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-Buster: List: Past six month stations
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02.05.06 (2 years ago)
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a list of stations of the past six months.. one girl a long time ago said she had just done the past six month stations and they were all repeat.. God bless her i did the same and she was right..
Psychiatry
Stations.
Anorexia
PTSD
PPD
OCD
Alcohol
MMS
MMSE, cognitive funcition assess.Old man wandering about
Anti depressant drugs
-TCS's- Pt prescribed amytriptyline 75mg OD- talk, address concerns
- SRRI's
-MAOI's
Psychosis, Psychiatry
take history from a person who is scared that police is following him
Drug Abuse
Suicide, Young girl fearing she is pregnant took OCP Overdose to terminate pregancy. Talk to her.
Anxiety/PAnic Attacks. - Patient wid panic attack 2 months after the divorce. She has 2 school going children. Take history.
Depression
Obs
& Gyne
General History Taking
HRT - suitability and advice
Contraceptive advice
Emergency Contraception
Ectopic pregnancy
Tubal sterilization
Vasectomy
Cervical Smear Counselling
Cervical Screening protocols
STD Counselling
TOP
Ammenorrheoa
Irregular Menstrual Bleeding
Hysterrectomy, preop assessment and post op Rx of hysterectomy
Incontinence
Breast Lump
Osteoporosis (and vetebral fracture , page 8)
Pre-eclampsia, 32 weeks pregnant lady. Here booking BP was normal. Now is it 140/110. Tell her about it, the cause and address her concerns
Miscarriage. Missed abortion at 9 wks, management options, Missed abortion.Break bad news and management.
Hyperemesis
Stillbirth
Down's syndrome
Pain relief in labour
P-ROM
Partogram
Endometriosis
CA Cervix - breaking bad news
Telephone conversations (three in london handbook)
Antenatal care
Inferitility . history and discuss DD. infertility for 3 years. Post pill ammenorrhea.
husband of pt with ecclamptic fit now stable tell him about c section
Gonorrhoea counselling. Urethral discharge [history? counsel?]- u r the SHO of GUM clinic.
PID improved on treatment now answer her querries.counselling
APH PLACENTA NORMAL, 32 wks pregnant came with vaginal bleeding. sono: placental site :Nl, history and DDx
PID with hydrosalpinx, fluid in pelvis in USG- counsel to patient
Surgery and orthopaedics
Herniorhapy - consent
Appendicectomy - consent
Endoscopy/colonscopy - consent
Laparoscopy - consent
Prostatectomy - consent
Ovarian cystectomy - consent
Hemicolectomy and colostomy - consent
Joint replacement - consent
Abdominal pain - history takinghistory with DD Rt upper quadrant pain radiates to loin. also usually cholecystitis (have to make bed straight)
BPH, Ureteric obstruction,history takinghistory with DD Rt upper quadrant pain radiates to loin.had history of passage of stones 10 yrs back, Management of dysuria and enlarged prostate Pt has fever, recurrent episodes of dysuria. PR exam shows enlarged smooth prostate gland, counsel pt regarding further Mx
Ca prostate(terminally ill) pain relief patient was on hormon therapy tell about other modelities of treatment.
Hematuria - history taking
Toe joint pain - history
Ear pain - history taking
P/R Bleeding - Hx
Post - op call (post hemicolectomy)
call about the patient in A&E -Emergency call to surgeon - obstructed / strangulated hernia
Testicular Lump
INtermittent Cludication
Ankle sprain treatment
RTA
Whiplash (plus usually need to do psychiatric assesment, examination and suicidal risk assessment)
Head injurHead injury - child fall from bed- talk to mother, take history and counsel her. Head trauma. Hist and Mx with pt.
-Child
-Adult
Back pain
Day care assessment
Scaphoid injury
Clood transfusion
Post mastectomy counselling
Carpal Tunnel syndrome (PLAB
2 p207)
Suitability for G/A
Post - op paion relief (london 132)
Nephrectomy - counsel the husband, Radical nephrectomy-council
Aortic Aneurysm with renal problem. Elderly male, 3 hrs hist of abd. pain and back pain. Take hist and DD with examiner. ( ABD. aortic aneurysm)
varicose veins counselling (PLAB
2 p151)
Pulse temprature Chart, consent form - just take a look at them
pt with mole on shoulder for surgical removal, address her concerns. regarding Anaesthesia
(local)
h/o and d/d with examiner of vertigo-h/o ear discharge ,pain
A ulcer on the back of a 55 yeras old lady who has been reffered by the GP and GP is suspecting it is a malignant condition.Take history and discuss the DD's with patientCounsel pt regarding further Mx.
Patient with Abdominal pain, all investigations normal(endoscopy, colonscopy, U & E , occult blood = all normal)family history of uncle dying of ca colon 4 years ago., talk to patient about the result and address concerns
Recurrent inginal hernia, patient came after 3 weeks with infected wound and bulging of site of the operation(patient is coughing)
Dark stools - Hist. and DD
Medicine
Chest pain Hx, dd
Post MI advice
Family Hx IHD, Chest Pain History in young male. +ve Family history
Asthma, Hx
. Dry cough since 4 weeks, take history, and discuss with examiner.
Explaining Asthma medicine,4 year old child diagnosed of Asthma. Disclose the diagnosis, counsel the mother and advice life style changes.
TIA, stroke history
Post stroke counselling
Headache scenarios
Epilepsy scenarios. 20 yr old boy with history of TIA - take history- history revealed epilepsy
Diplopia
Red eye,Elderly with sudden onset red eye & headache take history and discuss management with examiner
Weight loss
Dysphagia
Hoarseness
Obesity,adult obesity-investigations/bp normal expalin management to pt.
Fever
Joint problems,gout give advice taking diuretics
MS
Chrons's disease
Alzheimers Disease
Parkisnsons disease
Rheumatoid arthiritis,Rheumatoid arthritis long term management
Tiredness
Chronic fatigue syndrome
Elder abuse
Acne
DVT/PE, Pain in Rt calf- Hist and DD with examiner
Breaking bad news
-mesothelioma
-Patient passed away
-consent for post mortem
- patient has CRF
Analsgesia scenarios
Needlstick injury
HIV counselling
HEmpotysis
Palpitation
Wheeze
Dyspnoea
Constipation
Poluria
Diarrhoea - m notes.chronic diarrhoea.
LOC, Take hx from mum, 12 year old sudden collapse, discuss DD with examiner,mother said that girl fainted at school,het teacher witnessed it, girl went pale sweeting and floppy)mother was concered if that was epilepsy.
Counsl for diabetes mellitus and OGT
Numbness/CVA
Eczema counselling.
Cause of anemia (usually old man with CA colon and taking aspirin)
councilling for non medical treatment of essential hypertension.
Hypothermia in old lady. Talk to her son about the management(h/o sedatives ,DM
)
Smoking- why quit smoking? Pt. has undergone angioplasty. Discuss complication and advice to stop smoking
Alcohol dependency, had gastroscopy, counsel
Headache, 75yr old woman (GCA). Differential diagnosis and treatment
-DVT counsell on discharging
Diabetic retinopathy counsel
crf investigations tell pt abt, cronic renal failure ,Chart with high cret, proteinuria,manangement
24 year old llady with DM
wants to be pregnant,counsel,compliction
Morphine prescription - counselling teacher
Warfarin prescription - Counselling
Patient a known DM
with cellulites of leg and with HTN. Now discharging on Tab Asprin, Tab. Simvastatin, T. Enalpril.
Odynophagia (Pain while swallowing), take hist & DD with examiner
Patient underwent emergency LSCS one week back for fetal distress. She has wound infection, swabs shows MRSA. Tell her about the diagnosis, discuss further management and address her concerns.
History Recurrent falls, 75 yrs old lady, DD to examiner (pt hypertensive on medication)
Peadiatrics
Speaking to mother on phone:
-Ear pain.
-diarrhoea, Child diarrhoea. - telephone conv. - child and mother both had diarrhoea. Child had the similar episode 6 months back. Take history and discuss Mx with mother.
-Rash
Speak to father about meningococcal septicemia
Colic
Crying baby
Neonatal jaundice
Polydypsia
Counsel mother of child with diabetes mellitus
Childhood ashtma - prognosis and management
Febrile convulsions
Idiopathic epilepsy
NAI, # Humerus, 5 months old child. Telephone conversation.
RTA - counsel for spleenectomy
Nocturnal enuresis
Child can't walk
Irritable hip
PR bleeding - Paediatrics
Child has swallowed something
Weight loss in child
Unconcious child
MMR (class note and M note)
Cerebral palsy
Peanut allergy
REcurrant UTI
cousel mum delayed milestones.development delay in 2yr old child,talk to mother n discuss d/d wth examiner,
vomitting in 6 months baby take history 4 week old baby boy, vomits after feeds. Take hx from mum and DD with examiner -overfeeding
Examinations
CVS
Resp and PEFM
Inhaler use
Spacer Device
Cranial nerves, check visual field (tunnel vision)
UL neurological examination - learn dematomes
LL neurological examination
Diabetic foot, annual diabetic examniation
alcoholic lower limb ex
Dizzy patient
Meningitis
Unconcious patient, GCS
Diplopia (check on computer) - count to five MS, check thyrotoxicosis
Abdomen examination
Arterial system exam, examination of all aa pulses in one leg only,
Venous system exam
Examination of acute back pain, don't speak to the examiner
C-spine
T-spine
L-spine ALWAYS REMEMBER TO SAY i would do P/R
Examinae hand
Shoulder examination
Elbow examination
Hip examination - WHAT IS AN ANTALGIC GAIT
Knee examination
Creast Examinatin
Thyroid exam
LR system examination.Lymphoreticular exam.everything show to examiner. (Hodgkins lymphoma)
Mannakins
BP
Rectal Exam
Breast Exam
Testicular exam
C Smear
Bimanual examination
Otoscopy
Fundoscopy
Catheterisation
Canula
Venirpuncture
ABG-Syringe was black topped syringe-different from the blue coloured usual one
Suturing
Describe wound, clean wound - MRSA, Demonstrate aseptic technique while examining a patient with MRSA infected ulcer
Emergency
-ATLs
CPR. CPR - adult man collapsed and cyanosed, you are alone there, if you want you can use the face mask
Other:
Dose calculations
Viva
-DKA -Diabetic pt. with DKA discuss management, x ray provided
-MI - Pt with LVF had MI 2 weeks back, discuss with her about management(geriatric SHO) ,xray. ecg and dose of m.i and lvf
-LVF,CCF - LVF discuss management with woman post heart attack. She was just on aspirin.
Persistent chest pain despite diamorphine and basal crackles.Discuss mx with examiner. U'll be given an ECG and a CXR and u'll ll be told to pick the relevant medication from the boxes on table
Paracetamol poisoning, Counsel patient who has taken paracetamol and has come after 12 hours. The graph was placed on the table near by.Paracetamol overdose - Talk about the management to the patient - do not take the history.
Status epilepticus
Status Asthamaticus
Discuss LFT with pt.,
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