First read the door info and write down that on the paper of sheet along with the mnemonics: PAM HUGS FOSS SODA along with the D/D of that case and also the investigations...NOT TO FORGET THE NAME OF THE PERSON and then write down the SELF MADE mnemonic of HPI
I have already learned System review questions so no need for a mnemonic for them....
and then complications...
so the page is divided into 6 categories
First knock on the door 3 times....SMILE and enter when the person calls you in:
I will start with
1. GOOD MORNING MR. XYZ I am Dr. ABC DEF and am here to see you as your physician today...
2 .Nice to meet you....shake hands
3. Is everything in the room allright for you Mr. XYZ?
and look around too
4. Then cover the naked legs by sayin...LET ME MAKE YOU A BIT MORE COMFORTABLE MR. SMITH
5. Stand back at a distance of 2 feet and DONT CROSS ARMS...look into the eyes and look comfortably asking with empathy...
So, How may I help you today?
the patient begins with the CC
6. you hear it and then say: OH, I AM SO SORRY TO HEAR THAT MR. SMITH. I SHALL TRY MY BEST TO HELP YOU. HOPE YOU DONT MIND IF I TAKE SOME NOTES WHILE YOU SPEAK (and you pick up the paper and pencil)
7. CAN YOU DESCRIBE YOUR CC PLEASE?
and the patient moves on...
now the second part of the history starts: the questions specific to the CC that are there in FA....read that...a MUST!
okie... after these SPECIFIC CC questions move onto the disease specific questions that are there in UW...
READ THEM WELL AND ASK THEM ..... POSSIBLY A MNEMONIC FROM DIGITALDOC WEBSITE OR YOU CAN MAKE YOUR OWN AS WELL smiling face THE LINK FOR MAKING YOUR OWN MNEMONIC IS THERE ON THE WEBSITE www.csprotocol.blogspot.com
for pakistani users: use www.pkblogs.com/csprotocol
ASK THOSE QUESTIONS FAST AS YOU HAVE ALREADY GONE THROUGH 3 MINUTES. 3 MINUTES FOR THESE QUESTIONS.
THEN MOVE ON TO SYSTEM REVIEW:
THESE ARE SPECIFIC SYMTOMPS FOR EACH MAJOR SYMTOM AND DONT FORGET THE
FFAW
FEVER
FATIGUE
APETITE
WEIGHT LOSS
THE GENERAL SYMPTOMS
after that move on to complications quesitons. Sometimes you can over go them smiling face
NOW MOVE ON TO
PAM HUGS FOSS SODA
Start with a transitional question
OK MR. SMITH, NOW I NEED TO ASK YOU ABOUT YOUR HEALTH IN GENERAL. IS THAT OKAY WITH YOU?
start with the questions:
before FOSS
AGAIN STOP
AND ASK THIS TRANSITIONAL QUESTION:
MR. SMITH, THE WAY THE CLINICAL MEDICINE WORKS IS THAT THERE COULD BE SOME HIDDEN CLUES IN A FEW PERSONAL QUESTIONS THAT I NEED TO ASK. LEMME FIRST BEGIN WITH YOUR FAMILY HEALTH. IS THAT OKAY WITH YOU?
ASK ABOUT FAMILY HISTORY
then move on with SOCIAL history. you can say that Okay Mr. Smith now I am goin to ask you about some questions regarding your life style.
and then to sexual by saying:
NOW I NEED TO ASK YOU ABOUT YOUR SEXUAL HEALTH. WHATEVER YOU WILL TELL ME WILL BE KEPT CONFIDENTIAL. IS THAT OKAY WITH YOU?
AND MOVE ON
NOW SAY:
I SHALL NOW NEED TO PERFORM A QUICK PHYSICAL EXAMINATION AND THEN LOOK AT YOUR HEART. IS THAT FINE?
the SP will say okay....
then you will say: ARRITE! BEFORE WE BEGIN MR. SMITH, EXCUSE ME FOR A MOMENT HERE TO WASH MY HANDS. dont you forget to tell the SP that you are going to wash hands
while washing hands. you can ask the O
OCCUPATIONAL HISTORY smiling face
and u can say that THATS INTERESTING MY UNCLE USED TO DO THE SIMILAR grin (thanks to DIGITALDOC who made me such a great actor )
AFTER THIS U CAN DRY HANDS AND THEN SAY OKAY MR. SMITH NOW I NEED TO DO A QUICK GENERAL EXAM AND THEN LOOK AT UR CHEST/HEART/ABDOMEN ANYTHING U WANT TO DO
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