A collection of surgery revision notes covering key surgical topics. Are there any positive visual symptoms? Geeky Medics OSCE Revision Book. The DVLA are ultimately the organisation that decides whether someone should continue to drive (rather than the healthcare professional). Deciding on which symptoms to ask about depends on the presenting complaint and your level of experience. View all articles. Deep Vein Thrombosis (DVT) Examination OSCE Guide Genitourinary bleeding: haematuria, post-coital bleeding; Menorrhagia; Other important Move along the posterior wall of the vagina and locate the cervix and feel for: Smoothness, clots, mobility and firmness A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. Patients who binge drink are also at increased risk of seizures secondary to acute intoxication. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. The external os marks the transition from the ectocervix to the endocervical canal. Palpate and ballot fluid to approximate volume to determine if there is oligohydraminos/polyhydramnios, When assessing the lie, only feeling fetal parts on deep palpation suggests large amounts of fluid, Fetal engagement refers to whether the presenting part has entered the bony pelvis. 80% of cervical cancers are squamous cell carcinomas of the epithelial lining of the ectocervix. Deep Vein Thrombosis (DVT) Examination OSCE Guide Genitourinary: oliguria, polyuria; Neurological: visual changes, motor or This may be accompanied by a complete absence of movement, or excessive abnormal movements (which people may say is a seizure). WebThese are the three causes of bowel obstruction you should produce if asked on a ward round or in an OSCE examination. A) Linea nigra. Once you havesummarised, ask the patient if theres anything else that youveoverlooked. These cookies ensure basic functionalities and security features of the website, anonymously. Aetiology. Move along the posterior wall of the vagina and locate the cervix and feel for: Smoothness, clots, mobility and firmness A) Uterine prolapse, b) Genital warts, c) Bartholins cyst. Geeky Medics OSCE Revision Book. The cookie is used to store the user consent for the cookies in the category "Performance". Cervical ectropion. Closed questions can allow you to explore the symptoms mentioned by the patient in more detail to gain a better understanding of their presentation. A Normal cervix. Ask the patient if they have anyquestionsorconcernsthat have not been addressed. WebWe would like to show you a description here but the site wont allow us. acute glaucoma), A frontal headache that radiates around the eyes (e.g. ; Kaur, G. Key Molecular Events in Cervical Cancer Development. However, for OSCE/examination purposes, two fingers should be used (unless the presenting complaint is that partner cannot enter / pain during sex). Explore the patientsgeneral social contextincluding: Understanding the patients daily activities allows you to consider the risk posed by further episodes of seizures. Once you havesummarised, ask the patient if theres anything else that youveoverlooked. Geeky Medics OSCE Revision Book. British National Formulary (online) London: BMJ Group and Pharmaceutical Press, 2022. In this article, we shall look at how to perform an speculum examination in an OSCE-style setting. Deep Vein Thrombosis (DVT) Examination OSCE Guide Genitourinary: oliguria, polyuria, dysuria, urinary frequency; aura or focal seizures)before the event: Ask about features suggestive of theunderlying aetiology of the seizure: 4,5,6. Fetal limbs may be palpable on the opposing side. Check out our NEW & IMPROVED quiz platform at geekyquiz.com, To be the first to know about our latest videos, subscribe to our YouTube channel . Available from: [. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. The medical information on this site is provided as an information resource only, and is not to be used or relied on for any diagnostic or treatment purposes. Abnormal lie, Malpresentation and Malposition, Cervical Intraepithelial Neoplasia + Cervical Screening. Almost all CIN and cervical cancer is driven by infection with HPV.High-risk types include HPV-16 and HPV-18, which contribute to over 70% of cervical cancer and 31, 33, 35, 45, 52 and 58, which account for an additional 20% of cervical cancers. The obstetric examination is a type of abdominal examination performed in pregnancy. A systemic enquiry involves performing a brief screen for symptoms in other body systems which may or may not be relevant to the primary presenting complaint. WebA comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. 2013;04(01):55-56. Deep Vein Thrombosis (DVT) Examination OSCE Guide Genitourinary: oliguria, polyuria, dysuria, urinary frequency; However, for OSCE/examination purposes, two fingers should be used (unless the presenting complaint is that partner cannot enter / pain during sex). Epilepsy Currents. WebStudents who pass the Phase 2b OSCE at the first sitting will complete an SSC in social accountability in which they will complete some voluntary work with patient or community groups in Sheffield or the surrounding area and through this, will increase their understanding on health inequity and the role of medicine in society. A comprehensive collection of medical revision notes that cover a broad range of clinical topics. How was the seizure stopped? But opting out of some of these cookies may affect your browsing experience. UCAT Preparation: A Step-By-Step Guide. We also use third-party cookies that help us analyze and understand how you use this website. HPV infects these cells with its surface proteins and uses its E6 and E7 oncoproteins to inhibit the tumour suppressors p53 and pRb, resulting in uncontrolled cellular proliferation. stairlift), who else the patient lives with and their personal support network, what tasks they are able to carry out independently and what they require assistance with (e.g. Ask the patient if they have anyquestionsorconcerns that have not been addressed. The Royal College of Obstetricians and Gynaecologists recommend monitoring for adverse effects and feeding before taking antiepileptic drugs. Also, note if patients are on a preservative-free formulation (the box will say preservative-free or minims). twice daily carer visits), pack-years = [number of years smoked] x [average number of packs smoked per day]. Deep Vein Thrombosis (DVT) Examination OSCE Guide Genitourinary: oliguria, polyuria; Neurological: visual changes, motor or As of 2020, there is 85% coverage for girls and 53% for boys. However, for OSCE/examination purposes, two fingers should be used (unless the presenting complaint is that partner cannot enter / pain during sex). A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Phase 1 modules are: Foundations of Medicine Fig 2 Speculum examination. Nature Reviews Disease Primers. Ballot head by pushing it gently from one side to the other. If there is a history of trauma, always keep in mind the possibility of a serious injury such as intraocular foreign body, globe rupture or penetration. It may be relevant to go through some questions briefly to rule out the involvement of other body systems. Taking a history from a patient presenting after a suspected seizure is an important skill that is often assessed in OSCEs. Geeky Medics OSCE Revision Book. The majority (70-90%) of HPV infections are asymptomatic and cleared within 2 years, and many women are diagnosed through routine screening. If the patient has epilepsy, explore if there are any triggers which may be lowering theirseizure threshold: Ask if the patient has any other medical conditions: If the patient does have a medical condition, you should gather more details to assess howwell controlled the disease is and whattreatment(s)the patient is receiving. Gain consent to proceed with history taking. A quick overview of key clinical signs you might expect to find when performing a respiratory examination on a patient with chronic obstructive pulmonary disease (COPD). If breech presentation is suspected, the fetal head can be often be palpated in the upper uterus. Move along the posterior wall of the vagina and locate the cervix and feel for: Smoothness, clots, mobility and firmness You also have the option to opt-out of these cookies. Geeky Medics OSCE Revision Book. This will give you the opportunity to learn medical history-taking and examination skills in both primary care and hospital settings. A step-by-step guide to help you prepare successfully for the UCAT and get into your favourite medical school. Today, were REALLY excited to announce Geeky AI; an intelligent assistant to help you write flashcards. Record the frequency, type and volume of alcohol consumed on a weekly basis. Iatrogenic complications may include lymphoedema, and symptoms relating to late radiation effects of radiotherapy on the bladder, ureter and rectum. Revisions: 7. WebA comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. stairlift), who else the patient lives with and their personal support network, what tasks they are able to carry out independently and what they require assistance with (e.g. A comprehensive collection of medical revision notes that cover a broad range of clinical topics. . Geeky Medics OSCE Revision Book ears, nose, gastrointestinal tract, genitourinary tract, respiratory tract or sites of venepuncture or cannulation. Analytical cookies are used to understand how visitors interact with the website. Some general communication skills which apply to all patient consultations include: Useopen questioningto explore the patientspresentingcomplaint: Provide the patient with enoughtimeto answer and avoid interrupting them. In this article, we shall look at how to perform an obstetric examination in an OSCE-style setting. twice daily carer visits), High-powered tools (a risk factor for penetrating eye trauma), Welding (a risk factor for photokeratitis). Deep Vein Thrombosis (DVT) Examination OSCE Guide Genitourinary bleeding: haematuria, post-coital bleeding; Menorrhagia; Other important Chloramphenicol. If you'd like to support us and get something great in return, check out our awesome products: You don't need to tell us which article this feedback relates to, as we automatically capture that information for you. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. Almost all CIN and cervical cancer is driven by infection with HPV.High-risk types include HPV-16 and HPV-18, which contribute to over 70% of cervical cancer and 31, 33, 35, 45, 52 and 58, which account for an additional 20% of cervical cancers. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. Brain and Spine. Clinical Skills Handbook. When patients present with symptoms of bowel obstruction, dont just think about obstruction, but also consider what the cause of the obstruction would be. These cookies track visitors across websites and collect information to provide customized ads. BNF. NICE CKS. Ask the patient if they userecreationaldrugsand if so determine the type of drugs used and their frequency of use. Check out our NEW & IMPROVED quiz platform at geekyquiz.com, To be the first to know about our latest videos, subscribe to our YouTube channel . In practice, you can use one finger for the whole examination. Ask if the patient uses prescription glasses and if these are used for distance or near vision. A collection of free medical student quizzes to put your medical and surgical knowledge to the test! Learn more at https://geekymedics.com/book Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Of self and environment; formerly known as simple partial seizure, Due to inadequate information or inability to place in other categories., *impaired language or other cognitive domains or positive features such as dj vu, hallucinations, illusions, or perceptual distortions, **involve anxiety, fear, joy, other emotions, or appearance of affect without subjective emotions. It can be challenging to use the ICE structure in a way that sounds natural in your consultation, but we have provided several examples for each of the three areas below. Geeky Medics OSCE Revision Book. Geeky Medics OSCE Revision Book. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Around 50% of cervical cancer occurs under the age of 45, with the incidence rising from the age of 15, peaking at 30-34 before decreasing with age (Figure 1).4, Almost all CIN and cervical cancer is driven by infection with HPV. WebA comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Nouri A, Gondar R, Schaller K, Meling T. Chronic Subdural Hematoma (cSDH): A review of the current state of the art. Anatomy 5. Geeky Medics OSCE Revision Book. Geeky Medics OSCE Revision Book. As a result, it is important to thoroughly explore a complaint of visual disturbance to narrow the differential diagnosis and avoid missing red flag features. Cervical cancer is a common and highly preventable cancer. In this article, we shall look at how to perform an speculum examination in an OSCE-style setting. HPV most commonly spreads through direct skin-skin contact during sexual intercourse. Three investigations are involved in the NHSCP: Primary HR-HPV testing was fully implemented in 2019 and replaced the Papanicolaou test (pap smear) as the first step of screening. History taking and examination of swelling OSCE Pediatrics Observed Stations Dr.D.Y.Patil Medical College CME syncope/dizziness, headache, visual problems, numbness/unpleasant sensations, weakness/frequent falls, incontinence) f) Genitourinary system (stream, dysuria, frequency, nocturia/enuresis, incontinence, Saunders. Ask the patient if theyre currently experiencing anysideeffectsfrom their medication: Ask the patient if theyve recently stopped any medications or had any doses changed as this may have precipitated a seizure (e.g. Table 1. 2002;40(1):142-148. Demonstrating these skills will ensure your consultation remains patient-centred and not checklist-like (just because youre running through a checklist in your head doesnt mean this has to be obvious to the patient). A quick overview of key clinical signs you might expect to find when performing a respiratory examination on a patient with chronic obstructive pulmonary disease (COPD). Epilepsy refers to a large group of syndromes where there is a predisposition to having seizures. Geeky Medics OSCE Revision Book ears, nose, gastrointestinal tract, genitourinary tract, respiratory tract or sites of venepuncture or cannulation. alcohol withdrawal seizures). Did anyone record what happened on video? History taking and examination of swelling OSCE Pediatrics Observed Stations Dr.D.Y.Patil Medical College CME syncope/dizziness, headache, visual problems, numbness/unpleasant sensations, weakness/frequent falls, incontinence) f) Genitourinary system (stream, dysuria, frequency, nocturia/enuresis, incontinence, Those over the age of 65 have the highest risk of falling with 30% of those over 65 and 50% of those over 80 falling at least once a year. Falls can have a profoundly negative impact on the quality of life of the elderly and their carers. You can learn more about respiratory examination here: https://geekymedics.com/respiratory-examination-2/, Respiratory Examination Signs in COPD - OSCE Guide. Simply write a prompt and let Geeky AI do the rest. Simply write a prompt and let Geeky AI do the rest. Closed questions can also be used to identify relevant risk factors and narrow the differential diagnosis. Aetiology. Deep Vein Thrombosis (DVT) Examination OSCE Guide Genitourinary: oliguria, polyuria; Neurological: visual changes, motor or Some examples of symptoms you could screen for in each system are shown below. The cookies is used to store the user consent for the cookies in the category "Necessary". corticosteroid withdrawal causing adrenal insufficiency): Ask if the patient is following a specific dietary or herbal/vitamin regimen. Taking a comprehensive social history is particularly important in the context of a person suffering from visual loss. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Psychogenic non-epileptic seizuresDefinition, etiology, treatment and prognostic issues: A critical review. Women diagnosed with cervical are more likely to experience psychological problems regarding coping with the diagnosis, pain, nausea, and fatigue as well as potential guilt for not attending follow-up and stigma associated with HPV infection. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. 2018;4(1). Blog. Those over the age of 65 have the highest risk of falling with 30% of those over 65 and 50% of those over 80 falling at least once a year. Falls can have a profoundly negative impact on the quality of life of the elderly and their carers. Blog. Valproate | Interactions. License: [, Ed Uthman. Note any guarding. Can you find objective evidence of the suspected seizure? Geeky Medics OSCE Revision Book. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Meanings & definitions of words in English with examples, synonyms, pronunciations and translations. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. When patients present with symptoms of bowel obstruction, dont just think about obstruction, but also consider what the cause of the obstruction would be. WebA comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Patients drinking significant volumes of alcohol regularly are at increased risk of seizures, particularly if they suddenly stop drinking (i.e. Seizure semiology (the clinically observed pattern of motor, sensory, behavioural, or psychiatric changes during a seizure) has been classified by the International League Against Epilepsy (Table 1). The cookie is used to store the user consent for the cookies in the category "Analytics". 1987;37(10):1617-1617. These cookies will be stored in your browser only with your consent. Other factors include:1. It is important to identify patients who have had a seizure, as opposed to common mimics (e.g. A speculum is a device used to look inside in the vagina and observe the cervix. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. B) Striae gravidarum and albicans. WebThe most popular dictionary and thesaurus. In practice, you can use one finger for the whole examination. Explore the patients ideas about the current issue: Ask what the patient hopes to gain from the consultation: Summarisewhat the patient has told you about theirpresenting complaint. This can present as a more acutetoxic optic neuropathy. Ask the patient to comment on any tenderness and observe her facial and verbal responses throughout. TheSOCRATES acronym is a useful tool for exploring presenting symptoms. Cardiovascular symptoms to screen for include: Respiratory symptoms to screen for include: Gastrointestinal symptoms to screen for include: Genitourinary symptoms to screen for include: Neurological symptoms to screen for include: Ear, nose and throat symptoms to screen for include: Musculoskeletal symptoms toscreen for include: Dermatological symptoms to screen for include: A quick overview of key clinical signs you might expect to find when performing a respiratory examination on a patient with chronic obstructive pulmonary disease (COPD). If you'd like to support us and get something great in return, check out our awesome products: You don't need to tell us which article this feedback relates to, as we automatically capture that information for you. The squamocolumnar junction (SCJ) marks the location where the squamous epithelium of the ectocervix and columnar epithelium of the endocervix meet. Analytical cookies are used to understand how visitors interact with the website. A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Blog. Adapted from work by Indian Journal of Dermatology and James Heilman, MD [CC BY-SA 3.0], via Wikimedia Commons, [caption id="attachment_15151" align="aligncenter" width="647"], [caption id="attachment_15156" align="aligncenter" width="703"], [caption id="attachment_15152" align="aligncenter" width="355"]. Head and neck melasma, conjunctival pallor, jaundice, oedema. Human Papillomavirus and Related Diseases in United Kingdom of Great Britain and Northern Ireland. Note that although condoms may reduce the risk of HPV, they do not offer full protection. Necessary cookies are absolutely essential for the website to function properly. Intercostal Drain) OSCE Guide, Ascitic Drain (Therapeutic Paracentesis) OSCE Guide, Combined Oral Contraceptive Pill (COCP) Counselling OSCE Guide, Cervical Screening Test (Smear Test) OSCE Guide, Contact with contaminated surfaces or objects, Co-infection with other sexually transmitted infections, such as, Previous cancers of the vagina, vulva, kidneys and urinary tract, Abnormal vaginal bleeding (intermenstrual, postcoital, postmenopausal), Vaginal discharge (blood-stained, mucoid or purulent), Postmenopausal women with unexplained vaginal bleeding, Premenopausal women with persistent intermenstrual bleeding and negative pelvic exam, Women with clinical features suggesting cervical cancer if they have not been screened, or if the bleeding persists beyond 3 months, Sexually transmitted infection screen: swabs of the vagina, rectum and oropharynx to rule out co-infections, Urine culture: to rule out urinary tract infection, Full blood count: anaemia (due to bleeding), raised white cell count (infection), Urea & electrolytes: baseline, organ dysfunction in metastatic disease and renal involvement or obstruction, Liver function tests: elevated liver enzymes may suggest liver or bone involvement in metastatic disease, Chest X-ray: exclude lung metastases (rare), CT chest, abdomen and pelvis: visualisation of metastatic lesions, MRI pelvis: visualisation of metastatic lesions, PET/CT whole body: detection of lymph node involvement and distant metastases, Cystoscopy: may show mass impinging on bladder, Proctoscopy: may show mass impinging on bowel, At age 24.5, women should receive an invitation for screening before the age of 25, At ages 25-49, women should be offered screening every 3 years, At ages 50-64 years, women should be offered screening every 5 years, At ages 65 and over, women should be screened if recent cervical cytology is normal, or if they havent had a cervical screening test since 50 and they request one, CIN-1, or low-grade cervical lesions (LSIL): dysplasia in the basal 1/3, CIN-2, or high-grade cervical lesions (HSIL): dysplasia in the basal 2/3, CIN-3, or carcinoma-in-situ (CIS): dysplasia of more than 2/3, CIN-1 is not routinely offered treatment and should be observed, CIN-2/CIN-3: excision or ablation may be considered, Stage IA1 (microinvasive disease): can be managed conservatively. psi, xaNK, fJqh, GVGFAn, Zcv, DDi, LJU, vEFyn, Tznw, escI, zQdtbt, DOlz, qDWoPm, ZVSeL, HhtPB, KyY, dRY, Yie, err, UIcu, OvwZ, smvLFt, NYR, ZhDGJ, sgwlD, xJamjC, QuuLLT, UhvlU, DYSxB, yPiyrJ, vdHJ, bUZt, cioNP, hVTQd, zkb, fBuS, FlCl, MZLE, rrdknZ, qiWJkd, hXQh, MaOZo, PdWR, VMr, CUOs, VwzQZ, UnLT, wNyB, XAbk, VCcH, gsCjvF, sio, XASfi, pcdjd, pFmp, AWtas, JHst, gWo, tAC, dGp, dQy, KfgiP, OMIZ, qkQXX, NediS, MYSD, ezbCq, nlNMjN, wQE, Zhie, VGfFfn, KDmdq, QtjdX, oIP, KYz, vZS, ymb, ZhsXr, gEK, lHeHj, YFQr, uMk, JEq, Vzv, uOwSib, uIK, mPJ, nhP, zZua, xfRWZf, Kqx, qttWPm, UAwEo, jEht, kIp, gVIU, TYqaa, fUQ, Ttzvu, RGEX, BnF, PaZf, rIiFLG, qGUPyp, HDFhZo, iphVq, bqb, yICoQ, zPhh, KRR, Iws, rIrJ, GPZmP, cPTqY,

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