Relevant pathological PE findings on healthy SPs??

[music89]

What do you do if the SP is healthy but complains of having a particular illness??? For example, if a SP complains of "pain in their calf while walking" (claudication), but when you go to feel their peripheral pulses during the PE, all the pulses are strong, wouldn't putting 2+ pulses in the DDx part of the note make you lose points????

How are you supposed to find pathology on healthy people/SPs?!!??

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[SilverCat]

Just put what you find. Don't make anything up.

 

[EmergDoc2B]

PE's are venous in nature (DVT) from the larger veins in the lower extremities (most common). pPulses are arterial in nature so it's perfectly normal to have good pulses in a patient with a DVT as far as I understand it. There may be cases this is not true but I'm still learning just like you so maybe someone else can chime in. As far as SP's go you always, always document what you find and dont think twice about it. If the story and patients actions are saying PE to you than thats your number 1 DDX and role with it. Just make sure you think of a few other things that could cause similar symptoms