Ulcer examination osce pdf

Tim milligan november 16, 2015 august 7, 2019 womens health. To see the written guide alongside the video head over to our website s. Check out the examination of a skin lesion dermatological exam mark scheme here. Peptic ulcers usually present as chronic, upper abdominal pain related to eating a meal dyspepsia. This can range from slight and intermittent bleeding through to heavy bleeding that may be life threatening. Mar 27, 2015 this video aims to give you an idea of whats required in the diabetic foot examination osce. Peptic ulcer disease symptoms, diagnosis and treatment. Diabetic foot examination osce guide new version youtube. Jones, a 57yearold quadriplegic man, presenting with fever and increased malodorous drainage from his stage 3 pressure ulcer. May 14, 2017 examination of ulcer history taking 1. Check out the geeky medics quiz platform, with over 700 free medical mcqs. There are a number of possible physical examination findings that could be included in a casespecific.

Summarise your key findings and your potential differential diagnoses. Prognostic value of the clinical examination of the. For all other uses please contact our permissions department. Typically presents as a nonhealing ulcer, which could be crusty or scaly. Thank the patient and offer to help them get dressed.

Osce examiner checklist developed by faculty members during the pgy 4 academic day 20152016 in family medicine residency program, phcc. To determine the value of the history, physical examination, and magnetic resonance imaging mri in predicting successful primary healing of a foot ulcer in a diabetic patient. An ulcer is defined as an area of discontinuity of the surface epithelium. A complete examination of the ear and guide to otoscopy. Training physicians to rate osce patient notes 4 example consider the following osce scenario. Peptic ulcer disease and helicobacter pylori definition of peptic ulcer disease ulceration of the oesophageal, gastric or duodenal mucosa definition of helicobacter pylori h. Youll be expected to pick up the relevant clinical signs using your examination skills. You are seeing cindy albrecht, a 19 year old female, for amenorrhea. Abdominal pain history free medical student osce station. You can remember the mnemonic dressings to record the various findings of clinical examination of an ulcer. Neurologic exam evaluation checklist neuro osce students.

Patients with diabetes suffer between 500,000 and 1 million dermal ulcers of the foot annually in the united states. May 23, 20 siti shakinah sobri, universiti teknologi mara this page provides an outline of how to take a history of, and examine, an ulcer. Size and shape obvious swellings or deformity scars or skin changes redness or discharge. Siti shakinah sobri, universiti teknologi mara this page provides an outline of how to take a history of, and examine, an ulcer. An osce is a modern type of examination often used in the health sciences e. Briefly explain to the patient what the examination involves.

You should inspect for evidence of arterial ulcers, which diabetic patients may have developed secondary to peripheral vascular disease. Up to 50% of older patients with type 2 diabetes have one or more risk factors for foot ulceration 3,6. General surgery 24 feb 15 an ulcer is defined as an area of discontinuity of the surface epithelium and may occur internally mucosal or externally, when it involves the skin, subcutaneous tissues. Skin cancers are increasing in prevalence and if detected early treatment may be curative. Abdominal pain this video format is designed to help you prepare for objective structured clinical examinations, or osces. Characteristics, location, size a full wound examination should record details of the wound characteristics, location, and size as an initial assessment. Peptic ulcer disease developed by the eci november 2014 also available online at au patient factsheet hospital. An ulcer is a discontinuity of an epithelial surface characterized by progressive destruction of the surface epithelium and a granulating base 3. Prognostic value of the clinical examination of the diabetic. The lifetime risk of a person with diabetes developing a foot ulcer may be as high as 25%, whereas the annual incidence of foot ulcers is. A stepbystep guide to performing a diabetic foot examination in an osce setting, with an included video demonstration.

Diabetic foot examination introduction introduce yourself wash hands briefly explain to the patient what the examination involves inspection gait assessment also assess patient shoes inspect the feet for asymmetry or deformity scars or skin changes ulcers or gangrene assessment assess peripheral pulses. A testicular examination is mainly performed on male patients who present with testicular pathology e. Although titled testicular examination it involves the examination of the penis, scrotum and testes. An interactive markscheme is available to ensure a high score in an osce environment. Osces for medical students, volume 2 second edition. This guide provides a clear step by step approach to examining a skin lesion in an osce setting. Osce stations vary between universities, and there are new and different stations every year, so we cant provide a definitive list of everything but we can try. Osce examiner checklist developed by faculty members during the pgy 4 academic day 20152016 in family medicine residency program, phcchmc, qatar. Objective structured clinical examinations osce iv. Varicose veins are due to superficial venous insufficiency and are superficial, tortuous and dilated veins on the skin surface venous thrombosis can be superficial or deep, and the risk is increased if there is. History history of presenting complaints duration onset progression worsening. Examination of ulcer history taking linkedin slideshare.

You are free to download the material on this site for your own use and teaching purposes. A number of component causes, most importantly peripheral neuropathy, interact to complete. A subscription is required to access all the content in best practice. Presents as a fast growing, irregular, pigmented lesion which may occasionally bleed. Clinical examination a comprehensive collection of clinical examination osce guides that include stepbystep images of key steps, video demonstrations and pdf mark schemes. Preparing the patient for examination introduce yourself confirm the patients name and dob ask how the patient wants to be addressed explain the purpose of the examination and what the examination will involve obtain the patients consent offer a chaperone. Pdf osce examiner checklist developed by faculty members during the pgy 4 academic day. Varicose veins are due to superficial venous insufficiency and are superficial, tortuous and dilated veins on the skin surface venous thrombosis can be superficial or deep, and the risk is increased if there is stasis or the blood or an alteration to the clotting cascade.

Neurologic exam evaluation checklist neuro osce student. Examination of a skin lesion frequently appears in osces. Use of nonsteroidal antiinflammatory drugs nsaids and helicobacter pylori infection are the most common causes there may be some epigastric tenderness, but often there are no other signs on physical examination. Features pain, discharge, smell other diseases past medical history diabetes radiation 2. Assessment and management key highlights from the recommended guideline diagnose venous leg ulcers by a combination of clinical examination and measurement of a reliably taken ankle brachial pressure index abpi. A careful wound examination is important to drive management strategies, and also to provide full documentation against which healing progress can be measured. Made easy an ulcer is defined as an area of discontinuity of the surface epithelium. It is important to be able to detect risk factors and early signs of ulceration in patients with diabetic feet, and to ascertain the cause so that appropriate management can be pursued. Perforated peptic ulcer disease patient presents with classic triad of severe epigastric tenderness, tachycardia and abdominal rigidity.

Common physical examination findings of peptic ulcer disease include epigastric tenderness, tachycardia. You are going to observe and participate in a clinical encounter of a patient who comes to the office. Content in blue should be in back of your mind so say when you are practicing but not during exam unless seen on the patient in the exam. Ulcerations on or around the feet may be of arterial. Size and shape obvious swellings or deformity scars or skin changes. Ensure that the patient is exposed from the waist downwards such that the entire lower limb can be seen. When taking an abdominal history, work through socrates before moving onto associated symptoms and abdominal history red flags. Bleeding if the ulcer erodes into a blood vessel this can cause bleeding.

Examination of an ulcer free download as powerpoint presentation. Obtaining a medical history, especially for peptic ulcer disease, h pylori infection, ingestion of nonsteroidal antiinflammatory drugs nsaids, or smoking, is essential in making the correct diagnosis. It is important to briefly assess the general appearance of the whole body, and that includes the upper limbs and face. Adobe pdf and acrobat reader these links will open a new window. As this is an intimate examination it is pertinent to gain a good rapport with your patient, maintain good. And, obviously, there are diseases not listed here, that it would be useful. Comments on presence of centralperipheral cyanosis frenulum, lips, fingernails.

Examination of the nose introduction introduce yourself wash hands briefly explain to the patient what the examination involves ask the patient to remove any spectacles external nose inspection, anteriorly and laterally. There are many types of melanoma, of which the most common is the superficial spreading. This video aims to give you an idea of whats required in the diabetic foot examination osce. Gastric and duodenal ulcers usually cannot be differentiated based on history alone, although some findings may be suggestive. A full neurovascular examination abpi doppler assessment of pulses hba1c. Mar 25, 2020 obtaining a medical history, especially for peptic ulcer disease, h pylori infection, ingestion of nonsteroidal antiinflammatory drugs nsaids, or smoking, is essential in making the correct diagnosis. Checklist for respiratory examination undergraduate guide ones in black must do or comment on, ones in blue must comment on only if present or applicable to patient. Uv exposure and immunosuppression are risk factors. A system for doctors, medical student finals, osces and mrcp paces. Vaidya by muhammad saeed on vimeo, the home for high quality videos and the people who. This is an attempt to make a syllabus and list of osce stations for finals. The abdominal pain history taking osce is a very common station and is often combined with an acute abdomen exam or a simple procedure such as urinalysis. Examination of an ulcer cutaneous conditions health. Choose one of the access methods below or take a look at our subscribe or free trial options.

Peptic ulcer disease patient appears in severe stress due to abdominal pain. Begin the examination by asking the patient to lie comfortably on the bed. Diabetic foot and ulcers diabetes mellitus can have multiple dramatic effects on the vascular and neurological supply to the peripheries. Skin complaints are common in clinical exams and everyday practice. Describe three tools that help physicians rate objective structured clinical examination osce.