10-29-2007, 11:49 AM
10-29-2007, 01:46 PM
Can anyone please solve this CCS. My exam is soon
10-29-2007, 03:27 PM
sexual abuse elderly
First check if pt stable, if not ABC
Then complete physical inc, pelvic and genitalia
rape kit- vaginal /cx swab for chlymadia, gonorrhea, trichomonas, RPR/ VDRL/dark filed microscopy,
Inv- U/A,cbc, bmp, ECG, Cxr, pap(?), HIV test, HBs Ag,
monitor interm p/e and vitals
admit ward
urine input /output
i/m penicillin
i/m ceftriaxone
diet as toelarted
psych consult
inform health dept , social services
lemme know if i am missing something
hope this helps.
First check if pt stable, if not ABC
Then complete physical inc, pelvic and genitalia
rape kit- vaginal /cx swab for chlymadia, gonorrhea, trichomonas, RPR/ VDRL/dark filed microscopy,
Inv- U/A,cbc, bmp, ECG, Cxr, pap(?), HIV test, HBs Ag,
monitor interm p/e and vitals
admit ward
urine input /output
i/m penicillin
i/m ceftriaxone
diet as toelarted
psych consult
inform health dept , social services
lemme know if i am missing something
hope this helps.
10-30-2007, 06:17 AM
Hey alexmozhi,
Why u did dark field microscopy?
We can add TSH, fobt, HBc, Dexa, mammo and then schedule for colonoscopy
We can add ca, vit D,
Safety plan
Anything else????
Why u did dark field microscopy?
We can add TSH, fobt, HBc, Dexa, mammo and then schedule for colonoscopy
We can add ca, vit D,
Safety plan
Anything else????