Intro 02: Secondary Survey

Here’s the second video, on how to perform a focused history and physical (using your differential diagnosis) and then assigning pretest probabilities and ordering diagnostic tests.


  1. Tamara says:

    Very thorough, easy to understand way of detailing the thought processes to go through when assessing a patient.

  2. Dan says:

    We’ve been taught the OPQRST method of characterizing pain. Nice to get another option in “COLD READ”. What program are you using to record these lectures and the pictures/lists? Is this on a tablet? I think it’s awesome.

    1. Rahul says:

      Yeah, I liked it when I heard it, too. It arranges the things in a nice order and the “D” of “what’s different about this today? what prompted you to come in?” often yields important information.

      I use a screen recorder (QuickTime for Mac does it) and have been trying various other whiteboard apps – namely I use Sketchbook (free) or Adobe Illustrator (which is nice, but it taxes my system’s resources).

      There is an iPad program called ShowMe (or something like that) which does the same thing. I’m just not very good at writing on the ipad.

  3. Jenn says:

    I was wondering if you have any tips/mnemonics for creating a DDx — something that med students often struggle with. There’s the mnemonic “VINDICATED,” or for osteopathic students, the “Five Models of Osteopathy” — just curious if you have any other helpful tools?

    1. Rahul says:

      I don’t. While there are some mnemonics for certain diseases (AEIOUTIPS for Altered Mental Status), I usually don’t use mnemonics because then I have to remember then mnemonics. 🙂

  4. Jeff says:

    Good insight into the approach of an EM physician.

  5. Ryan says:

    I like that you mention seperating out the chief complaint from things that are not so related. Perhaps a future video might include a sample case from beginning to end to help illustrate the ideas you are teaching. So far, it seems as though there are many great points being made, but they are spread out over various videos.

  6. Nisha B. says:

    I like the “COLD READ” pneumonic! We’ve also been taught OLD AssCARTS (Onset, Location/radiation, Duration, Associated symptoms, Characteristics of the complaint, Aggravating factors, Relieving factors, Timing, Severity) which is also helpful. I like how specific questions are mentioned in the video for different disease processes that need to ruled out.

Leave a Comment

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s