Is it necessary to exam HEENT in an Abdominal Pain case? - USMLE Forums
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Old 07-27-2013
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Post Is it necessary to exam HEENT in an Abdominal Pain case?

One protocol says that you start with HEENT. Given the limited time for PE, should we just focus on chest/heart/abdomen?

The key is how to identify what the "focused" PE is for each case.
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Old 07-28-2013
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Abdominal pain:
Vitals
Abdominal exam
Rectal and pelvic exam if needed
Auscultate heart and lungs if time permits
stay focused. I would do HEENT
in resp case though because its imp.
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Old 07-28-2013
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If you are thinking mono with LUQ pain then possibly. But that would be a weird presentation. Doing abdominal exam because of HEENT case would make more sense.
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Old 07-28-2013
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Thanks, guys. Really helpful!
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