03-06-2010, 09:46 AM
hi ,im looking for cs studypartner giving exam in epril . we can discuss the cases on gtalk.my mail id is ksunithareddy.mail
need cs studypartner - suport
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03-06-2010, 09:46 AM
hi ,im looking for cs studypartner giving exam in epril . we can discuss the cases on gtalk.my mail id is ksunithareddy.mail
03-06-2010, 10:15 AM
where do you live?
03-08-2010, 06:10 PM
Dear ahmadshata
kussmauls breathing is a sign not a test like tactile fremitus that you do. All you gotta do is observe in DM patient for DKA signs. If not seen, it must be NEGATIVE. common sense. Use it for once. No way for SP or Physician reading PN knows you really looked for it. But will be forced to give you higher score for this case's PN cus you mentioned DKA sign as pulmonary findings. very imp. means you smart clinician really investigating. Get it. I'm not telling you to lie or make up stuff. I'm just telling to let your H&P guide your PE & trivial stuff like "(-)kussmaul's breathing" mentioned in PN will lift your score for PN. |
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