Clinical Skills OSCE Daniel Bryan Flashcards
Mock OSCE portray by patient
Opening statement
I am here because my belly hurt last night and have been vomiting
How much fluid have you been able to keep down since you started feeling sick
Not a lot
Does anyone in your family have a history of similar symptoms (gastrointestinal issue or other related conditions)?
No
Did you experienced a fever
I felt feverish but did not check the temperature
Can you point where it hurt the abdomen.
Point toward the mid section of the abdomen
Describe what the cramp feels like.
Sharp pain sensation
Does the pain move anywhere from the central part of the abdomen
No
Does the pain radiate toward your back or elsewhere
No
On a scale from 1 to 10, with 10 being the worst pain you ever felt, how did you rate the pain
8 out of 10
“Does anything make the pain worse or better? Have you noticed if certain positions or actions relieve the pain?
No
How long do the cramps last when they occur?
They last for a couple minutes
How often did the cramps occur in the middle of the night
Every few minutes
What area did you felt the cramp
midsection of the abdomen
Have you noticed the pain occurring at specific times
When the cramps occur throughout the night
When was last bowel movement?
Last night
(alleviating factors )for the pain
Vomiting and the bowel movement
How many times did you vomit?
Around 6 to 7 times
Have you noticed the pain occurring at specific times in relation to eating?”
No only when the cramps occur
When did you started feeling the nausea?
After the second cramp occur
Did anything made the pain worse
When you have no further bowel movement
Did you try taking any over the counter medications or remedies
Pepto-Bismol and I end up vomiting out that liquid after a few minutes
When was your last void (last time you urinated)
last night
Anything you notice about when you voided that night?
I have noticed I was urinated less and the urine appear darker than usual
Did you experience any similar cramping in the past?
A few month ago, I notice that I had a similar cramp after eating a large meal but it only lasted a few minutes and went away
Did you experience any similar symptoms (nausea, vomiting etc.) in that specific event
No there was no vomiting, nausea or anything else severe in that episode
Social History
Smoke cigarettes between 1-2 packs per day depending on the stress since college.
Dont drink alcohol
Married and have one year of college education
Work as a receptionist in a local attorney office
Do you smoke
Yes I smoke 1 to 2 packs per day depending on the stress since college
How long has it been since you were in college
About 20 years ago
Family History
Father had a heart attack and the mother is healthy
How is your dad health?
He had a history of a heart attack
What about your mother health
She is healthy
What medications you been taking
Tylenol
Brief summary of the case
42-year-old female patient who presents with 24 hours of abdominal pain and nausea/vomiting
Review of System
Cardiac- no chest pain: no history of arrythmia
Lung - no shortness of breath
Neuro- no history of seizure or stroke
Heme- no history of bleeding or bruising
Endocrine- no diabetes or thyroid issues: no frequent urination: no tiredness or fatigue
In the days leading up to last night, did you engage in any activities, travel, or consume any food or drink that might have been out of the ordinary for you?”
Not that I am aware of
