Hi friends! I hope you enjoyed this video on how to give better patient presentations on your rotations and get honors! Have you been having trouble with your patient presentations!? What about presentations or clinical rotations would you like to learn more about? Let me know along with any questions you have below!
Currently on my IM rotation in pharmacy school and these tips are gold! My preceptors gave me very similar tips ( just slightly more geared towards pharmacology )
I guess what scares me is what if I leave out something I don’t think is important or a detail I don’t think would change their management but is actually really important. I’m scared I don’t have enough experience to just start trimming details without negatively impacting the patient’s care.
I would create a list of the top 2-3 problems that the patient has starting from most concerning or the problem that they're being admitted for. Do this before you write or think about the other HPI questions. Then create a differential for each problem and your plan to work/manage it. For example if you have a patient with COPD and CHF coming in with SOB then their main problem is dyspnea. If you think about your assessment and plan first then you can think. 1. Dyspnea is my problem - what are some things I should consider (COPD or CHF exacerbation, CHF, Pneumonia, etc.) 2. How do I want to work each thought up? Hope that helps!
May I ask, when presenting your HIstory of presenting illness, will you mention the Past medical history in it? Lets say this is a man who presents with chest pain for 5 days. Radiates to the left shoulder. He also has a PMH of AMI 2 years ago. Otherwise no .. other symtoms. Or would you out the PMH of AMI 2 years ago in the past medical history portion below in the history?
If it's pertinent to their current presentation (HTN, T2DM, prior CAD then it's important to mention) but if it's unrelated you can add it to the PMHx or just leave it for your notes
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Hi friends! I hope you enjoyed this video on how to give better patient presentations on your rotations and get honors! Have you been having trouble with your patient presentations!? What about presentations or clinical rotations would you like to learn more about? Let me know along with any questions you have below!
Currently on my IM rotation in pharmacy school and these tips are gold! My preceptors gave me very similar tips ( just slightly more geared towards pharmacology )
I guess what scares me is what if I leave out something I don’t think is important or a detail I don’t think would change their management but is actually really important. I’m scared I don’t have enough experience to just start trimming details without negatively impacting the patient’s care.
Do you have any advice on how to do a specific Assessment with differentials and focused plan? I’m having difficulty doing those.
Thank you
I would create a list of the top 2-3 problems that the patient has starting from most concerning or the problem that they're being admitted for. Do this before you write or think about the other HPI questions.
Then create a differential for each problem and your plan to work/manage it.
For example if you have a patient with COPD and CHF coming in with SOB then their main problem is dyspnea. If you think about your assessment and plan first then you can think.
1. Dyspnea is my problem - what are some things I should consider (COPD or CHF exacerbation, CHF, Pneumonia, etc.)
2. How do I want to work each thought up?
Hope that helps!
May I ask, when presenting your HIstory of presenting illness, will you mention the Past medical history in it? Lets say this is a man who presents with chest pain for 5 days. Radiates to the left shoulder. He also has a PMH of AMI 2 years ago. Otherwise no .. other symtoms.
Or would you out the PMH of AMI 2 years ago in the past medical history portion below in the history?
If it's pertinent to their current presentation (HTN, T2DM, prior CAD then it's important to mention) but if it's unrelated you can add it to the PMHx or just leave it for your notes
@@TheMDJourney thank you for replying!
Also please keep up the good work on your videos. They have helped me alot. Hope you channel is able to benefit others like you did for me🙂👍
Glad the content has been helpful!