OSCE 3 Fracture

Question 1

What does the P stand for in PILSDUCT and how is it practiced

Answer 1

Pain

And is done by asking for location of pain and score outta 10

Question 2

What does the I stand for in PILSDUCT and how is it practiced

Answer 2

Irregularity

A visual inspection of the location of pain looking for asymmetry or lack of alignment

Question 3

What does the L stand for in PILSDUCT and how is it practiced

Answer 3

Loss of function
Is checking if the patient can move the limb at all without pain
Is the a loss of range of movement or power

Question 4

What does the S stand for in PILSDUCT and how is it practiced

Answer 4

Swelling

Is there obviously swelling or bruising

Question 5

What does the D stand for in PILSDUCT and how is it practiced

Answer 5

Deformity

This involves comparing the form and shape of good limb to the bad limb

Question 6

What does the U stand for in PILSDUCT and how is it practiced

Answer 6

Unnatural movement

Assessing the joints above and below the injury

Question 7

What does the C stand for in PILSDUCT and how is it practiced

Answer 7

Crepitus

Is there a crunching, grating or popping sound when palpating

Question 8

What does the T stand for in PILSDUCT and how is it practiced

Answer 8

Tenderness

Involves palpitating the injury to identify a possible break push hard

Question 9

What is the important part of limb base line and what are the 6 parts of limb baselines

Answer 9

Checking on both feet!

1. Distal pulse
2. Colour
3. Warmth
4. Sensation
5. Movement
6. CRT

Question 10

Indication to use a SAGAR splint

Answer 10

Mid-shaft femur fracture

Question 11

When can u not use a SAGAR

Answer 11

If there is pelvic pain/fracture Or tib/fib pain/fracture