06-09-2008, 07:14 PM
midazolam2008
Electronystagmography- electronical detection of the roving eye movements
dix-hallpike maneuver- I am performing a test while you lie down with your head little below the level of the head rest of this bed. Please let me know if you donot comprehend. I will make sure you wont be having any problem during the test. Shall I proceed? ( supplement this with the gestures so that patient comprehend in a better way)
Perilymphatic fistula- abnormal connection between the middle and inner ear (be short and to the point)
As far as D/D goes 2-3 is more than enough, if you have multiple--it shows lack of confidence in you. Even if you utter the diagnosis that is mistake, the way you approach the case is valued and not the exact diagnosis. Describe the most probable one in a layman language and 2nd probable diagnosis would be ........ but we need to run some test like.............. to reach a final diagnosis.....after having done that we will sit together and discuss the management options. Do you have any queries?
jovanat: Thanks for the compliments....guys work on one and make your own explanation so that you feel more confident .
niceday: Looks like you wanna trip me over. Never heard of a rape case. But anything can happen in life so here's how I would have approached a rape victim:::
express emotions to show empathy, Tell her that you are here to help her out of the psychological trauma after the event, Examination: I would like to perform some general examination on you if you give me the permission, Please donot hesistate to reveal anything on the history also.
Look for the bruises, tender spots......mainly inspect and palpate the probable area where trauma is inflicted. Do all other CVS,Respiratory exam in brief (may be auscultate only)
I will have to perform the pelvic and genital examination but a little later. ( Utter these words as the patient want to hear the words that even in this situation doctor is being professional along with empathy and in a very positive way)---- That's all I can say. If some person have a different opinion, drop in yours.
Thanks
Electronystagmography- electronical detection of the roving eye movements
dix-hallpike maneuver- I am performing a test while you lie down with your head little below the level of the head rest of this bed. Please let me know if you donot comprehend. I will make sure you wont be having any problem during the test. Shall I proceed? ( supplement this with the gestures so that patient comprehend in a better way)
Perilymphatic fistula- abnormal connection between the middle and inner ear (be short and to the point)
As far as D/D goes 2-3 is more than enough, if you have multiple--it shows lack of confidence in you. Even if you utter the diagnosis that is mistake, the way you approach the case is valued and not the exact diagnosis. Describe the most probable one in a layman language and 2nd probable diagnosis would be ........ but we need to run some test like.............. to reach a final diagnosis.....after having done that we will sit together and discuss the management options. Do you have any queries?
jovanat: Thanks for the compliments....guys work on one and make your own explanation so that you feel more confident .
niceday: Looks like you wanna trip me over. Never heard of a rape case. But anything can happen in life so here's how I would have approached a rape victim:::
express emotions to show empathy, Tell her that you are here to help her out of the psychological trauma after the event, Examination: I would like to perform some general examination on you if you give me the permission, Please donot hesistate to reveal anything on the history also.
Look for the bruises, tender spots......mainly inspect and palpate the probable area where trauma is inflicted. Do all other CVS,Respiratory exam in brief (may be auscultate only)
I will have to perform the pelvic and genital examination but a little later. ( Utter these words as the patient want to hear the words that even in this situation doctor is being professional along with empathy and in a very positive way)---- That's all I can say. If some person have a different opinion, drop in yours.
Thanks