So i realized for 3 or 4 cases I might not have been very specific with the patient about what i thought the ddx was but I did explain some of the tests i wanted to do...but did it help that I was able to answer all the challenging questions at the end?
For eg, a patient with acute appendicitis comes and demands painkillers in the beginning, ofcourse we're gonna say no; but at the end of the history and p.e., when we tell him about the tests we have to do and whatnot, and he asks for painkillers again; do we say 'Sorry sir we have to wait for...
If we have Pt without gown sitting on the chair!, and instructions given are to not do PE and SP asks you why you are not going to do PE today?
What do you do about it! How you will respond to SP?
If SP says that she does not want you to tell anyone about her husband, how can we answer?
Can we answer: based on the physician-patients confidentiality, i will not tell anyone. However, please call me as long as you need any kind of help.
Can we shake SP's hands when the doorway information already says that
SP has wrist pain or palm pain or hand pain?
In CSE, she shakes hand when SP has wrist pain when she finished( knee pain
If an SP discusses with u HIV or STD problem and says he doesn't want to disclose it to his wife that he has been cheating on her and he is still sexually active with his wife how will you counsel him?
If we have a patient with any joint pain epically back pain and he requests a note for the doctor for days off, do we say that I'll write a note so you can get days off OR ill rite a note so u can get assigned to light work?
If the SP comes with the presenting complain of fatigue and you suspect its a case of HIV and then he asks u if he can go back to work. can we tell he can? if its something not contagious and harmful for the patient aren't u suppose to tell him he can go back to work.
I was wondering what to tell a mother of an 8 yr old child who has abdominal pain that is not relieved but OTC. She adds that she gave birth to twins a couple of weeks ago, so she is not able to take good care of her older son as before. He also misses school and hates science teacher.