milee99
Forum Guru
Topics: 54
Posts: 1,307
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how will u do a hip exam?
r we allowed to expose the hip???
and how do we check femoral pulses
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If you really want something, you will find a way. If you don't, you will find an excuse.
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| milee99
Forum Guru
Topics: 54
Posts: 1,307
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I am forgetting to counsel so much..esp since there's not much time left
i mean in PID case i did not counsel about taking off from work, and a co-existing prostate problem hence a rectal exam...
in another case of fracture arm .. rare domestic abuse.. i did not counsel about assisted living
CIS is so imp.. i'll not be able to pass if i miss these out
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If you really want something, you will find a way. If you don't, you will find an excuse.
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| supra
Forum Elite
Topics: 19
Posts: 353
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hey milee,try 2 have a systematic order while counselling-
first of all,try 2 summarise brief hx,next say THE DD cud be..........,then say we may need 2 do the followin tests........starting with rectal/breast/pelvic exam whereevr applicable,i also used to forget abt pelvic exam etc but with the systematic approach i was not missin anythin.then after tests ,counselling for the present condn if any-use of handrailings/talk 2 family/support groups if applicable,finally counselling for smokin,alcohol/drugs.for hip exam,i followed dis ,pls follow the link,
http://www.prep4usmle.com/forum/thread/70066/
hope dis helps,GL,
SUPRA
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| milee99
Forum Guru
Topics: 54
Posts: 1,307
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thanks!
please answer about sexual and occupational history in a widower
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If you really want something, you will find a way. If you don't, you will find an excuse.
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| supra
Forum Elite
Topics: 19
Posts: 353
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WE NEED 2 ask sexual n occupational hx just as we do in any other case,whats the difference? may be u r asking something specific,okay,lemme c
i donno if it is appropriste or not, i need 2 know abt ur sexual life if any,everything willl be kept confidential,i m sorry if it offends u.
i guess dis wud be ok,what say milee?
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| milee99
Forum Guru
Topics: 54
Posts: 1,307
|
if he says he is not active, do we probe for sexual problems/impotence...??
and if he is of retirement age, do we assume he is retired?? how do we ask??
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If you really want something, you will find a way. If you don't, you will find an excuse.
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