Step 2CS All You Need to Know: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
Line 1: Line 1:
{| class="infobox bordered" style="width: 15em; text-align: left; font-size: 90%; background:AliceBlue"
|-
| colspan="1" style="text-align:center; background:DarkGray" |
'''Type chapter name here Microchapters'''
|- bgcolor="LightGrey"
!
|- bgcolor="LightCoral"
!
[[Type chapter name here|Home]]
|-
!
|- bgcolor="Pink"
!
[[Type chapter name here (patient encounter)|Patient Encounter]]
|-
!
|- bgcolor="Pink"
!
[[Type chapter name here overview|Overview]]
|-
!
|- bgcolor="Pink"
!
[[Type chapter name here historical perspective|Historical Perspective]]
|-
!
|- bgcolor="Pink"
!
[[Type chapter name here classification|Classification]]
|-
!
|- bgcolor="Pink"
!
[[Type chapter name here pathophysiology|Pathophysiology]]
|-
!
|- bgcolor="Pink"
!
[[Type chapter name here causes|Causes]]
|-
!
|- bgcolor="Pink"
!
[[Type chapter name here differential diagnosis|Differentiating Type chapter name here from other Diseases]]
|-
!
|- bgcolor="Pink"
!
[[Type chapter name here epidemiology and demographics|Epidemiology and Demographics]]
|-
!
|- bgcolor="Pink"
!
[[Type chapter name here risk factors|Risk Factors]]
|-
!
|- bgcolor="Pink"
!
[[Type chapter name here screening|Screening]]
|-
!
|- bgcolor="Pink"
!
[[Type chapter name here natural history, complications and prognosis|Natural History, Complications and Prognosis]]
|-
!
|- bgcolor="CornFlowerBlue"
!
Diagnosis
|-
!
|- bgcolor="LightSkyBlue"
!
[[Type chapter name here history and symptoms|History and Symptoms]]
|-
!
|- bgcolor="LightSkyBlue"
!
[[Type chapter name here physical examination|Physical Examination]]
|-
!
|- bgcolor="LightSkyBlue"
!
[[Type chapter name here laboratory findings|Laboratory Findings]]
|-
!
|- bgcolor="LightSkyBlue"
!
[[Type chapter name here electrocardiogram|Electrocardiogram]]
|-
!
|- bgcolor="LightSkyBlue"
!
[[Type chapter name here chest x ray|Chest X Ray]]
|-
!
|- bgcolor="LightSkyBlue"
!
[[Type chapter name here CT|CT]]
|-
!
|- bgcolor="LightSkyBlue"
!
[[Type chapter name here MRI|MRI]]
|-
!
|- bgcolor="LightSkyBlue"
!
[[Type chapter name here echocardiography or ultrasound|Echocardiography or Ultrasound]]
|-
!
|- bgcolor="LightSkyBlue"
!
[[Type chapter name here other imaging findings|Other Imaging Findings]]
|-
!
|- bgcolor="LightSkyBlue"
!
[[Type chapter name here other diagnostic studies|Other Diagnostic Studies]]
|-
!
|- bgcolor="CadetBlue"
!
Treatment
|-
!
|- bgcolor="PaleTurquoise"
!
[[Type chapter name here medical therapy|Medical Therapy]]
|-
!
|- bgcolor="PaleTurquoise"
!
[[Type chapter name here surgery|Surgery]]
|-
!
|- bgcolor="PaleTurquoise"
!
[[Type chapter name here primary prevention|Primary Prevention]]
|-
!
|- bgcolor="PaleTurquoise"
!
[[Type chapter name here secondary prevention|Secondary Prevention]]
|-
!
|- bgcolor="PaleTurquoise"
!
[[Type chapter name here cost-effectiveness of therapy|Cost-Effectiveness of Therapy]]
|-
!
|- bgcolor="PaleTurquoise"
!
[[Type chapter name here future or investigational therapies|Future or Investigational Therapies]]
|-
!
|- bgcolor="CadetBlue"
!
Case Studies
|-
!
|- bgcolor="PaleTurquoise"
!
[[Type chapter name here case study one|Case #1]]
|-
!
|- bgcolor="PaleGoldenrod "
!
{{PAGENAME}} On the Web
|-
!
|- bgcolor="LightYellow"
!
[http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&db=pubmed&term={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}} Most recent articles]
|-
!
|- bgcolor="LightYellow"
!
[http://scholar.google.com/scholar?ie=UTF-8&oe=utf-8&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}}&qt_s=Search&sa=N&tab=ps Most cited articles]
|-
!
|- bgcolor="LightYellow"
!
[http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=search&db=pubmed&term={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}}%20AND%20systematic%5Bsb%5D  Review articles]
|-
!
|- bgcolor="LightYellow"
!
[http://www.google.com/search?hl=en&client=firefox-a&rls=org.mozilla:en-US:official&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}}+more:health_continuing_education&cx=disease_for_health_professionals&sa=N&oi=coopctx&resnum=0&ct=col3&cd=2 CME Programs]
|-
!
|- bgcolor="LightYellow"
!
[http://www.google.com/search?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}}+ppt&ie=utf-8&oe=utf-8&aq=t&rls=org.mozilla:en-US:official&client=firefox-a Powerpoint slides]
|-
!
|- bgcolor="LightYellow"
!
[http://images.google.com/images?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}}&ie=UTF-8&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&sa=N&tab=wiImages]
|-
!
|- bgcolor="LightYellow"
!
American Roentgen Ray Society Images of {{PAGENAME}}
:[http://goldminer.arrs.org/search.php?query={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}} All Images]
:[http://goldminer.arrs.org/search.php?query={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}} X-ray}}}} X-rays]
:[http://goldminer.arrs.org/search.php?query={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}} Ultrasound}}}} Echo & Ultrasound]
:[http://goldminer.arrs.org/search.php?query={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}} CT}}}} CT Images]
:[http://goldminer.arrs.org/search.php?query={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}} MRI}}}} MRI]
|-
!
|- bgcolor="LightYellow"
!
[http://clinicaltrials.gov/search/open/condition={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}} Ongoing Trials  at Clinical Trials.gov]
|-
!
|- bgcolor="LightYellow"
!
[http://www.guideline.gov/search/searchresults.aspx?Type=3&txtSearch={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}}&num=20 US National Guidelines Clearinghouse]
|-
!
|- bgcolor="LightYellow"
!
[http://www.nice.org.uk/search/guidancesearchresults.jsp?keywords={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}}&searchType=guidance NICE Guidance]
|-
!
|- bgcolor="LightYellow"
!
[http://google2.fda.gov/search?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}}&x=0&y=0&client=FDA&site=FDA&lr=&proxystylesheet=FDA&output=xml_no_dtd&getfields=* FDA on{{PAGENAME}}]
|-
!
|- bgcolor="LightYellow"
!
[http://www.cdc.gov/search.do?queryText={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}}&searchButton.x=33&searchButton.y=6&action=search CDC on {{PAGENAME}}]
|-
!
|- bgcolor="LightYellow"
!
[http://news.google.com/news?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}}&ie=UTF-8&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&sa=N&tab=wn{{PAGENAME}} in the news]
|-
!
|- bgcolor="LightYellow"
!
[http://blogsearch.google.com/blogsearch?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}}&ie=UTF-8&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&sa=N&tab=wb Blogs on {{PAGENAME}}]
|-
!
|- bgcolor="LightYellow"
!
[http://maps.google.com/maps?q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|map+top+hospital+Type chapter name here}}}}&oe=utf-8&rls=org.mozilla:en-US:official&client=firefox-a&um=1&ie=UTF-8&sa=N&hl=en&tab=wl Directions to Hospitals Treating Type chapter name here]
|-
!
|- bgcolor="LightYellow"
!
[http://www.google.com/search?hl=en&client=firefox-a&rls=org.mozilla%3Aen-US%3Aofficial&hs=QWo&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|{{PAGENAME}}}}}}+AND+risk+score+OR+risk+calculator&btnG=Search Risk calculators and risk factors for {{PAGENAME}}]
|-
!
|}
=='''Study Guide '''==
=='''Study Guide '''==


Revision as of 22:14, 10 July 2013

Type chapter name here Microchapters

Home

Patient Encounter

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Type chapter name here from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Step 2CS All You Need to Know On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

[1]

American Roentgen Ray Society Images of Step 2CS All You Need to Know

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA onStep 2CS All You Need to Know

CDC on Step 2CS All You Need to Know

2CS All You Need to Know in the news

Blogs on Step 2CS All You Need to Know

Directions to Hospitals Treating Type chapter name here

Risk calculators and risk factors for Step 2CS All You Need to Know



Study Guide

Overview

Test Structure

Interviewing Tecniques

Counseling

  • Immediately when the patient gives you the information
  • When washing your hands
  • During closure

Challenging Questions

Physical Exam

Performance

History

  • HPI
  • ROS
  • ALL
  • MED
  • PMH
  • PSH
  • OBGYN
  • FH
  • SH

Patient Note

Avoid using medical terms when interviewing. Use Layman terms instead.

HPI

LIQORAAA (for pain) OCDPF ROS (IF PERTINENT)

PAMHITSFOSS ROS: negative except as above PMHx: previous symptoms like this or major medical condition Hipertension, Diabetes, MI. HOSP. NKDA, Medics: prescribed and OTC PSHx: TRAUMA, SURGERY FHX: none (only pertinent) OB-GYN Hx FMP, LMP, Period every 30 days, lasts 5 days, tampons/pads, GPA (gestation, pregnancy, aborption) SHx: Occupation. . Occupation. Support (SAFE). SEXUAL: active with. multiple Men/wome/both. Condoms every time. No STDs. HIV test. smoking (PPD: 1pack per day for 30 years, EtOH (CAGE 0/4), Illicit drugs, Travel history.

PAM HUGS FOSS WA FOR KIDS ON CALL IDIOT: onset number cry asociated sxs listless liquid (urine) inmunization diet, dehydration, daycare infection/ill contacts ORS:Oral rehydration solution Travel

Physical Examination

  • Unable to examine due to pain
  • NAD (hydrated, afebrile, tired, flat affect, tired, speech, movement)
  • VS: WNL except: BP RR HR Temp.
  • HEENT (head, eyes, ears, nose, throat)

Head: AT, NC (atraumatic, normocephalic) Eyes: EOMI, PERRLA, normal eye funds. No conjuctival pallor Nose: no nasal congestion. Throat: No tonsillar erythema, exudates or enlargement. Mouth: moist mucous membranes, good dentition

  • Neck: Supple, no JVD, no carotid bruits, no cervical LAD, normal thyroid. (CAT ORGAN: Carotid, Abdomen, Thyroid)
  • Chest/Lung: no tenderness, clear to percussion bilaterally, tactile fremitus normal, clear breath sounds bilaterally. (No wheezes, crackles, rhonchi, rubs)
  • Heart: PMI not displaced, RRR,normal S1/S2 WNL, no M, G, R.
  • Abdomen: ND, BS +, Soft, NT. (NO Murphy, McBurney, Rovsing, CVA tenderness, psoas/obturator sign "just one"). No Hepatosplenomegaly/ organomegaly.
  • Extremities: No edema +2 +3, clubbing, cyanosis, hairless, asterixis, skin changes. Peripheral pulses (don't write it radial, brachial, dorsal is pedis, posterior tibilalis) 2+ and symmetric. No bruises. ROM (limited passive/active "abduction/adduction/flexion/extension/external rotation" MRS (motor, reflexes, sensation)
  • Neuro

Mental Status: A & O x3, spells backward, recalls 3 objects. CN 2-12 WNL/grossly intact. Rinne WNL, AC> BC?. Weber not lateralized. Motor: strength 5/5 in all limbs except DTRs: 2/4 except (normal) absent ankle jerks. Babinksy - Left or right. Sensation: intact to pinprick and soft touch (sharp and dull). Vibration and position normal Gait: normal Cerebellar: finger to nose normal (dysmetria, diadococinesia) Romberg -.

  • Skin: preserved turgor.
  • Mental Status exam

Pt speaks slowly No hostile behavior toward interviewer Blunt affect with poor aye contact Inattentive to interviewer 3/3 registration, 3/3 recall at 3 times Distant memories are impaired Oriented to person, date and place Completed 3 step command Right handed 1/5 on serial 7s Poor judgement

Reporting Physical Exam Briefly

HEENT:

  • NC/AT: normocephalic / atraumatic
  • Ø LAD: no lymphadenopathy

Cardiac exam (CV):

  • Ø M/G/R: no murmurs, gallops, rubs
  • 2+ PT/DP B: 2+ posterior-tibial and dorsalis pedis pulses bilaterally
  • Ø JVD: no jugular venous distension
  • Ø LE edema: no lower extremity edema

Lung exam:

  • CTA B: clear to auscultation bilaterally

Abdomen exam:

  • NT/ND: non-tender, non-distended
  • Ø HSM: no hepatosplenomegaly
  • + BS: bowel sounds present

Back exam:

  • Ø CVAT: no costovertebral angle tenderness

Neuro:

  • EOMI / PERRL: extraocular mvmnts intact / pupils equal, round, reactive to light.

Differential Diagnosis

Give 3 to 5 differential diagnosis with pertinent positives or negatives from HISTORY AND PHYSICAL EXAM

Diagnostic Workup

  1. Specific physical examination (rectal, pelvic, breast, genital) if applicable
  2. CBC and electrolytes
  3. Cultures
  4. Imaging

Wiki Mnemonics

Practice Cases

Layman Terms

Retrieved from "https://www.wikidoc.org/index.php?title=Step_2CS_All_You_Need_to_Know&oldid=885098"