P.A.T.I.E.N.T..N.O.T.E: From 2nd attempt CS passer - md4now

[ArchivalUser]

a thank you, It will be my second attempt, during my first attempt I did good score for CIS but fail in ICE, I think it was due to my Patient notes and physical exams.

[ArchivalUser]

GOOD. Good style.

BUT most important, you have to feel COMFORTABLE with wathever style you are using. Don;t just used because someone used and passed. time yourself, practice and if you feel comfortable, go ahead.

[ArchivalUser]

HERE IS HOW "CAN" YOU CAN WRITE PN!!! Its called "B.U.L.L.E.T... S.T.Y.L.E" format. Helped me a lot while cuz I typed.

"23 y/o M c/o fever, Chest pain, chills, nonproductive dry cough x 2 days. insidious onset, progressively worsened, constant. Right sided Chest pain, 2/10, pleuritic type, dull, nonradiating. No alleviating, aggrevating, precipitating factors. CP worsened with deep inspiration. NEGATIVES (-): no N/V, no diarrhea/constipation, no abd pain, no wt loss/night sweats/hemoptysis. no urinary/GI/sleep problems

PMH: + h/o type I IDDM, no surgeries, no previous hospitalizations
All: NKDA
MEDS: Insulin shots
SH: no Tobacco/ETOH/Illicit Drugs. no IVDA hx
SxH: Sexuallly active with girlfriend. no unprotecte sex with mult sex partners.
FHx: Mother alive with NIDDM, high cholesterol. HTN. Father not known.

VS: tachypniec, tachycardia, febrile, (102 F, 125/80mmHG, 25/min, 110/min)
GA: Pt is lethergic, responsive,
HEENT: nostrils clear b/l, no erythma, edema, exudates. Oropharynx clear. no oral thrush. no erythema, edema or purulent exudate. No LAD.
LUNGS: +BS throughout, +crackles at lung bases bilat. No wheezing no rales, no rhonchi. -kusshmauls breathings (!!! Pt hx says IDDM. just mentioned it. They'll be impressed!!!) Clear to percussion throughout.
HEART: regular rate & rhythm, normal s1s2, no murmurs, no rubs, no gallops
Extr: no pitting edema. No rashes noted.


DDx

pneumonia: community acquired vs atypical
URI exacerbation.
Influenza infection

Work Up

CXR; CBC w/ Diff ct
Blood Glucose Levels; HbA1c
Urine Ketone levels
Electrolytes: Na/K/Cl/HC03/PO4
Monospot test,as needed; Strep Test,as needed"

I made this case up as I typed to help you guys. But you get the idea!. Its quiet different from FA & UW format I think.
Report Abuse





* Re.A.T.I.E.N.T..N.O.T.E: From 2nd attempt CS pas
#2045281
anterograde - 03/06/10 13:10

Dear MD4Now
I flunked my last exam because of the PN ,I need to thank you because people tend to be surprised when I tell em that failed only because of that

I have a couple of questions
If you run out of time to do something for eg CVS in a case of stroke
Do you still mention it
or do you not mention it

Secondly with respect to the aforesaid mentioned case I have only a few days left and I cant seem to find the kaplan cs book in India do u have a digital copy

[ArchivalUser]

Great patient note ...how do hear crackle in speed? How do they do it!

[ArchivalUser]

I passed step1 and step 2 ck with high scores, and step 2 cs with high performance. I have a very good teaching experience and can offer you informative course via skype with a very reasonable price.
If you are interested, please send me an email to: usmle11115