How do you guys work around gown?

[HLxDrummer]

I feel like working around clothes/gown takes so much time and I'm not quite sure how to do it.

For example, when you are percussing the lungs, do you untie the back for them? Have them untie/retie it? Etc.

Also what do you do to auscultate the heart with a gown? Aortic, pulmonic, and tricuspid through the top and reach from the side to do mitral? I feel like that is a pain because they always end up sitting on the gown so I can't reach from the side easily.

If you have any tips for clothing, that would be appreciated as well!

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[DrBowtie]

I feel like working around clothes/gown takes so much time and I'm not quite sure how to do it.

For example, when you are percussing the lungs, do you untie the back for them? Have them untie/retie it? Etc.

Also what do you do to auscultate the heart with a gown? Aortic, pulmonic, and tricuspid through the top and reach from the side to do mitral? I feel like that is a pain because they always end up sitting on the gown so I can't reach from the side easily.

If you have any tips for clothing, that would be appreciated as well!

3rd year problems.

 

[HLxDrummer]

Actually 2nd year probs haha

 

[Siggy]

Percussion: x-ray: chest, 2 view. RE: cough, fever.
Heart sounds: I go from the top for aortic, pulm, and tricuspid. (side note: for OSCEs, I ask them to drop the top of the gown, grab heart and anterior lung sounds, and then have them regown. OSCEs =/= real life).

 

[calvnandhobbs68]

Be real homies how many residents/attendings (who arent cardiologists) actually even listen to tricuspid and mitral. Not many.

 

[caffeinemia]

ROFL I ascultate via the esophagus, with a TEE.