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  #1  
Old 07-12-2012
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Question Diagnostic workup on New patient note!

My question is that in the new patient note. It reads like list initial diagnostic test you would order for each listed diagnosis. This is really confusing me, does it mean that for each diagnosis i have to write a particular test and do i have to say CXR for pneumonia or i could just list them down as
CXR
CBC
blood cultures
sputum analysis etc

Please help
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Old 07-13-2012
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Idea! My understanding

The way I understand is just what tests would you do to rule out or prove the 3 diagnosis you have just listed. So I would just List them like you showed. I would not add CXR for pneumonia because if you think it can be pneumonia or an abscess then CXR would be for both. I could be wrong though!
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Old 07-13-2012
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Default Freebielady

Freebielady,
Thank you very much....I still feel not content ..i think it is the word ''each'' ..it reads list any diagnostic tests if any for each. Would listing them satisfy that word. I don't know whether iam just analysing it too much than required...Could anyone have the old patient note so we can compare the wording .I asked a friend who did CS before the changes and he told me that he just listed the diagnoses.
I have another question if i was given T=101 F . In the section of DDX physical exam findings ...can i put fever as a physical exam finding for my diagnosis of like pneumonia even though i didn't measure the temperature myself??
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Old 07-13-2012
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Default USMLE Examples

If you go to the USMLE website and look at the practice pt notes they have there they only list diagnostic workups nothing about what you do for which one. So you are just being over stressful; but trust me I know how you feel I am the same way checking every little thing!
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