2/07/2009

USMLE study report 5

FA case 5, A 55 year-old man with complaining blood in his stool

Point 1: Hand checking
firmly check which express sincerely cooperation = feel firm at first hand webspace
( between thumb and index finger)

Point 2: Responding to " Could I have...."
I understand your concern, however there are many possibilities for - what is causing your problem. Unfortunately, one of that is colon cancer. Therefore we need to find out more information and some tests.

Point 3: Responding to "Can I tak a trip"
I think we should find out what is your problem first and then we can design.

Point 4: While taking examination
Please tell me if you feel any pain or discomfort.
I am going to press it deeply,is that OK with you?

Point 5: What is .....scopy
Colonoscopy = A procedure to look at your colon.We have a long thin tube with a camera
at the end. We put the tube into the rectum up to your colon.

Endoscopy = A procedure to look at your stomach. We have a long thin tube with a camera
at the end. We put the tube into the nose down to your stomach.

note : Procedure = Pro-see-jer

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