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Old 06-07-2013
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Hammer and Otoscope Which organ system to examine first based on Cheif complaint?

I am starting this thread hoping to clear the confusion (from FA) regarding specific organ system examination based on chief complaint.
Please feel free to add your opinion with justification (Primary Organ system followed by Secondary Organ system examination-if any)

For example:

HEADACHE--- Neuro

CONFUSION / MEMORY LOSS --- MMSE, Thyroid, CVS, MSE (Mental status Exam) short Neuro?

DIZZINESS ----Neuro (vertigo), CVS (Lightheadedness)

LOSS OF CONSCIOUSNESS (LOC)---Neuro/CVS (based on history context)

NUMBNESS/WEAKNESS--- MSE, Neuro

FATIGUE---- GPE, HEENT, Abdo









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Last edited by Novobiocin; 06-07-2013 at 04:34 PM.
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Old 06-07-2013
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FATIGUE---- GPE, HEENT, Neck, Mini mental
WHy would you do abdo? are you thinking about hepatitis/cirrhosis or something like that? or if the pt is old are you thinking about colon cancer? most fatigue cases will be related to 3 things.
  • Spousal abuse
  • Depression
  • Hypothyroidism
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Quote:
Originally Posted by XpaezX View Post

FATIGUE---- GPE, HEENT, Neck, Mini mental
WHy would you do abdo? are you thinking about hepatitis/cirrhosis or something like that? or if the pt is old are you thinking about colon cancer? most fatigue cases will be related to 3 things.
  • Spousal abuse
  • Depression
  • Hypothyroidism
I guess it depends on the history findings and just cannot be decided on CC alone.
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Old 06-07-2013
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Used this Mnemonic for fatigue. Kinda impossible to see beyond this for fatigue. IMP ADH
I Infection
M Malignancy
P PTSD
A Abuse
D Depression
H Hypothyroidism

So you'll have to check many systems in this



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Originally Posted by Novobiocin View Post
I guess it depends on the history findings and just cannot be decided on CC alone.
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All about FATIGUE thanks to rasheed.

Quote:
Hypothyroidism: Ask about cold intolerance, weight gain, constipation, excessive sleep, concentration difficulty, and skin & hair changes.
Depression: Ask about mood disturbances and use SIGECAPS mnemonic
Anemia: Ask about dyspnea, palpitations, blood loss, pallor ...etc
Obstructive Sleep Apnea: Ask about snoring, day time sleepiness, and witnessed apnea
Infectious Mononucleosis: Ask about ill contacts, sore throat, fever, abdominal pain.
Malignancy: Ask about constitutional symptoms, weight loss, family history of cancer.
Diabetes: Ask about polyuria.
Chronic Fatigue Syndrome: Look for long lasting history and muscle aches.
Sleep Deprivation: Night shifts at work could be the reason.
Generalized Anxiety Disorder: Look for clues in the exam as the SP will be looking really worried.
Hypercalcemia: Ask about constipation and abdominal pain.
Adjustment Disorder: See if there's any precipitating traumatic event.
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Old 06-20-2013
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Quote:
Originally Posted by gagan View Post
Used this Mnemonic for fatigue. Kinda impossible to see beyond this for fatigue. IMP ADH
I Infection
M Malignancy
P PTSD
A Abuse
D Depression
H Hypothyroidism

So you'll have to check many systems in this
What does PTSD stand for?
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Quote:
Originally Posted by britesky89 View Post
What does PTSD stand for?
It means Post-Traumatic-Stress-Disorder= PTSD
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