MRCS OSCE: History Taking Stations

Discussion in 'MRCS Forum' started by guest2011, Aug 8, 2011.

  1. guest2011

    guest2011 Moderator

    Sender: Zavlin


    Dear Friends

    I am new here. Needless to say, I am preparing for upcoming MRCS OSCE. After an extensive research, it seems there are many forums but people tend to just discuss general aspects. I want to prepare hence without wasting any time, I am taking an opportunity to post stations and hope that some colleagues may be able to join me on the journey.

    First Station: History Taking for post-operative chest pain or SOB

    A 50 years male is 5/7 post THR. Take history and present to the examiners.

    Hello Mr. -----, I am Dr. Zavlin and am a MRCS Candidate. I have been assigned to take a history from you. Could I start by asking you as to what the problem has been?

    Establish whther it was post-operative chest pain, or post-operative Shortness Of Breath (SOB).

    Chest pain: Site, Onset, character, radiation, associations, timing and duration, Exacerbating and relieving factors, severity.

    SOB: Onset, Duration, Progression, Precipitating factor, Aggrevating and Relieving factor. Associations: cough, expectoration, haemoptysis, pain in the wound, any discharge from the wound, abdominal pain, abdominal distention, frequency, dysuria, haematuria, calf pain, swelling of the legs.

    PMH:

    Medications and Allergies:

    Family history:

    Social history:

    Review of Systems:

    Thank the patient and present to the Examiners.

    Likely Pulmonary Embolism.

    Questions:

    DD of post-operative chest pain.

    Investigations.

    Management.

Share This Page