Ivonne
Find a way or make one
Topics: 58
Posts: 1,654
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You are doing a great job here Grazie. I am so proud of you. Keep it up friend!
i will see you very soon, will call you tomorrow
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"Believe you can and you're half way there."
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| Grazie
Forum Senior
Topics: 13
Posts: 207
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Hey Ivonne Bom Bom I am doing my baby steps, i was studying in avery disorganized way so I had to rewind and start from scratch again, I felt I was missing lots of important stuff and the panic started, well since I decided to take in July hopefully I will have enough time to prepare well and feel confident about my performance, wish me good luck buddy, I am after your steps...
Well since I am also a "typing freak" I am also doing my cs manual, I don't mind to share it with you guys, I just hope it helps
Let's see what I did yesterday...
Edited by Grazie on 06/05/08 - 12:52 PM
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| Grazie
Forum Senior
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Questions to ask for common Symptoms
Questions About:
PAIN
“LIQOR AAA”
Location, Intensity, Quality, Onset, Radiation, Alleviating, Aggravating, Associated symptoms
L : Where do you feel the Pain? Can you show me exactly where it is?
I : On a scale of 1 to 10being 10 the worst pain of your life, how would you rate your pain?
Q: What is the pain like? Can you describe it for me?
O: When did it start? How long have you had this pain? How long does it last? How often does it come on? Is it constant or does it come and go?
R: Does the pain travel anywhere?
A: Does anything make the pain better?
A: Does anything make it worse? What brings the pain on? Do you know what causes the pain to start
A: Do you have any other symptoms associated with this pain? Have you had similar pain before?
NAUSEA
Do you feel nauseated?
Do you feel sick to your stomach?
VOMITING
Did you vomit?
Did you throw up?
What color was the vomit?
Did you see any blood in it?
Can you estimate the amount of blood? A teaspoon? Tablespoon? Cupful?
COUGH
How often do you cough?
When did it start?
Do you bring up any phlegm with your cough?
Does anything come up when you cough?
What color is it? (Phlegm)
Is there any blood in it?
Can you estimate the amount of the phlegm? A teaspoon? Tablespoon? Cupful?
Does anything make it better? Does anything make it worse?
HEADACHE
Tell me about your headaches
L: Can you show me exactly where you When do your headaches start?
Tell me what happens before/ during/ after your headaches How often do you get them? When your headaches start, how long does it last?
A: What causes the headache to start? Do you have headaches at certain times of the day?
Do your headaches wake you up at night? What makes the headache worse? What makes it better?
Can you describe the headache for me please? Is it sharp, dull, pulsating, pounding, or pressure-like?
Do you notice any change in your vision before/during/after the headaches?
Do you notice any numbness or weakness before/during/after the headache?
Do you feel nauseated? Do you vomit? Do you notice any fever or stiff neck with your headache?
FEVER
Do you have fever? Do you have chills? Do you have night sweats? Do you sweat during the night? How high is your fever?
SHORTNESS OF BREATH
Do you get short of breath? Do you get short of breath when you are climbing stairs? How many steps can you climb before you get short of breath? When did it start? When do you feel short of breath? What makes it worse? What makes it better? Do you wake up at night short of breath? Do you have to prop up yourself on pillows in order to sleep at night? How many? Have you been wheezing? How far do you walk on level ground before you have shortness of breath? Have you noticed any fluid retention around your ankles?
URINARY SYMPTOMS
Has there been any change in your urinary habits? Do you have any pain or burning during urination? Have you noticed any change in the color of your urine? How often do you have to urinate? Do you have to wake up at night to urinate? Do you have any difficulty urinating? Do you feel that you haven’t completely emptied your bladder after urination? Do you need to strain/push during urination?
Have you noticed any weakness in your stream? Any dribbling of urine? Have you noticed any blood in your urine? Do you feel as though you need to urinate but then very little urine comes out? Do you feel that you have to urinate all the time? Do you feel you have very little time to make it to the bathroom once you feel the urge to urinate?
BOWEL SYMPTOMS
Has there been any change in your bowel movements? Do you have diarrhea? Are you constipated? How long have you had diarrhea/constipation? How many bowel movements do you have per day/week? What does your stool look like? What color is your stool? Is there any mucus or blood in it? Do you feel any pain when you have a bowel movement? Did you travel recently? Do you feel that you strain to go to the bathroom and then very little feces or none at all come out? Have you lost control of your bowels? Do you feel that you have very little time to make it to the bathroom once you have the urge to have a bowel movement?
WEIGHT Have you noticed any change in your weight? How many pounds did you gain/lose? Over what period of time did it happen? Was the weight gain/loss intentional?
APPETITE
How is your appetite? Has there been any change in your appetite?
DIET
Has there been any change in your eating habits? What do you usually eat? Did you eat anything unusual lately? What did you eat before the symptoms started? Id there any kind of special diet that you are following?
SLEEP
Do you have any problems falling asleep? Do you have any problems staying asleep? Do you have any problems waking up? Do you feel refreshed when you wake up? Do you snore? Do you feel sleepy during the day? How many hours do you sleep? Do you take any pills to help you go to sleep?
DIZZINESS
Do you ever feel dizzy? Tell me exactly what you mean by dizziness? Did you feel the room spinning around you, or did you feel lightheaded as if you were going to pass out? Did you black out? Did you lose consciousness? Did you notice any change in your hearing? Do your ears ring? Do you feel nauseated? Do you vomit? What causes this dizziness to happen? What makes you feel better?
JOINT PAIN
Do you have any painful joints in your body? Do you have pain in any of your joints? Have you noticed any rash with your joint pain? Is there any redness or swelling of the joint?
PAST MEDICAL HISTORY PAM HUGS FOSS
Have you had this problem or anything similar in the Past?
Have you had any other major illnesses before?
Do you have any other medical problems?
Do you have any Allergies?
Are you taking any Medications? Are you taking any over-the-counter drugs, vitamins or herbs?
Have you been Hospitalized before? Have you had any Surgeries before?
Have you had any Accidents or Injuries before?
Has there been any change in your Urinary habits?
G: Has there been any change in your bowel movements?
Have you noticed any changes in your Sleep pattern?
FAMILY HISTORY
Does anyone in your family have the same problem or anything similar? Are your parents alive? Are they in good health? What did your mother/father die off? Are your brothers or sisters alive? Are they in good health?
OBSTETRIC/GYNECOLOGIC HISTORY
At what age did you have your 1st menstrual period? How often do you get your menstrual period? How long does it last? When was the first day of your LMP? Have you noticed any change in your periods? Do you have cramps? How many pads or tampons do you use per day? Have you noticed any spotting between periods? Have you ever been pregnant? How many times? How many children do you have? Have you ever had a miscarriage or an abortion? In what trimester? Do you have pain during intercourse? Do you have any vaginal discharge? Do you have any problems controlling your bladder? Have you had a Pap smear before?
SEXUAL HISTORY
Are you sexually active? With men, women or both? How many sexual partners have you had in the past year? Tell me about your sexual partner or partners? Do you use condoms? Always? Other contraceptives? Do you currently have one partner or more than one? Have you ever had a STD? Do you have any problem with sexual function? Do you have any problems with erections? Have you ever been tested for HIV? Would you like to be tested for HIV? If yes, I will have you sign a consent form.
SOCIAL HISTORY
“SODA WET”
Do you SMOKE? How many packs a day? How long have you smoked?
Do you drink ALCOHOL ? What do you drink? How much do you drink per week?
Do you use any recreational DRUGS such as marijuana or cocaine? Which ones do you use? How often do you use them?
Have you noticed any changes in your APPETITE?
What type of WORK do you do? Do you have a lot of stressful situations on your job? Are you exposed to environmental hazards on your job?
Do you EXERCISE?
Have you Traveled recently?
Who do you Live with?
Tell me about your Life at home. Are you Married? Do you have Children?
ALCOHOL HISTORY
How much Alcohol do you drink? Tell me about your use of alcohol? Have you ever had a drinking problem? When was your last drink?
Administer the CAGE Questionnaire:
Have you ever felt a need to CUT DOWN on drinking? Have you ever felt Annoyed by criticism of your drinking? Have you ever had Guilty feelings about drinking? Have you ever had a first drink in the morning, as an EYE OPENER, to steady your nerves or get rid of a hangover?
PEDIATRIC HISTORY
Was your pregnancy full term (40 weeks or nine months)? Did you have routine check ups during your pregnancy? How often? Did you have any complications during your pregnancy/during your delivery/after delivery? Was an ultrasound performed during your pregnancy? Did you smoke, drink, or use drugs during your pregnancy? Was it a vaginal delivery or a C-section? Did your child have any medical problems after birth? When did your child have his first bowel movement?
GROWTH AND DEVELOPMENT
When did your child first smile? … laughs 4m When did your child first sit up? … 6m When did your child start talking? … mom 10m When did your child start walking? … 13m When did your child learn to dress himself? … 5y When did your child learn to tie his shoes? … .5y When did your child start using short sentences? … 2y When did your child start putting things in his mouth? …
FEEDING HISTORY
Did you breast-feed your child? When did your child start eating solid food? How is your child’s appetite? Does your child have any allergies? Is your child’s formula fortified with Iron? Are you giving your child pediatric multivitamins?
ROUTINE CARE
Are your child’s immunizations up to date? When was the date of your child’s last routine checkup? Has your child had any serious illnesses? Is your child taking any medications? Has your child ever been hospitalized?
PSYCHIATRIC HISTORY
Tell me about yourself and your future goals? How long have you been feeling unhappy/sad/anxious/confused? Do you have any idea what might be causing this? Would you like to share with me what made you feel this way? Do you have any friends or family members you can talk to? Has your appetite changed lately? Has your weight changed recently? Tell me how you spend your time/day? Do you have any problems falling asleep/staying asleep/waking up? Has there been any change in your sleeping habits lately? What interests/hobbies do you have? Do you enjoy them? Do you take interest or pleasure in your daily activities? Do you have any memory problems? Do you have difficulty concentrating? Do you have hope for the future? Have you ever thought about hurting yourself or ending your life? Do you think of killing yourself/putting and end to your own life? Do you have a plan to end your life? Would you mind telling me about it? Do you feel that you want to hurt other people? Have you ever done so? Do you ever see or hear things that others can’t see or hear? Do you hold beliefs about yourself or the world that other people would find odd? Do you feel as if other people are trying to harm or control you? Has anyone in your family ever experienced depression? Has anyone in your family ever been diagnosed with a mental illness? Would you like to meet with a counselor to help you with your problems? Would you like to join a support group? What do you think makes you feel this way? Can you tell me more about it? Have you lost any interest in your social activities and relationships? Do you feel hopeless? Do you feel guilty about anything? How is your energy level? Can you still perform your daily functions or activities? Do you have any thoughts of harming yourself? Do you have any thoughts of harming others? Whom do you live with? How do they react to your behavior? Do you have any problems in your job? How is your performance on your job? Have you had any recent emotional or financial problems? Have you had any recent traumatic event in your family? Does anyone support you?
DAILY ACTIVITIES (FOR DEMENTIA)
Tell me about your day yesterday Do you need any help bathing? Do you need any help getting dressed? What do you need help with when you are getting dressed? Do you need any help going to the toilet? Do you need any help transferring from your bed to the chair? Do you ever have accidents with your urine or bowel movements? Do you ever not make it to the toilet on time? Do you need any help feeding yourself? What do you need help with when you eat? Do you need any help taking your medications/using the telephone/shopping/preparing food/cleaning your house/doing laundry/getting from place to place/managing money?
ABUSE
Are you safe at home? Is there any threat to your personal safety at home or anywhere else? Does anyone (husband, wife, parent, boyfriend) treat you in a way that hurts you or threatens to hurt you? Can you tell me about the bruises on your arm?
Oh My Gosh, that's waaaaay too much questions to ask  The best Advice? Start practicing I guess  , but first I need to listen to kpln audios and do my own protocol for PE. Looking forward to finish PE and listen at least 4 audios of kpln.
Hang in there guys...
[/font][/fullfont]
Edited by Grazie on 06/04/08 - 02:01 PM
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"We aim above the mark to hit the mark."
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| Grazie
Forum Senior
Topics: 13
Posts: 207
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Ok,
I am behind my CS Study Schedule but this PE protocol is taking me so long, I better find a really short way to do all this in 5min  otherwise I will be death in the exam 
Realistic goals for today:
- Finish my PE protocol
- Listen 4/14 audios of kpln
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"We aim above the mark to hit the mark."
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| Grazie
Forum Senior
Topics: 13
Posts: 207
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Uhm 
I finished my Physical Exam PE Protocol but it ended up being too long for my CS purposses
Well I will try to make it shorter and more practical  , but I will listen those audios anyway today.
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"We aim above the mark to hit the mark."
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| target
Forum Guru
Topics: 5
Posts: 842
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Grazie you are doing a fantastic job! Hope you dont mind me giving your journal as a link in my post on my CS experience.I would also ask for numbness, tingling, weakness, unsteady walk in CNS symptoms. Best wishes for the exam!
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In Him I trust !
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| snowdrops
Forum Senior
Topics: 6
Posts: 149
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Grazie wrote:Case:
Abdominal Pain
 Opening Scenario
24 yo, Female, college student c/o right lower abdominal pain. Vital Signs:
BP: 110/80 HR: 96x' RR: 16x' T: 100.1 F ------------------------------------------------------------ ------------------------- On Blue Sheet:
For Abdominal Pain (CC): Mnemonic: LIQOR AAA
then > PAM Hits Rugs FOSS Probably DDx: Appendicitis, Diverticulitis, Pelvis abcess, PID, Ectopic pregnancy, Renal colic.
Female patient > consider Ob/Gyn causes.
--------------------------------------------------------------------------- ---------------
PE:
Detailed Abdominal exam. Heart and Lung Exam.
--------------------------------------------------------------------------- ---------------
Workup Plan:
Rectal & Pelvic examination
Urine hCG
CBC with differential
Urinalysis including C/S
U/S - abdomen/pelvis
Hi, Grazie:
I like your journal very much. Could I add some suggestions to improve our CS test skill.
In this post, I would like add ovarian cysts for DD. What do you think?
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| Grazie
Forum Senior
Topics: 13
Posts: 207
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Great Snowdrops 
That case needs a lot of things but it was the first case I was trying to cover, I actually started again from scratch, so once I am done with some basics I will do most common cases again, but it's great that you want to discuss the cases, I will be around anyway if you want to review some stuff ok buddy? Thanks!
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"We aim above the mark to hit the mark."
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| Grazie
Forum Senior
Topics: 13
Posts: 207
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Oh, I loved the message for today.
THE DAILY MOTIVATOR
Friday, June 6, 2008
Convince yourself
+++++++++++++++++++
The most challenging part of any achievement is continually
convincing yourself to keep working on it. When you are
truly convinced to do it, you will take the necessary
actions to make it happen.
Give yourself a compelling reason to achieve, stay connected
to that reason, and you will indeed achieve. You can be
magnificently effective when you choose to be.
If there are things you must know, you can learn them. If
there are resources you must have, you can locate them.
Convince yourself to achieve, and you will find a way. Life
unfolds in accordance with your most powerful and meaningful
commitments.
It is helpful to be able to persuade others, yet the most
important person you must convince is you. Unless you
sincerely convince yourself, no amount of persuasion of
other people will be able to move you forward.
Convince yourself that what you are doing is right and
worthwhile. Then delight in the fulfilling journey of making
it happen.
Ralph Marston
************************************************************ **
To view this message as a picture and music presentation, click on the link below
http://greatday.com/v.html?1993w05JYucy
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"We aim above the mark to hit the mark."
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| snowdrops
Forum Senior
Topics: 6
Posts: 149
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Grazie wrote:Great Snowdrops That case needs a lot of things but it was the first case I was trying to cover, I actually started again from scratch, so once I am done with some basics I will do most common cases again, but it's great that you want to discuss the cases, I will be around anyway if you want to review some stuff ok buddy? Thanks!
I will go through all your posts. It's good way of learning. When I add any thing in your post also means that I tell myself what I am supposed to do in this situation.
I just start my review for CS recently and my test is June 30 in L.A. When is your test date?
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| Grazie
Forum Senior
Topics: 13
Posts: 207
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Thank you Target, and I don't mind at all if you give this link
Yesterday friday I felt sooo sick  I hate when I feel like that cause it stops my study routine, throwing up and study just don't match  jeje.But hopefully today I am going to catch up my study schedule.
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"We aim above the mark to hit the mark."
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| drbin
Forum Guru
Topics: 27
Posts: 561
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Hi grazie.... iam new to CS actually just starting my prep today after my CK which was 3 days back,
I really like the way u study CS, making it very much pleasant.......good luck dear
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action speaks better than words
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| Grazie
Forum Senior
Topics: 13
Posts: 207
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Hey Drbin,
Thanks! actually I have to drag myself to study, not feeling so well these days but I am trying 
Finally I was done with the PE protocol, I mean my protocol, I made it too long first time so I had to make it shorter, then i was listening to kpln audios but I got bored  , it must be the nauseas, but I will listen them all; that lady is really funny and her tips are good, I like her closures, also her answers to challenging questions, it would be a good idea to share those tips.
Well, since I think I am almost done with basics, I guess  , I will start doing the cases, not sunday, from monday, sundays are sacred for me, jeje you know church and family time, wooo hooo
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"We aim above the mark to hit the mark."
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| Grazie
Forum Senior
Topics: 13
Posts: 207
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DOORWAY INFORMATION
Name:
Vitals:
CC:
DD:
-
-
-
PATIENT ENCOUNTER
[font size="3"]KNOCK
3 times, wait 3” and go!
MR. SMITH
Doc: Mr. Smith?
Doc: “Hello, my name is Dr. House. It’s nice to meet you (Shake hands). I will be your attendant physician today” J (smile)
DRAPE
Doc: “Let me make you more comfortable” (Drape the pt).
Doc: Do you mind if I sit while I ask you some questions?
HISTORY
HPI – Have a mnemonic for cc
Doc: “So, tell me, how can I help you?
Doc: “Could you please tell me more about it?”
ROS
Transition:
Doc: “Now I am going to ask you some qs about your past medical history”
P ® PMH: Related to HPI
Doc: “Have you ever had this kind of problem?”
Doc: “Do you have any other medical conditions? like High blood pressure, Diabetes, high Cholesterol?
A ® Allergies:
Doc: “Are you allergic to anything?”
[/font][/fullfont]
M ® Medication
Doc: “Are you currently taking any Medications? prescribed or over the counter medicine?
H ® Hospitalizations, Injuries, Traumatisms, Surgeries
Doc: “Have you ever been hospitalized? any surgeries, injuries or accidents? Have you ever received transfusions?”
U ® Urination
Doc: “Have you noticed any changes in your Urinary Habits?”
G ® G (Gastrointestinal)
Doc: “Have you had any changes in your Bowel Movements?”
S ® S (Sleep)
Doc: “Any changes in your Sleep pattern?”
Transition:
Doc: “Now I am going to ask you some qs about your family’s health”
F ® Family History
Doc: “Are there any illnesses or medical conditions that run in your family?”
Doc: “Are your parents healthy?” What about your brothers?”
Doc: “Has anyone in your family had Diabetes?” “How about High Blood Pressure?” “How about Cancer?”
Transition:
Doc: “Now I am going to ask you some qs about your obstetric history, ok?
O ® Obstetric history
Doc: “When was your LMP last menstrual period? Was it regular?”
Doc: “How many times have you being pregnant?”, “How many children do you have?”
Doc: “Are you taking any birth control pill?”
Transition:
“Ok Mr. Clark, now I am going to ask you some very personal qs, but let me re-assure you that everything we talk is confidential ok?
S ® Sexual history
Doc: “Are you sexually active?”
Doc: “Have you noticed any changes in your sexual function?
Doc: “In the last year how many sexual partners have you had?”
Doc: “Are they male, female, or both?”
Doc: “Do you always use condoms?”
Doc: “Have you ever had any STD Sexual transmitted disease?”
Transition:
Doc: “Now let me ask you some qs about your lifestyle ok?”
S ® Social History (L SODA WET)
L Doc: “Who do you Live with?”
S Doc: “Do you Smoke?”
O Doc: “Do you drink alcOhol?
D Doc: “Do you use any recreational Drugs?
A Doc: “How is your Appetite? Nutrition, diet?
Doc: Changes in weight? How many Pounds? Over what period of time?”
W [fullfont size="2"]Doc: “What kind of Work do you do?” [/font]
E Doc: “How often do you Exercise?”
T Doc: “Have you recently Traveled?”
[/fullfont]
Edited by Grazie on 06/07/08 - 03:48 PM
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"We aim above the mark to hit the mark."
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| Grazie
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Posts: 207
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PHYSICAL EXAM
HEENT
HEAD
Palpation:
Scalp, Neck, Preauricular Supraclavicular lymph nodes. Sinuses
Thyroid: "I am going to touch the gland in front of your neck"
Auscultation:
Bruit: Carotid, Thyroid
EYES
Inspect Conjunctiva, Pupils, Funduscopy, Visual Fields
EARS
- Change cone
Doc: “ I am going to pull your ears to check inside?”
NOSE
Doc: “Can you please look up, I am going to touch the tip of your nose to check inside”
THROAT (MOUTH)
Doc: “Say Ah”, “Stick out your tongue?” IX, X
HEARING OR DIZZINESS CASE
Rinne: AC>BC bilaterally
Weber: No lateralization
CHEST EXAM
BACK
Inspection
Chest, hands (Clubbing: Hippocratic fingers)
Palpation
Chest Excursion
Tactile Fremitus
Doc: “Could you please say 99?” Again, again…”
Percussion
Doc: “I am going to tap on your back”
Auscultation
Doc: “I am going to listen to your lungs, please open your mouth and take a deep breath, in and out through your mouth”, again, again…” “Ok, now breathe normally”
FRONT
Inspection
Chest, hands (Clubbing: Hippocratic fingers)
Palpation
Percussion
Auscultation
- VASCULAR CASE -
BP
Doc: “Nurse is coming in, to check your BP again”
Pulses
Carotids: Palpate, auscultate
Doc: “Hold your breath”
Radial
Postero Tibial
Dorsal Pedis
Edema
Pre Tibial
Neck
JVD
Palpation
PMI
Doc: If female: “Can you please move your breast up”
Auscultation
4 areas
Cases: Headache, Dizziness, etc.
Alert & Oriented x3
Cranial Nerves
MOTOR
Shoulders:
Don’t let me press down
Hands
Squeeze my hands
Arms
Arms in front, don’t let me push down, up
Legs
kick out kick in
DTR
Triceps
Biceps
Brachioradialis
[/color]
Patellar
Achilles
Babinski
CEREBELLAR
Finger to nose ® Coordination
Gait
Balance
Feet together, hands up & out, close your eyes
® check balance
Meningeal Signs
Kernig & Brudzinski
(knees – Neck rigidity)
Sensory
Light touch
Sharp & dull
Musculoskeletal
Wrist
Inspect & Compare
Doc: I am going to take a look at your joints
Palpation
Start on healthy side
Active and passive motion
If necessary abnormal active
Percussion
(Carpal Tunnel Sd)
Phalen's Maneuver & Reverse Phalen's m.
Checking for Tinel's Sign by tapping the median nerve at wrist
Neurologic:
Strength: “Squeeze my fingers”
DTR: Brachioradialis
Sensory: fine touch, sharp & dull
Vibration
Shoulder
Inspect, palpate and compare both joints
ROM: Range of motion, motion at shoulder level and above the shoulder, both sides.
Knee
Inspect & Compare both joints
Palpation for tenderness
“Does it hurt?”
ROM: active and passive
Neurologic
DTR
Sensation
Maneuvers:
Drawer Sign: for Anterior and Posterior Cruciate ligaments.
The Lateral ligaments (medial & lateral) are tested by applying valgus and varus stresses to the extended leg.
Meniscus: Meniscus injury causes locking and clicking with mobility. The medial and lateral margins of the joint may be tender and flexion of the knee to 90 degrees whilst rotating the lower leg internally produces pain.
Lumbar Spinal (Low back pain)
Inspection
“I am going to take a look at your back”
Palpation
Palpate spinal processes up to down
Palpate para spinal muscles
ROM
Walk
Try to touch your toes
Neurologic
Motor:
Tip toeing
Walk on your heels
DTR:
Patellar, Achilles, Babinski
Sensation
Light touch
Sharp and dull
Vibration
Straight Leg raising test
The Straight leg raise, also called Lasègue's Sign, is a test to determine whether a patient with low back pain has an underlying Herniated Disk.
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"We aim above the mark to hit the mark."
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| snowdrops
Forum Senior
Topics: 6
Posts: 149
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Hi, Gazie:
Your journal is a good review resource.
One question I want to ask you. After we knock the door, do we need wait for the patient to answer: Come in. Or just wait three seconds, then go in?
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| Grazie
Forum Senior
Topics: 13
Posts: 207
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Good morning fellas 
Ok, it's monday and after that thunderstorm, I am kind of tired but definitely I have goals for today: Learn how to make the PN, I also need to finish kpln audios, I don't want to miss any extra tips she might say in the audio, so here we go. I will start doing some cases, doing the whole ritual:
Patient Encounter (History + PE) + Patient Note
For now it' just by myself, from next week I will practice the cases with a study partner.
Snowdrops, by rule we always have to knock the door (3 times), wait 3 sec and enter the room; but we don't have to wait for the patient to let us pass, well, at least that's what kaplan says, but always knock the door before entering, so the SP can be ready.
Enjoy studying.
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"We aim above the mark to hit the mark."
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| Grazie
Forum Senior
Topics: 13
Posts: 207
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Hey
After a nap I feel so fresh, so now I am going to start my CS study self session, I am planning to cover the the 1st 4 cases from First Aid:
- Abdominal pain (2 cases)
- Right Arm pain (1 case)
- Sore throat (1 case)
If anyone wants to help building the whole deal with each case, bring it on
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"We aim above the mark to hit the mark."
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| Carlosavila
Forum Newbie
Topics: 0
Posts: 1
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HI I am Carlos, just telling thanks for your journal, it is very nice....
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| snowdrops
Forum Senior
Topics: 6
Posts: 149
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Thank you for your information, Grazie.
I got one more question for you. On the blue sheet, there is one column, ' Counseling and Red Alert on Doorway Information'. What do you normally write down in there?
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