Physical exam on CCS

[ihatescience]

---

Members don't see this ad.

Few questions and was wondering if anyone had insight. Thanks in advance!

-- if a patient is unstable (ie: low BP in ED), do you place emergency orders like fluids BEFORE the physical exam?

-- in doing the uworld CCS, I haven't been asking for "follow-up" or repeat physical exams: is this necessary to do? i found that interval updates are automatically provided...?

 

[ramsesthenice]

Absolutely you place emergency orders before you see an unstable patient. You also only do the exam needed to address the problem. You get points off for doing a HEENT or neuro exam in someone you think may be having an MI for example.

To your second point, I think you are suppose to. I know I really messed up a couple of cases but my score on CCS was way lower than I expected it to be. USMLE will suggest a lot of follow up stuff for each patient. I bet a lot of it is overkill but maybe you need to do some of it? Not really sure. I can tell you from my N=1 if you do a good work up and get the right diagnosis on 10/12 cases you will pass without doing anything else.

 

[ramsesthenice]

I read it again. You asked about follow up physical exam. Never crossed my mind. Got automatic updates. Wouldn't waste your time on them.