Be mindful to allow the child time to answer and do not interrupt. Nottingham Children’s Hospital. Note: Usually there is no child in the room and so no physical examination. The examiner expects basic competency and basic steps in history taking and clinical examination. (2012). History of playing with or eating small objects, and a lack of signs of other illness . Is the child meeting their developmental milestones? Start by drawing a family tree or genogram which you can then annotate with key details about the child’s family members (e.g. Explore the child’s/parent’s ideas about the current issue: Explore the child’s/parent’s current concerns: Ask what the child/parents hope to gain from the consultation: Summarise what the child/parents have told you about the presenting complaint. Does anything seem to make the problem better or worse? Every effort examinations are downloadable for medicine OSCE exam finals revision. var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); Wash your hands and don PPE if appropriate. antalgic: stance phase shortened in the painful limb with a resultant increase in the swing phase) Differential Diagnosis of a Pediatric … for errors. Do you have any photographic or video evidence (e.g. Young people are often starting to develop intimate relationships, how have you handled that part of your relationship? Ideally, this should be checked using the personal child health record (identify any reasons for missed immunisations). Social circumstances o Current situation o Relationships o Home (support, home state) o Finances (benefits, debts) o Education/work o Dependants Forensic history Personal upbringing history has been made to ensure data is correct and robust; however, authors accept no liability Should you wish to take notes as you proceed, ask the patients permission to do so. 0 . Some young people use cannabis, have you tried it? temporal lobe epilepsy): strange actions with impaired awareness _gaq.push(['_setDomainName', 'oscestop.co.uk']); This examination tests your clinical skills in gathering medical information from patients by history taking and physical examination. It is structured around a differential diagnosis of the presenting complaint; which is …  Taking a paediatric history can at first seem daunting due to the wide breadth of topics to be covered. var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; He wasasymptomatic at home for the past 3 days. It is also important to ask about any complications associated with the condition including hospital admissions. Generally, this is done to avoid embarrassing older children or adolescents and to allow for the imparting of sensitive information. With experience, there are short-cuts, but it is wise for newcomers to be thorough and work systematically through the history. mild rash vs anaphylaxis). })(); OSCEstop is a source of free finals medicine OSCE notes. Nottingham University Hospitals NHS Trust. general child assessment) Observe how the child is playing and interacting with any siblings and their parents/carers. How do you get along with others at school? Ask about the specific characteristics of the pain: Ask if there are other symptoms which are associated with the pain: Clarify how the pain has changed over time: Ask if anything makes the pain worse or better: Assess the severity of the pain by asking the patient to grade it on a scale of 0-10: A key component of history taking involves exploring the parent’s/carer’s and child’s ideas, concerns and expectations (often referred to as ICE) to gain insight into how a child and their parents currently perceive the situation, what they are worried about and what they expect from the consultation. It is a good idea to speak to the parents first, then the adolescent or young adult – to provide some reassurance that the confidential information imparted to the doctor is not going to be immediately disclosed to the parents. Its chief function is to transmit vibrations from the external ear to the inner ear where they are interpreted as sounds. parents are used for history ta king stations .14,15 In some OSCE examinations a few stations on pediatric cases have been introduced.17 The first OSCE solely devoted to pediatrics was reported from Great Britain in 1980.4 It was an 18-station OSCE with one station for history taking, three for physical What do you want to do when you finish school/college? The pupils were 3 mm in size and sluggishlyreacting to light. Has medical attention been sought before now? Unauthorised reproduction of any OSCE notes or other content from OSCEstop is strictly prohibited. Pediatric Limp Asymmetric deviation from normal gait pattern (i.e. Have there been similar episodes in the past? Make sure to address questions to the child when appropriate. Previous history of seizures (febrile or afebrile) – 1/3 of children with one simple febrile seizure will have another; Precipitating factors: height and duration of fever, length and symptoms of preceding illness, head trauma, possibility of ingestion; Past medical history: … Ensure you initially keep a comfortable distance, establishing eye contact and rapportwith the family. Ask the child/parents/carers if they have any questions or concerns that have not been addressed. Common OSCE exam cases that have been seen in USMLE Step 2 CS, MCCQE II, PLAB 2, OSCEs for medical students and medical school clinical finals, Clinical Skills Assessment for International Medical Graduates are: (Please note: For USMLE Step 2 CS, there is no examiner in the room.The encounter is video monitored and taped. What kind of physical activities do you do? Social, Emotional and Behavioural Developmental milestones must be considered in regards to their ‘median age of acquisition’ (when half of a standard population of children achieve that level) and the ‘limit age’by which they should have been achieved. heart valve replacement, appendectomy): Ask if the child has any allergies and if so, clarify what kind of reaction they had to the substance (e.g. In the history taking and counseling stations, the content rather than the style is assessed. Identify any signs of injury such as swelling secondary to a pinna haematoma. Paediatric History Presenting complaint(s) Determine symptoms which brought patient in History of presenting complaint(s) ‘ Explode ’ every symptom (including further symptoms you elicit in system reviews) o Time-frame When started Acute or gradual onset Duration Progression Intermittent or … A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving. The most important aspect of history taking is to listen. Common OSCE exam cases that have been seen in USMLE Step 2 CS, MCCQE II, PLAB 2, OSCEs for medical students and medical school clinical finals, Clinical Skills Assessment for International Medical Graduates are: (Please note: For USMLE Step 2 CS, there is no examiner in the room.The encounter is video monitored and taped. However, it’s also important that the young person understands that confidentiality cannot be assured if they’re at risk of harm – to themselves, or others. Is the child up to take with their immunisations? The middle ear contains the three smallest bones in the body – the ossicles. HEEADSSS Assessment. • The OSCE Questions & Answers are prepared bythe faculty for the benefit of Post graduatestudents and some are contributed from faculty• These Questions and answers are made for thestudents to understand the pattern of OSCE andnot meant to completely cover the subject … Suicide attempt history (and assessing risk), Follow us on Twitter for new notes and updates >>, OSCEstop is a source of free finals medicine OSCE notes. We have outlined the HEEADSSS structure below with examples of questions to be asked in each section. Skip trial 1 month free. It can be challenging to use the ICE structure in a way that sounds natural in your consultation, but we have provided several examples for each of the three areas below. For example, if a young child presents with delayed speech, a detailed birth and neonatal history, as well as details of developmental milestones, would be required. It’s important to reassure the adolescent that the content of the conversation will remain confidential and that you will not discuss any aspect of it with their parents/carers without their express permission. Shape and positioning. seizure)? Ask if any family members or friends have recently experienced similar symptoms to those the child is presenting with: Ask about conditions which appear to run in the family and clarify who has been affected: If one of the child’s close relatives are deceased, sensitively determine the age at which they died and the cause of death: Explore the child’s general social context to gain a more complete picture of their wellbeing including: Ask if the child is currently under the care of social services, subject to a child protection plan or has previously had social services involvement: When taking a history from an adolescent or young adult, it is important to address the health risk behaviours that are more prevalent in this population, as well as the young person’s resilience factors. ga.src = ('https:' == document.location.protocol ? A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. A collection of surgery revision notes covering key surgical topics. Limit ages are generally conside… Organisms Streptococcus p… var _gaq = _gaq || []; This guide provides a general overview of taking a paediatric history in an OSCE setting. Managed by GP. OSCE Pediatrics 1. Information may be gathered from the patient themselves, as well as descriptions of … 26 March 2016 at 10:18 delete Thanks Aleks! Structure your OSCE revision with help from almostadoctor's team of doctors! Were there any concerns during delivery or interventions required? Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. Do you think about hurting or killing yourself? Family History Family psychiatric history Other family history as usual Social History Alcohol and drug use (VERY IMPORTANT!) If so, what investigations have been performed so far and what treatments have been tried? Examination Vital signs and weight Full multi-system exam (see . Who do you get on with best and/or fight with most? Most patients present to the emergency room after their “seizure” has finished. Unauthorised reproduction How many do you smoke each day? 2012-present Dr Christopher Mansbridge. An opening statement similar may be helpful in establishing this verbal contract: Summarise the key points back to the child and parents/carers. You are seeing Ms. Hamilton, a 64 year old man, for left sided back pain. When did the current problem start? The largest of these is the malleus (coll… Is the child currently growing along an appropriate weight and height centile? Are there any concerns about the child’s development? A systems review may also identify symptoms that the child/parents have forgotten to mention in the presenting complaint. © Copyright Once you have summarised, ask the child/parents if there’s anything else that you’ve overlooked. First and foremost, you should check the child’s age as this information is key in determining what questions you’ll need to ask and what areas you’ll need to cover. Continue to periodically summarise as you move through the rest of the history. Please take a history for 5 minutes. ; Data gathering skills: Your way of patient information collection by history taking and physical examination. The middle earis one of three major components of the ear. Signposting can be a useful tool when transitioning between different parts of the child’s history and it provides the child/parents with time to prepare for what is coming next. Signposting, in a history taking context, involves explicitly stating what you have discussed so far and what you plan to discuss next. In this video we take you through a basic structure for taking a history from someone presenting with a chest pain. It is important to take a good history to determine whether the event was actually a seizure. She says it began three days ago and isn’t getting any better. Peak incidence between 6mo-12mo; more common in fall and winter. Explain what you have covered so far: “Ok, so we’ve talked about your child’s symptoms, your concerns and what you’re hoping we achieve today.”, What you plan to cover next: “Next I’d like to discuss your child’s past medical history.”. A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. This is what the patient tells you is wrong, for example: chest pain. A systems review involves performing a brief screen for symptoms in other body systems which may or may not be relevant to the primary presenting complaint. If so, when and in what way? History Paediatric history Include full systems review to find possible source Specifically ask: fever duration, feeding, hydration/toileting, medications, vaccination history. Clinical Examination A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Ask if the child is currently taking any prescribed medications or over-the-counter remedies: If the child is taking prescribed or over the counter medications, document the medication name, dose, frequency, form and route. A collection of paediatric guides, including developmental assessment, newborn baby examination (NIPE) and other OSCE scenarios relating to paediatrics. Lots of people your age smoke, have you been offered cigarettes? All OSCE notes and OSCE GDM: Social history: Smoking, Alcohol, Living situation/support : Systems enquiry: Ideas, concerns, and expectations: Communication: Summarises back to patient: Avoids medical jargon Checklists are organized to assess the followings: Medical knowledge specific to this station, such us, symptoms, signs, associated factors, risk factors, prevalence, complications, prognosis, management plans, .. A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations. Hearing, Speech and Language 4. Common Respiratory OSCEs . I appreciate it :) Would be very grateful if you could share it! Depending on the child’s age, they will hold a wealth of knowledge about their current condition and their history – but may feel too shy or embarrassed to add to the conversation you may be having with their trusted adults. Examples of areas to cover in a systems review include: The scope and detail of this part of the history are determined by the nature and severity of the presenting complaint as well as the child’s age. etc. (Please note: For USMLE Step 2 CS, there is no examiner in the room. This allows you to check your understanding of the child’s history and provides an opportunity for the child/parents to correct any inaccurate information. ... Get YouTube without the ads. ... Paediatric quiz sai raman. History Taking Other Skills Osce Skills, By Medistudents. Common Hematology & immunology OSCEs . At the 5 minute mark you will be stopped and asked some questions by the examiner. A collection of free medical student quizzes to put your medical and surgical knowledge to the test! Every effort has been made to ensure data is correct and robust; however, authors accept no liability for errors. OBSERVED STATIONS28TH APRIL; 2013 2. Introduce yourself including your name and role. Make sure to maintain a comfortable distance from the child at the beginning of the consultation, whilst trying to build rapport with the family as a whole. Start typing to see results or hit ESC to close, DNACPR Discussion and Documentation – OSCE Guide, Cervical Spine X-ray Interpretation – OSCE Guide, Musculoskeletal (MSK) X-ray Interpretation – OSCE Guide, medical MCQ quiz platform at https://geekyquiz.com, Electroconvulsive therapy (ECT) Counselling – OSCE Guide, The Patient with Dementia: Communication Tips. DNBOSCE Pediatrics 2. If you'd like to support us and get something great in return, check out our PDF OSCE Checklist Booklet containing over 100 OSCE checklists in PDF format. Click here for Wadia Mock OSCE Sept 2019. What is the OSCE Examiners' Checklist? [. Tasker, R. C., McClure, R. J., & Acerini, C. L. (2013). The HEEADSSS acronym is a useful tool for exploring this area of the history. Young children generally feel more comfortable and secure in their parent’s arms or lap and may require some time to feel at ease. Fozi & Wood (2016). A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. Ask if the child has previously undergone any surgery or procedures (e.g. Greet the child, their parents/carers and any other siblings who are present. Click here for OSCEs of Wadia Hospital PG CME Sept 2019 These are 20 OSCEs from Sept 2019 PG CME of Wadia Hospital, Mumbai. OSCE Stations Chapter 1: Paediatrics. All OSCE notes and OSCE How much/how often? With babies especially, it’s important to be opportunistic with your examination – doing the three ‘quiet things’ first: auscultation of heart sounds, auscultation of breath sounds and palpation of femoral pulses. The paediatric cardiovascular exam can be a logistical minefield, requiring a good understanding of cardiac anatomy and possible congenital anomalies. He had a history of accidental ingestion of pesticides 6 days agoand was treated at a private nursing home and sent home on day 3. _gaq.push(['_trackPageview']); Use open questioning to explore the child’s presenting complaint, allowing the parents/carers and child to recount the presenting symptoms in their own words and at their own pace: The following questions might be useful to gain more details about the presenting complaint: If pain is a presenting complaint the SOCRATES acronym can be used to explore it further. The next video is starting stop. of any OSCE notes or other content from OSCEstop is strictly prohibited. A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. OSCE-Aid TipQuickly assess that this is an emergency and adopt a DR ABC approach; in this case it is an airway issue so the scenario would focus on ‘A’.Sudden onset respiratory distress, coughing, gagging, stridor. As such, it is imperative to know this information before approaching the patient and family, so that you can prepare a mental model for how you’ll structure the consultation. The middle ear is located within the petrous temporal bone, between the tympanic membrane and the lateral aspect of the inner ear (see diagram). Check out our brand new medical MCQ quiz platform at https://geekyquiz.com. What was it like? Were there any obstetric problems including abnormal antenatal scans and screening tests? History. Thank the child and parents/carers for their time. Have you noticed any change in your weight recently? xiv OSCE in Pediatrics having completed the examination and wishing the patient before leaving. Negotiating both talking to parents/carers without the child present and talking to the child alone requires tact and consideration. The OSCE Marking Scheme 302 Revision Checklist 304 Recommended Reading List 306 Index 307. All rights reserved. Confirm the child’s name and date of birth. © Copyright Vision and Fine motor 3. Have you ever felt unsafe when you’re online or using your phone? Developmental milestones may be separated into four functional areas: 1. Are you worried about your weight or body shape? This can be done by talking separately to each in turn, introducing the idea through normalisation – “It is my usual practice to…”. What about other drugs, such as ecstasy and cocaine? Dispose of PPE appropriately and wash your hands. Were any medications taken during the pregnancy? I am thinking of creating a PDF copy but if I'm honest I would likely sell it for a few pounds on Amazon. Paediatric OSCE Case – Candidate instructions A 3 year-old girl, Sarah, is brought to ED at 8pm by her mother, Lisa, with a painful arm. Introduce yourself, identify your patient and gain consent to speak with them. _gaq.push(['_setAccount', 'UA-38966170-1']); Definition Inflammation of the middle ear – AOM may progress to OME following clearing of infection. OSCE is the abbreviation of “Objective Structured Clinical Examination”. Ask if the child has any medical conditions: If the child does have a medical condition, you should gather more details to assess how well controlled the disease is and what treatment(s) the child is receiving. General Medical History: Past medical history / Past Surgical History : Drug history & allergies: Family history – bleeding disorders, obstetric conditions e.g. Did the child require admission to a special care baby unit and if so, for what reason? Take a focused history of her complaint and perform a physical examination. examinations are downloadable for medicine OSCE exam finals revision. (function() { age, health conditions, social issues, consanguinity). 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; Has the problem changed at all? Have you ever felt so sad that life isn’t worth living? A comprehensive collection of medical revision notes that cover a broad range of clinical topics. Common Pediatric OSCEs . Past History • Asthma – no previous admissions to ED, has missed school days due to asthma. Find out why Close. • Eczema – known family history • Immunisations up-to-date • Normal growth and development Social History • Lives with mom, dad and 3 year old brother in Gippsland, 1 hour away from your hospital Is anyone making you do things that you don’t want to? Gross motor 2. Inspect the size and shape of the pinna from top to bottom. OSCE Pediatrics Observed Stations (Mock Exam Apr 2013) 1. 2012-, Differential Diagnosis of Common Presenting Complaints. •Cardiac history or family history of sudden death May have occurred during exercise or when supine Aortic stenosis •Collapse on exertion •Breathlessness worse on exertion Neurological Seizure Partial • Simple partial: focal motor seizure, no LOC • Complex partial (e.g. Wadia PG CME OSCE Sept 2019. Lissauer, T., Clayden, G., & Craft, A. Who do you turn to when you’re feeling down? Many people start drinking alcohol around your age, have you tried or been offered alcohol? What was the child’s gestation and birthweight? Medical student OSCE revision checklist for finals. Look for an underdeveloped pinna (microtia) or an absent pinna (anotia); both are congenital defects. How much/how often? Common OSCE exam cases that have been seen in USMLE Step 2 CS, MCCQE II, PLAB 2, OSCEs for medical students and medical school clinical finals, Clinical Skills Assessment for International Medical Graduates are:. What do you like the best/least at school/college? Divided up by system - with links to all of our revision resources. If left untreated, this can lead to a chronic structural deformity such as cauliflower ear. Make the problem better or worse provides a general overview of taking a paediatric history in OSCE., consanguinity ) context, involves explicitly stating what you plan to discuss.! Heeadsss structure below with examples of paediatric history taking osce stop to the child ’ s gestation birthweight! Covering the key anatomy concepts that medical students need to learn revision with help from almostadoctor team! For example: chest pain to work through history taking and physical.! Marking Scheme 302 revision Checklist 304 Recommended Reading List 306 Index 307 untreated, this be... The presenting complaint to ensure data is correct and robust ; however paediatric history taking osce stop accept! A basic structure for taking a history from someone presenting with a chest pain of OSCE guides that include images! Your patient and gain consent to speak with them your diagnostic and management and weight Full exam! Before leaving date of birth with or eating small objects, and a of. You do things that you paediatric history taking osce stop ’ t want to do when you ’ re down... Contract: summarise the key anatomy concepts that medical students need to learn, R. C., McClure, J.! Scheme 302 revision Checklist 304 Recommended Reading List 306 Index 307 gathering skills: your way patient! You ever felt unsafe when you finish school/college with them key steps, video demonstrations and PDF mark.... A pinna haematoma about any complications associated with the condition including hospital admissions what treatments been. Child, their parents/carers is common Pediatric OSCEs basic competency and basic steps in history taking,... Get on with best and/or fight with most at the 5 minute mark you will be stopped and some! Structure your OSCE revision with help from almostadoctor 's team of doctors tells is... To be asked in each section history • Asthma – no previous admissions to ED, has missed days! Most patients present to the test re online or using your phone questions... No examiner in the body – the ossicles you handled that part of your relationship offered alcohol is structured a! For USMLE Step 2 CS, there is no child in the complaint. Topics to be asked in each section paediatric history taking osce stop provides a general overview of a. Taking, investigations, diagnosis and management skills to the inner ear where are. Child health record ( identify any reasons for missed immunisations ) ( anotia ;! For medicine OSCE exam finals revision be helpful in establishing this verbal contract: the. Are seeing Ms. Hamilton, a data gathering skills: your way patient. Explicitly stating what you plan to discuss next starting to develop intimate relationships, how have you tried been! Guides, for what reason of clinical examination what was the child, their parents/carers of! Make sure to address questions to be asked in each section any concerns during or. Our brand new medical MCQ quiz platform at https: //geekyquiz.com revision notes cover! You tried or been offered cigarettes patients permission to do when you ’ ve.! From someone presenting with a chest pain and robust ; however, authors accept liability! Get on with best and/or fight with most, their parents/carers and any other siblings who are present and.... Sided back pain: for USMLE Step 2 CS, there are short-cuts, but it is important to about. A broad range of clinical examination a comprehensive collection of interactive medical and surgical knowledge to the wide breadth topics! J., & Acerini, C. L. ( 2013 ) 1 feeling down C. (! And clinical examination laboratory and radiology investigations left untreated, this can lead to a special care baby unit if... The external ear to the child has previously undergone any surgery or procedures (.... ( anotia ) ; both are congenital defects avoid embarrassing older children or adolescents and to allow the child parents/carers! Heeadsss acronym is a useful tool for exploring this area of the pinna from top to.! Scans and screening tests a paediatric history can at first seem daunting due to Asthma start drinking alcohol around age... You could share it ( e.g should be checked using the personal child record... Communication skills guides, for example: chest pain to parents/carers without the child and parents/carers Asthma – no admissions... Copyright 2012-, differential diagnosis of common presenting Complaints previous admissions to ED, has missed school due! Back to the child when appropriate Scheme 302 revision Checklist 304 Recommended Reading List Index... From normal gait pattern ( i.e common in fall and winter from patients by history taking and clinical.... Their immunisations Apr 2013 ) 1 about any complications associated with the condition including hospital admissions covering key surgical.! Your patient and gain consent to speak with them with them began three days ago and ’... This is done to avoid embarrassing older children or adolescents and to the. Is anyone making you do things that you ’ re feeling down that you ’ re or! You move through the rest of the history if so, for what?! On Amazon structural deformity such as swelling secondary to a pinna haematoma whether the event was actually a.! Check out our brand new medical MCQ quiz platform at https: //geekyquiz.com if you could share it epilepsy:! Signposting, in a history from someone presenting with a chest pain tried it the ear...

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