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USMLE Step 2 CS SP Challenges Challenging situations presented by the Standardized Patient (SP) during the the USMLE Step 2 CS Encounter.


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  #1  
Old 06-14-2013
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Stethoscope SP Had pain while Auscultating!

Hi
One my patient Was having pain while I was auscultating lungs... So I said as it is painting I won't do it... Is it correct?
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  #2  
Old 06-14-2013
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Was he having pain on inspiration or chest wall tenderness or a different kind of pain?
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Old 06-14-2013
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Quote:
Originally Posted by mehakgulati23 View Post
Hi
One my patient Was having pain while I was auscultating lungs... So I said as it is painting I won't do it... Is it correct?
you should worry a little bit about your SEP


regarding the lungs, it all depends where, like val said, on inspirtion, chest wall tendreness, does it hurt to breath,

because it could be pleuritis, or pneumonia

i would have said , i am sorry your exp this, please breath normally


BUT

you will not fail because of this,


did you counsel, did you close every case, did you show empathy
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Old 06-14-2013
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No tenderness...but while taking deep breaths... I completed my cvs on that case... Did not auscultate for lungs... Yea I was able to all cases.and do my closure... And told her I ll try to ask my questions fast and finish of fast. In one case I wrote wrong diffrentials
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Old 06-14-2013
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She was having pain on inspiration
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Old 06-14-2013
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If you dont auscultate due to pain,do you write it in the patient not that "did not auscultate due to pain"?
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Old 06-14-2013
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No I did not mentioned .....
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Old 06-20-2013
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Hi
I had done the Kaplan CS course. There we were taught that , if the patient complained of pain during a procedure, empathize with them and if the procedure is imp. tell them that it is necessary for you to do it and that you will complete it as quickly as you can. Then after you are done assure them that they don't have to go through that again!

Hope this helps





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  #9  
Old 09-07-2016
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kindly perform your exam, tell him or her you need to do as quick as possible... is that right?
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