kenners's documents

A critical appraisal of the literature regarding IV salbutamol as an intervention in the emergency department for children presenting with acute severe asthma.

University of Cambridge School of Clinical Medicine Clinical Pathology Course Handbook for Students 2006-2009

School of Clinical Medicine, University of Cambridge Stage 1 OSCE Station: Breaking Bad News Candidate Instructions (these instructions will be provided to you one week prior to the examination) This is a 10 minute station + 2 minutes reading time This station assesses your ability to break bad news to a patient. You are: A surgical PRHO at Addenbrooke’s Hospital. You are seeing a patient who ...

Clinical Skills Centre Barry Smith Clinical Skills Centre Manager Klaudine Simpson Clinical Skills Tutor Bleep: 151 606 Tel: 01223 586698 Email: barry.smith@addenbrookes.nhs.uk Bleep: 151 686 Tel: 01223 586630 Email: klaudine.simpson@addenbrookes.nhs.uk Clinical Skills Unit Level 1, Box 168 Hills Road Cambridge Cambridgeshire CB2 2QQ Tel: 01223 596117 Friday, 23 March 2007 Dear Student, Re: ...

UNIVERSITY OF CAMBRIDGE SCHOOL OF CLINICAL MEDICINE STAGE I OSCE – Gathering Information: Station: Candidate instructions This is a 12 minute station This station assesses your ability to gather information from a patient You are: A student doctor in stage 1 in your surgery attachment at Addenbrooke’s Hospital Today you are seeing: Age: Setting Mr. --------- is sitting in an out-patient consu...

Clinical Skills Centre Barry Smith Clinical Skills Centre Manager Klaudine Simpson Clinical Skills Tutor Bleep: 151 606 Tel: 01223 586698 Email: barry.smith@addenbrookes.nhs.uk Bleep: 151 686 Tel: 01223 586630 Email: klaudine.simpson@addenbrookes.nhs.uk Clinical Skills Unit Level 1, Box 168 Hills Road Cambridge Cambridgeshire CB2 2QQ Tel: 01223 596117 Instructions to candidates at the start o...





Examination Of The Respiratory System by Dr. Rosie C Taylor 1. General Introduce yourself to the patient. Explain to the patient what you are going to do by asking them “I would like to examine your chest, do I have your permission to do this?” To examine the respiratory system, the patient should be undressed to the waist and sitting at 45° for the measurement of the JVP. In women the breasts ...

Neurological Examination Of The Limbs by Dr. Rosie C Taylor 1. General Introduce yourself to the patient Explain to the patient what you are about to do by asking them “I would like to examine your arms and legs, do I have your permission to do this?” In order to examine the limbs, the patient's arms and legs should be fully exposed but it is possible to leave the trunk covered with a blanket....

Examination Of The Gastrointestinal System by Dr. Rosie C Taylor 1. General Introduce yourself to the patient Before beginning to examine the gastrointestinal system ask the patient to lie flat. Make sure their head is resting on a pillow and their arms are lying loosely by their sides. Cover the patient’s chest and legs with separate blankets. Check with the patient that they are comfortable b...

Examination Of The Cardiovascular System by Dr Rosie C Taylor 25.03.2000 1. General Introduce yourself to the patient Explain to the patient what you are about to do by asking them “I would like to examine your heart and check the pulses, do I have your permission to do this?” Spend time getting the patient in the correct position, lying at an angle of 45 measurement of the JVP. -this is import...

Examination Of The Cranial Nerves by Dr. Rosie C Taylor General Introduce yourself to the patient. Explain to the patient what you are about to do by asking them “I would like to examine the nerves in your head and neck, do I have your permission to do this?” In order to examine the cranial nerves the patient should be sitting up. You will need the following equipment: 1. Snellen chart 2. hatpi...

PD Byrne – 1999 patrick.byrne@lycos.com Mnemonics for Medicine & Surgery Basic Signs & Symptoms Chills & Rigors CAMP Cholangitis, Abscess, Malaria / Meningitis, Pylonephritis / Pneumonia Itch, Non-dermatological causes of DULL JAM DM, Uraemia, Lymphoma, Leukaemia Jaundice, Anaemia, Myxoedema Non-pitting lower limb oedema MI CHAM Milroys, infection (filariasis), Congenital, Hypothyroid, Allergy...

James Wight Examination of the Respiratory System • Wash your hands. • Introduce yourself to the patient, and ask permission to examine them. • Expose the patient, and position them at 45°. Inspection Look around the bed Look at the patient Oxygen mask/nasal prongs, sputum pot, drips, PEFR, inhalers, nebuliser, cigarettes Comfortable at rest, cyanosis, breathless, use of accessory muscles, sc...

James Wight Examination of the Peripheral Neurological System Upper limb Inspection • Observe for muscle wasting, fasciculations, tremor and abnormal posture. • Ask pt to hold arms at 90°, then shut eyes. Observe for pronator drifting – indicates upper motor neuron pathology Tone • Ask patient to completely relax and go floppy • Flex, extend, supinate and pronate wrist and elbow in one fluid...

Becca Poore and James Wight Examination of the Central Nervous System I – Olfactory Ask patient if they have noticed a change in their sense of smell Ask patient to sniff though both nostrils and then one at a time Identify common odours (coffee, peppermint) II – Optic Acuity - Test near and far vision (with glasses on – chart 6m away) – test each eye separately Fields – Test by confrontation ...

James Wight Examination of the Cardiovascular System • Wash your hands. • Introduce yourself to the patient, and ask permission to examine them. • Expose the patient, and position them at 45°. Inspection Look around the bed Look at the patient Look at the hands GTN spray (IHD), oxygen mask/nasal prongs, drips (eg IE), cigarettes Comfortable at rest, cyanosis, breathless, scars (eg midline ste...

James Wight Examination of the Abdomen • Wash your hands. • Introduce yourself to the patient, and ask permission to examine them. • Expose the patient, and lie them flat. Inspection Look around the bed Look at the patient Oxygen mask/nasal prongs, drips, cigarettes, special foods, diabetic diet Comfortable at rest, wound drain, catheter, NG tube, jaundice, scratch marks, spider naevi, gynaec...