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Old 04-09-2012
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Hammer and Otoscope can we check reflex when SP already infrom there is pain?

Hi all:

I was watching CSE videos just now about foot pain.

In the video the doctor still tested achilles reflex even though the SP said she had foot pain. But we shall try to avoid SP to feel pain, right?

I have another question. From the demo of CSE videos on their website, the SP is more challenging than the two SPs in the videos. So far i only see two same SPs (one guy and one dark hair lady) and they are quiet nice.

Every one here watching CSE vidoes have the same SPs?
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Old 04-09-2012
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ivent seen any such video ??
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Old 04-09-2012
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Quote:
Originally Posted by chienpolska View Post
Hi all:

I was watching CSE videos just now about foot pain.

In the video the doctor still tested achilles reflex even though the SP said she had foot pain. But we shall try to avoid SP to feel pain, right?

I have another question. From the demo of CSE videos on their website, the SP is more challenging than the two SPs in the videos. So far i only see two same SPs (one guy and one dark hair lady) and they are quiet nice.

Every one here watching CSE vidoes have the same SPs?
This is key! They even have a check mark for this, the physician reading your note will understandably realize the pt had complains of particular pain and therefore it was wise of you not to illicit the DTR.
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Old 04-13-2012
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Quote:
Originally Posted by chienpolska View Post
Hi all:

I was watching CSE videos just now about foot pain.

In the video the doctor still tested achilles reflex even though the SP said she had foot pain. But we shall try to avoid SP to feel pain, right?

I have another question. From the demo of CSE videos on their website, the SP is more challenging than the two SPs in the videos. So far i only see two same SPs (one guy and one dark hair lady) and they are quiet nice.

Every one here watching CSE vidoes have the same SPs?
if the patient is complaining of pain, then do not try to test for ankle jerk...you can mention in your patient note that ankle jerk could not be illicited due to pain and you can also write painful restriction of movement at that joint.
whenever you are examining a case of joint pain, dont forget to examine the normal side and do the reflexes on the normal side. you can even tell the sp that you are deliberately not testing for the reflexes on the painful side.
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Old 04-14-2012
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to chein
if you are watching the ankle case in csevideo
she tells the sp I will not do a reflex on this ankle because it hurts she does babinski on the ankle and the sp says it does not hurt
but she does not do the relex on the injured ankle at all, she even tells the sp that she will not touch that ankle since she has alot of pain and in the patient note she puts she could not chekc the ankle because patient was in pain.
I am not sure if this is what you are talking about but just in case its that case if you will see it again and see it
good luck

Last edited by jesse16; 04-14-2012 at 03:51 AM.
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