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Old 09-28-2006, 09:43 AM
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swimguy23 swimguy23 is offline
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Quote:
Originally Posted by rrod View Post
no they have a hospital gown no shoes/socks and just underwear and bras on the ladies. you don't do breast, genital, etc exams but if it is needed as part of the complaint you write it in. when listening to heart in women you ask them to move the bra around if needed you don't touch it..and yes the pt is draped at all times, you only uncover the part you are examining at that time and if possible only half the body..like when examining the legs, you only undrape one of them.

the usmle CD has sample encounters on it
on a couple of my patients I HAD to listen though the gown bc either the movement would cause them pain or whatever.....so basically i just listened through the gown and then said something to the effect of "I want you to know that I am listening through the gown, which is not ideal, but is fine for now since it is not likely to be a cause of your reason for coming in. We will, however, have you dress in such a way next time to make sure that a thorough exam can be completed. Is this alright?"
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