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Old 07-24-2011
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Question Specific or General Work Ups in the CS Patient Note!

Hi everyone,

While studying FA and UWorld I noticed that the UWorld work ups (investigations) are pretty vague and non-specific while FA is more specific... which one should I do? general or specific?

thanks so much =)
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Old 07-25-2011
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Default Specific tests will get you higher marks but ...

The more specific your investigation the better marks you'll get, no doubt about that.

For example, if you say excersice EKG instead of EKG, this clearly tells the reader that you know that the patient is likely to have angina and not just heart disease.

Another example, if you say CBC plus blood film instead of just CBC, this clearly tells the reader that you are looking for some abnormalities in the blood film that are relevant to the case.

Another example, if you say EMG, Ach Antibodies and Tensilon Test, that would be much better than just saying EMG.

However, if you are not sure what is the possible diagnosis, then in that case going for general work up would be safer.

In any case, do not worry much about work ups, they probably constitute less than 5% of your total score in each case. Any relevant work ups you put there would suffice.
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Old 07-25-2011
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Default =)

Quote:
Originally Posted by Sabio View Post
The more specific your investigation the better marks you'll get, no doubt about that.

For example, if you say excersice EKG instead of EKG, this clearly tells the reader that you know that the patient is likely to have angina and not just heart disease.

Another example, if you say CBC plus blood film instead of just CBC, this clearly tells the reader that you are looking for some abnormalities in the blood film that are relevant to the case.

Another example, if you say EMG, Ach Antibodies and Tensilon Test, that would be much better than just saying EMG.

However, if you are not sure what is the possible diagnosis, then in that case going for general work up would be safer.

In any case, do not worry much about work ups, they probably constitute less than 5% of your total score in each case. Any relevant work ups you put there would suffice.
thanks so much! do you have the point breakdown? i've been stressing over the d/d and workups. what do u think carries the most points??!! my exam is on friday in atlanta... hopefully it goes well!!!!
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Old 07-25-2011
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Originally Posted by pshah514 View Post
thanks so much! do you have the point breakdown? i've been stressing over the d/d and workups. what do u think carries the most points??!! my exam is on Friday in Atlanta... hopefully it goes well!!!!
I don't know the exact weight of each part of the exam and there's no official disclosure of that issue. But most experts think that the entire patient note would not make up for more than 20% of the exam.

Having said that, you should also notice that getting wrong work ups means you have guessed the wrong DDx which means you probably have asked the wrong questions and gave wrong counseling to the SP. So the issue is redundant and stuff are inter-related.

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