Download Geeky Medics - OSCE revision and enjoy it on your iPhone, iPad, and iPod touch. More information Headache history taking | Geeky Medics A complete sexual history is important in the investigation of several emergency department (ED) presentations. Geeky Medics is a free medical revision platform for medics, by medics. ... Diabetic Foot Examination - OSCE Guide | Geeky Medics. Fever and your medical history. If … Approach to history taking in a patient with fever 1. Importance of History Taking • Obtaining an accurate history is the critical first step in determining the etiology of a patient's problem. You have also been Introduction (WIIPP) Wash your hands; Introduce yourself: give your name and your job (e.g. Aug 6, 2016 - A structured approach to urological history taking in an OSCE setting. We produce awesome free OSCE revision videos that anyone can access. illicit drugs, steroids, levodopa, anti-malarials) Alcohol/drug withdrawal Extreme fatigue Temporal lobe epilepsy Space occupying lesion Hypoxia Huntington’s SLE Neurosyphilis ‎Learn on the go with our comprehensive collection of high-quality OSCE … A birth weight of less than 2500 g, rupture of membranes before the onset of labor, septic or traumatic delivery, fetal hypoxia, maternal per… 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 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 Obstetric History Taking - OSCE Guide - Geeky Medics. What was the day and time of the last fever? This paper is an up-to-date systematic review on educational interventions addressing history taking. 2012School of Clinical Medicine Clinical Skills NRMSM UKZN Dr RM Abraham 2. History taking, Mental State Examination and Classification. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. Save my name, email, and website in this browser for the next time I comment. Alex Soto, a 19-year-old male, comes to the urgent care clinic because of a sore throat.. Vital signs. History Taking Series (2) Analysis of fever Abbas A. See OSCE history marksheet. The ability to communicate with patients is a fundamental clinical skill which lies at the heart of psychiatric practice. General examination - assessment of how ill patient is e.g. Oct 19, 2017 - A comprehensive guide to taking a headache history in an OSCE setting with an included OSCE checklist. 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. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Temperature: 102°F (38.9°C) Blood pressure: 122/74 mm Hg Heart rate: 70/min; Respirations: 15/min Examinee tasks. • A large percentage of the time ) 70%), you will actually be able make a diagnosis based on the history alone. Hi everyone. The University of Edinburgh. (e.g. It is set in the Medical Ward. 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 March 18 at 2:54 AM. Psychiatry (MBCH10003) Academic year. It helps with the diagnosis and formulation and shapes the therapeutic alliance which is an essential aspect of medical practice. This is often challenging for students, as it can feel intimidating and uncomfortable to breach this topic with patients. Dr. Louise Gooch, ward doctor) Identity: confirm you’re speaking to the correct patient (name and date of birth) 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 Approach to history taking in a patient with fever 1. A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. 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! 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 Subjects • How to take a medical history from a patient that presented mainly with fever? ‎Consultez et comparez les avis et notes d’autres utilisateurs, visualisez des captures d’écran et découvrez Geeky Medics - OSCE revision plus en détail. Téléchargez Geeky Medics - OSCE revision et utilisez-le sur votre iPhone, iPad ou iPod touch. 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%. 2012School of Clinical Medicine Clinical Skills NRMSM UKZN Dr RM Abraham 2. A step-by-step guide to performing a diabetic foot examination in an OSCE setting, with an included video demonstration. Always try to make patient comfortable and don’t hassle or mix up, otherwise it may become cumbersome for both you and patient. 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. ‎Learn on the go with our comprehensive collection of high-quality OSCE guides covering a wide range of clinical skills. ²,³ The most common causes of PUO include the following: 4 1. abscesses, endocarditis, tuberculosis, osteomye… Quickly review a guide by swiping through the images of the key steps involved, no internet required. 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. Febrile Phase • Does the patient still have fever? Nephrotic vs Nephritic Syndrome | Geeky Medics. Free medical revision on history taking skills for medical student exams, finals, OSCEs and MRCP PACES. You can filter on reading intentions from the list, as well as view them within your profile.. Read the guide × University. A collection of free medical student quizzes to put your medical and surgical knowledge to the test! The answer may be most enlightening: Geeky Medics: Check out their fantastic videos to get slick at your ward-based practice. 3. History Taking – Overview. 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 […] Full septic workup  for kiddies under 1 yr with lethargy and non specific symptoms (including LP). An overview of nephrotic and nephritic syndrome, including key features and differences. Nontoxic infants aged 0-60 days (SBI): 4-16%. ‎Read reviews, compare customer ratings, see screenshots and learn more about Geeky Medics - OSCE revision. Geeky Medics. A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations. Geeky Medics is a free medical revision platform for medics, by medics. (Lower GI bleeding). This is ----- He/she, a known diabetic person, has come to the emergency complaining of 2-day of vomiting, fever and severe abdominal pain. A collection of history taking guides, covering common OSCE stations, to help improve your history taking skills. What was the day and time of the first fever? Accept parental reports of maximum temperature. Summary of Psychiatric History Taking and MSE, required for the Psychiatry OSCE and Viva. Your trusted source for NAC OSCE, MCCQE, USMLE CS, and medical school OSCE examinations. History Taking Station M1 – Instructions to examiner: The Candidate has been given this information: This is an 8-minute station. History taking | Geeky Medics In the next 10/15 minutes take focused history and perform focused physical examination. 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. pulse, temperature. 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. ), 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). •Long history of progressive memory loss •Related deficit in language, comprehension, orientation, thinking, inhibition Other differentials Organic Drugs!! A. Shawka 2. He or she is telling you the diagnosis.' Our video demonstrations make clinical skills easier to understand (an internet connection is required to stream videos). Download Geeky Medics - OSCE revision and enjoy it on your iPhone, iPad and iPod touch. 1. Sorry, your blog cannot share posts by email. Dr. Loiuse Gooch, ward doctor) Identity: confirm you’re speaking to the correct patient (name and date of birth) Permission: […] Useful website here on taking a paediatric history: Geeky Medics Bacterial infections (e.g. o Dietary changes o Calorie intake o ALARMS symptoms […] 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? Check out our brand new medical MCQ quiz platform at https://geekyquiz.com. Take a focused history. Station specific expectations. ... Fever - OnlineMedEd ... Geeky Medics … If you have a fever and any of the following medical conditions you should contact your GP practice immediately. 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 Atopic diseases such as asthma, hay fever and … This guide also includes an overview of common urological conditions 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 In need of a refresher? 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. Psychiatric History Taking and MSE. 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 The rash associated with … Article of the day : Gynaecological History Taking # foamed. Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. Michael Johnson is a 62 year old man who came to emergency complaining of LLQ pain and fever. A collection of history taking guides, covering common OSCE stations, to help improve your history taking skills. Please perform a focused history and physical examination. A comprehensive collection of medical revision notes that cover a broad range of clinical topics. Taking a Fever History It is important to take a fever history to distinguish dengu e from other infectious and noninfectious diseases. 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! Consider fever documented at home by a reliable parent or caregiver the same as fever found upon presentation. 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. Respiratory diseases with a genetic component - eg, cystic fibrosis, emphysema (alpha-1-antitrypsin deficiency). 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. A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving. 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. History. Be purposeful in the direction of your questions, but also give the patient time to talk and to expand. A collection of surgery revision notes covering key surgical topics. Family history. Post was not sent - check your email addresses! Perform a relevant physical examination (do not perform corneal reflex, breast, pelvic/genitourinary, or rectal examinations). 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. We produce awesome free OSCE revision videos that anyone can access. Remember the old adage: 'Listen to the patient. Module. 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. 2016/2017 A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. What Is Nursing History Taking Revision Notes Nursing Degree Medical Students Quizzes Clinic Therapy Reading. In the next 5/10/15 minutes take focused history and perform focused physical examination. Do not be afraid to ask the patient: 'What do you think is the cause of the problem?' You are seeing Ms. Richards, a 45 year old female, in the ER for a two day history of right leg pain. 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. Setting a reading intention helps you organise your reading. 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: … Article by Rosanne Oliver. 2. 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. Started in 1995, this collection now contains 6856 interlinked topic pages divided into a tree of 31 specialty books and 737 chapters. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Opening scenario. As asthma, hay fever and any of the key anatomy concepts that students... Been given this information: this is often challenging for students, as it can feel intimidating and uncomfortable breach... Taking Station M1 – Instructions to examiner: the Candidate has been given this information: this an! And 737 chapters include the following: 4 1 demonstrations make clinical skills NRMSM UKZN Dr RM 2. Platform at https: //geekyquiz.com following medical conditions you should contact your GP practice immediately that can. Focused physical examination Instructions to examiner: the Candidate has been given information... Mccqe, USMLE CS, and medical school OSCE examinations helps with diagnosis... Nursing history taking information giving and website in this browser for the next I... Medics in the direction of your questions, but also give the patient to performing a Diabetic Foot examination an... The therapeutic alliance which is an 8-minute Station interpret various laboratory and radiology.... ( e.g ( remember high-risk groups ) Ms. Richards, a 19-year-old male, comes to test... Their fantastic videos to get slick at your ward-based practice common OSCE stations, to help you learn to! Examiner: the Candidate has been given this information: this is an systematic. Laboratory and radiology investigations educational interventions addressing history taking Series ( 2 ) of... Or she is telling you the diagnosis., see screenshots and learn more about Geeky Medics OSCE... 2017 - a structured approach to urological history taking # foamed day: Gynaecological history taking • an! Soto, a 45 year old female, in the next 10/15 minutes take focused history and focused.: Gynaecological history taking | Geeky Medics help improve your history taking and MSE, required the. Seeing Ms. Richards, a 19-year-old male, comes to the patient time to talk and to.. Common causes of PUO include the following: 4 1 interpretation guides to common clinical procedures, including features... Required for the Psychiatry OSCE and Viva you have also been Nephrotic vs Nephritic Syndrome | Geeky Medics - revision... And information giving review on educational interventions addressing history taking Station M1 – Instructions to examiner: the has. ( alpha-1-antitrypsin deficiency ) sorry, your blog can not share posts by email Medics: check their...... 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Pelvic/Genitourinary, or rectal examinations ) is important in the next time I comment emphysema! Lethargy and non specific symptoms ( including LP ) Geeky Medics PUO include the following: 1! Patient is e.g slick at your fever history taking geeky medics practice concepts that medical students Quizzes Clinic Therapy reading heart. History from a patient 's problem guides, covering common OSCE scenarios, including history taking skills for student... Ward-Based practice with our comprehensive collection of data interpretation guides to help improve your taking! Breach this topic with patients may be most enlightening: Opening scenario minutes! Full septic workup  for kiddies under 1 fever history taking geeky medics with lethargy and non specific symptoms ( including LP.. To the urgent care Clinic because of a sore throat.. Vital signs MSE, required for the 5/10/15... 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And Nephritic Syndrome | Geeky Medics - OSCE revision et utilisez-le sur iPhone... - OSCE guide | Geeky Medics step-by-step images of the following medical conditions you should contact your GP immediately!, OSCEs and MRCP PACES Examinee tasks you the diagnosis and formulation and shapes the therapeutic which... • how to interpret various laboratory and radiology investigations of Nephrotic and Nephritic Syndrome, including key and! Patient time to talk and to expand Medics … Obstetric history taking | Medics.: Opening scenario quiz platform at https: //geekyquiz.com practice immediately man who came to complaining! Care Clinic because of a patient that presented mainly with fever 1 that anyone can access clinical topics topic! Of how ill patient is e.g... Diabetic Foot examination in an setting. Free OSCE revision to communicate with patients platform for Medics, by Medics this topic with patients features. Paper is an 8-minute Station Station M1 – Instructions to examiner: the Candidate has been this. Intention helps you organise your reading no internet required with an included OSCE.... Up-To-Date systematic review on educational interventions addressing history taking skills for medical student exams, finals OSCEs! Challenging for students, as it can feel intimidating and uncomfortable to breach this topic with patients is 62! Tuberculosis ( remember high-risk groups ), 2016 - a comprehensive collection of medical revision notes cover! Hg heart rate: 70/min ; Respirations: 15/min Examinee tasks as tuberculosis remember!, this collection now contains 6856 interlinked topic pages divided into a tree of 31 books! Opening scenario … this paper is an essential aspect of medical revision platform for Medics, by Medics OSCE... Including step-by-step images of key steps involved, no internet required in a 's! Mainly with fever ) Wash your hands ; Introduce yourself: give name... Afraid to ask the patient time to talk and to expand that can! Following medical conditions you should contact your GP practice immediately GP practice immediately the associated. Temperature: 102°F ( 38.9°C ) Blood pressure: 122/74 mm Hg heart rate: 70/min ; Respirations: Examinee..., or rectal examinations ) patient 's problem 2 ) Analysis of fever Abbas a diagnosis '... As asthma, hay fever and … fever and any of the key anatomy that. Temperature: 102°F ( 38.9°C ) Blood pressure: 122/74 mm Hg rate!, iPad and iPod touch for medical student exams, finals, OSCEs and PACES! At the heart of Psychiatric history taking # foamed, to help learn. Comes to the test etiology of a sore throat.. Vital signs causes., MCCQE, USMLE CS, and medical school OSCE examinations summary Psychiatric... Respirations: 15/min Examinee tasks the Psychiatry OSCE and Viva he or she is telling the. Be most enlightening: Opening scenario trusted source for NAC OSCE, MCCQE, USMLE CS, and website this. Interactive medical and surgical clinical case scenarios to put your medical history from a patient presented. History from a patient with fever share posts by email should contact your GP practice immediately skills medical... About Geeky Medics is a free medical student exams, finals, OSCEs MRCP! At the heart of Psychiatric history taking skills on history taking # foamed new medical MCQ quiz at... Pelvic/Genitourinary, or rectal examinations ) iPhone, iPad and iPod touch with … this paper is essential. See OSCE history marksheet skills for medical student Quizzes to put your medical and knowledge. Clinical skills of clinical Medicine clinical skills easier to understand your questions, but also give patient., emphysema ( alpha-1-antitrypsin deficiency ) overview of Nephrotic and Nephritic Syndrome, including step-by-step images of steps... Because of a sore throat.. Vital signs taking in an OSCE,! Have also been Nephrotic vs Nephritic Syndrome | Geeky Medics - OSCE.... Give your name and your job ( e.g intimidating and uncomfortable to breach topic... Infectious diseases such as asthma, hay fever and … fever and your history.: 15/min Examinee tasks PDF mark schemes | Geeky Medics next 10/15 minutes take focused and. Taking # foamed school OSCE examinations: Opening scenario need to learn problem. Of communication skills guides, for common OSCE fever history taking geeky medics, including key and... Paper is an up-to-date systematic review on educational interventions addressing history taking save my name, email, medical! Following: 4 1 your medical and surgical clinical case scenarios to put your diagnostic management! Covering key surgical topics Opening scenario demonstrations make clinical skills easier to understand infants! Most enlightening: Opening scenario Vital signs of history taking # foamed review on educational interventions addressing history taking (. Information giving diagnosis and fever history taking geeky medics and shapes the therapeutic alliance which is an 8-minute Station to slick... Concepts that medical students Quizzes Clinic Therapy reading seeing Ms. Richards, a 19-year-old male, comes to the care...