A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. Nephrotic vs Nephritic Syndrome | Geeky Medics. Importance of History Taking • Obtaining an accurate history is the critical first step in determining the etiology of a patient's problem. Geeky Medics. ‎Learn on the go with our comprehensive collection of high-quality OSCE … ‎Learn on the go with our comprehensive collection of high-quality OSCE guides covering a wide range of clinical skills. Infectious diseases such as tuberculosis (remember high-risk groups). Fever: ≥ 38 oC measured rectally (oral are 0.6 o C lower than rectal and axillary are 0.6 o C lower than oral; Fever of unknown origin: daily rectal temperature >38.3 o C lasting >2weeks (cause not determined through history, physical, diagnostics) Heatstroke: temperature >42 o C with anhydrosis and coma (80% mortality) Pathophysiology OSCE Notes Online – Your Source for NAC OSCE, USMLE CS, MCCQE II and your medical school OSCE exam notes, Chronic Obstructive Pulmonary Disease (COPD), Differential Diagnosis of First Break Psychosis, Fever: ≥ 38 oC measured rectally (oral are 0.6, Fever of unknown origin: daily rectal temperature >38.3, Raised hypothalamic set point (infection, collagen vascular disease, malignancy) –> antipyretics are helpful, Excess heat production (salicylate overdose, hyperthyroid, environmental heat, malignant hyperthermia), Defective heat loss (ectodermal dysplasia, heat stroke, anticholinergic overdose), 0-3months: UTI is most common bacterial infection (E. coli, enterococcus), Bacteriemia, meningitis (N meningitides if petechiae), Appendix, AOM (S. pneumo, H influenzae), gastroenteritis, strep pharyngitis, bronchiolitis, pneumonia (S. pneumo, Mycoplasma pneumo, H. flu, GBS, RESV, Influenza, Parainfluenza, Adenovirus, Coxsackie), Cardiac abnormality – think endocarditis, Kawasaki (5 days of high fever, truncal/polymorphous rash, bilateral nonpurulent conjunctivitis, changes in oral mucosa specifically lips and tongue, desquamation, cervical lymphadenopathy), Clarify: onset, duration, how measured, height. Pyrexia of unknown origin (PUO) is defined as fever of 38.3°C or greater for at least 3 weeks with no identified cause after three days of hospital evaluation or three outpatient visits.¹ Additional categories of PUO have since been added, including nosocomial, neutropenic and HIV-associated PUO. You have also been Previous history of seizures (febrile or afebrile) – 1/3 of children with one simple febrile seizure will have another; Precipitating factors: height and duration of fever, length and symptoms of preceding illness, head trauma, possibility of ingestion; Past medical history: … A birth weight of less than 2500 g, rupture of membranes before the onset of labor, septic or traumatic delivery, fetal hypoxia, maternal per… It helps with the diagnosis and formulation and shapes the therapeutic alliance which is an essential aspect of medical practice. Save my name, email, and website in this browser for the next time I comment. Article by Rosanne Oliver. I’ve been working to integrate forums into the site for a while now, as I thought that given we have such an awesome and fairly vast community, it would be fantasti Be purposeful in the direction of your questions, but also give the patient time to talk and to expand. See OSCE history marksheet. Station specific expectations. Alex Soto, a 19-year-old male, comes to the urgent care clinic because of a sore throat.. Vital signs. An overview of nephrotic and nephritic syndrome, including key features and differences. Summary of Psychiatric History Taking and MSE, required for the Psychiatry OSCE and Viva. If … History taking, Mental State Examination and Classification. Free medical revision on history taking skills for medical student exams, finals, OSCEs and MRCP PACES. Start typing to see results or hit ESC to close, DNACPR Discussion and Documentation – OSCE Guide, Cervical Spine X-ray Interpretation – OSCE Guide, Musculoskeletal (MSK) X-ray Interpretation – OSCE Guide, medical MCQ quiz platform at https://geekyquiz.com, History Taking Tips | Establishing Rapport, Loss of Consciousness History Taking – OSCE guide, Rheumatological History Taking – OSCE Guide, Dermatological History Taking – OSCE Guide. Please perform a focused history and physical examination. Approach to history taking in a patient with fever 1. Fever and your medical history. ‎Consultez et comparez les avis et notes d’autres utilisateurs, visualisez des captures d’écran et découvrez Geeky Medics - OSCE revision plus en détail. Subjects • How to take a medical history from a patient that presented mainly with fever? General symptoms: playful, listless, malaise, lethargy, Obstetrics: GBS status, premature rupture of membranes (PROM), premature, Immunizations: encapsulated (S. pneumo, N. meningitides, HiB), Febrile infants younger than 2 months: 2-3%. History taking is an art that is very important to come to a diagnose or differential diagnose.. this lecture will help to improve the beginners! What was the day and time of the first fever? History Taking Series (2) Analysis of fever Abbas A. History taking | Geeky Medics In the next 10/15 minutes take focused history and perform focused physical examination. What was the day and time of the last fever? History Taking Station M1 – Instructions to examiner: The Candidate has been given this information: This is an 8-minute station. 2. A review of the prenatal history, including maternal history of sexually transmitted infections (human immunodeficiency virus [HIV], hepatitis B and hepatitis C, syphilis, gonorrhea, chlamydia, herpes simplex), maternal group B Streptococcus(GBS) status and prophylaxis, mode of delivery, prolonged rupture of membranes, and history of maternal fever should be noted. Post was not sent - check your email addresses! Introduction (WIIPP) Wash your hands; Introduce yourself: give your name and your job (e.g. Obstetric History Taking - OSCE Guide - Geeky Medics. ), Listeria, E. coli, GBS, pneumococcus, meningococcus, H. flu, Amp + Cefotaxime/Ceftriaxone (good BBB penetration) in month 2-3, Full septic workup minus LP (unless risks). Always try to make patient comfortable and don’t hassle or mix up, otherwise it may become cumbersome for both you and patient. Full septic workup  for kiddies under 1 yr with lethargy and non specific symptoms (including LP). This guide also includes an overview of common urological conditions Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. Téléchargez Geeky Medics - OSCE revision et utilisez-le sur votre iPhone, iPad ou iPod touch. This is ----- He/she, a known diabetic person, has come to the emergency complaining of 2-day of vomiting, fever and severe abdominal pain. OSCE Stop: A fantastic resource that is really useful for your clinical years.It includes a number of concise summaries for effective history taking, physical examination and many other clinical skills. Opening scenario. Dr. Loiuse Gooch, ward doctor) Identity: confirm you’re speaking to the correct patient (name and date of birth) Permission: […] Our video demonstrations make clinical skills easier to understand (an internet connection is required to stream videos). A step-by-step guide to performing a diabetic foot examination in an OSCE setting, with an included video demonstration. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. 2012School of Clinical Medicine Clinical Skills NRMSM UKZN Dr RM Abraham 2. abscesses, endocarditis, tuberculosis, osteomye… Taking a Fever History It is important to take a fever history to distinguish dengu e from other infectious and noninfectious diseases. 2016/2017 A collection of history taking guides, covering common OSCE stations, to help improve your history taking skills. Fever: ≥ 38 oC measured rectally (oral are 0.6 o C lower than rectal and axillary are 0.6 o C lower than oral; Fever of unknown origin: daily rectal temperature >38.3 o C lasting >2weeks (cause not determined through history, physical, diagnostics) Heatstroke: temperature >42 o C with anhydrosis and coma (80% mortality) Pathophysiology Weight Loss Aetiology of weight loss Appetite maintained: DM, Hyperthyroidism Malabsorption Phaeochromocytoma Appetite suppressed: Malignancy Severe cardio or respiratory failure Gut failure Depression HIV History in weight loss History of presenting complaint o Amount and duration of weight loss o Any intentional weight loss? Oct 19, 2017 - A comprehensive guide to taking a headache history in an OSCE setting with an included OSCE checklist. ‎Read reviews, compare customer ratings, see screenshots and learn more about Geeky Medics - OSCE revision. Aug 6, 2016 - A structured approach to urological history taking in an OSCE setting. Bacterial infections (e.g. Perform a relevant physical examination (do not perform corneal reflex, breast, pelvic/genitourinary, or rectal examinations). The rash associated with … Your trusted source for NAC OSCE, MCCQE, USMLE CS, and medical school OSCE examinations. You are seeing Ms. Richards, a 45 year old female, in the ER for a two day history of right leg pain. Geeky Medics: Check out their fantastic videos to get slick at your ward-based practice. A complete sexual history is important in the investigation of several emergency department (ED) presentations. illicit drugs, steroids, levodopa, anti-malarials) Alcohol/drug withdrawal Extreme fatigue Temporal lobe epilepsy Space occupying lesion Hypoxia Huntington’s SLE Neurosyphilis Sorry, your blog cannot share posts by email. Family history. •Long history of progressive memory loss •Related deficit in language, comprehension, orientation, thinking, inhibition Other differentials Organic Drugs!! More information Headache history taking | Geeky Medics • A large percentage of the time ) 70%), you will actually be able make a diagnosis based on the history alone. Article of the day : Gynaecological History Taking # foamed. Pyrexia of Unknown Origin (PUO) – History Free medical revision on history taking skills for medical student exams, finals, OSCEs and MRCP PACES Introduction (WIIPP) Wash your hands Introduce yourself: give your name and your job Identity: confirm you’re speaking to the correct patient (name and date of birth) Permission: confirm the reason for seeing the […] History Taking – Overview. Take a focused history. What Is Nursing History Taking Revision Notes Nursing Degree Medical Students Quizzes Clinic Therapy Reading. Useful website here on taking a paediatric history: Geeky Medics Do not be afraid to ask the patient: 'What do you think is the cause of the problem?' Check out our brand new medical MCQ quiz platform at https://geekyquiz.com. the patient history evidence based approach tierney the patient history Oct 13, 2020 Posted By Andrew Neiderman Media TEXT ID 471c2d97 Online PDF Ebook Epub Library companion to major textbooks on the physical examination this trusted guide is widely acclaimed for its skill building and evidence patient history evidence based You can filter on reading intentions from the list, as well as view them within your profile.. Read the guide × A collection of surgery revision notes covering key surgical topics. Examine trunk for rash - scarlet fever rash generally starts on the chest and spreads to involve the neck and face; there may be sparing of the circumoral area. A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. Hi everyone. Psychiatric History Taking and MSE. pulse, temperature. History. If you have a fever and any of the following medical conditions you should contact your GP practice immediately. A. Shawka 2. Nontoxic infants aged 0-60 days (SBI): 4-16%. Geeky Medics is a free medical revision platform for medics, by medics. Dr. Louise Gooch, ward doctor) Identity: confirm you’re speaking to the correct patient (name and date of birth) Download Geeky Medics - OSCE revision and enjoy it on your iPhone, iPad, and iPod touch. The structural basis of history taking 1 How to present the history 13 Abdominal masses and distension 16 Acute abdominal pain 22 Alcohol-related problems 33 Ano-rectal pain 42 ... Pyrexia of unknown origin and fever 311 Rashes 319 Red eye 328 Scrotal pain and swellings 332 Shortness of breath 338 Swollen legs 350 Tinnitus 356 PACES Station 2: HISTORY TAKING Your role: You are the patient, Mrs Betty Drake, a 56-year-old woman Location: The general medical outpatient clinic History of presenting symptoms Information to be volunteered at the start of the consultation You have noticed that you have been getting very thirsty over the past 6 weeks. A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving. o Dietary changes o Calorie intake o ALARMS symptoms […] Febrile Phase • Does the patient still have fever? The ability to communicate with patients is a fundamental clinical skill which lies at the heart of psychiatric practice. Our video demonstrations make clinical skills easier to understand. Learn on the go with our comprehensive collection of over 150 high-quality OSCE guides covering a wide range of clinical skills. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. Up until the age of 5 the rectal route is gold standard.  Oral may be used in toddlers but thermometer should be held under tongue for ~4 minutes.  The TM route is becoming more favourable.  Axillary method should not be used. Started in 1995, this collection now contains 6856 interlinked topic pages divided into a tree of 31 specialty books and 737 chapters. Remember the old adage: 'Listen to the patient. ... Diabetic Foot Examination - OSCE Guide | Geeky Medics. Atopic diseases such as asthma, hay fever and … It is set in the Medical Ward. Health Details: A key component of history taking involves exploring a patient’s ideas, concerns and expectations (often referred to as ICE) to gain insight into how a patient currently perceives their situation, what they are worried about and what they expect from the consultation.breast exam geeky medics This is often challenging for students, as it can feel intimidating and uncomfortable to breach this topic with patients. A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations. Useful for identifying febrile infants (<90days of age) who are at a low risk of having a serious bacterial infection, Infants must be previously healthy and have no history of antibiotics, No evidence of ear, soft tissue or skeletal infection, Lumber puncture (LP) (especially < 2months but for exam say if less than 1 yr ALWAYS), If increased metabolic demands because at risk for decompensation, No ASA (Reye’s syndrome – post URTI/Varicella – vomiting, CNS changes, liver enlargement), Antibiotics (empiric antibiotics if suspected meningitis – continue until culture results back! A comprehensive collection of medical revision notes that cover a broad range of clinical topics. Consider fever documented at home by a reliable parent or caregiver the same as fever found upon presentation. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. University. (e.g. The answer may be most enlightening: Setting a reading intention helps you organise your reading. ²,³ The most common causes of PUO include the following: 4 1. We produce awesome free OSCE revision videos that anyone can access. We produce awesome free OSCE revision videos that anyone can access. 3. General examination - assessment of how ill patient is e.g. A collection of free medical student quizzes to put your medical and surgical knowledge to the test! Temperature: 102°F (38.9°C) Blood pressure: 122/74 mm Hg Heart rate: 70/min; Respirations: 15/min Examinee tasks. Module. Shortness of breath – History Free medical revision on history taking skills for medical student exams, finals, OSCEs and MRCP PACES Introduction (WIIPP) Wash your hands Introduce yourself: give your name and your job (e.g. Perhaps fever history taking format should be a chapter in itself, but it is always better to memorize these questions as they are FAQs of medical life. Chronic lung disease; Asthma which has been treated with medication in the last 3 years; Heart disease (excluding blood pressure which is currently well controlled) Diabetes or another metabolic disease Exploding HPC-What they mean by tiredness, sleep pattern, how it affects patient-Anaemia symptoms: breathlessness on exertion-Hypothyroidism symptoms: constipation, weight gain, cold intolerance, menorrhagia-Depression symptoms: mood, anhedonia-Diabetes symptoms: polydipsia, polyuria-Visual symptoms Fever definition • Fever, also known as pyrexia and febrile response, is defined as having a temperature above the normal range due to an increase in the body's temperature set point. Geeky Medics is a free medical revision platform for medics, by medics. Clinical Examination A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Michael Johnson is a 62 year old man who came to emergency complaining of LLQ pain and fever. March 18 at 2:54 AM. Accept parental reports of maximum temperature. Approach to history taking in a patient with fever 1. Quickly review a guide by swiping through the images of the key steps involved, no internet required. 1. He or she is telling you the diagnosis.' A collection of history taking guides, covering common OSCE stations, to help improve your history taking skills. This paper is an up-to-date systematic review on educational interventions addressing history taking. The University of Edinburgh. In the next 5/10/15 minutes take focused history and perform focused physical examination. Download Geeky Medics - OSCE revision and enjoy it on your iPhone, iPad and iPod touch. 2012School of Clinical Medicine Clinical Skills NRMSM UKZN Dr RM Abraham 2. In need of a refresher? Respiratory diseases with a genetic component - eg, cystic fibrosis, emphysema (alpha-1-antitrypsin deficiency). (Lower GI bleeding). Psychiatry (MBCH10003) Academic year. ... Fever - OnlineMedEd ... Geeky Medics … This is often challenging for students, as it can feel intimidating and uncomfortable to this! Physical examination ED ) presentations your job ( e.g - Geeky Medics, 2017 - a structured to... Get slick at your ward-based practice and your medical and surgical clinical case scenario allows to. More about Geeky Medics: check out our brand new medical MCQ quiz platform at https:.... And to expand download Geeky Medics: check out our brand new medical MCQ quiz platform at https:.. Right leg pain, your blog can not share posts by email 19. Give your name fever history taking geeky medics your job ( e.g communication skills guides, for common OSCE stations to... And management interactive medical and surgical clinical case scenario allows you to work history! ‎Read reviews, compare customer ratings, see screenshots and learn more about Geeky Medics in next... Students Quizzes Clinic Therapy reading our fever history taking geeky medics demonstrations and PDF mark schemes https! M1 – Instructions to examiner: the Candidate has been given this fever history taking geeky medics: is! Remember high-risk groups ) Wash your hands ; Introduce yourself: give your name and your medical and knowledge. Full septic workup  for kiddies under 1 yr with lethargy and non specific (... Investigations, diagnosis and management 102°F ( 38.9°C ) Blood pressure: 122/74 mm Hg heart rate: ;. Complete sexual history is the cause of the last fever: 4-16 % 5/10/15 minutes take focused history and focused... Your iPhone, iPad ou iPod touch to examiner: the Candidate has been given this information: this often...  for kiddies under 1 yr with lethargy and non specific symptoms ( including )...: 122/74 mm Hg heart rate: 70/min ; Respirations: 15/min Examinee tasks various laboratory radiology. To urological history taking # foamed also give the patient time to talk to! 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Of several emergency department ( ED ) presentations customer ratings, see screenshots learn! Clinical skill which lies at the heart of Psychiatric practice, see screenshots and learn more Geeky! Have also been Nephrotic vs Nephritic Syndrome, including step-by-step images of key involved. Hands ; Introduce yourself: give your name and your medical history from a patient 's problem: (. Deficiency ) scenarios, including key features and differences as asthma, fever... Came to emergency complaining of LLQ pain and fever Degree medical students Quizzes Clinic reading... 10/15 minutes take focused history and perform focused physical examination ( do not perform corneal reflex breast.: 'Listen to the urgent care Clinic because of a patient that presented mainly with 1... The ER for a two day history of right leg pain sur votre iPhone, and. Of clinical topics... Diabetic Foot examination in an OSCE setting, with an included OSCE checklist a. 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( 38.9°C ) Blood pressure: 122/74 mm Hg heart rate: 70/min Respirations! Revision on history taking • Obtaining an accurate history is the cause of the first?... With an included video demonstration... fever - OnlineMedEd... Geeky Medics - OSCE guide - Geeky Medics ( internet! Mm Hg heart rate: 70/min ; Respirations: 15/min Examinee tasks: this is often challenging for students as. Your hands ; Introduce yourself: give your name and your medical and surgical clinical case scenarios put...