An 18-month-old child presented with severe pallor. The mother was interviewed to obtain a focused history to reach a diagnosis. In less than 7 minutes, the student was able to introduce themselves, take a consent, and obtain a history on the onset and associated symptoms of pallor, past blood transfusions, birth history, family history of anemias, dietary history including breastfeeding, weaning foods and iron intake, drug history including iron supplements, history of worm infestations, past jaundice and G6PD deficiency. This led the student to form an accurate primary hypothesis and diagnosis with little guidance needed.
An 18-month-old child presented with severe pallor. The mother was interviewed to obtain a focused history to reach a diagnosis. In less than 7 minutes, the student was able to introduce themselves, take a consent, and obtain a history on the onset and associated symptoms of pallor, past blood transfusions, birth history, family history of anemias, dietary history including breastfeeding, weaning foods and iron intake, drug history including iron supplements, history of worm infestations, past jaundice and G6PD deficiency. This led the student to form an accurate primary hypothesis and diagnosis with little guidance needed.
An 18-month-old child presented with severe pallor. The mother was interviewed to obtain a focused history to reach a diagnosis. In less than 7 minutes, the student was able to introduce themselves, take a consent, and obtain a history on the onset and associated symptoms of pallor, past blood transfusions, birth history, family history of anemias, dietary history including breastfeeding, weaning foods and iron intake, drug history including iron supplements, history of worm infestations, past jaundice and G6PD deficiency. This led the student to form an accurate primary hypothesis and diagnosis with little guidance needed.
An 18-month-old child presented at the Pediatric clinic with
severe pallor.
Please take a focused history from the mother in order to
reach the diagnosis.
You have 7 minutes to complete this station.
CLINICAL PHASE ASSESSMENT RUBRICS FOR MEDICAL STUDENTS
Name of Student: …………………………………………………………………… Reg. No.: ……………............
Name of Evaluator: …………………………………………………………………. Date: ……………………………..
Below Meets Exceeds No. Items Expectation Expectation Expectations Hesitant in Adequate in Conducts an performing taking history. adequate and history. Relevant efficient Considers aspects are history. irrelevant considered. Arrives at an (History Taking – ANEMIA) aspects. Slow in Adequate accurate making a speed in 1ry diagnosis. making the 1ry hypothesis. Misses hypothesis. Needs little important Needs some guidance. conclusion. guidance. Introduces him/her-self and take consent, patient 1 name, age, sex, nationality 2 History of onset of pallor (acute or chronic) History of associated symptoms – fever, poor 3 feeding, failure to thrive, chronic diarrhea, bleeding 4 History of blood transfusions in past Birth History: 5 - Prolonged bleeding from cord - Prematurity, LBW Family History: - Haemolytic anemia (thalassemia, sickle cell, 6 G6PD) - Consanguineous marriage Dietary History: - breast / bottle feeding (amount, frequency) - onset of weaning (type of food, variety, amount, 7 frequency) - fruits & vegetable intake/meat intake (iron rich food) 8 Drug History: Aspirin, Iron supplements History of worm infestations (hook worm, ring 9 worm, pin worm) 10 History of jaundice in past, G6PD 11 Thanks the patient/parents Global Marks /20