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  #1  
Old 01-18-2012
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Question Street Clothes and Psychiatric cases

I just noticed that e.g. the psychiatric case in the Kaplan book says that he wears street clothes. Could it be that we encounter a case where the patient weares street clothes and if so, is it true that we don't have to do the "usual" P.E. but only the psychiatric history?
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  #2  
Old 01-21-2012
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The psychiatric patient will jump at you from the first moment of your encounter.

You'll notice that he/she are disorganized and disoriented.

It's not the clothes that give you the clue, it's the patient's character.

Don't rely on patient's clothes to decide the diagnosis, never do that.

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Old 01-22-2012
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Quote:
Originally Posted by StepTaker View Post
The psychiatric patient will jump at you from the first moment of your encounter.

You'll notice that he/she are disorganized and disoriented.

It's not the clothes that give you the clue, it's the patient's character.

Don't rely on patient's clothes to decide the diagnosis, never do that.

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Oh, I didn't mean that at all.... What I meant to ask is if there's a SP in street clothes, does that mean that we're not suppossed to examine him/her? I'm not assuming it would be a psych case! Sorry for the misunderstanding.
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Old 01-28-2012
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Originally Posted by dr_mhm View Post
Oh, I didn't mean that at all.... What I meant to ask is if there's a SP in street clothes, does that mean that we're not suppossed to examine him/her? I'm not assuming it would be a psych case! Sorry for the misunderstanding.
I still don't understand your question!

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Old 01-31-2012
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Default hi

what i think he means is that if we have an sp who is not in the usual patient gown or drape when we enter the room are we to assume that the patient is not to be examined. after all all other sp are in hospital gowns.
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Old 01-31-2012
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Originally Posted by nativedoc2 View Post
what i think he means is that if we have an sp who is not in the usual patient gown or drape when we enter the room are we to assume that the patient is not to be examined. after all all other sp are in hospital gowns.
We should examine all SPs no matter what, gowns or street clothes. Unless the SP is telling you something else, like for example, I am the father of a 5 year old son who's waiting in the other room and I want to tell you his story.

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Old 02-01-2012
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Quote:
Originally Posted by StepTaker View Post
We should examine all SPs no matter what, gowns or street clothes. Unless the SP is telling you something else, like for example, I am the father of a 5 year old son who's waiting in the other room and I want to tell you his story.

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hey steptaker,
I am sorry but i am not agree with this sentence "We should examine all SPs no matter what, gowns or street clothes." because u can't do pe if doorway information tell u that don't do pe in this case...........ya but i agree with this sentence "I am the father of a 5 year old son who's waiting in the other room and I want to tell you his story." then u don't do pe...............................but still u feel i am wrong.................plz let me know,,,,,any suggestion, i will appreciate.
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Old 02-01-2012
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Please help
which is it?
exam or no exam with street clothes my exam in two days.
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Old 02-01-2012
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Default HEY

Quote:
Originally Posted by jesse16 View Post
Please help
which is it?
exam or no exam with street clothes my exam in two days.
HEY Jesse,
i would say read doorway information carefully before knocking door. on doorway information tell u what u need to do for every case.
so ALWAYS READ DOORWAY INFORMATION CAREFULLY BEFORE KNOCKING DOOR IN EVERY CASE...........IT HELP U LOT.........IT WORKS....... WISH U BEST LUCK FOR UR EXAM
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  #10  
Old 10-08-2012
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If the patient is wearing street clothes, means no physical exam is required.
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Old 10-21-2012
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Info No PE

1- as stated you can always read door info as to whether a physical exam is necessary. Personally I always forgot to read it as I was focusing on the vitals and chief complaint.

2- If a patient needs a physical he/she WILL be in a gown. If they are in street clothes NO physical exam is required. That being said the only patient I had in street clothes was a peds case and well in a peds case there is never actually a child to do a physical on so that was a no brainer.

3- A possible psych case may in fact need a physical exam also seeing as how certain diseases may present with psychiatric complaints so just because you are reading the door and think it is a psych case do not assume you will not have to do a physical!

4- As stated above do not assume a pt in street clothes is a psych case, it just means there is something else you are supposed to be focusing on rather than the physical.

Good luck studying and on your exam!
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Old 10-21-2012
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Just read the instructions on the door. That will tell you what you need to do...Remember, the encounter begins at the door!! Read the instructions carefully and be guided accordingly!
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Old 02-24-2013
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Anyone did pe on these type of cases? Did you fail or pass? Is it automatic failure when you do pe when doorwsy tells you not to?
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Old 02-25-2013
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Default Refusal

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Originally Posted by stupidme View Post
Anyone did pe on these type of cases? Did you fail or pass? Is it automatic failure when you do pe when doorwsy tells you not to?

I had a friend take the exam and he tried to do a physical not paying attention to the fact that they were in street clothes, the patient refused to allow him to do a physical. Even when he tried to persuade him he just plain kept refusing him.
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