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Old 04-10-2013
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Help Depth of Questions in history?

I am in doubt that for a particular complaint of the SP, how detailed questioning is required? I mean if we ask him/her LIQORAA and common associated things required to make primary diagnosis, is that enough? or we need to ask and document great details. I know this a vague question but i am asking this after seeing the huge mnemonics ( 15-20 questions ) for almost all chief complaints..
Thanks for help.
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Old 04-11-2013
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As far as I'm understanding it, clinical everyday practice by experienced doctors is wrong and medical students are right in their long long lists of differentials.
In FA, for example, an obvious case of tension headache gets a long list of differentials, pseudotumor cerebri included
The history scenarios seem more natural, just ask what you would in real life (headache? how often, where, what quality, how intense, worsens? gets better? etc.) 15-20 questions shouldn't take too long I guess.
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Old 04-12-2013
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I disagree

[QUOTE=Ahuizotl;185148]As far as I'm understanding it, clinical everyday practice by experienced doctors is wrong and medical students are right in their long long lists of differentials.
In FA, for example, an obvious case of tension headache gets a long list of differentials, pseudotumor cerebri included
The history scenarios seem more natural, just ask what you would in real life (headache? how often, where, what quality, how intense, worsens? gets better? etc.) 15-20 questions shouldn't take too long I guess.[/QUOTE

I think its not v.easy to remember 15-20 questions for each chief complaint, we can easily remember the common things but when it comes to rare ones we tend to forget in the heat of exam. and definitely long history will leave me with less time for closure i think..
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Old 04-12-2013
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[QUOTE=rajat mehta;185208]
Quote:
Originally Posted by Ahuizotl View Post
As far as I'm understanding it, clinical everyday practice by experienced doctors is wrong and medical students are right in their long long lists of differentials.
In FA, for example, an obvious case of tension headache gets a long list of differentials, pseudotumor cerebri included
The history scenarios seem more natural, just ask what you would in real life (headache? how often, where, what quality, how intense, worsens? gets better? etc.) 15-20 questions shouldn't take too long I guess.[/QUOTE

I think its not v.easy to remember 15-20 questions for each chief complaint, we can easily remember the common things but when it comes to rare ones we tend to forget in the heat of exam. and definitely long history will leave me with less time for closure i think..
Even if I feel expert I know i will be at high risk of blanking out at the exam, forgetting all in a second. Practice, practice, practice my friend.
And I really hope the stories are true and there won't be anything rare. Awkward maybe, but I hope no rare things.
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Old 04-12-2013
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[QUOTE=Ahuizotl;185213]
Quote:
Originally Posted by rajat mehta View Post
Even if I feel expert I know i will be at high risk of blanking out at the exam, forgetting all in a second. Practice, practice, practice my friend.
And I really hope the stories are true and there won't be anything rare. Awkward maybe, but I hope no rare things.

Hope for the best, be prepared for the worst!
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