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View Full Version : when you took history did you sit or did you stand



Divine Darwin
09-03-2008, 07:01 PM
I am freaking out. I took my exam a few weeks back and I think it went well but afterwards I talked to my friend about it and he was surprised that I always took history when I was standing up. Is this a major mistake? Also, I draped some patients only before the phys. exam. Does it still count?

adit000
09-04-2008, 04:15 AM
i think it doesnt matter whether u sit or stand....i took histories standing in all cases and i passed...and i think as long as u drape it doesnt really matter when u do it...i draped almost 50% cases before history and the rest before examination....so just chill...these were not even mistakes...:)good luck

Divine Darwin
09-04-2008, 08:11 PM
Thanks, he got me worried :)

I have one more question: I had one angry patient and so I went on to appease him right away and never got to introduce myself properly. I know that it's not a major mistake but I am curious how those of you who also dealt with an angry patient managed to shake his/her hand and to introduce yourself, if at all?

stateofequilibrium
09-04-2008, 09:08 PM
I stood. Just make sure your body language is good and there's nothing between you and the patient. I draped all my patients just prior to the physical exam.

adit000
09-06-2008, 03:07 AM
well, i didnt hav an angry patient but i guess its ok as long as u calmed him down appropriately...i dont think such a small mistake should do u any harm......good luck!!

afflatus
09-11-2008, 02:05 PM
in most cases, standing goes pretty fine. but if the paitient has a real bad headache and is lying down, its better/preferred to take the history while sitting to maintain appropriate eye contact without asking him to change his posture.

step1sucks
09-11-2008, 04:49 PM
afflatus

What is the patient is in severe pain and lying on teh left side.... I know your supposed to stand on the pt's right side but is it right to get the patient to turn? or can you just sit on the left side during hx and stand on the left when the patient sits up for the PE?

medNoir
09-24-2008, 01:48 PM
If the pt is in any kind of pain, distress or just not a tip top mood, better to stand.

I stood for 11 of the cases. But in the last one my back was killing me and I guess I was mentaly tired too. And the last pt was sitting up and cheerful. So I sat. And passed anyway.

As to the draping, do it automatically.
In front of the SIQORAA (or however it went. I forgot already)
I added IDW. Introduction, Drape, Wash.
Just do it the same way everytime so you can be on autopilot.

Kronos
09-24-2008, 03:04 PM
its all about body language and ease with your patient. i sat down but tried to maintani good posture when taking history, with as much eye contact as possible. also i have a tendency to frown when concentrating so i tried to smile and look pleasant. sitting down just happened to be more comfortable to me, and also puts you in less of a domineering position with the patient. impressions are crucial here... remember these patients are just actors so they get influenced by simple things like body language. if you were standing its cool as long as you were relaxed and didn't intimidate the patient or something (like i know one of my fellow testtakers did, and she still passed)







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