adeelmd
Forum Elite
Topics: 40
Posts: 399
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in the ccs what is the required for passing? I know this is a very hard question and the answers given are not clear (at the website)....
If we get the diagnosis and treat it, and the patient gets better is that enough.... Like in the giardiasis case, I waited for the antigen to come back before giving flagyl (that wasted a day)... and I only counseled about alcohol... is that enough to pass or do you have to do a thorough workup with stool and cbc and "rated sex" every time?
I played around a bit with the second case. I gave her heparin and warfarin and surpsingly her ptt/pt/inr went up. then I gave her levophed, dopamine, dobutamine and her blood pressure didn't change! I gave her morphine fentanyl phenobarbitol and ativan and nothing happened. I gave gold, lithium, lasix but the creatinine did not budge!.. Finally I tried giving her hydralzine metoprolol clonidine, and nitroprusside and that did not change her vitals at all!..... I did an interval follow up and it said "the patient feels better after the medication you have given her"....
is the real ccs this poor in reporting adverse effects, or is just in the practice cases. It's important to know that if I am going down the wrong diagnostic path that I wont see it reflected in terms of bp changes/nephrotxocitiy. It's surprising that of all of the awful interventions I gave, Only anticoagulation showed up. And if I do see a drug interaction come up, it means that I am on the right path...
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where i lay my head is home.
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