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Old 04-14-2013
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Hammer and Otoscope Funduscopy Exam in the CS encounter

Can you write Funduscopy as a diagnostic test? Or do you have to do it in while you do the physical exam? I ask because I know people who passed saying that they didn't do it to save time, and just wrote it on their list of work-up to be done. But I'm not too sure if I should do that too...
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Old 04-14-2013
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Yes. Absolutely. Leave the funduscopy for your work up.

I don't think anybody has ever done funduscopy in the CS exam.

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Old 04-14-2013
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This is good news! Thanks again.
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Old 04-18-2013
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can we do the same thing for otoscopy and orthostatic VS then? just write it in the work up??
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Old 04-28-2013
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Quote:
Originally Posted by saba ali View Post
can we do the same thing for otoscopy and orthostatic VS then? just write it in the work up??
I'm gonna ask the same question for orthostatic VS. In FA, orthostatic VS is written in the work-up. However, the CS info manual in the website hints at performing VS requiring specific maneuvers in the equipment section.
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Old 05-06-2013
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i think it depends on the c/o that pt hs come up with e.g if some has blurry vision, loc, headache u have do fundoscopy, however in cases of past medical history of dm, htn u can skip it bcaz its time consuming and nt relevant. and same is wht i do fr otoscopy if complain like ear discharge or ear pain i will mst probably do it or in cases where HEENT exam is required i might go fr it.

anyone plz feel free to correct me
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Old 05-06-2013
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I think you should do Fundoscopy in a patient with DM, HT, and any pt. with visual or symptoms suggestive of intracranial pathology. My logic is that you will be doing the pupil exam anyway with the ophthalmoscope and it just takes seconds to pretend to do a fundoscopic exam. As long as you are using the correct technique you will get the points for doing it. Moreover, you can still write "Dilated eye exam" under workup since your "fundoscopy" will be normal in every case.
Otoscopy must be done in an HEENT exam (especially in a pt with ear discharge or ear complaint) and you will also use the otoscope (without the disposable plastic ear speculum) for the nasal and oral cavity exam.
For orthostatic VS you don't have enough time (and inclination) and can write it up under workup.
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