - 10:00 AM
#13
make sure to ask about occupation and while doing the examination look for any mouth ulcers
lakme Forum Junior
Topics: 10 Posts: 47
04/05/07 - 10:01 AM
#14
I was talking about a case of rash in the above post
khorshid Forum Guru
Topics: 32 Posts: 591
04/06/07 - 08:28 AM
#15
in case of dizziness remember to ask relation to posture. (and order orthostatic blood pressure check in all limbs)
r_zand Forum Newbie
Topics: 2 Posts: 5
09/17/07 - 05:21 PM
#16
Do not forget: Significant Alcohol consumption: CAGE queations Unprotected sex with multi-partners: Counseling Smoking: Offer help to quit Abuse: Check for back-up plan, safety measures (e.g., availability of gun at home), offer social service support
Ramin
copd Forum Newbie
Topics: 7 Posts: 13
09/17/07 - 07:11 PM
#17
if a patient asks you about your drinking habits , do not answer instead say " my prime focus is you , as your concerned physician i want to und your problem '
copd Forum Newbie
Topics: 7 Posts: 13
09/17/07 - 07:11 PM
#18
what do you do about shoulder examination in a female ?
Justice Forum Fanatic
Topics: 117 Posts: 2,324
09/20/07 - 12:24 PM
#19
lakme wrote: always check for psoas sign and obturator sign in acse of abdominal pain.
always remember to look for cva tenderness in abdominal pain case.
What if the Pt has LLQ or epigastric pain? Still "always" go for psoas and obturator? Guys, your knowledge should be functional... ___________________ Don't live in a town where there are no doctors
