06-24-2007, 12:06 AM
06-24-2007, 01:22 AM
chitsu - 06/07/07 09:37
1) ur answer would be: mr. Y , i advise u to be admitted in the hospital for further work up of ur problem n to observe ur response to therapy . outcome wil depend on ur body's reaponse to therapy n blood test results , we will try our best to help u.
( till my knowledge severe bleeding cases r not there as they r ER cases . might pt cm with a small bout of blood n in that case u can say this much bleeding can usually not lead to death bt us should be in the hospital for further work up n observation.)
2)yes , ideally we should ask CAGE ques. to all alcohol intake pt. . eventhugh it depends on time management n the case . as in cns case u will not get that much time n u feel other part of counselling is more imp u can skip it . (in case of arthritis u suspect gonococcal arthritis, ur counselling is must on sexual practise , at that time u can skip alcohol CAGE ques. if time doesnt allow u .)
3) no ,u will not write wat u havent done. also if u have look for JVD and u didnt explain it to the SP u should not write . as SP wil give a report of ur performance too.
4)v have to cvs exam in all three position if u feel the case history is in favor of cardiac cause /diagnosis .other wise only auscultation in any position is sufficient.
5)range of motion is passive . v have to do it , taking care that SP wil not be hurt .
other resposes r welcomed .
thank u .
1) ur answer would be: mr. Y , i advise u to be admitted in the hospital for further work up of ur problem n to observe ur response to therapy . outcome wil depend on ur body's reaponse to therapy n blood test results , we will try our best to help u.
( till my knowledge severe bleeding cases r not there as they r ER cases . might pt cm with a small bout of blood n in that case u can say this much bleeding can usually not lead to death bt us should be in the hospital for further work up n observation.)
2)yes , ideally we should ask CAGE ques. to all alcohol intake pt. . eventhugh it depends on time management n the case . as in cns case u will not get that much time n u feel other part of counselling is more imp u can skip it . (in case of arthritis u suspect gonococcal arthritis, ur counselling is must on sexual practise , at that time u can skip alcohol CAGE ques. if time doesnt allow u .)
3) no ,u will not write wat u havent done. also if u have look for JVD and u didnt explain it to the SP u should not write . as SP wil give a report of ur performance too.
4)v have to cvs exam in all three position if u feel the case history is in favor of cardiac cause /diagnosis .other wise only auscultation in any position is sufficient.
5)range of motion is passive . v have to do it , taking care that SP wil not be hurt .
other resposes r welcomed .
thank u .