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Old 06-14-2014
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Default what to write in the PE part of cs

The sample patient note given on the official site of USMLE mentions only the pertinent Physical Examination notes whereas the first aid book mentions the entire systemic examnation starting from HEENT and including chest,heart,extremities.Since my typing speed is not that good and i always run out of time toward the end, can anybody clear my confusion if writing only the positive and negative findings of the relevant examination will work or not??
eg-in the case of sore throat if i mention throat examination and negative finding in abdominal examination(for splenomegaly) and skip to write all other examinations in PN is allowed or not??
will really appreciate your suggestions
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Old 06-15-2014
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Originally Posted by eternity85 View Post
The sample patient note given on the official site of USMLE mentions only the pertinent Physical Examination notes whereas the first aid book mentions the entire systemic examnation starting from HEENT and including chest,heart,extremities.Since my typing speed is not that good and i always run out of time toward the end, can anybody clear my confusion if writing only the positive and negative findings of the relevant examination will work or not??
eg-in the case of sore throat if i mention throat examination and negative finding in abdominal examination(for splenomegaly) and skip to write all other examinations in PN is allowed or not??
will really appreciate your suggestions
In PE you have to write whatever you did. For example for sore throat you would do HEENT, Lungs and Heart, so you would write whatever you find normal and abnormal. Pertinent negative and positives you list in PE column to support your DD i.e. when you list your DDs.

FA is still based on old exam and I think the new edition is coming this August, so in FA they only have Hx, PE, DD and work up, so you have to adjust whatever is in FA to the new format of the exam. Btw in FA they do almost complete PE, for many cases there is no way you can do the systems that they list, you have to do focused PE, so adjust it accordingly.
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Old 06-18-2014
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Yes exactly..1st aid has mentioned entire systemic examination on patient note in all cases.but becoz of the time constraint i dont think it wud be possible..so for eg if i have a case of dementia would it be ok if i write the VS,HEENT,AND NEUROLOGICAL EXAMINATIONS ONLY..
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