Long case, Short cases and OSCE

1. {
LONG CASE
MEDICINE
Dr Nadia Shams
Associate Professor Medicine

2.  TIME : 60 minutes
 Marks 100, passing marks 50
 Half of the students carry on OSCE
 Half of the students are allotted LONG CASE
 SHORT CASES: Run in parallel after OSCE.
 Keep all the material for examination with you,
stethoscope, torch, measuring tape, pin, cotton,
tongue depressor, clinical hammer, etc.
Prerequisites….

3.  HISTORY:
 Bio-data
 Presenting complaints
 HOPC
 Systemic review
 Past history
 Drug history
 Personal history
 Family history
 Socioeconomic history
FORMAT

4. HISTORY
VITAL SIGNS
GENERAL PHYSICAL
EXAMINATION
SYSTEMIC EXAMINATION
(CVS, CNS, RESP, GIT,
LOCOMOTOR)
DIFFERENTIAL DIAGNOSIS
( ATLEAST 5)

5. MOST LIKELY DIAGNOSIS?
ANY COMPLICATIONS OR
SECONDARY DIAGNOSIS ?
HOW WILL YOU
INVESTIGATE THIS CASE?
(should know the normal values of common labs)
HOW WILL YOU MANAGE
THIS CASE?(drug side effects)
THEORETICAL QUESTIONS
+ DIAGNOSTIC CRITERIA+
COUNSELLING+ RECENT ADVANCES

6. 3. VIVA GASTRO
ENTEROLOGY
4. VIVA
DERMATOLOGY
5. VIVA PSYCHIATRY
6. VIVA NEPHROLOGY
7. ECG
8. CXR
9. PSYCHIATRY STATIC
STATION
10. ENDOCRINOLOGY
STATIC STATION
11. GENEREL PHYSCAL
STATIC STATION
12. INSTRUMENT/
PROCEDURE
STATIC STATION
1. GENRAL MEDCINE
STATIC STATION
2. VIVA
MEDICINE
OSCE

7.  Two Short cases
 25 marks each, passing marks 12.5
 Time; 10 minutes each
 One with external and one with internal
SHORT CASES

8. LISTEN
LISTEN …
TO COMMAND
PERFORM
PERFORM…
CONSENT, STEPS OF
EXAMINATION,REGISTER
FINDINGS,SAY THAKS TO
PATIENT AND COVE RHIM UP.
REPLY
REPLY…
SHORT VIVA
WHAT ARE YOUR POSITIVE
FINDINGS
WHAT CAN BE THE CAUSEOF
SUCH FINDING

9. COMMON COMMANDS
AUSCULTATE (OR PERCUSS) THE BACK OF CHEST
EXAMINE THE LIVER
PALPATE AND PERCUSS THE SPLEEN
EXAMINE FOR ASCITES
PERFORM DEEP TENDON JERKS
EXAMINE 7TH CRANIAL NERVE
CHECK POWEROF LOWER LIMBS
CHECK VITALS/ BLOOD PRESSURE
AUSCULTATE THE PRECORDIUM
LOOK FOR APEX BEAT
EXAMINE PULSE
PERFORM SIGNS OF CO-ORDINATION

10.  LONG CASE= 100
 SHORT CASE 1=25
 SHORT CASE2=25
 OSCE= 10 X 12= 120
 _________________________
 270 + 30 MARKS INTERNAL ASSESSMENT
 __________________________
 TOTAL=300