![]() ■ 1 month ago noticed blood mixed with stool with each bowel movement. ■ History of constipation 6 months ago, 2 bowel movements a week. HPI: 55 yo M c/o bright red blood per rectum. Once we make a diagnosis, we should be able to treat your problem. I will also need to perform a rectal exam today. It is crucial that we run some blood tests, a stool exam, and probably a colonoscopy, which involves looking at your colon through a thin tube that contains a camera. However, they may also be a sign of more serious disease, such as colorectal cancer. Klein, the symptoms you describe may be due to readily treatable problems, such as hemorrhoids, an infection in your colon, or diverticulosis. □ Examinee asked if the SP had any other questions or concerns. ![]() □ Follow-up tests: Examinee mentioned the need for a rectal exam. □ Examinee discussed initial management plans: □ Examinee discussed initial diagnostic impressions. □ Examinee did not repeat painful maneuvers. □ Examinee asked permission to start the exam. □ Examinee recognized the SP’s emotions and responded with PEARLS. □ Examinee elicited data efficiently and accurately. □ Examinee summarized the SP’s concerns, often using the SP’s own words. □ Examinee asked the SP to list his/her concerns and listened to the response without interrupting. □ Examinee asked an open-ended question and actively listened to the response. □ Examinee correctly used patient’s name. □ Examinee identified his/her role or position. □ Examinee knocked on the door before entering. ![]() Tell me more about the symptoms you’re having that concern you with regard to cancer.”īuilding the Doctor-Patient Relationship Entrance If colonoscopy is mentioned by the examinee, ask, “What does that word mean?” Patient is a 55 yo M, married with 2 children. Write the patient note after leaving the room. Explain your clinical impression and workup plan to the patient.Ĥ. ![]() Perform a focused physical exam (do not perform rectal, genitourinary, or female breast exam).ģ. Kenneth Klein, a 55-year-old male, comes to the clinic complaining of blood in his stool.Ģ. First Aid for the USMLE Step 2 CS Section 4. ![]()
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