By Chris Roseveare
Acute medication is the valuable a part of origin and professional basic scientific education and is without doubt one of the such a lot speedily increasing united kingdom health facility specialties.
Acute medication: scientific circumstances Uncovered combines sufferer situations and results, drawn from real-life reviews, on the subject of the curriculum for education in most cases (Acute) drugs. It offers self-assessment MCQs, EMQs and SAQs to offer scientific scholars, junior medical professionals, nurses and allied healthcare pros the precise instruction for all times at the wards.
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Extra resources for Acute Medicine: Clinical Cases Uncovered
A summary of the procedure for patient examination is given in the objective structured clinical examination (OSCE) checklist below. 48 Objective structured clinical examination (OSCE) checklist 1 General inspection • Always take a few minutes to step back and take in as much information as possible about the patient and their surroundings • Establish whether the patient appears comfortable or distressed • Establish whether the patient appears pale, flushed, cyanotic, jaundiced, etc. g. ) 2 The hands • Feel the temperature • Examine finger nails for ‘clubbing’ (see Plate 1), splinter haemorrhages, etc.
Scenario 2 A 45-year-old man is awoken by chest pain. He asks his wife to call for an ambulance. The pain subsides spontaneously within 30 min and he appears well on arrival in hospital with a normal ECG. He tells you he feels a fraud and asks if he can go home. Subsequent investigation reveals an elevated troponin level and he is diagnosed with a non-ST elevation myocardial infarction. In both of these cases the patient may have cardiac chest pain; however, the patient’s actions at the time of the symptoms give a clue to the severity of the problem.
30 Airway obstruction requires immediate treatment; senior or anaesthetic assistance is likely to be required. Consider the questions below. Is the airway obstructed? • Listen (without a stethoscope) to the breath sounds: complete obstruction will result in the absence of breath sounds at the mouth or nose; partial obstruction results in harsh or gurgling inspiratory sounds • Look at the chest/abdominal wall – complete obstruction may result in paradoxical ‘see-saw’ movements of the chest and abdomen Why is the airway obstructed?