Is it(PN) good enough to pass?can we make it short?

Discussion in 'Step II' started by doctorpunter, 04.24.12.

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  1. doctorpunter

    doctorpunter 2+ Year Member

    Joined:
    09.16.09
    Messages:
    14
    Status:
    Medical Student
    a 50 yo m with c/o drug refill for DM2,diagnosed 20yrs back,taking glyburide 5mg od ,compliant with medication,regular blood sugar monitoring which ranges between 120-150mg/dl,denies any side effect, any SOB,chest pain,blurry vision,numbness in limbs,edema,abd pain,urinary difficulties.
    ros-negative except above
    medication-glyburide,lisinopril
    allergy-none
    pmh-htnX5 yrs ,on lisinopril
    fh-nonsignificant
    sh-drink 2-3 beer/week,non smoker,no illicit drug use,sexually active with wife,uses condoms intermittently,no stress at home,no change in diet,moderate exercise.

    vs-b.p135/95 rest wnl
    HEENT-WNL
    Neck-supple,no bruise,thyroid N
    Chest-clear BS,B/L
    heart-rrr,s1/s2 n,no murmur,gallop
    abdoment-soft,non distended,NT,no organomegaly,bs+
    ext-no edema,pulse good and symmetric,muscle strength good,dtr2+,senstaion intact to soft and crude touch.


    DD-1.DM2
    2.HTN

    W/U-CBC WITH DIFFERENTIAL
    BUN/CR
    BLOOD GLUCOSE, HBA1C
    AST/ALT/BILIRUBIN


    THIS IS WHAT i could write in 9 min ,though PE is not prefect but do you really have that much time to write just like FA!!!!:confused:
     
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