Clinical Skills for OSCEs (2nd Edition) by Neel Burton, Kuldip Birdi

By Neel Burton, Kuldip Birdi

This moment variation of the hugely well known medical abilities for OSCEs is the main finished consultant to easy medical abilities to be had, masking the entire pertinent abilities taught at clinical institution, from 3rd yr to finals. With its transparent and concise, but informative type, scientific talents for OSCEs, moment version is the proper revision software for all examination applicants getting ready for his or her OSCE or PLAB exams.

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British National formulary. Non-sterile gloves. Drug. o Diluent (usually sterile water). o o Appropriately sized syringes. o o o o Tourniquet. o Sharps bin. Alcohol wipes. Cotton wool. Pre-filled 5 ml syringe containing saline flush. 21G (green) needle (X2). The procedure o Consult the prescription chart and check: o o o o o o o o o o o The identity of the patient. The prescription: validity, drug, dose, diluent (if appropriate), route of administration, date and time of administration. Drug allergies.

E~mlning the lump Ask the patient if he has any questions or concerns. Thank the patient. Summarise your findings and offer a differential diagnosis. If appropriate. g. aspirate, biopsy. ultrasound. CT. 34 I Clinical Skills ror 0SCEs lymph node examination Head and neck The patient should be sitting up and examined from behind. With the fingers of both hands, palpate the submental. submandibular, parotid, and pre· and post·auricular nodes. Next palpate the anterior and posterior cervical nodes and the occipital nodes.

Assuming that the patient is at 45 degrees. the vertkal height of the jugular distension from the sternal angle should be no greater than 4 cm. ----venous distention 'em Sternal angle {angle of Louis) 45" ,- :Figure 8. Assessing thc jugul3r venous pressure o , • Locate the carotid pulse and assess its character. Never palpate both carotid pulses simultaneously. Palpation of the heart , • Ask the patient if he has any chest pain. o Determine the location and character of the apex beat. It is normally located at the mid·clavicular line, at the level of the fifth intercostal space.

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