THE PRE-CLERKSHIP GUIDE. PROCEDURES AND SKILLS FOR CLINICAL ROTATIONS

I. HISTORY, PHYSICAL EXAMINATION, AND NOTES 1
1 History and Physical Examination: Medicine 1
2 History and Physical Examination: Surgery 5
3 History and Physical Examination: Obstetrics and Gynecology 10
4 History and Physical Examination: Pediatrics 15
5 History and Physical Examination: Neurology 21
6 History and Physical Examination: Psychiatry 29
7 History and Physical Examination: Family Medicine 37
8 Genitourinary and Rectal Examinations 40
9 Progress Note: Medicine 46
10 Progress Note: Surgery 48
11 Progress Note: Obstetrics and Gynecology 51
12 Progress Note: Pediatrics 57
13 Progress Note: Neurology 61
14 Progress Note: Psychiatry 65
15 Follow-Up Visit: Family Medicine 67

CONTENTS Admission/Transfer Orders 69
Hospital Discharge Summary 72
Preoperative Note 75
Operative Note 77
Postoperative Note 80
Procedure Note 82
Vaginal and Cesarean Section Delivery Notes 83
Postpartum Note 86

II. ORAL PRESENTATIONS 89
New Patient Oral Presentation: Medicine 89
New Patient Oral Presentation: Surgery 92
New Patient Oral Presentation: Obstetrics and Gynecology 96
New Patient Oral Presentation: Pediatrics 105
New Patient Oral Presentation: Neurology 108
New Patient Oral Presentation: Psychiatry 111
New Patient Oral Presentation: Family Medicine 116
Progress Note Oral Presentation: Medicine 118
Progress Note Oral Presentation: Surgery 120
Progress Note Oral Presentation: Obstetrics and Gynecology 124
Progress Note Oral Presentation: Pediatrics 129
36 Progress Note Oral Presentation: Psychiatry 134
37 Progress Note Oral Presentation: Family Medicine 136

III. ELECTRONIC MEDICAL RECORDS 138
38 Electronic Health Records (EHR) Basics 138
39 Placing Orders 140
40 Writing Prescriptions 143

IV. PROCEDURES 146
41 Informed Consent 146
42 Electrocardiogram Basics 149
43 Chest X- Rays 157
44 Blood Pressure Measurement 163
45 Infection Control Precautions 168
46 HEPA Mask 172
47 Scrubbing Into Surgery 173
48 Cardiopulmonary Resuscitation 175
49 Bag and Mask Ventilation 178
50 Basic Life Support and Advanced Cardiovascular Life Support 180
51 Trauma 183
52 Pediatric Advanced Life Support 187
53 Intubation Basics 197 Ultrasound Basics 204
Point- of-Care Ultrasound 209

IV Placement 214
Local Anesthesia 218
Nasogastric Tube Placement and Removal 221
Surgical Drain Removal 225
Venipuncture 227
Arterial Blood Gas 230
Urinary Catheterization 234
Suturing and Knot Tying 238
Lumbar Puncture 246
Delivering a Baby: Key Maneuvers and Steps of a Vaginal and Cesarean
Section Delivery 250
Casting 253

V. COMMUNICATION 257
Delivering Bad News 257
Patient Advocacy and Health Equity 259

VI. HOW TO ANSWER CLINICAL QUESTIONS—CLINICAL
RESOURCES 265
How to Answer Clinical Questions: Medicine 265
Burton Hui Shen; Sean Sanker
How to Answer Clinical Questions: Surgery 267
71 How to Answer Clinical Questions: Obstetrics and Gynecology 268
72 How to Answer Clinical Questions: Pediatrics 269
73 How to Answer Clinical Questions: Neurology 272
74 How to Answer Clinical Questions: Psychiatry 276
75 How to Answer Clinical Questions: Family Medicine 283

VII. QUICK REFERENCES 286
76 Vital Signs 286
77 Common Cardiac Rhythms 290
78 Cardiopulmonary Values 295
79 Assessing Fluid Status 297
80 ACLS: Cardiac Arrest 300
81 ACLS: Immediate Post–Cardiac Arrest Care 303
82 ACLS: Acute Coronary Syndrome 305
83 ACLS: Adult Bradycardia 307
84 ACLS: Adult Tachycardia With Pulse 310
85 ACLS: Suspected Stroke 312
86 National Institute of Health Stroke Scale 314
87 Normal Laboratory Values 319
88 Serum Drug Levels 324
89 Daily Body Fluids 327
Sarita Warrier Helpful Equations 330
Unit Conversions 339
Apgar Scoring 341
Estimated Date of Delivery 343
Glucose Tolerance Values 346
Developmental Milestones 348
Pediatric Immunizations 352
Further Reading 357
Index 369

The perfect, one-of-a-kind companion to clerkship bootcamps, dedicated courses, or independent study, The Pre-Clerkship Guide: Procedures and Skills for Clinical Rotations delivers clear guidance on fundamental skills and basic clinical procedures essential for success in clinical rotations. Concise, step-by-step instructions and supplemental illustrations detail need-to-know information at a glance for quick reference when studying or practicing in a clinical setting, accompanied by professional insights and examples that highlight effective application.

Whether paired with Bates’s Pocket Guide or used as a standalone resource, this compact, easy-to-use text reinforces key information in a cohesive approach to help students feel comfortable and confident in clinical settings.
• At-a-glance coverage of nearly 100 common procedures and skills – from procedures such as central venous catheter placement, to immunizations, to progress notes.
• Concise, step-by-step instructions distill essential procedural information.
• Detailed photographs and illustrations clarify key concepts and techniques.
• Focused chapter objectives support quick reference to need-to-know content.

Lippincott® Connect features:
• Lifetime access to the digital version of the book with the ability to highlight and take notes on key passages for a more personal, efficient study experience.
• Carefully curated resources, including interactive diagrams, video tutorials, flashcards, organ sounds, and self-assessment, all designed to facilitate further comprehension.
• Lippincott® Connect also allows users to create Study Collections to further personalize the study experience. With Study Collections:
• Pool content from books across your entire library into self-created Study Collections based on discipline, procedure, organ, concept or other topics.
• Display related text passages, video clips and self-assessment questions from each book (if available) for efficient absorption of material.
• Annotate and highlight key content for easy access later.
• Navigate seamlessly between book chapters, sections, self-assessments, notes and highlights in a single view/page.