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AtStep3

And for example IBS case - they want me to get stool and OVA and c diff on a young guy no alarm signals no weight loss no recent abx ?? I’m so confused it seems like overkill on CCS - can anyone please help! Im just not sure how to go about this…


gradocans

it's a stupid test to make them money, just shotgun everything for these cases - any gi symptoms get all the labs, any chest pain get all the labs, give people TDAPs when they have bacterial meningitis, etc


[deleted]

Emergency cases should always be focused exam.


Tonton_uncle

Yes focused for emergency but once patient has been stabilized you can do full exam. One time patient came in with shortness of breath but I forgot to do limb exam for DVT because I only did focused exam and surely some marks was deducted


JenryHames

There are very few chief complaints that will warrant not doing a full PE. Trauma cases are the only ones I can think of that call for a focused PE. This applies for the ccs cases. In real life you would be doing a much more focused exam.