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* for pindi or anyone else.. ccs aortic dissection
 #377420  
  studinghard - 01/14/09 10:56
 
  this ccs is in the usmle cd case # 5.i have diagnosed her with aortic dissection as ct with contrast is confirming it and then ask for for surgery consult. she is scheduled for surgery and then the case ends. i want to asku that in the 5 minute screen in this particular ccs i counsel her about seat belt, advance directives, colonscopy at a later date. and as she is 65 yr old so i also advice her for pneumocoocal and influenza vaccine after 2 months but when i put in the order for vaccination the software puts it down for right now not for later.i've tried it many times but it is taking the order for now. this pt. is going for surgry right now no need to vaccinate right now so should i omit the vaccination order or should i leave it like this as we r supposed to advice all pts.65 yrs and older about vaccination on 5 min. screen.
plz. reply as this thing is confusing me.
 
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* Re:for pindi or anyone else.. ccs aortic dissecti
#1627622
  pindi - 01/14/09 19:55
 
  well the best would be to order it for a later date on the 5 minute screen.
but if you cannot do that then just order it anyways on the 5 minute screen...
software does have it's limitations and i am sure these guys are aware of it...
bottomline... you have to show that you got the smarts to order the pertinent vaccination for pts 65yrs and older..

Good Luck!
 
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* Re:for pindi or anyone else.. ccs aortic dissecti
#1627679
  studinghard - 01/14/09 20:52
 
  thnks a lot for ur reply.  
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