JCM OSCE AHNH AED 6 September 2017.

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Presentation transcript:

JCM OSCE AHNH AED 6 September 2017

Case 1 F/72 Sudden headache, chest and back pain BP 152/87 P 69 ECG SR No ischaemic changes

CXR

Describe the CXR.

CT with contrast

Describe the CT. What is the diagnosis? What are the other entities in this spectrum of disease? What is the definitive treatment for this patient?

Case 2 M/9 Swallowed a piece of magnet toy 1 hour ago Currently asymptomatic and well

CXR

AXR

Why other x ray view may be needed? How would you manage the boy? What advice would you give?

Case 3 F/75 Fell from escalator Head injury without LOC BP 132/84 P 107 GCS 15/15 3cm laceration on occiput

Describe the CT. What neurologic symptoms and signs would you look for?

Case 4 M/76 Dizziness, epigastric pain and LOC few minutes BP 117/53 P44 GCS 15/15 T 36C SpO2 99%

Describe the ECG. What is the diagnosis? What are the potential complications?

Case 5 F/78 Palpitations for 2 hours BP 120/69 P174 SpO2 100% (2L/min O2) GCS 15/15

Describe the ECG. Name 2 possibilities. How to differentiate between them on ECG?

The end