source:
first aid for step 2 cs
list of books from amazon.com at end of this article.
—————————–
SUMMARY OF CLOSURE
- Pearls closure: p. 41-43
- counseling p. 51
- Do not give a final diagnosis
- Make sure the patient understands; do not use jargon
- Never offer false reassurances
——————————————————————————–
summarize HPI (if you didn’t do so before the PE), and exam findings
——————————————————————————–
- discuss concise DDx
“Based on what you told me and your physical exam, there are certain diagnostic possibilities like 1._____, 2. ________ or 3. _______ and others.
- keep to a maximum of 3
- explain any medical jargon used
——————————————————————————–
- suggest diagnostic workup
- workup plan with patient
– describe next step in diagnosis
– Tell them the final diagnosis can be made only after some tests have been taken
“I still need to run some tests in order to establish the final diagnosis.”
But to be more certain, let us order a few tests – like blood tests, chest x-ray , an EKG , and then discuss further management. ”
Jargon breakdown: p. 43
- A CT scan is a type of x-ray imaging that gives us clear images of sections of the body
Follow up:
- After we get the results of those tests, we will meet again to discuss them in detail along with the final diagnosis and the treatment plan.
——————————————————————————–
- outline possible treatments
——————————————————————————–
——————————————————————————–
- Counsel the patient
a. Counsel (diabetes, foot, smokes, alcohol, )
SMOKING/DRINKING p. 52
-are you aware of the harmful effects of smoking / alcohol
- smoking/alcohol puts you at higher risk for other diseases.
- Have you ever considered quitting
- if you wish to , we have a good support team that is willing to help you quit the habit” thats it – dont get personal about it .
DIABETES p. 53
- diabetic control, diet, exercise, foot care
- the reason why I am asking you this is that not controlling your diabetes, taking fatty foods, not doing regular exercise, and not watching your foot regularly puts you at higher risk of getting complications of diabetes.
- As your concerned physiican, I must advise you to observe strict diabetic control, take less fat, do regular exercise, and weekly observe your foot.
HYPERTENSION
- similar questions and advice
SEX COUNSELING p. 53
- Not practicing safe sex including using condoms and limiting yourself to only a single partner puts you at higher risk of getting STDs, HIV, and others. As your concerned physician, I must advise you to observe safe sex methods.
THE DEPRESSED PATIENT p. 54
THE PATIENT WITH AN STD (TRICHOMONAS) p. 54
——————————————————————————–
- Answer questions; – Ask pt if he has any questions before you leave
- address concerns
- almost every patient will have a challenging questions
Then say ” Have you understood everything we have discussed today ?”
Then “Are there any special concerns you have ?”
——————————————————————————–
THE FINAL GOODBYE
- I am glad I was able to work with you and I assure you that I am always here to help you. Thank you for your cooperation, and it was really nice meeting you.
- Buy for now and take care.
Finally ” Thankyou very much Mr. Smith. I shall leave my contact information with my nurse – feel free to contact me anytime if you have any questions”
- I’ll contact you when I have the the test results. It was nice meeting you.
Shake hands with the patient.
Once you leave the room, you are not allowed to come back.
——————————————————————————–
source:
first aid
online stuff
——————————————————————————–
Archived notes
Conclusion: 4-stage to cover everything
——————————-
OUR PRODUCTS ARE SECURE
The products below link directly to Amazon.com. At the time you click on a product, and at the time of purchase, your cart will be transferred to Amazon.com, ensuring a secure transaction
100% of the Amazon affiliate proceeds goes to support this student run website.
USMLE STEP 1 BOOKS
First Aid for the USMLE Step 1 2009: A Student to Student Guide (First Aid Series)
medEssentials: High-Yield USMLE Step 1 Review (Kaplan Medessentials)
USMLE STEP 2 BOOKS
First Aid for the USMLE Step 2 CK (First Aid USMLE)
First Aid for the USMLE Step 2 CS: Clinical Skills Exam (First Aid USMLE)
USMLE Step 2 Secrets
USMLE STEP 2 FOR AMAZON KINDLE
USMLE STEP 3 BOOKS
Crush Step 3: The Ultimate USMLE Step 3 Review (Secrets)
First Aid for the USMLE Step 3, Second Edition (First Aid USMLE)
USMLE Master the Boards Step 3 (Kaplan USMLE)
Boards and Wards: A Review for USMLE Steps 2&3: A Practical Guide (Boards and Wards Series)
—————————————–
—————————————–
THE CODES FOR ALL OF THE AMAZON.COM BANNERS
——————————————–
OUR PRODUCTS ARE SECURE
The products below link directly to Amazon.com. At the time you click on a product, and at the time of purchase, your cart will be transferred to Amazon.com, ensuring a secure transaction
100% of the Amazon affiliate proceeds goes to support this student run website.
GET A GIFT CARD FOR A LOVED ONE
TRY OUT THESE NEW ITEMS
ORDERED ITEMS THAT ARE PACKAGED FOR FREE
READ SHORT STORIES
WATCH VIDEOS ON DEMAND
