Joint Clinical Meeting OSCE

Slides:

Advertisements

Similar presentations

Geriatric Emergencies Dr Jack Bond Teaching Fellow June 2012.

Advertisements

JCM OSCE CMC. Q1 A 3 year-old boy complained of vomiting and looked ‘blue’ after taken vegetable soup prepared by his parents. RR 28/min. SaO2 90% RA.

The patient with shortness of breath. Differential diagnosis Asthma Asthma COPD COPD Pneumonia Pneumonia Heart failure Heart failure PE PE Other Other.

Dr. Esther Tsang August Case 1 50 year old lady presented with acute onset of shortness of breath this morning. This was preceded by one episode.

Prepared by: Tristan Villanueva Arcibal BSN-RN Presented on: July 16, 2013 A CASE PRESENTATION OF A PATIENT WITH DIABETIC KETOACIDOCIS (DKA)

ED training Respiratory/ patient with dyspnea Part 2

OSCE - Questions PMH Jan Case 1 F/38, history of Schizophrenia Drank a bottle (60ml) of Red Flower Oil Repeated vomiting, denied any tinnitus GCS.

JCM OSCE (suggested answer) AHNH 7 th January 2015.

JCM OSCE POH A&E 4 th June, Question 1 44/M Construction worker Neck injury after accidentally fell from 3m of height Complained with 4 limbs weakness.

PROBLEM BASED LEARNING

OSCE Questions For JCM on 3 Dec Case 1 O F/8 Good past health O She has fever with some URI symptoms for past few days. She starts to complain right.

JCM--OSCE KWH 3 August Question 1 A 45 years old man with good past health complained of severe sore throat and odynophagia for 2 days. He had low.

HOPC Woke up at night with SOB not relieved by puffer 1 week history of non purulent cough No infective features RESP Hx: Cough – 1 wk Phlegm – white Heamoptsysis.

JCM OSCE Questions Caritas Medical Centre 3 June, 2015.

OSCE 3 Sep 2014 PYNEH. Q1: This is a 46 female with ankle injury Her X-ray ankle is shown below:

1 Children with Special Health Care Needs. 2 Objectives Discuss assessment techniques for children with special health care needs (CSHCN) Describe complications.

NYU Medical Grand Rounds Clinical Vignette Ramin S Hastings, MD PGY-3 September 8, 2010 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.

 Triage is from a French word meaning to sort. Emergency services regularly face patient loads that overwhelm resources. To better serve patients and.

 Primary Survey (D,R,C,A©,B,C?)  Help organised  Dealt with life-threatening conditions.

Medical Department, Penang General Hospital

OSCE Dr KM Poon POH A&E 10/ X ray R shoulder.

JCM OSCE QMH A&E Feb Case 1 F/32 LBP for one week No fever, no neurological deficits PE unremarkable Xray LS spine.

OSCE Question 02/2015 TMH AED.

NYU Medical Grand Rounds Clinical Vignette Verity Schaye, MD PGY-3 September 15, 2010 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.

JCM OSCE AHNH 7 th January Case 1 M/23 CC – Fever/sore throat/jaundice 1 week – Attended A&E 1 week ago – No travel history – Good past health.

Unit 8 Case Study. Case Study The wife of a 67-year-old man called the office and reported that her husband awoke this morning with weakness and numbness.

JCM OSCE August 2014 NDH A&E. Case 1 M/67 Hx of DM, BPH, soft tissue sacroma Complaint of right shoulder pain for one day There is no Hx of injury P/E:

Osce KWH Aug Case 1 M/38 Right shoulder contusion after S/F PE: tenderness and swelling over his right upper chest. No skin impingement and no external.

Mini case Identify what category and give your rationale Triage course.

Case 1 37-year old male comes to the hospital complaining of palpitation for 8 months, no other symptoms: no sweating, wt loss,ischaemic chest pain, anxiety.

VAQs Week 33. A 3 month old girl is brought to your emergency department after three days of diarrhoea and vomiting. She appears very unwell and lethargic,

OSCE KWH AED 5th Nov Question 1 A 40 years old man good past health complained of sudden onset of palpitation, with chest discomfort, no syncope.

Common Problems in the Emergency Department Intern Survival Kit 2013 The Northern Hospital Dr. Phyllis Fu Emergency Physician.

GI Bleeding Presentations Dr Mark Putland Co-DEMT Bendigo Health Care Group.

OSCE JCM Mar 2017.

From CRANA clinical procedure manual 3rd Edition pages

Asthma ED Junior Teaching.

OSCE Question YCH.

Sponsored by HOPE4HEALTH

Summer Gupta, MSN, RN Sepsis Coordinator UCLA Health 09/13/2016

Resuscitation in special circumstances workshop Pregnancy

JCM OSCE AED UCH 5/9/2012.

JCM OSCE QMH A&E

AN INTERESTING CHEST X RAY FOR DISCUSSION

Serkan SUNGUR¹, Burcu KÖKOĞLU¹, Mehmet KAYHAN¹, İlhami ÜNLÜOĞLU¹

OSCE Questions Feb 2017 POH.

JCM 08/2017 OSCE RTSKH.

OSCE 2016 April RH AED.

OSCE JCM Mar 2017.

OSCE Question YCH.

Pulmonary Pathology November 27, 2017

JCM OSCE AHNH AED 6 September 2017.

HKCEM JCM OSCE Friday 8 December 2017 TKOH.

OSCE By QEH JCM – 4 April 2018.

JCM OSCE Questions CMC AED

OSCE JCM Mar 2017.

OSCE 7/18 NDH A&E.

OSCE Questions 7/3/2018 PWH.

JCM OSCE – 6/6/2018 POH.

NLTH OSCE May 2017.

OSCE YCH (Section A).

Joint Clinical Meeting OSCE

Prepare by A&E Department, QMH

Aortic Dissection Diagnosis & Missed Diagnosis Dr Ruth Large

OSCE YCH (Section B).

JCM OSCE Questions AHNH AED 2/1/2019

OSCE 3 Sep 2014 PYNEH.

OSCE April 2019 TKOH.

Presentation transcript:

Joint Clinical Meeting OSCE 07 Nov 2018 KWH

Case 1 10/Boy PMHx: asthma Mild URTI symptoms x 1 week Sudden onset of SOB at home, increasing in severity Given ventolin puff at home but no improve Upon AED arrival: Lethargic, obey command, CR <2 sec HR 150, SaO2: 98% on non rebreathing mask RR: 44-50 Chest: poor AE with expiratory wheeze

Case 1 (Questions) How do you classify the severity of acute exacerbation of asthma? What is the severity of this patient? What is the management plan? If you decided to intubate the patient, what induction agent you would use? What ventilation strategy would be use in the patient?

Case 2 62/M History thyrotoxicosis with recently thyroidectomy done C/O dizziness, both hands and feet numbness and generalized weakness PE: Muscle spasm and twitching, brisk reflexes Chest/CVS/Abdomen: NAD

Case 2

Case 2 (Questions) What is the provisional diagnosis? What further examination you would like to do? From the ECG, what do you worry about? How do you manage this patient?

Case 3 22/M Good past health vomiting then collapsed at home taken unknown med, unknown time of ingestion arrived at emergency department with the following vital signs: Temp 37 BP 120/70 P 100 in sinus rhythm RR 14 SaO2 98% on non-breathing mask GCS 3/15 with pin-point pupils

Case 3 (Questions) What is the initial management plan? After the initial management in 1, the ECG suddenly changed. Please describe the ECG What is the subsequent management?

Case 3 (Questions) The AXR showed radio-opaque substance in stomach. Please list 3 drugs are radiopaque on x-ray. What is the likely drug in this patient?

Case 4 27 Male Complained of right thumb pain when practicing boxing

Case 4 (Questions) Please describes the x-ray finding What is the named of the fracture? What is the common mechanism of injury? What is the management plan?