- Joined
- May 25, 2016
- Messages
- 497
- Reaction score
- 647
Alright, probably a horrible and simple question, but I want other opinions:
We just took an OSCE, and I was given some interesting advice/directions.
The pt had c/c of RUQ pain. Fair. Hx was no problem. Then, I got to the PE. Per our guidelines, I performed soft palpation, deep palpation, painful quadrant rebound tenderness, then for this at least, Murphy's sign.
But, on soft palpation, barely touching the pt in RUQ, he flinched w/ pain. Then, I barely hooked my hand into his gallbladder region and had him inspire, he flinched. So, I figured that's the end of it. Basically, I didn't do anymore b/c I had my results, and I didn't want the pt to be in pain. In my past life, I learned that pain = stop: you've got what you need!
Faculty told me, "ah, sometimes you need to do, what you need to do. It may hurt, but you have to do it to get all your data."
Ik it's an OSCE, but if I did more, I'd be docked for hurting the pt. Or, I don't do enough, and get docked for not getting my data!
What is a person supposed to do? XD
We just took an OSCE, and I was given some interesting advice/directions.
The pt had c/c of RUQ pain. Fair. Hx was no problem. Then, I got to the PE. Per our guidelines, I performed soft palpation, deep palpation, painful quadrant rebound tenderness, then for this at least, Murphy's sign.
But, on soft palpation, barely touching the pt in RUQ, he flinched w/ pain. Then, I barely hooked my hand into his gallbladder region and had him inspire, he flinched. So, I figured that's the end of it. Basically, I didn't do anymore b/c I had my results, and I didn't want the pt to be in pain. In my past life, I learned that pain = stop: you've got what you need!
Faculty told me, "ah, sometimes you need to do, what you need to do. It may hurt, but you have to do it to get all your data."
Ik it's an OSCE, but if I did more, I'd be docked for hurting the pt. Or, I don't do enough, and get docked for not getting my data!
What is a person supposed to do? XD