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Old 09-03-2012
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Warning! On new patient note. Again

Hi guys. Let's share our thoughts on new PN. How do you deal with Hx and PE findings that support DDx? Do you simply copy-paste from HPI and PE section? I tried this and it seems to be the only way to make it in 10 minutes.

One more question. Do you think we should indicate ONLY those labs and tests which support one of 3 listed DDx? I have an interesting example. If I put 3 DDX - migraine, cluster headache, tension headache. What tests am I supposed to order if all of the above are purely clinical diagnoses? Can I order LP or CT? Or should I order LP only if I list meningitis in my DDx? Should I order CT only in cases if I list smth like brain tumor or hemorrhage in my DDx?

Other example is the tremor case in CSE video. In the PN they list Essential tremor, Parkinson's and physiologic tremor as DDx. But they still order MRI (a test to rule out the tumor), heavy metal screen (to check for heavy metal toxicity), TSH (to rule out hyperthyroidism). But they do not list tumor, hypertyroidism etc. on the differential!!

I hope you understand my question, and I think it is critical for us to find out the correct approach to this. Please be active in this discussion. We all have to take the new CS and we should help each other.
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The above post was thanked by:
Dr.Light (09-04-2012), Leeby (09-04-2012)

Old 09-04-2012
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I think this good discussion.
With regard to copy & past, that will speed up, if this function is activated PN on real exam, so we need to see response from those who took the exam.
I think with regard of tests to order just stick to FA & CSE videos, although on real life if the diagnosis in migraine we do not do LP.
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