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Old 01-14-2013
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Clock Unnecessary Questions and Physical Exam

Hi guys,
I've just watched for the first time a CSE video and I have a question:
is it necessary to ask things like: skin, hair changes, difficult in cold temperatures, and exercise to all patients?
I want to stick to certain MNEMONICS but these questions not really fit to the MNEMONICS I have found so far.
Also, physical exam: can we do only: CVS, Respiratory (auscultation only- if it's not related to CC) + anything related to CC?
I'm afraid I would run out of time if I do a detailed history + physical examination.
Any suggestions??
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Old 01-14-2013
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I agree with you if you ask every case all these questions you would run out of time for sure, even some of these videos, they took more then 15 min. So for each case you need to ask the most relevant questions, that what I did in my exam.
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Old 01-14-2013
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Skin/Hair changes, Cold/Heat intolerance, Exercise/Activity/Sleep are important questions when you suspect thyroid disease.

If you don't suspect thyroid disease then you don't need to ask them.

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Old 01-14-2013
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Quote:
Originally Posted by ag2011n View Post
I agree with you if you ask every case all these questions you would run out of time for sure, even some of these videos, they took more then 15 min. So for each case you need to ask the most relevant questions, that what I did in my exam.
Thank you!
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Old 01-14-2013
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Quote:
Originally Posted by Sabio View Post
Skin/Hair changes, Cold/Heat intolerance, Exercise/Activity/Sleep are important questions when you suspect thyroid disease.

If you don't suspect thyroid disease then you don't need to ask them.

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Thank you Sabio!
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Old 01-14-2013
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No.
Your mnemonics are basic platform on which you build your relationship with the patient and where several clues pop up.
Based on these clues you take focused history of the patient.
Focusing on thyroid, to rule it in or rule out you ask thyroid-specific questions, such as changes in the skin, hair loss or changes, heat/cold intolerance, palpitations, wt changes and so on.
Every case has its own specific questions.
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