Vent

[dragonchild83]

2 simulation patients thus far, neither have MSK issues. First is postpartum hypothyroid, second is apparently reactive hypoglycemia. I say apparently because according to Medscape, Robins pathology and pubmed the case doesn't work! The "patient" falls asleep after large meal, ok fine, but none of the labs fit, add to that that this "patient" is

Comments

[uncle_possum]

Is it possible that the anomalies you note are the point: Unless you do a history and check other data (not to mention know what you are doing), you will propose treating the problem stated. They are looking for the people who realize the stated condition cannot possibly be the actual problem?

[dragonchild83]

I wish that were the case. When I presented my findings and the research to back up my stance I was simply told I was wrong. These are actors that are presenting cases that have actually presented to the on campus clinic in the past. We aren't told a diagnosis at all, we take a history and do pertinent physical/orthopedic exams and suggest lab studies we want to run. We have to determine a working diagnosis as we go and attempt to narrow it down. In the case with the patient with sleeping spells I did a lot of research as to what to look for specifically on a sleep study that would narrow down my working diagnosis and when I requested that info the answer was "it was normal". That meant is there was never a sleep study done. I was told that because it "was normal" I was wrong and needed to look at something else. What they wanted me to look at turned out to be reactive hypoglycemia, which the patient's other labs didn't fit into. One of the docs said that's what the case was so that's how it is. Part of my problem is that the 2