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easy pass cs a useful thread not to miss - bobby101
#1
to pass cs you need practice who does not know? but we do not understand-

first aid is a great book but you have to master

to master is you have to repeat

another way is master one long case

and always follow the master case with modification to that given case and sex age of the pt



here iam going to guide you

introduction

why the patient is here/

history p
physical

counselling HEALTH MAINTANENCE ISSUE

tell about d/d--ASSESMENT

tell what you are going to do-PLAN

SWIFT GOOD BYE

THERE WILL LOT TO COME -BUT NOTHING NEW STILL HOPE IT HELPS U
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#2
KNOW THESE NEMONICS

KNOCK

HELLO

WHAT

OPDF

LIQORAAS

PAM HUG FOSS

SAD-E

FAR CT

LMNOP -OB OBSTERIC

SETI IN KID

ABCD- SETI IN KID

MD SIZECAP IN DEPRESSION

DIGFAST IN PSYCHOSIS

CASE MORPHINE JOKES HALLUCINATIN IN SCIZOPHRENIA

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#3
Alzheimer, Depression-- likely, more psychi than neuro, hx and pe
Multi-infarct-- not likely, too much for both neuro and psychi
stroke-- not likely, too much for both neuro and cardiac
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#4
after you know the nemonics

know the review of systems

syptoms first and also sign for physical exam

let us talk about sx

neuro --ros always mug it first because it is supposed to be difficult which is not --of course to operate and treat neuro is difficult but not the exam if you know it

anything in life has cause effect and consequence so is the medicine

so ask why for anything and anseer because

anything has a cause--without cause there is nothing in the world
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#5
NEURO REVIEW OF SYMPTOM

ANY HISTORY OF HEAD INJURY IN THE PAST OR PRESENT

NAUSEA VOMITING DIZZINESS-- DIARRHEA DRUG DEHYDRATION DIURETICS DRUGS IF DIZZINESS IS POSITIVE[NVD]

ANY PARALYSIS OR WEAKNESS IN ANY PART OF THE BODY --IF YES QUANTIFY AND FIND OUT LOCATION SITUATION WHERE WHEN WHY

NUMBNESS AND TINGLING SENSATION -- QUALIFY AND QUATIFY-WHEN WHERE WHY LOCATION SITE SITUATION OPDF LIQORAAAS

HEADACHE AND BLURRING OF VISION FLASH OF LIGHT FLOTTER CURTAIN COMING OVER EYES AND BLINDNESS PHOTOPHOBIA --ASK CAUSE RELATED HEENT AND GENERAL QUESTION

SEIZURE SYNCOPE QUESTION

SEIZURE IS CONVULSION

SEIZURE MAY BE JUST SEIZURE LIKE ACTIVITTIES

SYNCOPE IS PASSING OUT WITH LOSS OF MOMENTARILY CONSCIOUNESS

NEAR SYNCOPE IS NO LOSS OF CONSCIOUSNESS
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#6
LET US LIST ALL THE SX OF NEURO

HEADACHE AND EYE

SEIZURE SYNCOPE

NUMBNESS TINGLING WEAKNESS[ GENERAL OR FOCAL] PARALYSIS[ MOTOR OR SENSORY OR BOTH- PAIN TEMPERATURE TOUCH HOW DO YOU FEEL IN YOU SKIN ]

DIZZINESS

MEMORY AND COGNITIVE ABILITIES DELIRIUM DEMENTIA QUESTIONS

TREMOR

RIGIDITY-- YOU DO NOT HAVE TO ASK BUT KNOW ABOUT IT

SPEECH SWALLOWING SLURRIN OF SPEECH CAN BE BOTH SX AND SIGN

GAIT AND ATAXIA

NEURO IS ASSOCIATED WITH ALL THE SYMPTOMS SO YOU WILL ASK IF NECESSARY

HEENT AND JAW CLAUDICATION

CRANIAL NERVE QUESTIONARIES

THYROID QUESTIONARIES

THORAX LUNGS AND HEART

LIVER PANCREAS GI BLEEDING HEPATIC ENCEPHALOPATHY QUESTINARIES

RENAL QUESTION --URINE OUTPUT

INCONTINENCE

CLAUDICATION LEG PAIN PARLYSIS WEAKNESS SENSATION

INCLUDE PERINEAL SENSATIONS IF NECESSARY

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#7
PSYCHIATRY CAN BE RELATED TO NEURO

ASK DEPRESSION anxiety PTSD QUESTINARIES

PSYCHOSIS QUESTIONARIES

ASK HAD YOU HAD ANY MENTAL PROBLEM IN THE PAST ARE YOU HAVING ANY MENTAL ISSUES NOW/?

IF CONFUSION CASE DEPRESSION AND OLDER AGE ALWAYS INCLUDE=

ADL-ACTIVITIES OF DAILY LIVING OR INSTRUMENTAL ACTIVITY OF DAILY LIVING QUESTIONARIES
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#8
dO NOT BE OVERWHWLMED BY ALL THESE INFORMATION KNOW THE ZEST

LEARN TO SIT CRAWL STAND WITH SUPPORT WALK RUN GO UPSTAIRS AND CLIMB DOWN--THESE ARE THE STEPS IN CHILDHOOD MOVE BUT THIS SHOULS BE THE PRINCIPAL CS

SO LEARN BASIC AND BUILD UP ON THAT FOUNDATION
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#9





YOU HAVE TO WALK BEFORE YOU RUN
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#10
summary of neuro syptomatology

headache

blaurriness of vision photophobia

nausea vomiting dizziness

floater flash of light curtain over eyes

neck rigidity

pain paralysis weakness
loss of sensation in any part of body including face eyes jaw cludication

speech sllurring swallowing

seizure syncope

incontinence

perineal sensation

leg cludication

if confusion ,questions to know awake alert orientation to name time place situation

adl qestion- eating/shiting/toileting/dressing/

iadl questions --shopping accounting comunication--transport ambulation/ cooking

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