Khairulorama- Life and work notes

Pain is the predecessor of success.

.. of examining patients..

with 3 comments

You see, in medical school, we have this exams called short cases.

Typically, it would take you about 10 minutes per short cases and this will assess your techniques and of course findings.

In that short period, you will have to quickly and smoothly- with style of course- present your findings and do the complete and full examination.

Students usually failed their shortcases because they think!, short cases are reflexes.

Of course sometimes you would miss here and there but thats ok, if the significant ones are not left out.

It uses that clinical skill that you have acquired through the 3 years of clinics.

Finding are usually obvious but the techniques should be refined.- diperhalusi-🙂

In Medicine,
1. Cardiovascular System
2. Respiratory System
3. Abdominal System
4. Nervous system- Upper Limb, Lower limb, and Cranial nerves
5. Syndromes – I call it –

Myasthenia gravis
Nephrotic syndrome
Parkinsonism
Acromegaly
Bell-palsy
Opthalmoplegia

6. Haemopoietic system
7. The Diabetic patient
8. Joints examniation

Surgery
1. Thyroid
2. Breast
3. Hernias

OnG
1. Pelvic mass
2. Of course, Obstetrics examinations

Paediatrics
1. FTT
2. Down’s sydrome
3. Hydrocephalus
4. Cerebral palsy child
5. Anaemic child

Orthopaedics
1. Knee
2. Hip
3. Peripheral nerves
4. Spine
5. The foot
I think thats all. I’ll update this later.
The problem with ths is that, sometimes question and instruction from examiners are quite confusing.

1. “Please examine this patient?”- Examine what?
2. “Look at this patient”- Look at what?
3. ” Tell me about this patient”- Short cases la!
4. “Examine this patient lower limb, and proceed with relevant examinations” Student must think, lower limb and then what, it can be CVS, Renal, or Stroke patients.

Instruction like these are very tricky.

It requires you to think and make decisions spontaneously, and this need practice.

And remember, differentials, differetials, and differentials.

🙂 2 weeks to Clinical Professionals MBBS

Written by khairulorama

April 9, 2008 at 12:54 am

3 Responses

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  1. Just so you’d know:

    My short case just now (Surgery) was ascited with paraumbilical hernia. Most of them either got thyroid/varicose vein/procedures (tracheostomy, stomas)/scars.

    anakayub

    April 9, 2008 at 6:19 pm

  2. all the best for your final professional exams🙂

    i remember someone used to tell me that – short cases are like putting an act on the scripts you’ve been rehearsing. they should flow through your mouth like water.

    btw send my salaam n hi to nur aimi ngah if you ever see her. old mate🙂

    Shu

    April 22, 2008 at 4:33 am

  3. alrite

    khairul

    April 29, 2008 at 9:16 pm


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