History - Self Reflection for CSE 2B 2019

Name:_______Bang Quach______________________ Case:_____Chest Pain_______

To think about, at this stage in your training, you should be able to do LOCATES, a pertinent ROS
and questions to help you rule in and rule out various diagnoses. You should be starting to
synthesize the data and working towards a differential as you are doing your history. Please
watch my CSE orientation video for more details on what is expected in a CSE history – Dr.
Stalvey

1. List three differences between your video and the ‘review’ video in
content covered.

Ask about muscle injury around the thorax area

Weight lost

2. List three differences between your video and the ‘review’ video in
approaches/techniques.
Special consideration exams

3. Based on the history obtained, what specific physical findings would

you look for?

N/A

4. List three specific tactics you would change in your next encounter
of this clinical presentation.
More detailed history regarding chest pain.

5. How would your differential diagnosis for this clinical presentation

change based on this reflection/self-assessment exercise?
Pneumonia, Costochondritis
Name:_______Bang Quach______________________ Case:_____Cough_______
To think about, at this stage in your training, you should be able to do LOCATES, a pertinent ROS
and questions to help you rule in and rule out various diagnoses. You should be starting to
synthesize the data and working towards a differential as you are doing your history. Please
watch my CSE orientation video for more details on what is expected in a CSE history – Dr.
Stalvey

1. List three differences between your video and the ‘review’ video in
content covered.
I did not ask about if the cough caused throat pain or difficulty swallowing, ear
pain, eye pain, chest pain.

2. List three differences between your video and the ‘review’ video in
approaches/techniques.

Look at the back of the throat

Lymph nodes exam

Listen to lungs compare side to side instead of going one side

3. Based on the history obtained, what specific physical findings would

you look for?

Nasal congestion, sore throat, sinus tenderness

4. List three specific tactics you would change in your next encounter
of this clinical presentation.

I would take a more detailed history like the things that I missed
above. And to do the things listed in #2

5. How would your differential diagnosis for this clinical presentation

change based on this reflection/self-assessment exercise?
Cold (viral)
Name:_______Bang Quach______________________ Case:_____RLQ Pain_______
To think about, at this stage in your training, you should be able to do LOCATES, a pertinent ROS
and questions to help you rule in and rule out various diagnoses. You should be starting to
synthesize the data and working towards a differential as you are doing your history. Please
watch my CSE orientation video for more details on what is expected in a CSE history – Dr.
Stalvey

1. List three differences between your video and the ‘review’ video in
content covered.

Ask about fatigue, weakness and general review of systems

2. List three differences between your video and the ‘review’ video in
approaches/techniques.

None

3. Based on the history obtained, what specific physical findings would

you look for?

Tenderness at RLQ, fullness as well

4. List three specific tactics you would change in your next encounter
of this clinical presentation.

Ask about review of systems

5. How would your differential diagnosis for this clinical presentation

change based on this reflection/self-assessment exercise?
Ectopic pregnancy
Name:_______Bang Quach______________________ Case:_____Vaginal Discharge_______
To think about, at this stage in your training, you should be able to do LOCATES, a pertinent ROS
and questions to help you rule in and rule out various diagnoses. You should be starting to
synthesize the data and working towards a differential as you are doing your history. Please
watch my CSE orientation video for more details on what is expected in a CSE history – Dr.
Stalvey

1. List three differences between your video and the ‘review’ video in
content covered.

Talk about patient and partners to get regular testing for STD

2. List three differences between your video and the ‘review’ video in
approaches/techniques.

Communication aspects – education about protection.

3. Based on the history obtained, what specific physical findings would

you look for?

Vaginal discharge

4. List three specific tactics you would change in your next encounter
of this clinical presentation.

Sexual education, try to avoid nervousness

5. How would your differential diagnosis for this clinical presentation

change based on this reflection/self-assessment exercise?
STD