Resp/Haem/Derm OSCEs Flashcards
Haematological history
- ask pt story of what happened
- Lymphoma –> lumps or splenomegaly (abdo lump)
- Neutropenia –> recurrent infections? mouth ulcers?
- SH –> driving and recent trvel (DVT)
- Further steps for management?
Lymph nodes and abdominal examination
- General inspection
- For any palapble lymph node –> characteristics comment on?
- Further investigations…
- Axillary –> borders
- Lymphadenopathy dx
- Hepatomegaly dx –> >2cm below right costal margin
- Splenomegaly dx –> palpable spleen at left costal margin is splenomegaly
- Anterior triangle anatomy?
- Posterior triangle anatomy?
Venepuncture procedure
- Contraindications
- which vein?
- Order of draw
Blood tests interp.
-
Simman scenarios –> DVT –> PE
-
Simman scenario –> Sickle cell crisis –> neutropenic sepsis?
- Management
Simman scenario –> Subdural haemorrhage
- Chronic management –> common complication?
Simman scenario –> Sepsis –> eg. leg ulcer infection which leads to sepsis
- order of sepsis six
Dermatological history
- Derm-specific questions
- Skin lesion assessment
- Relevant PMH
- Relevant drug hx
- Relevant family hx –> skin cancer, atopic hx?
- Relevant social hx
- Further steps for management?
Dermatology images
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Respiratory history
- if SOB –> how far can patient walk?
- Vaccination hx
- Family hx –> lung conditions + atopic hx
Respiratory examination
-
ABG procedure
- Contraindications
- how does oxygen therpay affect ABG results
- ABG reference ranges
- Modified Allen’s test
- Offer lidocaine –> 1% 1ml subcut
Info giving –> inhaler technique
-
Peak expiratory flow technique and interp.
-
ABG interp.
-
Chest x-ray process and interp.
-
Lung function tests (spirometry) interp.
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Simman scenario –> Acute exacerbation of asthma –> life-threatening
-
Simman scenario –> Pneumonia –> progressing to sepsis
Simman scenario –> Anaphylaxis –> eg. due to co-amoxiclav
Simman scenario –> Acute exacerbation of COPD –> leading to type 2 resp. failure
- Presentation –>
- Investigations –>
- Differentials –>
- Acute management –>
- Chronic management –>
Simman scenario –> Pneumothorax –> tension?
Info giving –> Resp.
- Inhaler technique –> discuss and demonstrate
- asthma management discussion
- COPD management discussion
- Peak flow demonstration
Info giving –> Haem.
- Discuss blood test results
- Iron-deficiency anaemia discussion
Info giving –> Derm.
- Eczema –> what is it + management
- Acne –> what is it + management
- Application of moisturiser –> fingertip units
- Psoriasis –> what is it + management
CT scans
- know lung, heart, aorta, pulmonary artery
Prescribing –> Haem/derm
- FP10
- Hospital drug chart
Prescribing –> Resp.
- FP10
- Hospital drug chart
Info giving –> Haem/derm
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