Professional Documents
Culture Documents
INSTRUCTIONS: There will be 24 Stations and each student is given 2 minutes to answer and/or do the necessary
questions/procedure on each station.
STATION 1: HISTORY TAKING
The student will act as a doctor and the resident will act as your patient J (resident = difficult patient haha!)
Ask for the General Data of the patient (name, age, sex, )
Ask for the Chief Complaint (e.g. abdominal pain)
Ask for the HPI (onset, pain scale, duration, associated symptoms such as fever, nausea, etc., medications, etc.)
Try to do PE (try to palpate)
CLUE: the bread and butter of surgery is ACUTE APPENDICITIS; try to concentrate on extracting information
that will support the diagnosis of Acute Appendicitis J According to Dr. Jing, acute appendicitis can also present
as pain on the RUQ
STATION 2: SURPRISE STATION
I labeled this as a surprise station since we didnt know that this will be based on the previous station (argh!)
The following were the questions asked during our OSCE
o What is the age of the patient in the previous station? J (e.g. 30 years old)
o What is the chief complaint? (e.g. abdominal pain)
o What is your primary impression? (e.g. acute appendicitis)
o
The case given to us during our OSCE was a patient with a lacerated wound at the back
o
o
o
o
Vicryl
o Description: purple
o Use:
o Needle: taper-point
soft tissues other than the skin
Prolene
o Description: suture that is blue and shiny
o Use: for vascular anastomosis, nerves
o Needle: taper-point needle
soft tissues other than the skin
Absorbable Sutures
o Vicryl
o Chromic Catgut
o Plain Catgut
o PDS
o Monocryl
Non-absorbable Sutures
o Silk
o Nylon
o Prolene
o Cotton
Components of Stone
o Cholesterol
o Bile Acid
o Lecithin
o
o
o
o
o
o
Solitary vs Multiple
Fast enlargement overnight vs Slowly enlarging mass for months
Hard vs Soft
Tender vs Non-tender
Male vs Female
Child vs Adult
What will you advise the patient if the histopath is positive for:
Fibroadenoma
observation; surgical resection for large or growing lesions
Fibrocystic disease
stop caffeine, NSAIDs, Vitamin E
Breast CA
mastectomy