1. OSCE
March 2012
A&E, PYNEH

2. Case 1
OSCE
A 68 year old gentle man present with low back pain for 4 months. Initially the pain was mechanical which increased pain on moving and later it also occurred at rest.

5. What’s next Physical exam; Investigation: Chest, abdomen and PR
CXR, XR of more region if appropriate
Blood test: Ca, CK, PSA

6. Case 2 A 4 year old girl fell from bed with head injury 2 days ago.
There was no loss of consciousness and no vomiting.
On physical examination, the girl was actively playing with no neurological deficit.

8. Counseling
CT scan
Likelihood of neurosurgical intervention (the child is already stable for 2 days)
radiation

9. Case 3 A 35 year old manual worker suffered an electric History: PE:
Voltage
LOC
PE:
Extend and depth of burn
other exit wound
circulation
Investigation: CK, ECG

10. Case 4
Anterior or posterior dislocation: need scapular view

11. Hill-Sach lesion

12. Thank you