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Hiya, my name's Aaron Yee from Malaysia. I am right now a repeat student from IMU, right now in my final year. Well, part two of final y...

Thursday, May 19, 2016

Case Presentation of the day.

Hello, today was an alright day. I had a case presentation with my paeds lecturer, Prof. Sinniah, our esteemed lecturer, who quite frankly hates me cause I always mispell his name on text. Or maybe because I text him on Sundays.

"Yo how your weekend prof sneainfasihsh?"

Case presentation to the layman, is basically presenting a case. Clerk a case, get the history, touch the kid (eww, paedo) and talk about management. We've had a few cases but one of them was asthma. Quite a simple case. Really, if you're a medical student and you don't know about asthma, you're living under a rock

We saw a kid and my friend could not justify why the case was an asthma case. When you present a case, you're basically debating with your lecturer/consultant, as you have to justify your diagnoses with sufficient evidence! If you go in there gun half cocked, you're gonna get your ass handed to you to wear as a hat, and that's because lecturers in IMU are seasoned. They have 30 years under their belt, and what seems trivial to us, is an important piece of information that can decide the type of management that we're gonna give to our patient, as they can be very different.

That's why students, before they enter medical school, should watch all 8 seasons of House. Yes, i know it's a tv show with quite a bit of inaccuracies, but it shows you what can go wrong when you mess up the diagnoses. You're probably not gonna get the epiphany seen on the show, but you know every bit of information is important, and you gotta know how to ask!!

Btw, a bit of a plug here, visit this site oscestop.com

I don't know how to put up a link on the blog, but you can just copy and paste it. Don't be lazy.

So in this case, my friend did not establish certain key components for asthma

- recurrent attacks
- family history of asthma
- and a history of atopy

all he went on was..."The patient had an inhaler with a spacer on the drawer."

No, no, no, no, no, no, NO!!!!

Never forget those 3 points in your history when you're clerking and presenting to a consultant. Of course you can see that he got mad, "Why didn't you ask!? Did you leave your cerebral cortex at home!?"

For examination, he did not even do it. I get it, in paeds you've gotta be opportunistic, if a child is crying or sleeping you definitely don't wanna wake them up. Children are noisy, and the very cry of a single child can ruin 5 hours of your day. So imagine your life, in the paeds ward, surrounded by very sick children, crying because of pain or something else you don't know about...most probably more pain.

Check the respiratory rate, subcostal recession, substeral recession, nasal flaring, Harrison's sulci (Han Solo) and blah blah blah.

Trust me, for those that have not done their OSCEs yet, physical examination is the easiest thing to do and it scores well. Just washing your hands gets you a mark.

Of the 3 of us (there's only 3 in our group), the only other person, who's not me, got three cases,  presented reasonably well and appeased the Lord SINSFSIAH.

So, for those of you that need help doing physical examinations I've got 3 tips for you.

practice, practice and more practice.

Ladies and Gents, please go to oscestop.com, for all your osce related needs

It's a plug, i know but i'm not even getting paid for it. I just want to get the word out there for you good people.

Thanks for reading.


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