Psych pimped

Started by 6achill
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Fine. I get it. it's simple, yes, esp. for someone who rotated through any other clerkship besides psych where lab values are recorded regularly.

btw I was looking more for a straightforward response, not sarcasm & mockery.
 
6achill said:
Fine. I get it. it's simple, yes, esp. for someone who rotated through any other clerkship besides psych where lab values are recorded regularly.

btw I was looking more for a straightforward response, not sarcasm & mockery.
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It really sounded like you were taking a jab at psychiatry.
 
6achill said:
Fine. I get it. it's simple, yes, esp. for someone who rotated through any other clerkship besides psych where lab values are recorded regularly.

btw I was looking more for a straightforward response, not sarcasm & mockery.
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The cross is a CBC: Left is WBCs, top is Hg, bottom is Hct, and Right is platelets

The other one is a BMP: Top row from L to R: Na, Cl, BUN Bottom row: K, CO2, Creatinien. The far right is glucose.

http://www.google.com/imgres?imgurl...QbULC0KLHliQLC3oCQDQ&ved=0CFcQ9QEwAQ&dur=1422Here's a good image of it

It did sound like a joke. I'm all for pimping but this a great example of something so fundamental (and such a pain to look up) that you should just tell the medical student. It's like pimping someone about where the bathroom is.
 
diagram3.gif

diagram2.gif


Most of those medical student handbooks, like Maxwell's, have a picture of this as well, though the fishbones on the top right are less commonly known.
 
Lucky me, I happen to conveniently loose my Maxwell's Ref sometime b/t last semester & Step studying. Thanks for all the great responses.🙂
 
VenusinFurs said:
I always forget about the liver function panel one, and I usually draw my CBCs like the LFP.
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The LFTs can also be written like a horizontal version of the BMP, however there's a few different ways to organize it. The way my current hospital does it is:

T. bili/D Bili
AST/ALT
albumin/T. protein
/ALK Phos\
 
greatnt249 said:
If it's any consolation, you won't use either during your psych rotation.
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If a med student rotates with me with that attitude, I would make sure the dean of med school hear about this.
Seriously, too many people I have worked with basically ass-u-me that psychiatric issues are not "medically related". Hell, too many times I had to diagnose critically ill patients who were "medically cleared" to us. It just pisses me off. Not because we get extra work, but because you might put patients at risk with that attitude.
There are tons and tons of medical issues that would decompensate or contribute to a psychiatric issue and you simply just can't write off "medically clear" everytime a patient tells you that he sees demons and angels.
 
atethesun said:
If a med student rotates with me with that attitude, I would make sure the dean of med school hear about this.
Seriously, too many people I have worked with basically ass-u-me that psychiatric issues are not "medically related". Hell, too many times I had to diagnose critically ill patients who were "medically cleared" to us. It just pisses me off. Not because we get extra work, but because you might put patients at risk with that attitude.
There are tons and tons of medical issues that would decompensate or contribute to a psychiatric issue and you simply just can't write off "medically clear" everytime a patient tells you that he sees demons and angels.
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Awesome.🙄

If it makes you feel any better, my post came from the fact that in my psych rotation, vitals/daily lab following were a rarity, mostly because the patients weren't admitted to the acute care unit if an underlying organic cause was suspected. We either functioned as a consult service (medicine/surgery was the primary team) or were an acute care unit. If they were too sick to come to the unit, the note usually said something to the tune of "please address underlying medical issues." Which is fair, I believe; if an organic process is responsible for the AMS, it SHOULD be treated before turfing the patient off to psychiatry.
 
atethesun said:
If a med student rotates with me with that attitude, I would make sure the dean of med school hear about this.
Seriously, too many people I have worked with basically ass-u-me that psychiatric issues are not "medically related". Hell, too many times I had to diagnose critically ill patients who were "medically cleared" to us. It just pisses me off. Not because we get extra work, but because you might put patients at risk with that attitude.
There are tons and tons of medical issues that would decompensate or contribute to a psychiatric issue and you simply just can't write off "medically clear" everytime a patient tells you that he sees demons and angels.
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Man, you're hypersensitive. Also, you (like me) are an intern. You're opinion is pretty worthless.
 
atethesun said:
If a med student rotates with me with that attitude, I would make sure the dean of med school hear about this.
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b-real said:
Also, you (like me) are an intern.
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Please folks, know your role and don't be that guy who, after having Dr. in front of your name for 5 weeks, suddenly feels magically justified tattle-tailing to a student's dean about a 'bad attitude'.

Really unless someone's quality of life or dignity is imminently at risk and the dean happens to be the most convenient person to tell, you should first 1) discuss it with the student, 2) discuss it with your resident, 3) discuss it with your attending, 4) discuss it with the clerkship director, or maybe 5) discuss it with your chair if there's an obvious conflict of interest or something like that. These people are much more experienced than you and are there to protect you, sometimes from yourself. They'll likely remind you that 2 of the ACGME core competencies are Interpersonal/Communication skills and Professionalism.
 
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