Lecture three: oral case presentation Flashcards
What are the goals of oral presentation?
What is the difference betwwen written vs oral presentation?
- Coherent and organized reconstruction of the patient’s HPI
- Follows the same format and parallels the write up
- Separates subjective data
What are the challenges in oral presentation for PA students
What are the different spcific types of oral presentation (5)
What is in a oral case presentation of a new patient? (5)
What is the basic structure of oral case presentation?
What is the UT OCP grading rubric?
What is the structure?
* Only include the race or ethnicity when?
* What should you do to orient your listener?
* You will list these problems here by what?
- Structure: “Mr./Mrs./Ms. ___ is a ___year-old man/woman who presents with a chief complaint of ___ (or who was electively admitted for evaluation of ___, or who comes into the clinic for follow up of _____)”.
- Only include the race or ethnicity of the patient if it is relevant and will make your listener weigh diagnostic possibilities differently.
- To orient your listener, the identifying information should include the patient’s relevant active medical problems, of which there are usually no more than four.
- You will list these problems here by diagnosis only and will elaborate on them later in the “HPI” or “other medical problems.”
What is the introductory of HPI?
Mr./Mrs./Ms.____ was in his/her usual state of ____ (e.g., excellent health/poor health) until ____(e.g., three days prior to admission) when he/she developed the ___ (acute/gradual) onset of _____.
Good v bad?
Mr. Smith is a 55-year-old man with a long history of diabetes mellitus, cirrhosis, and chronic obstructive lung disease, who presents with a chief complaint of fever and productive cough…
Mrs. Jones is a 39-year-old woman who was electively admitted for evaluation of exertional dyspnea. Her active problems include rheumatoid arthritis and hypertension. She was in her normal state of health until…
Mr. Smith is a 55-year-old man with a long history of diabetes mellitus, cirrhosis, and chronic obstructive lung disease, who presents with a chief complaint of fever and productive cough…
Good v bad:
…his problem list includes coronary artery disease – myocardial infarction x 2, the last in 1996, multiple negative rule-outs since, ejection fraction equaled 35% in 1994; diabetes mellitus x 10 years, insulin-requiring for five years, complicated by retinopathy; chronic obstructive lung disease – with a FEV1* of 1.2 liters and steroid dependence…
…his active problems include coronary artery disease, diabetes mellitus, and chronic obstructive lung disease….
BAD #1: …his problem list includes coronary artery disease – myocardial infarction x 2, the last in 1996, multiple negative rule-outs since, ejection fraction equaled 35% in 1994; diabetes mellitus x 10 years, insulin-requiring for five years, complicated by retinopathy; chronic obstructive lung disease – with a FEV1* of 1.2 liters and steroid dependence…
GOOD #2: …his active problems include coronary artery disease, diabetes mellitus, and chronic obstructive lung disease….
What is the number one mistake?
What are some key points (2)
- Have a solid DDX
- Group the pertinent positives and negatives in an organized manner
When presenting complicated patients…inpatient for example, what might you include?
What do you not say?
What do you need for the social history part?
Physical Exam:
* What is it?
* Always include what?
* Mention what?
* What is an example?
What is the common mistake #2?
What is the common mistake #3?
What is common mistake #4?
What is common mistake #5?
What is the plan?
What is common mistake #6
what are the tips?
