Professional Documents
Culture Documents
2 June 2015 Recall PDF
2 June 2015 Recall PDF
1. GP, A teenager boy with Type 1 DM hospitalised for DKA 12 months ago.
Currently his glycemic control is unsatisfactory. He is insisted by his Mom to see you
today.
OG
1. Small for gestational age (fundal height 29 at 34 weeks of gestation, colleague has
done USD - which shows normal and alive baby). Task - further history, ask PE,
explain result and do further investigations.
3. A lady came with insomnia for 2 years. Mild depression present. Post menopausal
woman, not taking HRT.
Task - History and tell possible causes with reasons to patient.
Med - Sx
1. Renal colic - a middle aged man came in to ED with acute right sided abdominal
pain , pain score 10, consistent with renal colic, need to exclude DDx.
Task - brief history, ask investigations from the examiner, tell Mx plan to patient.
(ureteric stone, CT provided).
PE
Psy
1. (Station 17) , a young male Chronic Schiz patient, taken by police to hospital.
Auditory hallucinations present. (Said he is special and is getting contact with God to
save people, no idea of suicidal or harm to other) Grandiosity present. Homeless, not
taking medication (antipsychotic and anti depressant) regularly.
2. Forgetfullness - Task - history, assess her orientation and memory function briefly -
no need to do full MMSE, advice the possible conditions with reasons to patient.
(An old lady, her family complaint of she is forgetful, forgets where to put keys,
forget to switch off stove, still driving, no personality change, not forget names and
past events, denied symptoms of depression, not drinking alcohol and any other
drugs, no past history of head injury, stroke and vascular events, apart from having
family history of dementia she doesn't have any other risk factors).