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- Jul 5, 2014
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I don't want this to turn into another Step 2 CS freak-out post (I took it a few weeks ago), but I have a general question about Step 2 CS. I'm NOT posting anything specific about it as I don't want to violate any rules.
My question: are we or are we not supposed to do a physical exam on patients in street clothes? I was confused about this from the Step 2 CS orientation video. I was under the impression that patients in street clothes didn't require a physical exam (especially if you can't really do an exam for what they are there for), so I didn't do it in one instance (like at all, and wrote nothing in the physical exam section). And by extension since I didn't do a physical i didn't wash hands for it. I feel kinda stupid for doing this now, and am worried it would affect the overall outcome of my test in a big way.
I'm already kinda worried that I may have failed CS on the ICE part given the countless mistakes I made (straight up wrong diagnosis on 3 cases, bad differentials that I shouldn't have put for a few other cases, vague closure on at least 4-5 cases because I wasn't exactly sure what they had or what to do, didn't ask a lot of questions that I should have for a few cases, not sure if I made enough eye contact on some cases near the end because I was writing or just so tired, forgot to write some physical exams I did in the note, used layman terms in the note sometimes instead of medical jargon, did incomplete exams on all patients due to time constraints, etc).
I know no one can say for sure if I passed, but it would somewhat ease my anxiety during this extremely long waiting period knowing that the whole "no physical if in street clothes" thing is legit or not.
My question: are we or are we not supposed to do a physical exam on patients in street clothes? I was confused about this from the Step 2 CS orientation video. I was under the impression that patients in street clothes didn't require a physical exam (especially if you can't really do an exam for what they are there for), so I didn't do it in one instance (like at all, and wrote nothing in the physical exam section). And by extension since I didn't do a physical i didn't wash hands for it. I feel kinda stupid for doing this now, and am worried it would affect the overall outcome of my test in a big way.
I'm already kinda worried that I may have failed CS on the ICE part given the countless mistakes I made (straight up wrong diagnosis on 3 cases, bad differentials that I shouldn't have put for a few other cases, vague closure on at least 4-5 cases because I wasn't exactly sure what they had or what to do, didn't ask a lot of questions that I should have for a few cases, not sure if I made enough eye contact on some cases near the end because I was writing or just so tired, forgot to write some physical exams I did in the note, used layman terms in the note sometimes instead of medical jargon, did incomplete exams on all patients due to time constraints, etc).
I know no one can say for sure if I passed, but it would somewhat ease my anxiety during this extremely long waiting period knowing that the whole "no physical if in street clothes" thing is legit or not.