History taking
Examination
Remember if the station involves history, go about in these steps:
Hi, My name is Dr. , one of the emergency department registrars. May I know your name please? How old are you? And What do you do for your living?
I understand that you have back pain.... I would like to give you some medications for your pain. Well,... I have been asked to take a history about your pain, Is that Okay with you?
Ask SOCRATES of pain, Past similar complaints, Allergies, Past Medical & Surgical History, Medications, Urinary and GI habits, Social history.
Remember to look for REDFLAGS: TUNA FISH
T Trauma, Tuberculosis
U Unexplained loss of weight, Night sweats
N Neurological Deficits, Bowel & Bladder incontinence
A <20 and="">5520>
F Fever
I IVDU
S Steroid use or immunosuppressed
H History of Cancer, early morning stiffness
Ask for Physical examination to be performed, and certain tests like FBC, U & E, CRP, X ray and/or MRI
Thank the patient and Examiner
- For OSCEs asking for physical examination, remember the following things:
Hi, My name is Dr. , one of the emergency department registrars. I understand that you have back pain.... I would like to give you some medications for your pain. Also, I would like to do a physical examination on you. Is that Okay with you?
Before I begin, I would like to know/obtain the vital signs of my patient.
The examination of spine consists of:
- Range of movements of spine
- Neurological examination of the lower limb
- Nerve Stretch tests: SLR, Femoral Stretch tests
- Gait
(Video Credits: Dr Claire B. & Dr Simon C.)
very helpful videos..thanks :)
ReplyDeleteYou are welcome Dr Apurva
ReplyDeleteKeep on writing, great job!
ReplyDelete