Flipped classroom session plan

Session name & Code: Approach to case of persistent vomiting

Session length: 60 minutes
Session format: LGW
Required resources: Computer, data show, white board and markers.
References and student learning resources: Lecture persistent vomiting ICC2-[] , Macleod’s
clinical book.
Student’s requirements at home: arrange power point on how to approach a case of vomiting
Aims and objectives: To provide the medical student with a general understanding of
• How to approach a case with persistent vomiting.
• To be able to identify the most common and most serious causes of persistent vomiting
• How to focus on the history especially the alarming symptoms
• Determine the patient’s plan of management.
Intended learning Outcomes: list of ILOS for the planned session
By the end of this session, students should be able to:
• Identify the different clinical presentations of vomiting
• Adhere to a coherent diagnostic algorithm.
• Develop a management plan.
• How to follow up patient with persistent vomioting.
Session layout and description:
• Introduction: The tutor elaborates the flow of the session and clarifies ILOS of session.

• Tasks :
Task 1 (20 mins): Approach to a case of persistent vomiting

Tutor will ask students to give their presentation on how to approach a case of vomiting
Task 2 (5mins): Feedback on presentation

-Tutor in 20 minutes will give feedback on the presentation and give his valuable comments.
 Flipped classroom session plan

Task 3 (35 mins) : Commentary

-Tutor will show the students 2 commentary cases

Case 1:
A 67-year-old gentleman presented with persistent vomiting for the past few days. He has
epigastric pain. He gives a history of bouts of constipation in attacks over the past few weeks.
He has no constitutional symptoms, doesn’t smoke or drink alcohol.
He gives history of previous laparotomy.
o/e there was abdominal tenderness, guarding and mild rigidity.

Case 2:
A 35-year-old gentleman presented with progressive nausea and vomiting for the past 3 months.
This was accompanied with dyspepsia. There was no change in bowel habits.
He is not diabetic or hypertensive.
Examination showed epigastric tenderness.
His lab work-up showed a positive H. Pylori serum Ab.

On each case please answer the following:

What are important points in the history?
What is the DD?
Proposed investigations?
Management plan?