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