cs
ask_question - 10-03-09 09:25
Apart from doing a sytemic examination as the case demands what are the bare minimum things that cannot be skipped while doing a physical exam. How should one manage time. can you please tell me a stepwise protocol for PE.
ask_question - 10-03-09 09:25
Apart from doing a sytemic examination as the case demands what are the bare minimum things that cannot be skipped while doing a physical exam. How should one manage time. can you please tell me a stepwise protocol for PE.
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#1
Re: cs adonis123 - 10-03-09 23:41 
posted by ask_question on 10-03-09 09:25
Apart from doing a sytemic examination as the case demands what are the bare minimum things that cannot be skipped while doing a physical exam. How should one manage time. can you please tell me a stepwise protocol for PE.
Apart from doing a sytemic examination as the case demands what are the bare minimum things that cannot be skipped while doing a physical exam. How should one manage time. can you please tell me a stepwise protocol for PE.
In addition to a general physical exam one should always do the following:
1.Listen to heart
2.Listen to lungs
General Physical Exam includes checking the mouth,eyes,hands,neck,thyroid,scalp,etc.
In a neuro case just begin with the neuro exam face downwards,and do not just waste yur time in doing the General Physical Exam.
One can manage time by avoiding the unnecessary physical exams which take a lot of time like Dix Hallpike manouver,Snellen's , etc. Always do a focussed exam of the involved system first.Then, if have half a minute more u can go for a quick General Physical Exam except in a neuro case where there is no need of doing it.
When u r doing a neuro exam,say in a diabetes case,it will be very good if u firsttest the sensations,vibration sense,reflexes of lower limbs,because it is the lower limbs which r usually affected by Diabetes.Thus, u have to go where the money is.
Good Luck!
#2
Re: cs usmlefever3 - 10-04-09 02:55 posted by adonis123 on 10-03-09 23:41
In addition to a general physical exam one should always do the following:
1.Listen to heart
2.Listen to lungs
General Physical Exam includes checking the mouth,eyes,hands,neck,thyroid,scalp,etc.
In a neuro case just begin with the neuro exam face downwards,and do not just waste yur time in doing the General Physical Exam.
One can manage time by avoiding the unnecessary physical exams which take a lot of time like Dix Hallpike manouver,Snellen's , etc. Always do a focussed exam of the involved system first.Then, if have half a minute more u can go for a quick General Physical Exam except in a neuro case where there is no need of doing it.
When u r doing a neuro exam,say in a diabetes case,it will be very good if u firsttest the sensations,vibration sense,reflexes of lower limbs,because it is the lower limbs which r usually affected by Diabetes.Thus, u have to go where the money is.
Good Luck!
In addition to a general physical exam one should always do the following:
1.Listen to heart
2.Listen to lungs
General Physical Exam includes checking the mouth,eyes,hands,neck,thyroid,scalp,etc.
In a neuro case just begin with the neuro exam face downwards,and do not just waste yur time in doing the General Physical Exam.
One can manage time by avoiding the unnecessary physical exams which take a lot of time like Dix Hallpike manouver,Snellen's , etc. Always do a focussed exam of the involved system first.Then, if have half a minute more u can go for a quick General Physical Exam except in a neuro case where there is no need of doing it.
When u r doing a neuro exam,say in a diabetes case,it will be very good if u firsttest the sensations,vibration sense,reflexes of lower limbs,because it is the lower limbs which r usually affected by Diabetes.Thus, u have to go where the money is.
Good Luck!
that's a wonderful advice regarding PE in cs ..............remember, closure is more important than PE
#3
Re: cs adonis123 - 10-04-09 03:29 posted by usmlefever3 on 10-04-09 02:55
that's a wonderful advice regarding PE in cs ..............remember, closure is more important than PE
that's a wonderful advice regarding PE in cs ..............remember, closure is more important than PE
Undoubtedly,Closure is far more important than PE.
Good Luck!
#4
Re: cs bingousmle - 10-04-09 11:31 posted by adonis123 on 10-03-09 23:41
In addition to a general physical exam one should always do the following:
1.Listen to heart
2.Listen to lungs
General Physical Exam includes checking the mouth,eyes,hands,neck,thyroid,scalp,etc.
In a neuro case just begin with the neuro exam face downwards,and do not just waste yur time in doing the General Physical Exam.
One can manage time by avoiding the unnecessary physical exams which take a lot of time like Dix Hallpike manouver,Snellen's , etc. Always do a focussed exam of the involved system first.Then, if have half a minute more u can go for a quick General Physical Exam except in a neuro case where there is no need of doing it.
When u r doing a neuro exam,say in a diabetes case,it will be very good if u firsttest the sensations,vibration sense,reflexes of lower limbs,because it is the lower limbs which r usually affected by Diabetes.Thus, u have to go where the money is.
Good Luck!
In addition to a general physical exam one should always do the following:
1.Listen to heart
2.Listen to lungs
General Physical Exam includes checking the mouth,eyes,hands,neck,thyroid,scalp,etc.
In a neuro case just begin with the neuro exam face downwards,and do not just waste yur time in doing the General Physical Exam.
One can manage time by avoiding the unnecessary physical exams which take a lot of time like Dix Hallpike manouver,Snellen's , etc. Always do a focussed exam of the involved system first.Then, if have half a minute more u can go for a quick General Physical Exam except in a neuro case where there is no need of doing it.
When u r doing a neuro exam,say in a diabetes case,it will be very good if u firsttest the sensations,vibration sense,reflexes of lower limbs,because it is the lower limbs which r usually affected by Diabetes.Thus, u have to go where the money is.
Good Luck!
you mean its ok if one does the systemic exam before doing the general examination, but doesnt it seem very abrupt?
what could be a few good statements when one does inspection part for various systems?
#5
Re: cs adonis123 - 10-04-09 12:09 posted by bingousmle on 10-04-09 11:31
you mean its ok if one does the systemic exam before doing the general examination, but doesnt it seem very abrupt?
what could be a few good statements when one does inspection part for various systems?
you mean its ok if one does the systemic exam before doing the general examination, but doesnt it seem very abrupt?
what could be a few good statements when one does inspection part for various systems?
Go where the money is.That is the dictum.
If u try to maintain the sequence then u r completely following the textbook and not doing the things as they r needed to be done in a particular situation.
In Step-2CS one should try to do in a short period of time as much is really needed.The SP's mostly r concentrating on yur communication skills.
The statements which can be used r:
I am going to have look at yur chest.
I am going to have a look at your stomach area.
Good Luck!
#6
Re: cs bingousmle - 10-04-09 12:23 on the same lines suppose if its a routine exam case for insurance etc, does one need to do an exam first and history later?
#7
Re: cs adonis123 - 10-04-09 12:41 posted by bingousmle on 10-04-09 12:23
on the same lines suppose if its a routine exam case for insurance etc, does one need to do an exam first and history later?
on the same lines suppose if its a routine exam case for insurance etc, does one need to do an exam first and history later?
The two r totally different situations.
Hsitory leads to examination because it allows u to understand where the problem is and then u start to examine that part.In other words, it is just a natural requirement to first take the history and then exmine.The reverse would be fruitless.
However, in case of physical exam one has the liberty to do what one thinks is more important.There is nothing like GPE leading to a Full Physical Exam. Doing GPE before a Full physical exam is just done for the sake of ease and for maintaining a sequence.
Good Luck!
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