- Joined
- Oct 29, 2007
- Messages
- 36
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1) How many of the special signs did you try to elicit on physical exam? (murphy, tinnel, obturator, psoas, etc). Did you use those signs as a consistent part of the physical exam or only when you had a very high suspicion for a particular disease (i.e. did you do murphys for a person with LLQ pain)?
2) If a lady says she is monogamous with her husband, did you ask in detal about # of lifetime partners, men vs women, or just drop it and assume that there are no sexual risk factors in play?
3) During the physical exam, did you explain in detail every part of it? Or did you just say "i'm listening to your lungs now" etc. The SPs are supposed to check off a list for physical exam stuff, but if you dont tell them that you are doing the obturator sign, they might not check it off?
4) For women, for lung exam did you completely take off the top part of the gown and leave them sitting there in a bra or did you stick the stethoscope underneath the gown to listen?
5) For neuro complaints like headache, did you really do a FULL neuro exam, including vibration, position sense, sharp touch, light touch, etc or just focus more on cranial nerve stuff, Romberg, etc?
6) Did you do a real mini-mental status exam with all the questions, or did you just ask the standard alert/orientation questions? For what kind of patients did you do this? For example, did you do this for patients with depression?
7) Did you include the soup to nuts 10 million dollar workups that First Aid lists? Its ridiculous they want every patient with a cough to get a bronchoscopy and lung biopsy! I've never seen a doctor work up patients like that and its NOT the standard of care to order so many tests for such routine complaints!
2) If a lady says she is monogamous with her husband, did you ask in detal about # of lifetime partners, men vs women, or just drop it and assume that there are no sexual risk factors in play?
3) During the physical exam, did you explain in detail every part of it? Or did you just say "i'm listening to your lungs now" etc. The SPs are supposed to check off a list for physical exam stuff, but if you dont tell them that you are doing the obturator sign, they might not check it off?
4) For women, for lung exam did you completely take off the top part of the gown and leave them sitting there in a bra or did you stick the stethoscope underneath the gown to listen?
5) For neuro complaints like headache, did you really do a FULL neuro exam, including vibration, position sense, sharp touch, light touch, etc or just focus more on cranial nerve stuff, Romberg, etc?
6) Did you do a real mini-mental status exam with all the questions, or did you just ask the standard alert/orientation questions? For what kind of patients did you do this? For example, did you do this for patients with depression?
7) Did you include the soup to nuts 10 million dollar workups that First Aid lists? Its ridiculous they want every patient with a cough to get a bronchoscopy and lung biopsy! I've never seen a doctor work up patients like that and its NOT the standard of care to order so many tests for such routine complaints!