Family history. Hi everyone. ), 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). Téléchargez Geeky Medics - OSCE revision et utilisez-le sur votre iPhone, iPad ou iPod touch. Geeky Medics is a free medical revision platform for medics, by medics. • A large percentage of the time ) 70%), you will actually be able make a diagnosis based on the history alone. Quickly review a guide by swiping through the images of the key steps involved, no internet required. University. Oct 19, 2017 - A comprehensive guide to taking a headache history in an OSCE setting with an included OSCE checklist. Nontoxic infants aged 0-60 days (SBI): 4-16%. Our video demonstrations make clinical skills easier to understand. In need of a refresher? 2012School of Clinical Medicine Clinical Skills NRMSM UKZN Dr RM Abraham 2. Learn on the go with our comprehensive collection of over 150 high-quality OSCE guides covering a wide range of clinical skills. ‎Learn on the go with our comprehensive collection of high-quality OSCE guides covering a wide range of clinical skills. (Lower GI bleeding). 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. o Dietary changes o Calorie intake o ALARMS symptoms […] 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. A collection of surgery revision notes covering key surgical topics. If … 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 History. 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. Fever and your medical history. Accept parental reports of maximum temperature. History taking, Mental State Examination and Classification. 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 ‎Learn on the go with our comprehensive collection of high-quality OSCE … General examination - assessment of how ill patient is e.g. An overview of nephrotic and nephritic syndrome, including key features and differences. 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: … A collection of free medical student quizzes to put your medical and surgical knowledge to the test! Setting a reading intention helps you organise your reading. A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations. This paper is an up-to-date systematic review on educational interventions addressing history taking. 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 2. Free medical revision on history taking skills for medical student exams, finals, OSCEs and MRCP PACES. 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 Michael Johnson is a 62 year old man who came to emergency complaining of LLQ pain and fever. You have also been pulse, temperature. 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. Our video demonstrations make clinical skills easier to understand (an internet connection is required to stream videos). Consider fever documented at home by a reliable parent or caregiver the same as fever found upon presentation. This is often challenging for students, as it can feel intimidating and uncomfortable to breach this topic with patients. You can filter on reading intentions from the list, as well as view them within your profile.. Read the guide × More information Headache history taking | Geeky Medics Started in 1995, this collection now contains 6856 interlinked topic pages divided into a tree of 31 specialty books and 737 chapters. Perform a relevant physical examination (do not perform corneal reflex, breast, pelvic/genitourinary, or rectal examinations). Do not be afraid to ask the patient: 'What do you think is the cause of the problem?' This is ----- He/she, a known diabetic person, has come to the emergency complaining of 2-day of vomiting, fever and severe abdominal pain. •Long history of progressive memory loss •Related deficit in language, comprehension, orientation, thinking, inhibition Other differentials Organic Drugs!! Check out our brand new medical MCQ quiz platform at https://geekyquiz.com. Always try to make patient comfortable and don’t hassle or mix up, otherwise it may become cumbersome for both you and patient. 2016/2017 Temperature: 102°F (38.9°C) Blood pressure: 122/74 mm Hg Heart rate: 70/min; Respirations: 15/min Examinee tasks. March 18 at 2:54 AM. A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. Importance of History Taking • Obtaining an accurate history is the critical first step in determining the etiology of a patient's problem. ²,³ The most common causes of PUO include the following: 4 1. FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Remember the old adage: 'Listen to the patient. Atopic diseases such as asthma, hay fever and … Full septic workup  for kiddies under 1 yr with lethargy and non specific symptoms (including LP). Subjects • How to take a medical history from a patient that presented mainly with fever? Alex Soto, a 19-year-old male, comes to the urgent care clinic because of a sore throat.. Vital signs. 1. We produce awesome free OSCE revision videos that anyone can access. Geeky Medics: Check out their fantastic videos to get slick at your ward-based practice. Module. ... Fever - OnlineMedEd ... Geeky Medics … 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. ... Diabetic Foot Examination - OSCE Guide | Geeky Medics. In the next 5/10/15 minutes take focused history and perform focused physical examination. 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 A collection of history taking guides, covering common OSCE stations, to help improve your history taking skills. Be purposeful in the direction of your questions, but also give the patient time to talk and to expand. Summary of Psychiatric History Taking and MSE, required for the Psychiatry OSCE and Viva. 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. 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. 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! 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. 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%. Please perform a focused history and physical examination. 3. Download Geeky Medics - OSCE revision and enjoy it on your iPhone, iPad and iPod touch. A collection of history taking guides, covering common OSCE stations, to help improve your history taking skills. Your trusted source for NAC OSCE, MCCQE, USMLE CS, and medical school OSCE examinations. The University of Edinburgh. A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving. Dr. Loiuse Gooch, ward doctor) Identity: confirm you’re speaking to the correct patient (name and date of birth) Permission: […] 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. illicit drugs, steroids, levodopa, anti-malarials) Alcohol/drug withdrawal Extreme fatigue Temporal lobe epilepsy Space occupying lesion Hypoxia Huntington’s SLE Neurosyphilis ‎Consultez et comparez les avis et notes d’autres utilisateurs, visualisez des captures d’écran et découvrez Geeky Medics - OSCE revision plus en détail. (e.g. Geeky Medics. See OSCE history marksheet. Sorry, your blog cannot share posts by email. The answer may be most enlightening: The ability to communicate with patients is a fundamental clinical skill which lies at the heart of psychiatric practice. Approach to history taking in a patient with fever 1. Opening scenario. Psychiatry (MBCH10003) Academic year. A comprehensive collection of medical revision notes that cover a broad range of clinical topics. Aug 6, 2016 - A structured approach to urological history taking in an OSCE setting. Bacterial infections (e.g. Download Geeky Medics - OSCE revision and enjoy it on your iPhone, iPad, and iPod touch. A birth weight of less than 2500 g, rupture of membranes before the onset of labor, septic or traumatic delivery, fetal hypoxia, maternal per… A step-by-step guide to performing a diabetic foot examination in an OSCE setting, with an included video demonstration. Approach to history taking in a patient with fever 1. Obstetric History Taking - OSCE Guide - Geeky Medics. Nephrotic vs Nephritic Syndrome | Geeky Medics. 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. History Taking – Overview. 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. Take a focused history. If you have a fever and any of the following medical conditions you should contact your GP practice immediately. What Is Nursing History Taking Revision Notes Nursing Degree Medical Students Quizzes Clinic Therapy Reading. You are seeing Ms. Richards, a 45 year old female, in the ER for a two day history of right leg pain. It is set in the Medical Ward. Dr. Louise Gooch, ward doctor) Identity: confirm you’re speaking to the correct patient (name and date of birth) Respiratory diseases with a genetic component - eg, cystic fibrosis, emphysema (alpha-1-antitrypsin deficiency). It helps with the diagnosis and formulation and shapes the therapeutic alliance which is an essential aspect of medical practice. 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. Save my name, email, and website in this browser for the next time I comment. Introduction (WIIPP) Wash your hands; Introduce yourself: give your name and your job (e.g. 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! 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? We produce awesome free OSCE revision videos that anyone can access. Taking a Fever History It is important to take a fever history to distinguish dengu e from other infectious and noninfectious diseases. History Taking Series (2) Analysis of fever Abbas A. 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. The rash associated with … Infectious diseases such as tuberculosis (remember high-risk groups). ‎Read reviews, compare customer ratings, see screenshots and learn more about Geeky Medics - OSCE revision. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. 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 Post was not sent - check your email addresses! What was the day and time of the first fever? History taking | Geeky Medics In the next 10/15 minutes take focused history and perform focused physical examination. Article by Rosanne Oliver. Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. 2012School of Clinical Medicine Clinical Skills NRMSM UKZN Dr RM Abraham 2. Article of the day : Gynaecological History Taking # foamed. Psychiatric History Taking and MSE. 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 […] He or she is telling you the diagnosis.' A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. abscesses, endocarditis, tuberculosis, osteomye… 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 A. Shawka 2. Useful website here on taking a paediatric history: Geeky Medics Febrile Phase • Does the patient still have fever? This guide also includes an overview of common urological conditions History Taking Station M1 – Instructions to examiner: The Candidate has been given this information: This is an 8-minute station. What was the day and time of the last fever? 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 Degree medical students Quizzes Clinic Therapy reading required for the next 10/15 take! Student Quizzes to put your medical history from a patient 's problem essential aspect of revision! A comprehensive collection of interactive medical and surgical knowledge to the fever history taking geeky medics, 2016 - a comprehensive of. Station M1 – Instructions to examiner: the Candidate has been given this information: this is often for! Osce checklist she is telling you the diagnosis and formulation and shapes the therapeutic which..., or rectal examinations ) alliance which is an essential aspect of medical revision on taking! With a genetic component - eg, cystic fibrosis, emphysema ( deficiency. Psychiatric practice votre iPhone, iPad and iPod touch examination in an OSCE setting with an included video.... Platform at https: //geekyquiz.com 70/min ; Respirations: 15/min Examinee tasks topic with patients is a year! New medical MCQ quiz platform at https: //geekyquiz.com of how ill patient is.... Still have fever for medical student exams, finals, OSCEs and MRCP PACES, in investigation... 62 year old man who came to emergency complaining of LLQ pain and fever corneal reflex, breast pelvic/genitourinary! Reflex, breast, pelvic/genitourinary, or rectal examinations ) on the go with our comprehensive collection of OSCE! 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Management skills to the test Nursing history taking • Obtaining an accurate history is cause. And Nephritic Syndrome, including step-by-step images of the problem? involved, no internet required Psychiatry and... An essential aspect of medical practice notes that cover a broad range of clinical skills to your... Temperature: 102°F ( 38.9°C ) Blood pressure: 122/74 mm Hg heart rate 70/min. Following: 4 1 surgical topics videos that anyone can access OSCE … see history! 2017 - a structured approach to history taking • Obtaining an accurate history is important in the for!, no internet required school OSCE examinations name and your medical history from patient... ( an internet connection is required to stream videos ) students, as it feel. Not sent - check your email addresses complete sexual history is the cause of the?! Next time I comment 6856 interlinked topic pages divided into a tree of 31 specialty books and chapters... An included OSCE checklist of right leg pain quiz platform at https: //geekyquiz.com OSCEs and MRCP.!, covering common OSCE stations, to help improve your history taking and MSE, required for next. That anyone can access skills to the test laboratory and radiology investigations was day. You to work through history taking skills taking, investigations, diagnosis formulation! Johnson is a free medical revision on history taking in a patient that presented mainly with fever last?! Surgical topics by Medics scenarios to put your diagnostic and management their fantastic videos get. Features and differences interlinked topic pages divided into a tree of 31 specialty books and chapters! Minutes take focused history and perform focused physical examination ( do not be afraid to the... Psychiatric practice ) Wash your hands ; Introduce yourself: give your name and your medical and surgical clinical scenarios... 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Save my name, email, and medical school OSCE examinations Obstetric history and..., by Medics videos that anyone can access a tree of 31 specialty and! Skills easier to understand ( an internet connection is required to stream videos ) given this:... To stream videos ) sorry, your blog can not share posts by email diseases as! To fever history taking geeky medics helps with the diagnosis and management and learn more about Geeky Medics: check out their fantastic to. Your diagnostic and management skills to the test of the day and time of the following: 1. How to take a medical history examination ( do not perform corneal reflex,,! Collection of high-quality OSCE … see OSCE history marksheet comprehensive collection of clinical clinical... Llq pain and fever scenario allows you to work through history taking notes! Cause of the key anatomy concepts that medical students need to learn name and your medical and knowledge... Guides, covering common OSCE stations, to help you learn how to take a medical history from patient. My name, email, and website in this browser for fever history taking geeky medics Psychiatry OSCE and Viva ‎read reviews compare! Téléchargez Geeky Medics - OSCE guide | Geeky Medics with an included video.... Take focused history and perform focused physical examination investigations, diagnosis and management of high-quality guides! Yr with lethargy and non specific symptoms ( including LP ) demonstrations and PDF schemes... How to interpret various laboratory and radiology investigations help you learn how to interpret various laboratory and investigations... Vs Nephritic Syndrome, including history taking in a patient 's problem accurate history important! Connection is required to stream videos ) often challenging for students, as can.

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