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Old 07-10-2013
Steps History: 1 + CK
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Question How deep should I go asking?

Hi everyone
During history taking lets say patient has insomnia and ofcourse there are 100 causes of insomnia for eg stress induced
caffeine induced adjustment depression generalized anxiety disorder dysthymia fibromyalgia circadian rhythm sleep
disorders other medical problems keeping patient awake eg diabetes arthritis medications like sympathomimetics
even smoking etc etc so as ur taking history to rule out these ddx's question is how much questions are enough?
when do u know when to stop?
u only have 15 mins. how many differentials should u ask about???
As i understand information gathering is imp. so should u jeopardize physical for history? or is asking about 3 things enough
since u only need 3 differentials?
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Old 07-10-2013
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Steps History: 1+CK+CS
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FOCUS. I've noticed that if you read first aid and most of the mnemonics on this forum you are likely to ask whatever questions are pertinent to the case. for instance, in the example you gave: insomnia. you start asking bout sleep hygiene, recent stressors, caffeine, trouble falling sleep or staying sleep, and so on. if you practice with a partner you will notice that his/her answers will lead you to what else to ask. of course there are some other things you need to ask and that is were the mnemonics come into play. but trust me. try to focus. if you read the FA cases you will know what is pertinent and what is not. stick to the 2 or 3 most common diagnosis if you dont have enough time to study and your exam date is close. but if you have the time then go over it more in depth.
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The above post was thanked by:
add1 (07-10-2013), water (07-10-2013)



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