Clinical Skills OSCE Daniel Bryan Flashcards

Mock OSCE portray by patient

1
Q

Opening statement

A

I am here because my belly hurt last night and have been vomiting

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2
Q

How much fluid have you been able to keep down since you started feeling sick

A

Not a lot

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3
Q

Does anyone in your family have a history of similar symptoms (gastrointestinal issue or other related conditions)?

A

No

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4
Q

Did you experienced a fever

A

I felt feverish but did not check the temperature

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5
Q

Can you point where it hurt the abdomen.

A

Point toward the mid section of the abdomen

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6
Q

Describe what the cramp feels like.

A

Sharp pain sensation

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7
Q

Does the pain move anywhere from the central part of the abdomen

A

No

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8
Q

Does the pain radiate toward your back or elsewhere

A

No

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9
Q

On a scale from 1 to 10, with 10 being the worst pain you ever felt, how did you rate the pain

A

8 out of 10

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10
Q

“Does anything make the pain worse or better? Have you noticed if certain positions or actions relieve the pain?

A

No

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11
Q

How long do the cramps last when they occur?

A

They last for a couple minutes

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12
Q

How often did the cramps occur in the middle of the night

A

Every few minutes

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13
Q

What area did you felt the cramp

A

midsection of the abdomen

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14
Q

Have you noticed the pain occurring at specific times

A

When the cramps occur throughout the night

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15
Q

When was last bowel movement?

A

Last night

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16
Q

(alleviating factors )for the pain

A

Vomiting and the bowel movement

17
Q

How many times did you vomit?

A

Around 6 to 7 times

18
Q

Have you noticed the pain occurring at specific times in relation to eating?”

A

No only when the cramps occur

19
Q

When did you started feeling the nausea?

A

After the second cramp occur

20
Q

Did anything made the pain worse

A

When you have no further bowel movement

21
Q

Did you try taking any over the counter medications or remedies

A

Pepto-Bismol and I end up vomiting out that liquid after a few minutes

22
Q

When was your last void (last time you urinated)

A

last night

23
Q

Anything you notice about when you voided that night?

A

I have noticed I was urinated less and the urine appear darker than usual

24
Q

Did you experience any similar cramping in the past?

A

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

25
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
26
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
27
Do you smoke
Yes I smoke 1 to 2 packs per day depending on the stress since college
28
How long has it been since you were in college
About 20 years ago
29
Family History
Father had a heart attack and the mother is healthy
30
How is your dad health?
He had a history of a heart attack
31
What about your mother health
She is healthy
32
What medications you been taking
Tylenol
33
Brief summary of the case
42-year-old female patient who presents with 24 hours of abdominal pain and nausea/vomiting
34
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
35
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