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  #1  
Old 11-07-2013
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Hammer and Otoscope How detailed should your physical examination be?

Do you make sure to go through the entire checklist in FA? I mean for example, if it's a headache case, do you practice going through the entire HEENT and neurological examinations in full detail? It seems like there wouldn't be enough time.
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Old 11-07-2013
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Yes. Make it a routine of going from top to bottom with HEENT, Resp, CVS, Abdomen, Extremities, Skin, MSK, and leave the neuro exam to last.

The neuro exam can be really quick in cases that are not neuro related, such as just asking the patient to squeeze your fingers and the knee reflex.

If you practice doing that again and again you will find yourself finishing all that in less than 5 minutes.

The problem is when the case needs full neuro exam (such as a headache case), in that case you really need to do the other systems very quick so that you have some time to do the neuro exam.

Again, practice and practice and practice.

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Old 11-07-2013
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So even if the SP chief Complain is pain in left angle, for example, you still need to do a full physical exam from head to toe. Is that correct?

And again, for example, if the SP chief complain is angle pain, you do physical exam of the angle first and then do rest of the body in head to toe fashion or you just do head to toe in order? Since angles comes before the toes.

Last edited by Doctor Ali; 11-07-2013 at 01:31 PM.
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Old 11-07-2013
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Quote:
Originally Posted by Doctor Ali View Post
So even if the SP chief Complain is pain in left angle, for example, you still need to do a full physical exam from head to toe. Is that correct?

And again, for example, if the SP chief complain is angle pain, you do physical exam of the angle first and then do rest of the body in head to toe fashion or you just do head to toe in order? Since angles comes before the toes.
Yes. You still need to do head-to-toe exam.
Yes. You may start with ankle exam but it's not absolutely mandatory you can leave it to last.

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Old 05-18-2014
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What are you talking about? You don't do a full head to toe exam for each case, that's ridiculous.

Rarely do they do a full exam in first aid CS.
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Old 05-19-2014
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USMLE step 2 CS orientation videos mentioned not to do full exam but to take focused history and exam. You should save more time to counsel the patient and ask about their concerns rather than wasting time on full exam. history+exam+pn forms ICE and counselling only includes CIS, so its better to focus on it.
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Old 05-19-2014
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Yes. You still need to do head-to-toe exam.
Yes. You may start with ankle exam but it's not absolutely mandatory you can leave it to last.

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That's absolute nonsense. You have a few mins to do a focused exam. There's no way you can do a full exam on every system.
If someone came in with ankle trauma, I'd go straight to an ankle exam. If the history suggested it, I might do some cerebellar/neuro stuff, and maybe have a very quick listen to the heart and lungs.
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Old 05-22-2014
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Default physical exam can be head to toe

head to toe and general exam is good
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Old 05-27-2014
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So... If we get a patient with Abd pain. Do I also do HEENT, Neuro, Extremities???????

Can some one with experience answer how things are done
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Old 05-27-2014
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IF you get Abd pain, I did abd focused exam and special tests like psoas, obturator in suspected appendicitis and rovsing too. CVA tenderness in colicky pain or pain during urination.

DO focused exam and relevant other exam if u have time.
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Old 06-01-2014
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yes only focused exam. you will lose more points if u run out of time to do counseling. its much more important than p/e. you should always have time for px to ask their question!!
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