Surgical scars osce 3. Over 150 topics are covered at the perfect level of detail for candidates preparing for final exams. Feel: Ask about area of pain. Hyper-acute rejection (immediate): thrombosis and occlusion of graft vessels during surgery Observe - ask pt to put hands on hips to view axilla Chest deformities - pectus excavatum (marfan's syndrome), pectus carinatum Surgery scars: Median sternotomy scar - coronary artery bypass or cardiac valve surgery Lateral thoracotomy scar - mitral valvotomy Subclavian scar - pacemaker Methods: The performance of 392 students who completed the surgical clerkship between 2017 and 2019 was assessed via Pearson Coefficients comparing OSCE grades, clinical evaluations of Medical Knowledge and Patient Care, Communication and Professionalism, the National Board of Medical Examiners (NBME) shelf surgical subject exam, and final Start studying Surgery OSCE. Open outer packaging of gown pack and drop pack onto clean surface Aug 24, 2018 · Obvious scars: these may provide clues regarding previous abdominal surgery and be closely associated with an incisional hernia. Scars: lateral thoracotomy, VATS, chest drain; Ribs: pulled on over affected area; Palpate. Abdominal Surgical Incisions and Abdominal Scars. Surgical scars. , colostomy, ileostomy, nephrostomy) Abdominal Palpation Experience questions that closely resemble those you'll encounter in your written medical school exams. Breast Feb 23, 2015 · Scars: may indicate previous surgery (e. Oct 3, 2010 · Scars: note the location of the scar as this may provide clues as to the patient’s previous surgical history or suggest previous trauma (e. Breast Ca with ulcer Describe T staging of TNM -T1:<2 -T2:2-5 -T3:>5 -T4:skin invasion/chest wall/ both Clinical type of breast Ca (4 marks) -Phylloides tumour -Invasive ductal Ca -ductal Ca in situ -medullary Ca Jun 5, 2016 · Inspects abdomen looking for symmetry of abdominal distension, surgical scars (e. Ask generally about medical conditions and past operations; Ask specifically about conditions/risk factors relevant to differentials (e. This surgical approach is used for pacemaker Nov 20, 2023 · Definitive management: depends on diagnosis; surgical or non-surgical, involving shared decision-making and palliative care if surgery is declined or unsuitable. Aug 13, 2017 · Scars on the chest can suggest past surgery, trauma, burns and healed skin conditions. Have you got any other medical problems? Specifically, ask: Have you ever had any surgery on your abdomen? Have you ever had anything like this happen before? “I had surgery on my belly about 30 years ago after a car accident. Oct 30, 2024 · In this orthopaedic shoulder OSCE exam checklist you will be able to practice your basic ortho OSCE examination. Infected or contaminated wounds require antibiotics; Consider tetanus booster/immunoglobulin if patient is not up to date with tetanus vaccines (5 total) or high-risk wound ; Consider rabies immunoglobulin if high risk wound in high risk area OSCE Checklist: Examination of a Scrotum Introduction Introduce yourself Wash hands Briefly explain to the patient what the examination involves Inspection Groin - Skin changes - Scars - Penile anatomy - Groin Lumps Scrotum - Skin changes - Scars - Swellings - Asymmetry Palpation Cremasteric Reflex Testis Epididymis Spermatic cord Oct 8, 2010 · Obvious scars: may provide clues regarding previous abdominal surgery (e. This surgical approach is used for cardiac valve replacement and pulmonary artery banding. Surgical history and documentation; Part III. Pallor: a pale colour of the skin that can suggest underlying anaemia. 💡 Conditions. effusion, inflammatory arthropathy Feb 20, 2024 · Scar removal surgery carefully excises (cuts out) the scar and neatly closes the incision, creating a new scar that blends in better with the surrounding skin. Signs: Can be divided into: Signs of current renal replacement: Right Iliac fossa scar Normal scars appear as a thin, flat line that blends seamlessly with your surrounding skin. ERAS was originally developed for colorectal surgery, but now widely used to include pathways for musculoskeletal, urological and gynaecological Jul 5, 2015 · Assess for underlying neurovascular function and deficits following surgery or injury: for example, periorbital scars may be associated with ectropion directly from cicatricial healing, or weakness due to damage to the temporal branch of the facial nerve (CN VII), or a sensory loss due to trigeminal nerve (CN V1) injuries. nephrectomy. Your registrar has asked you to see Mr Adamson, a 65-year-old patient who has recently presented to the ED in the context of abdominal pain. Preparing to scrub. a Rutherford-Morrison scar) in the iliac fossa; Peritoneal dialysis scars; Evidence of distension or visible masses; Palpate the abdomen for Tenderness in the 9 areas, specifically noting additionally at the renal angle and suprapubically; Distended bladder; Ballot the kidneys Aug 17, 2018 · The surgical scrub involves first decontaminating the hands, then donning a sterile surgical gown and pair of sterile gloves. Swelling: note any swelling of the scrotum (e. lower limb surgery, pelvic surgery, C-section/childbirth: Epidural: Catheter is inserted into the back and a local anaesthetic is injected as required into the epidural space (the outermost part of the spinal cord) to numb the lower body. Dr Lewis Potter. Nov 17, 2019 · Thoracic scars. For example, if the patient is post-thyroidectomy then it would be worth stating that you would want to carry out a complete neck examination, inspecting for any visible swelling/airway compromise (e. This guide will take you through the important considerations when scrubbing for theatre, in particular: 1. Also by breaking up the straight line of the scar, it naturally draws less attention to the human eye. Important Scars • Laproscopic ports: Umbilical (10mm for the camera) + 2-4 other small incisions –Most commonly: appendicectomy and cholecystectomy • ALL bowel resections can be done laparoscopically: look for larger scars nearby • Kochers (right)/Subcostal (left) –Open access to the biliary tract and spleen See full list on geekymedics. 1,300+ OSCE Stations OSCE Guides 📖 All OSCE Lerning. Examination of peripheral stigmata of disease in general surgery; 4. This book is the ultimate guide for medical students needing to combine their knowledge and skills with an ability to interpret the clinical findings, the proficiency to present them clearly and the confidence to deal with the examiners questions. Each station asks 2-3 questions related to diagnoses, symptoms, investigations, treatments or complications. This study determined the reliability of the Objective Structured Clinical Examination (OSCE) and its sensitivity in detecting the performance gains and deficits in surgical interns. I would like to examine the knees and the lumbar spine and review AP and lateral radiographs of the pelvis and hips” Feb 2, 2024 · Under surgery, you may be tested on your surgical scrubbing and gloving and surgical gowning technique. 🔒 Administering Intravenous (IV) Medication. Updated 2025 with viva questions & Neck examination OSCE stations. You may also be interested in our guide to the anatomy of the abdominal wall. pdf. Bruising: suggestive of recent trauma or surgery. Sternotomy (midline) Most cardiac surgery Scars: note the location of the scar as this may provide clues as to the patient’s previous surgical history or suggest previous joint trauma. pfannestiel scar or laproscopic scar), eversion of the umbilicus, linea nigra, striae gravidarum, striae albicans, any foetal movements) Cervical, pre & post Dilated Veins auricular, occipital, Visible Pulsations supraclavicular) Pigmentation o Eyes: o Scars Exophthalmos / Lid retraction o Suprasternal Notch Empty or not Lid Lag (hold pt. Abnormal scars may require more aggressive intervention and include: Chest Scars OSCE | Thoracic Surgical Scars. Jun 11, 2024 · This practice Abdominal Pain EXAM station will help you develop your OSCE exam skills. Abdominal distension: can be caused by a wide range of pathology including constipation, Hirschsprung’s disease, ascites, organomegaly and malignancy. in the event of a haematoma). A Career as a Cardiothoracic Surgeon with Dr Michael Gooseman | Podcast. Scar 5 • Loin incision • Renal surgery • E. g. Quick Review for OSCE | AlBrahim-Al-Enezi Plastic Surgery Hand Examination Look: o Skin: Scars, redness, swelling & moisture. I’m not sure what happened exactly but I’ve got this big scar down the middle. Posture: note any asymmetry which may indicate joint pathology or scoliosis. THIS IS AN 8 MINUTE STATION. This includes prescribing post op ERAS protocol medications and looking after these patients on the surgical ward. Observe - ask pt to put hands on hips to view axilla Chest deformities - pectus excavatum (marfan's syndrome), pectus carinatum Surgery scars: Median sternotomy scar - coronary artery bypass or cardiac valve surgery Lateral thoracotomy scar - mitral valvotomy Subclavian scar - pacemaker A renal transplant is a surgical procedure to transplant a functioning kidney from a donor to a patient with end-stage renal failure (ESRF). Examination of the groin 7. Updated 2025 with viva questions & Abdominal scars OSCE stations Vivas and Spotters > Surgical scars SMALL INCISIONS/PORTS – may be used for thoracoscopy (e. per views 1. Aortic valve: via right anterior mini-thoracotomy (2 nd intercostal space) or mini-sternotomy 📖 All OSCE Lerning. e. Sep 29, 2010 · This surgical approach is used for minimally invasive cardiac valve surgery. Surgical History and Documentation: 2. Scars: note the location of the scar as this may provide clues as to the patient's previous surgical history or suggest previous joint trauma. Pre-auricular region. It should be noted that healthy individuals may have a pale complexion that mimics pallor. ] 1911450069, 9781911450061 Presented in a structured question-and-answer format, the first book of this comprehensive reference addresses the revis 1,300+ OSCE Stations Surgery Flashcard Collection. Gloving and gowning 📖 All OSCE Lerning. Pallor: a pale colour of the skin that can suggest underlying anaemia (e. Right thoracotomy scar: located between the lateral border of the sternum and the mid-axillary line at the 4 th or 5 th intercostal space on the right. Quick OSCE Revision 👇👇1. Elbow exam checklist and more at OSCE Sense. Hyper-acute rejection (immediate): thrombosis and occlusion of graft vessels during surgery Obvious masses, scars or asymmetry? Close inspection Arms by side Position the patient at 45° with their arms relaxed by their sides Scars - small scars (lumpectomy e. This station is a mock for real clinical exams. and extends to normal Dec 24, 2019 · Scars: there are many different types of abdominal scars that can provide clues as to the child’s past surgical history (see image below for examples). Rejection. Dec 22, 2017 · Scars Nephrectomy scars in the flank or renal transplant scars (e. You then need to complete a focused examination of the relevant system. Asymmetry: this can be helpful in identifying abnormalities via comparison, however, it should be noted that breast asymmetry is a normal feature in most women. Depressed scars. Fluid fills cavity of removed lung (radio-opaque) Organs shift into cavity of removed lung (i. Procedure. The transplant can either be from a live or cadaveric donor. Face . for diagnosis, biopsies, pleurodesis) or video-assisted thoracic surgery (e. testicular cancer) or the perineum (e. Thoracic scars OSCEstop Clinical examination guide to Medical Student OSCE Neck examination. Common Thoracic Surgical Scars; A. Bring the checklist along to the surgical department or abdominal clinics and use it to mark your fellow med students. setup, knot tie, wound care and Median sternotomy Mainly for open heart surgery OPERATIONS: transplant, valve surgery, congenital cardiac defect corrections, CABG (!ask to look for vein harvesting scar on legs) DETAIL: sternum is cracked open and chest opened Dec 28, 2019 · Examination. Our 2000+ question bank is a compilation of 8+ question books published by our partner Taylor Francis, the experts in medical education, and complemented with updates and questions from our OSCEstop experts. General surgery. Median sternotomy scar: located in the midline of the thorax. Examples include subcostal/Kocher's (cholecystectomy), midline (laparotomy), nephrectomy (renal surgery), McBurney's or Gridiron's (appendectomy), umbilical laparoscopic (resection), Pfannenstiel (hysterectomy), inguinal (hernia) and Rutherford Morrison (renal transplant) scars. Aug 11, 2023 · Surgery OSCE picture test past question for the year 2009 shock, blood transfusion, wound, tissue repair, scar, surgical infection, tropical surgery, pediatric Mar 25, 2024 · What is an OSCE? An Objective Structured Clinical Examination (OSCE) is a common method of assessing clinical competence in medical education. Take into consideration: Mar 3, 2021 · 1 Introduction2 The Hand and Arm3 The Neck and Face4 Examining the Precordium5 The Rest of the Examination6 Completing the Examination Introduction Introduce yourself to the patient Wash your hands Briefly explain to the patient what the examination involves Position the patient at 45o Assess the patient from the end of the bed Look for […]. txt) or view presentation slides online. Breast Remove donor kidney (loin scar) Anastomose in recipient’s iliac fossa (Rutherford-Morrison scar) Renal vein to external iliac vein; Renal artery to external iliac artery; Complications . Always check local guidelines ECG if there is known or possible cardiovascular disease Echocardiogram if there are heart murmurs, cardiac symptoms or heart failure Lung function tests may be required if there is known or possible respiratory disease Arterial blood gas testing may be required if there is known or possible respiratory disease HbA1C (within the last 3 months) for people with Scars: note the location of the scar as this may provide clues as to the patient's previous surgical history or suggest previous joint trauma. A huge range of General Surgery OSCE stations with interactive mark schemes to help you smash your General Surgical OSCE exam! We are building the ultimate clinical OSCE database. Scars – see diagram for common abdominal scars Striae – stretch marks associated with rapid abdominal distension; Caput medusae – engorged and dilated veins around the umbilicus indicating portal hypertension in CLD; Hernias – epigastric, para-umbilical, inguinal etc. caesarean section). Midline sternotomy scar (commonly found in patients that undergo a coronary artery bypass graft: CABG)2. Surgical history and documentation Part III. 1,300+ OSCE Stations A collection of articles relating to general surgery, including abdominal incision types, common general surgical presentations and more. anterior neck scar due to anterior cervical discectomy). ppt - Free download as Powerpoint Presentation (. This surgical approach is used for pacemaker insertion. During that period the total number of stations were reduced from 17 to 13. Flank scar: suggestive of a previous nephrectomy. Examination of peripheral stigmata of disease in general surgery 4. Venous eczema They may say that they had a certain surgery but you see no evidence (scar) of that surgery upon physical exam. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 60,000+ monthly users Apr 21, 2023 · surgery osce solved . All surgical specialties are covered, including neurosurgery, ENT, gynaecology and transplant. Traditional treatment in the past did result in a low groin scar on the affected side. This document contains instructions for 10 stations covering various medical topics. heart and trachea displaced) Boost your productivity with an OSCEstop membership. Lung malignancy; Localised bronchiectasis Self harm scars May have a line for dialysis Hearing aids Walking aids Some have a patch or something to monitor BMs but idk what it’s called exactly but it sends BM readings to their phones which is handy for diabetes patients Hip replacement scars which should make you think osteoporosis in most cases Other surgical scars A collection of surgery revision notes covering key surgical topics. Start by rolling each leg from side to side (assesses for hip fracture) Flexion (120˚): flex the patient’s hip and knee and press their knee against their chest Aug 11, 2023 · Surgery OSCE picture test past question for the year 2009 shock, blood transfusion, wound, tissue repair, scar, surgical infection, tropical surgery, pediatric Jan 5, 2025 · Flap repair with Z- or W-plasty: Linear scars can be broken into a Z or W shape to relax skin tension to improve the post-surgical scar appearance. OSCEstop Vivas and Spotters guide to Medical Student OSCE Abdominal scars. Cachexia is commonly associated with underlying malignancy. Oct 4, 2010 · Scars: note the location of scars as they may provide clues as to the patient’s previous surgical history (e. 8,028 views Published 2020. When the body produces too much collagen, scars become thick and rise above the skin. Your scar will continue to heal for 12 to 18 months after your surgery. She is likely to have had bilateral hip replacements due to severe osteoarthritis. Scars: There are a number of important scars to be aware of. Tasks: 1. Examination of abdominal scars 6. For further reading, you can read from old OSCE dossier, surgical recall or any other source. abscess). Detailed feedback is provided with our smart mark schemes. Bring the ortho checklist to the wards and test your friends, and be sure to never miss another mark. Introduction The acute abdomen refers to the rapid onset of severe symptoms of abdominal pathology, which may require surgical intervention . Jul 20, 2018 · The Objective Structured Clinical Examination or OSCE for short is a familiar and often daunting experience for medical students. Mar 28, 2015 · Scars: indicative of previous surgery (e. 📖 All OSCE Lerning. Key viva Qs for subscribers, MLA-mapped, with clinical pearls. ABDOMINAL EXAM hernias or surgical scars Look for stigmata of liver disease such as spider angiomas, caput medusae, ascites The examination Around the bed: •Sputum pot •Medications, inhalers, nebulisers •Walking equipment •Observations, bedside spirometry, peak flows. Renal access and transplant examination Part IV. - Scars or skin changes - Chest wall deformities - Obvious pacemaker scar Palpate for: - Apex beat - Heaves and thrills Auscultate the heart - Aortic valve - Pulmonary valve - Tricuspid valve - Mitral valve Accentuate the murmurs - Listen over axilla (MR) - Roll patient to left, listen to apex with bell (MS) - Listen to base of the neck (AS) Tracheal deviation – usually deviated in upper lobectomy / pneumonectomy, towards the side of the surgery. This resource is a comprehensive guide to the Objective Structured Clinical Examination in surgery, providing medical students with practical strategies and solutions to tackle this integral part of their assessment. hypertension, diabetes etc. These scars typically fade significantly over time, requiring minimal intervention for optimal healing. Feb 10, 2019 · 1 Introduction2 General Condition3 The Hand and Arm4 The Neck and Face5 Examining the Chest6 The Rest of the Examination7 Completing the Examination8 Appendix Introduction Introduce yourself to the patient Wash your hands Briefly explain to the patient what the examination involves and ask their permission to examine them Position the patient at 45o Assess […] OSCE guides. Chest expansion: Lobectomy: reduced anteriorly OR posteriorly OSCE stations as history taking and physical examination. OSCE stations as history taking and physical examination. May be central in lower lobectomy. hydrocele, oedema) and look for associated erythema (e. Bruising: suggestive of recent trauma or spontaneous haemarthrosis (e. Infraclavicular scar: located in the infraclavicular region (on either side). Examination of the abdomen; 5. Scar 3 • Laparoscopy ports • 1 port = diagnostic laparoscopy. patients on anticoagulants or with clotting disorders such as haemophilia). Sternotomy (midline) Most cardiac surgery Study with Quizlet and memorise flashcards containing terms like Midline scar (CABG), pacemaker scar, ICD scar & cardiac valve surgery scar, Infective endocarditis, Staphylococcus epidermidis and others. for pleural operations, lobectomies, lung resections) Surgical scars . Stem: You are a medical student on your general surgery rotation. Inspect the pre-auricular region (in front of the ear): Pre-auricular sinus/pit: a common congenital deformity that appears as a dimple in the pre-auricular region. arthroscopy port entry sites) or indicate previous joint trauma. Surgical hand wash. Thus, it is important that you suspend your disbelief and always go with the history that the SP provides. o Temperature, tenderness & swelling. Surgical scars; Prophylactic Antibiotics to reduce risk of surgical site infection; Surgeon: Use of minimally invasive surgery Judicious use of surgical drains; Avoid NG tubes if possible; Boost your productivity with an OSCEstop membership. Make plan (including further tests/management) Review current medications (don’t forget about VTE prophylaxis!) Tips! The aim is to get the patient back to normal and then home. - Gastric cancer history - PUD - Tumor of esophagus Oct 8, 2010 · Scars: these may indicate previous breast surgery such as lumpectomy (small scar) or mastectomy (large diagonal scar). 140. thyroidectomy, lymph node biopsy/excision, radiotherapy related scarring). Jun 11, 2015 · DIFFERENCE BETWEEN KELOID AND HYPERTROPHIC SCAR KELOID HYPRETROPHIC SCARS Genetic predisposition yes no Site of occurrence chest wall, upper arm anywhere in the body, ears, lower neck common in flexure areas Growth continues to grow without growth limits for 6 month time limit, goes beyond scar limit to scar tissue only. But it is important to study them for Mini-OSCE. vasectomy, testicular fixation). May 7, 2022 · A step-by-step guide to performing a focused examination of a patient with suspected acromegaly in an OSCE setting, including images of key signs and a comprehensive OSCE checklist. This surgical approach is The surgery collection contains more than 1700 flashcards ⚡ What are the most common causative organisms responsible for septic arthritis ? Staphylococcus aureus (most common pathogen across all age groups) A solid knowledge base and good clinical skills don't necessarily guarantee examination success in the long case OSCE. Dec 4, 2024 · Surgical scars – previous Caesarean section, laproscopic port scars Skin changes indicative of pregnancy – linea nigra (dark vertical line from umbilicus to the pubis), striae gravidarum (‘stretch marks’), striae albicans (old, silvery-white striae) Jan 22, 2017 · It is important to note that modern venous treatments are now minimally invasive and therefore they’ll be no scars (NICE now recommends minimally invasive surgery for varicose veins as first-line treatment). Masses: note any lumps associated with the scrotum (e. Examination of abdominal scars; 6. 7% Surgical History and Documentation: 2. Bilateral iliac fossae scars: suggestive of a simultaneous pancreas-kidney transplant (for a patient with type 1 diabetes). Enhanced Recovery After Surgery (ERAS) [advanced] Abdominal scars; Thoracic scars; First name* Email Address* Innovative OSCE learning 📖, OSCE “This elderly lady has bilateral surgical scars on both hips. “This elderly lady has bilateral surgical scars on both hips. Pre-operative: transthoracic ± transoesophageal echo, coronary angiography ; May be performed by: Open surgery: via midline sternotomy; Minimally invasive surgery. A comprehensive collection of clinical skills and procedures OSCE guides to help you prepare for OSCEs, including PLAB and the UKMLA CPSA. Pain - From Front: (4 Ts) & diplopia) o Tenderness o Hand (Pulse Oct 31, 2024 · In this orthopaedic elbow OSCE exam checklist you will be able to practice your basic ortho OSCE examination skills. For those seeking improvements in their appearance and function, a personalized treatment plan is crafted. Examination of the abdomen 5. Oct 3, 2010 · Scars: note the location of scars as they may provide clues as to the patient’s previous surgical history or indicate previous joint trauma. o Abnormal posture. Jun 28, 2024 · In the first weeks after surgery, please follow the instructions from your healthcare provider on how to care for your surgery site. This surgical approach is Jul 17, 2024 · Practice for your OSCE exams with this abdo OSCE exam checklist and mark scheme. Chest. Scar 5. After several weeks, the scar that forms may feel hard, tight, raised, or bumpy. Decoding Clinical Exams: Surgery OSCE. effusion, inflammatory arthropathy Feb 10, 2019 · 1 Introduction2 General Condition3 The Hand and Arm4 The Neck and Face5 Examining the Chest6 The Rest of the Examination7 Completing the Examination8 Appendix Introduction Introduce yourself to the patient Wash your hands Briefly explain to the patient what the examination involves and ask their permission to examine them Position the patient at 45o Assess […] Part I. Bruising: may indicate local trauma. due to GI bleeding, malabsorption) Jun 25, 2015 · Written by a team of senior surgical registrars and consultant surgeons, experienced postgraduate examiners and leading international experts, it provides a comprehensive and definitive answer to the challenges of the MRCS exam on physical examination. 📟 OSCE stations. 1 –Radiocephalic fistula –scar at the wrist –Brachiocephalic fistula –scar at elbow crease • Inspection: –Skin changes (infection, ischemia of hand [steal syndrome]) –Bandages suggesting recent needling –Length (rule of 6s) • Palpation: –CRT / temp –Palpable thrill –Tenderness –Raise arm • Fistula should collapses Jul 1, 2020 · Scars on the chest can suggest past surgery, trauma, burns and healed skin conditions. These sinuses can sometimes become infected and require surgical drainage. o Muscle wasting & fingertip. This surgical approach is used for lobectomy, pneumonectomy and oesophageal surgery. Jul 5, 2015 · 3 Examination of peripheral stigmata of disease in general surgery; 4 Examination of the abdomen; 5 Examination of abdominal scars; 6 Examination of the groin; 7 Examination of a stoma; 8 Renal access and transplant examination; Section 3 Breast surgery; Section 4 Pelvis and perineum; Section 5 Orthopaedic surgery; Section 6 Vascular surgery OSCE Checklist: The Respiratory Examination Introduction Introduce yourself Wash hands Briefly explain to the patient what the examination involves Position the patient at 45 degrees General Inspection - Respiratory distress - Pain - Cachetic The Hand and Arm - Tar staining - Clubbing Radial pulse Respiratory rate The Neck and Face Scar revision: through our SCARS Program, patients are offered a consultation with our facial plastic surgeons between three and six months after their initial surgery. head) - Palpation (Ask About Pain, Look at Face) Ophthalmoplegia (ask abt. 1,300+ OSCE Stations Sep 30, 2010 · Posterolateral thoracotomy scar: located between the scapula and mid-spinal line, extending laterally to the anterior axillary line. - Gastric cancer history - PUD - Tumor of esophagus Surgical Stations 1) Abdominal Scars 2) Stoma examinations 3) Hernia examinations 4) Vascular examinations Mar 2, 2014 · Scars: note the location of the scar as this may provide clues as to the patient’s previous surgical history or indicate previous joint trauma. Mini-OSCE files cover most of these topics with pictures and common questions. Eyes. Likes. 15 4 years ago updated Add favorite. Random. Our guides include step-by-step images of key steps, video demonstrations and checklists. Given the current climate of COVID-19 restrictions, the OSCE format was restructured by the Royal Surgical Colleges to be delivered in a socially distanced manner between October 2020 to June 2021 examination sittings. Look at the sclera for jaundice (liver disease) Ask permission from the patient then pull down the lower eyelid to look for conjunctival pallor (anaemia, e. An OSCE assesses performance in a simulated clinical environment, not in an actual clinical environment. Updated 2025 with viva questions & Abdominal scars OSCE stations Jun 3, 2024 · This article discussed abdominal surgical incisions and the common abdominal scars you may encounter in an OSCE scenario. Bring the ortho checklist to the wards, test your friends, and be sure to never miss another mark. OSCE Checklist: Varicose Vein Examination Introduction Introduce yourself Wash hands Briefly explain to the patient what the examination involves Inspection - Scars indicating previous surgery - Varicose eczema - Haemosiderin staining or atrophie blanche - Ulceration - Lipodermatosclerosis Inspect for obvious varicosities Surgical History and Documentation: 2. Examination of a stoma 8. First test all active movements (except internal and external rotation), then test passive movements. Scar 3. OSCE SURGERY (1). - Scars or skin changes - Stomas - Distention or visible peristalsis Palpate 9 areas: - Lightly - Deeply (if no tenderness on light palpation) Auscultate for bowel sounds Palpate the liver Auscultate for liver bruits Ballot the kidneys Auscultate for renal bruits Palpate for abdominal aorta Auscultate the aorta A collection of notes covering cardiothoracic surgery. Swelling: note any evidence of asymmetry in the size of the elbow joints that may suggest unilateral swelling (e. Latest; Oldest; Random; A to Z; Innovative OSCE learning 📖, OSCE stations 📋 and Qbank 💡 subscription service. DrExam Part B MRCS OSCE Revision Guide Book 1: Applied Surgical Science & Critical Care, Anatomy & Surgical Pathology, Surgical Skills & Patient Safety [2 ed. Scar 4 • Rutherford-Morrison incision • Renal transplant . Scar 6 • Pfannenstiel incision • Open gynae surgery abstract = "Background. Surgical mask – put this on now (you should already have a surgical hat on) Sterile gown pack (contains 2 towels and a gown) Sterile gloves; Sterile brush/sponge (with nail pick inside) Prepare equipment. Whilst you will not be expected to be an expert on suturing or suture materials at an undergraduate level, it’s important to understand the basics of equipment, suture material and general technique (e. This is the essence of a normal scar, the most desirable result after surgery. pdf), Text File (. mastoidectomy). 11. Past Medical / Surgical History. - Gastric cancer history - PUD - Tumor of esophagus Oct 29, 2019 · Scar 2 • Midline laparotomy • Major intra-abdominal surgery. Other aspects to management . Inspect. A bank of 1300+ OSCE station scenarios plus AI-powered virtual patients Breast Surgery Specialty; Surgical scar Topic; Sep 12, 2013 · Scars: may indicate previous neck surgery (e. gastrointestinal bleeding, malignancy). Traditional ward ratings and multiple-choice tests do not reliably assess clinical competence. Post-op Interventions. She is able to mobilise using a stick but has marked abductor weakness bilaterally. Dec 30, 2019 · Thoracic scars. cellulitis). Operations below the umbilicus, e. lipoma) / large diagonal scars (mastectomy) Asymmetry – healthy breasts are often asymmetrical Masses – note the size & position any masses - look for overlying skin changes Remove donor kidney (loin scar) Anastomose in recipient’s iliac fossa (Rutherford-Morrison scar) Renal vein to external iliac vein; Renal artery to external iliac artery; Complications . Plan and medications review. VTE (Thromboprophylaxis) Surgical doctors play a vital role in the post-operative parts of these protocols. Sep 26, 2023 · Past medical and surgical history. The more that you can “buy in” to this encounter and treat it as if it is real, the better you will do. 2. Raised scars are called hypertrophic scars or keloid scars. OSCEstop Vivas and Spotters guide to Medical Student OSCE Abdominal scars. Indications . Scar 4. Move . Asymmetry of the shoulder girdle: may be caused by scoliosis, arthritis, fractures or dislocation. Over time, the scar will become softer, smoother, and less red. In this clinical OSCE you will be asked to examine a patient presenting with right sided abdominal pain. Examination of the groin; 7. Masses: note any visible lumps that will require further assessment. 🔒 Administering Nebulised Medication. Stomas (e. Study with Quizlet and memorise flashcards containing terms like Kocher scar, - incision inferior and parallel to costal margin - gallbladder and biliary tract operations, mercedes benz modification scar and others. 🔋 Qbank. Cachexia: ongoing muscle loss that is not entirely reversed with nutritional supplementation. Abdominal distention: may indicate underlying bowel obstruction secondary to an incarcerated hernia. If the scar covers a large area of skin (as is often the case with burn scars), skin grafts may be necessary. Principles of surgery; Part II. Glandular fever Innovative OSCE learning 📖, OSCE stations 📋 and Qbank 💡 subscription service. Ace your medical exams with OSCE sense. Breast Sep 12, 2022 · You might also be interested in our premium collection of 1,300+ ready-made OSCE Stations, including a range of clinical skills and procedures stations Types of wound dressing A primary dressing refers to the dressing in direct contact with the wound surface . com May 29, 2024 · An list of the common high-yield conditions which can appear during clinical examination OSCE stations, including their common clinical signs. Great saphenous vein harv Nov 12, 2019 · Rutherford-Morrison (‘hockey-stick’) scar: suggestive of a previous renal transplant. 60,000+ monthly users. Some scars can have a sunken Abdominal Exam: OSCE Style. I would like to examine the knees and the lumbar spine and review AP and lateral radiographs of the pelvis and hips” Apr 1, 2011 · 5. Umbilical scar: suggestive of previous peritoneal dialysis catheter insertion. Thoracotomy scar Chest x-ray . ppt), PDF File (. General Surgery: 3. Principles of Surgery: 1. Swelling: note any evidence of asymmetry in the size of the hip joints that may suggest unilateral swelling (e. OSCE prep made easy: Bite-sized summaries, infographics, memory tricks. This book provides the essential information needed to tackle OSCE stations competently and with confidence. A comprehensive collection of gastrointestinal examination OSCE guides (abdominal examination, rectal examination, hernia examination) to help you prepare for OSCEs, including PLAB and the UKMLA CPSA 1,300+ OSCE Stations Sep 7, 2020 · Look for surgical scars, skin changes, stomas, distention, visible peristalsis, Periumbicial ecchymosis = Cullen’s sign; Flank ecchymosis = Grey’s Turner sign; Ask patient any pain or tenderness in the abdomen If pain present in certain area, palpate this area last - Scars or skin changes - Stomas - Distention or visible peristalsis Palpate 9 areas: - Lightly - Deeply (if no tenderness on light palpation) Auscultate for bowel sounds Palpate the liver Auscultate for liver bruits Ballot the kidneys Auscultate for renal bruits Palpate for abdominal aorta Auscultate the aorta Written by a team of senior surgical registrars and consultant surgeons, experienced postgraduate examiners and leading international experts, it provides a comprehensive and definitive answer to the challenges of the MRCS exam on physical examination. Examination May 21, 2024 · Ideally when a surgical scar heals, it will be flat and flesh-colored, but some post-surgical scars form differently for various reasons: Raised scars. Scar 6. for cardiac chest pain) For relevant conditions, find out more information OSCE Practice General Surgery “Abdominal Pain” OSCE STEM You have 2 MINUTES reading time. Left mid-axillary scar: this surgical approach is used for the insertion of a subcutaneous implantable cardioverter-defibrillator (ICD). xbq vaen rmqwm dfj rmrg oleuv lvydik iulvh snim ynwp