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Osce-respi medical

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Osce-respi medical

  1. 1. <ul><li>1) Identify the tools and it’s </li></ul><ul><li>function </li></ul><ul><li>Peak flow meter </li></ul><ul><li>To assess the force expiratory flow rate </li></ul><ul><li>2) Give two indication of the </li></ul><ul><li>above tool. </li></ul><ul><li>Bronchial asthma </li></ul><ul><li>Chronic obstructive disease </li></ul><ul><li>3) Demonstrate the technique </li></ul><ul><li>of using the above tool. </li></ul><ul><li>Do it in standing position,make sure the mark is at the level zero,breath in and out slowly for a few times </li></ul><ul><li>Then take a deep breath </li></ul><ul><li>With nose closed,expired forcefully </li></ul>OSCE – respi
  2. 2. OSCE – CVS, emergency 52 y/o Malay man, a smoker for 20 years presented with left sided chest pain for 2 hrs, a/w sweating and palpitation
  3. 3. 52 y/o Malay man, a smoker for 20 years presented with left sided chest pain for 2 hrs, a/w sweating and palpitation <ul><li>Comment on the ECG strip </li></ul><ul><ul><li>Sinus ryhthm </li></ul></ul><ul><ul><li>Heart rate :300/3:100 beats per minute </li></ul></ul><ul><ul><li>St elevation over lead III and aVF </li></ul></ul><ul><li>What is your diagnosis based on history and ECG strip </li></ul><ul><ul><li>Inferior myocardial infarction </li></ul></ul><ul><li>What is the risk factor that you can elicit from the history related to your diagnosis </li></ul><ul><ul><li>age;old age </li></ul></ul><ul><ul><li>Sex:man </li></ul></ul><ul><ul><li>Chronic smoker </li></ul></ul><ul><li>Outline your management </li></ul>Question:
  4. 4. <ul><li>Check the cardiac enzyme,coagulation profile etc </li></ul><ul><li>Rule out any broncoconstrion disease </li></ul><ul><li>General management </li></ul><ul><ul><li>Bed rest </li></ul></ul><ul><ul><li>ECG monitoring </li></ul></ul><ul><ul><li>Oxygen therapy,aim O2 saturation>93% </li></ul></ul><ul><ul><li>Analgesia </li></ul></ul><ul><ul><ul><li>Sublingual GTN/morphine/IV GTN </li></ul></ul></ul><ul><li>Thormoblytic therapy </li></ul><ul><ul><li>Aspirin </li></ul></ul><ul><ul><li>Atreptokinase </li></ul></ul><ul><ul><li>GTN </li></ul></ul>

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