Patient Closure) Differential Diagnosis Terminology - USMLE Forums
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USMLE Step 2 CS Communication Skills Step 2 CS Communication, Spoken English Proficiency, Language and Interpersonal Skills Discussion forum. CIS and SEP components of the USMLE Step 2 CS Exam.


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Old 06-25-2010
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Help Patient Closure) Differential Diagnosis Terminology

In the closure, We have to say to the patient 4 or 5 possible diagnosis.

Those names might be too technical, I know in advance I will have to explain them to the patient. What to do then? What is the best way to say the possible DD's to the patient? How/what to do?? Considering we're running against time???
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Old 06-25-2010
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Default Usually two diagnoses and you can say the medical term but explain

There won't be 4 or 5 differentials in your mind when give the closure. It's usually one or maximum two diagnoses in your mind.

You can tell the SP the diagnosis in medical term and then explain what it means, for example

"Mr. Smith, your symptoms and physical examination made me think of two possible diagnoses. My number one suspicion is a viral infection which we call in medical terms (infectious mononucleosis) it's a disease caused by a virus called EBV and it spreads from person to person. We need to take blood tests ....
The other possibility is that you are having a bacterial infection of your throat and most likely this is due to a bacteria called streptococci. We need to take a swab from your throat and send it to the lab .....
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The above post was thanked by:
Graymess (06-25-2010), GVVdoc (04-25-2011), mzee74 (12-19-2011), Sabio (06-25-2010)



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