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52: Otoscopy for Medical Student OSCE
53: Eye Exam / Opthalmoscopy for Medical Student OSCE
54: ECG for Medical Student OSCE
55: Chest X-Ray for Medical Student OSCE
56: Catheterisation for Medical Student OSCE
57: Cannulation for Medical Student OSCE
58: Urine dipstick for Medical Student OSCE
59: Abdominal X-Ray for Medical Student OSCE
60: Digital Rectal Examination for Medical Student OSCE
61: Breast Examination for Medical Student OSCE
62: Skin Examination for Medical Student OSCE
63: Lump Examination for Medical Student OSCE
64: Ulcer Examination for Medical Student OSCE
65: Varicose Vein Examination for Medical Student OSCE
66: Peripheral Vascular Examination (Leg Arteries) for Medical Student OSCE
67: Thyroid Gland Examination for Medical Student OSCE
68: Neck Examination for Medical Student OSCE
69: Knee Examination for Medical Student OSCE
70: Shoulder Examination for Medical Student OSCE
71: GALS Scree for Medical Student OSCE
72: Neurological Examination - Cranial Nerves - for Medical Student OSCE
73: Neurological Examination - Lower Limb - for Medical Student OSCE
74: Neurological Examination - Upper Limb for Medical Student OSCE
75: Abdominal Examination for Medical Student OSCE
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Latest Articles
51: Suturing for Medical Student OSCE
Introduction + ‘I understand that you have an open wound. To help the healing process and prevent gross scar formation the wound needs to be stitched closed using a needle and special ..
52: Otoscopy for Medical Student OSCE
Introduce, identify, explain, consent.
Assessing hearing – rustling test, Weber’s test, Rinne’s test
Otoscopy
‘I need to look inside your ears using an otoscope, which ..
53: Eye Exam / Opthalmoscopy for Medical Student OSCE
Introduce, identify, explain, consent
Would test visual acuity, near sight, colour vision (Ishahara plates), visual fields, blind spot, visual neglect, pupillary reflexes, eye movements and..
54: ECG for Medical Student OSCE
Recording the ECG
‘I have been asked to perform and ECG tracing of your heart. This is a device that records the rhythm and electrical activity of the heart, and involves attaching s..
55: Chest X-Ray for Medical Student OSCE
Identify
Describe film
PA / AP (falsely magnifies heart shadow)
Rotation
Inspiration – 6 anterior ribs. More than 10 posterior ribs = hyperinflation
Penetration
Artefacts
..
56: Catheterisation for Medical Student OSCE
‘Because of the symptoms you have been experiencing I am going to insert a flexible plastic tube through your penis into your bladder to relieve the pressure. It should not be painful but..
57: Cannulation for Medical Student OSCE
‘I have been asked to set up a drip and give you some fluids. It is a simple procedure involving inserting a thin plastic tube into a vein on the back of your hand. The tube will then ..
58: Urine dipstick for Medical Student OSCE
Introduce, identify, explain, consent
Check expiry date of BM test pot
Make sure pt knows how to perform MSU - clean area before, do not touch side of collection tube.
Wash hands befor..
59: Abdominal X-Ray for Medical Student OSCE
Prepare by turning of any stray lights. Slip film into X-ray viewer. Read pt details from envelope and film
Describe type of X-ray
Supine / erect / decubitus (e.g. right lateral decubitus..
60: Digital Rectal Examination for Medical Student OSCE
Introduction
Introduce, identify, explain, consent, WASH HANDS!
Explain procedure:
“Because of the history you have presented with, the doctors would like me to perform an examin..
61: Breast Examination for Medical Student OSCE
Introduce, check I.D., explain, obtain consent
Inform pt that you require a chaperone
WASH HANDS!
Ask pt to go behind curtain, remove garments from upper body, and sit on couch. Cover self wit..
62: Skin Examination for Medical Student OSCE
Introduce, identify, explain, consent, WASH HANDS!
Check for pain
Inspect
Colour - erythema
Shape – macule (flat area of discolouration), plaque (raised, flat top)
Size &ndas..
63: Lump Examination for Medical Student OSCE
Introduce, identify, explain, consent, WASH HANDS!
Inspection
Site – ventral / dorsal etc. Distance to nearest bony prominence.
Size – w x l
Shape – spherical / irregular; ..
64: Ulcer Examination for Medical Student OSCE
Introduce, Identify, Explain, Consent
Inspection
Site – anterior, posterior, medial, lateral etc. Measure distance from nearest bony prominence
Size – w x l
Shape – circula..
65: Varicose Vein Examination for Medical Student OSCE
Introduce, identify, explain, consent
Inspection: pt standing
Shape – beer bottle shape (oedema + venous compromise)
Varicose veins – location and distribution. Especially i..
66: Peripheral Vascular Examination (Leg Arteries) for Medical Student OSCE
Introduce, identify, consent
Inspection
Colour
White
Blue
Black
Red
Mottled
Trophic changes
Shiny skin
Atrophy
Hair loss
Ulcers
Thinning of skin
Specific cardiovascular..
67: Thyroid Gland Examination for Medical Student OSCE
“I have been asked to examine your thyroid, a gland in your neck, and all the parts of the body affected by the gland”
Introduce, identify, explain, consent. WASH HANDS!
Genera..
68: Neck Examination for Medical Student OSCE
Introduce, identify patient, consent
Ask: pain in neck? Any lumps? Difficulty swallowing or breathing?
Inspection: from front and side
Scars
Lesions
Distended neck veins
Goitre
..
69: Knee Examination for Medical Student OSCE
Inspection
Gait – limp, restriction of movement
Pt standing:
Posture: alignment of shoulder, hips, patella
Skin: colour, sinuses, (arthroscopic) scars
Joint: popliteal fossa: ..
70: Shoulder Examination for Medical Student OSCE
Shoulder joint consists of glenohumeral joint and acromioclavicular joint; movement also occurs between scapula and posterior chest wall. Shoulder pain frequently referred to upper arm. Meanwhile, p..
71: GALS Scree for Medical Student OSCE
Common musculoskeletal symptoms: pain (arthralgia / myalgia / other soft tissue); stiffness; inflammation; swelling; weakness; locking and triggering; deformity; extra-articular manifestations ..
72: Neurological Examination - Cranial Nerves - for Medical Student OSCE
General inspection:
Abnormal or asymmetrical pupils: II, III
Ptosis, strabismus (squint), abnormal eye position: III
Poor articulation of words: V, VII, X, XII
General asymmetry, muscle..
73: Neurological Examination - Lower Limb - for Medical Student OSCE
1. Ask: pain?
Gait
Stand on tip toes: distal muscle weakness diagnosed
Heel-toe walking: cerebellar function
Shuffling: Parkinsonism
Stamping: loss of sensation
Stand feet together,..
74: Neurological Examination - Upper Limb for Medical Student OSCE
Ask: pain?
Inspection
Scars
Asymmetry and atrophy
Fasciculations: flick muscles
Tone
Wrist, elbow, shoulder
Cogwheel movements at wrist?
Power: shoulder, elbow, wri..
75: Abdominal Examination for Medical Student OSCE
General inspection
Well / sick
Jaundice
Pruritus (itching): scratch marks
Liver disease (bile salts)
Chronic renal failure
Iron deficiency
Drug reactions
Old age
Hands
C..
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