Challenge To All Doctors

Greetings Colleagues:

Don't know if you've been following the thread in our Links section started by BellyDoc I believe who found for us a most amazing physical examination performed I believe by a student nurse practitioner. Its thoroughness and scope are far beyond the pale of current practice - I learned a lot! Have I piqued your interest? Look at it http://www.vimeo.com/7717683

Now look at it a second time and note any errors be picky picky picky. Then get back to me. I found four major errors. Before your second look get in touch and I will send you a written second by second protocol to score the exam. I'd be interested in seeing how you all compare with my students. Either drop me a note here or to my e-mail/chat

DrLaennec ClinicalUSMLE (Yahoo chat) or DrLaennec Skype saying nothing like self-assessment

OK, I watched the clip from beginning to end, and figure I'll try taking a crack at this. Now, keep in mind I'm not a medical professional or a practicing play-doc although I do have a consuming interest in the topic of examinations. For that reason, only one part of the examination seemed to me like it might have been faulty. It was during the eye examination when the patient was asked to read a line of four letters off of a wall chart, first with one eye covered, then the other. The patient, right after reading the letters aloud correctly for her right eye was then instructed to do the same with the left eye - using the exact same line of four letters. It seemed to me this might easily produce skewed results since the patient would have had the four letters fresh in her short term memory. Even if the patient had every intention of giving a valid reading, I think there'd be a good chance that knowing in advance what the letters are would be an influence on the second reading.