bioguy
Forum Guru
Topics: 36
Posts: 677
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What I understand from my mindset - I cannot remember random set of questions as given in UW or FA. I try to organize them into logical sequences. This is the way I try to organize them -
Any given complaint will have associated complaints. Make a list of associated symptoms for each complaint. Then you will notice that for a given system, the associated symptoms are common. For example - any nervous system case will have the following common questions to be asked-
Headache, Nausea, Vomiting
Weakness, Tingling, Numbness
Loss of Consciousness, Loss of Balance, Ataxia
Blurry Vision, Double Vision, Photophobia
Speech, Swallowing
Bladder and Bowel incontinence
If you noticed I organized them in 3s and 2s so that they are easy to remember. This group of symptoms - I just remembered by heart. Ofcourse you don't ask all in all. But this way its easy to remember.
Apart from them, specific cases will have other symptoms like -
Warning signs - for headache case, seizure case, loss of consciousness case, Dizziness case. Only cases that won't have any warning signs are forgetfulness and confusion cases.
Ear problems - for Dizziness case
Seizure associated symptoms - tongue-biting, post-ictal confusion.
Context - for seizure, headache cases
Then comes questions delving into the cause - HTN, DM, Head trauma, Neurosyphilis, B12 deficiency etc etc.
These are the patterns I remember -
Headache case - ODP, LIQORAA, Warning signs (for migraine), then Common symptoms, then Cause questions.
LOC or Seizure case - ODP, Warning signs, Seizure associated, Common symptoms, Cause questions
Dizziness case - ODP, Ear problems, Common symptoms, Cause questions (includes ear)
Confusion/Forgetfulness - ODP, ADL/IADL, Common symptoms, Cause questions
This method has helped me a lot in my preparation, and gave me confidence. But you know, I blew everything in front of the SP. So try to be flexible in front of the SP. Easy to say, tough to follow. I agree.
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| hitesh
Forum Senior
Topics: 42
Posts: 160
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Thats a good approach.
What i followed while i was in med school was the following approach to take a history (ofc, you cant ask all of these in CS) :
1. Ask in detail about the Complaint : LIQORAAA etc.. all general features of the complaint itslef
2. Ask for all the symptoms of the Organ system affected by the chief complaint
3. Review of systems
4. More questions to rule out or rule in any of the D/Ds ( which should be formulated on the basis of the chief complaint)
5. Questions about the possible complications
6. Any questions that will have an affect on the treatment modalities to be used
ofcourse this will be way to much as far as the CS exam is concerned and I modified it a lot. hope this helps.
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| milee99
Forum Guru
Topics: 24
Posts: 636
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Hi bioguy, this is a good approach
even my head spins to do random q's
your approach is right , since it is parallel to the way we are made to think for patient diagnosis
however we will have to follow rules of the game in the end
its just how easy we make it for ourselves to remember the rules
that was a nice approach
hitesh and bioguy
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Do not pray for easy lives,Pray to be stronger men; Do not pray for tasks equal to your powers, Pray for powers equal to your tasks; Then the doing of your work shall be no miracle, but you shall be the miracle.
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