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Old 06-23-2011
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Skin Jaundice in the CS exam!

If we have a case of jaundice & the chief complaint was yellowish eyes...would the patient really has yellowish sclerae? let's suppose he/she is a standardized patient & normal white sclera...then what we have to write in patient notes?
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Old 06-23-2011
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They can't paint the eyes yellow and they don't bring sick patients to the exam.

The only situation when you might actually see a patient with jaundice, is when it is chronic benign condition such as Gilbert syndrome, in that case you simply mention the yellow eyes.

It's possible that they paint the skin yellow, but that has not been reported before, but anything is possible in the CS, so look for yellow painted skin.

Otherwise, if you don't see yellowness, don't mention it your notes.

Because of these limitations, you are most likely going to encounter the jaundice case as a child whose mother is giving the history and the baby is not there.

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