easy pass cs a useful thread not to miss - bobby101

[ArchivalUser]

ask all pamhugs foss far ct seti

always ask risk factor question

ask direct questions related to cause

like in headache -do have migraine

do you have sinus pressure and pain running nose nasal blokage congestion?

never forget to ask similar episode in the past

ask what was the diagnosis then/

always ask smoking alcohol drug history

do not forget sexual history stress and sleep and sometimes snoring at night--all S

DONT FORGET ALLERGY MEDICATION

WHENEVER MEDICATION COMES ASK ABOUT SID EEFEFECT AND COMPLIANCE

IN NEURO-- YOU HAVE TO BE FAST FAST FAST

SO DONT GO OVER QUALITY AND ACCURACY GO TO QUICK QUICK BUT ALWAYS SMILE AND MAKE THE PATIeNT HAPPY EVEN YOU ARE FAST FAST -- SAY SORRY THAT AND SAY'i hope that iam not rushing you' in fact you are' while talking also keep on going one step ahead

[ArchivalUser]

neurophyical exam --dont take permission every time -one time is ok

but smile all the time

just put the sthethoscope in hear t lung and abdomen

then go for neuro exam

put on gloves that is faster than washing hand during neuro

ask short and simple question

in neuro

test for cranial nerve- start from forehead -ask to wrinkle forehead
ask to close the eyes
ask how many finger you can see closing the eyes--visual acuity

do confrontation test

practice--you can finish confrontation test within half a minute-

then ask the patient to show his tongue to swing his tongue then ask him to say aha

then ask him to shrug the shoulder

then put your hand on his face and ask him to push it-- do it on both side

take a cotton swab - and tell him it is blunt or sharp and test on forhead both side and face on both side- you have less time you can miss sharp or blunt do only one part -

if he is hearing well and it is not a hearing defect case just do whisper test and finger clapping test-

if it is hearing defect case do rhine and weber-otherwise never do it it kills time

ask the patient to flex extend his upper limb

put your hand on his arm forearm ask him to push it - see both side and see reflex do not bother about best way -- dont go for best here but do not do worst here-- hurry

hand grip wrist grip

pronation test

ask him to alternately swap his hand over his palm to test for cere bellar - you can do finger nose test at the same time

go to lower extremity tell the patient that you are going to test for sensation power balance gait

then test senastation

motor by push or whatever suits you

positional sense great toe --this is up this is down

ask the aptient to close eyes and take the toe up or down and ask the patient changing the position of patient up or down

ask the patient to stand and close his eyes see rhomborg

ask him to walk normally and with toe but be near the patient and tell him that you wont let him fall

now ask the pt to sit back and take auroscope exam ear ==no detail just do it

then take opthalmoscope and do it take permission but dont try to see every thing try to just finish it you can always do it later in residency -- just finish it but do it in a correct way like taking opthalmoscope in right hand

say sorry thanks and smile all the time appropriately

if there is time do counselling if not do include counselling but dont try to do best one / say that you will run some test you have following thing in diifferential diagnosis and assure the patient that after the test we will discusss different option of treatment

ask him if he has any questions or concern?

leave the room with thanks

[ArchivalUser]

do not forget minimental status exam if patient has confusion

ask him his name

where are you now

what is name of the president

what is your birth day

i will give you three names try to remember pen table flower and will ask you after some time

then ask him to spell 'world' from backward

try to substract seven from 1oo and then so on just do two times

then ask him to repeat your three words pen table flower

[ArchivalUser]

in neuro use short sentences

always hurry but be careful you should be cool

dont try to be best like you are you have just to pass-- there are other case

[ArchivalUser]

Good work. Plz update them.

[ArchivalUser]

let us talk about respiratory system --

when talking about respiratory system please understand that respiration starts from nose and external environment so sytpmatology will be

upper repiratory sign/
lower respiratory sign/

your questinarries should include both

upper repiratory symtoms--running nose, nasal congestion, sinus pressure and tenderness/nasal blokage or stuffiness/postnasal drip

lower respiratory sx--csd- s

cough and chest pain on coughing or inspiration or expiration

pleuritic sharp chest pain

shortness of breath -- describe it --wheezing /stridor-inspiratory or expiratory/

dyspnea is discomfort or difficulty in breathing--nasal flaring use of aceesory muscle of respiration etraction of chest wall / stenting of chest wall

in chest pain you have to ask all opdf and liquoraaas questions


S= sputum production [quantify and qualify]

ask ACORD questinaries

amount scanty/ half teblespoonful at a time one teaspponful /one cup

color --rusty pnemonia bronchitis
frank blood hemoptysis
relieving factor
duration of cough

ask all pam hugfoss


but do not forget allergy--gives respiratory problem
do not forget drugss-- ace inhibitor
do not forget occupational hazard to ask
contact and exposure--faR -CT FEVER/ALLERGY/RASH/CONTACT TRAVEL TB- ASK PPD TEST ALSO

EVEN YOU DONT FORGET STD- INCLUDING HIV

ON PHYSICAL EXAM - DO NOT FORGET

TO EXAMINE SINUSES AND HEENT

EXAM NASAL MUCOSA OROPHRANYX /LYMPHNODES EXTREMITIES FOR CLUBBING CYANOSIS EDEMA RASH

[ArchivalUser]

what are all those abbreviations?

[ArchivalUser]

O ONSET

P PROGRESSION

D DURATION

FREQUENCY --HOW FAR APART

T= TIMING

L= LOCATION OF SX

I INTENSITY OF SX

Q QUALITY OF SX

RELEIVING FACTOR AND RADIATION

AGGRAVATING FACTOR

ASSOCIATED SX=

NVDDD

NAUSEA/VOMOTING/ DIZZINESS/DIAPHORESIS/ SOMETIMES DIARRHEA/SOMETIMES DYSPNEA

S --SIMILAR EPISODE IN THE PAST

FAR CT-FEVER /FATIGUE/
A-
R=RASH

CONTACT--PETS HUMAN

TRAVEL

S LEEP /STRESS

E ENVIRONMENTAL

T

I IMMUNIZATION


PAMHUGSFOSS

PAST HISTORY OF

HEART DISESE LUNG DISESE

KIDNEY DISESE

THYROID DISESSE

LIVER DISESASE

HIGH CHOLESTEROL

FX OF ALL THE ABOVE


A-ALLERGY
---TO MEDS/FOOD== WHAT KIND OF ALLERGY--RASH OR ANAPHYLAXIS

MEDICATION - DISEASE SPECIFIC
OVER THE COUNTER
HERBS

IN MEDS ALSO ASK COMPLIANCE SIDE EFFECTS/ HOW YOU BUY INSURANCE[ASK IF YOU HAVE TIME]

HOSPITALIZATION--ICU/ FLOOR OR TELEMETRY

BLOOD TRANSFUSION

HEAD INJURY --IF CONFUSION HEADACHE SEIZURE

U URINARY HABIT --FREQUENCY/URGENCY/INCONTINENCE/BLOOD IN URINE/PUS IN URINE

G --GI SX

ASK - CRAMP= BCT

CRAMP AND PAIN
REGULAR OR IRREGULAR

ALTERNATE DIARRHEA WITH CONSTIPATION
BLOOD MUCUS TENESMUS

SEXUAL STD --TRICHOMONAS/GONORRHEA/CHLYMYDIA/SYPHILLIS/HIV ANY DISCHARGE PAR VAGINA/?

OCCUPATION -IN MALE

0==OB HX IN FX=

USE

LMNOP CRAP
--------------
L LAST MENS PERIOD

MENARCHE

N -NIPPLE DISCHARGE BREST PROBLEM

OB HX- GTPAL GRAVIDA/PRETERM/ABORTION/LEAVING CHILD

POBLEM DURING PREVIOS PREG /ANTENATAL CHECK UP / THREE TRIMESTOR HX/PERINATAL POSTPARTUM AND PUERPERIAL

ONLY RELEVENT

P==PAIN-ENDOMETRIOSIS/PID/
PAP SMEAR-LAST PAP

[ArchivalUser]

CRAMP

CLOT BLEED DISCHARGE

R--REGULAR OR IRREGULAR

A-

M- MAMMOGRAPHY

PAIN


SODA
-----
SMOKING- QUANTIFY AND QUALIFY
DRUGS-- COCAINE CRACK MARIJUANA PCP BENZO

ALCOHOL AND CAGE QUESTIONS [QUANTIFY AND QUALIFY]

DAWE
-----------------
ASK ABOUT DIET APPETITE AND EXERCISE

[ArchivalUser]

ABCDE

FOR KID

ANTENATAL CARE--WHEN STARTED /STD CHECK UP-BLOOD GROUP ANTIBODY RUBELLA

BIRTH HISTORY--BEFORE DURING AND AFTER DELIVERY

C=URRENT AFTER BIRTH NEONTAL HISTORY FOR FEVER JAUDICE

D= dietary history --breast fed bottle feed amount duration quality quantity

environmental history --smoking by mother-before during after pregnancy/how many people live in household-- pet at home

family history for sick contact

growth history and developmental history

hospitalization any neonatal icu admissin and last doctor visit and next appointment

i==immunization are immunizations upto date