OSCE 1/11/2017 - Royal College of Emergency Medicinehkcem.com/training/jcm/2017/201711/OSCE 2017...
Transcript of OSCE 1/11/2017 - Royal College of Emergency Medicinehkcem.com/training/jcm/2017/201711/OSCE 2017...
Case1
• A28year-oldmandrivingaprivatecarhitontoatruck.Hiscarwasonfire.Hehadshortnessofbreath.Hehadhypotension,tachycardia,andSpO291%onhighflowoxygen.FASTwasnegaPve.ThefollowingshowstheX-raysandCTscanofhim:
Case2
• A82year-oldladypresentedtoAccidentandEmergencyDepartmentwithcentralchestpainandhypotension,thefollowingtwoultrasoundimagesshowedtheconsecuPvecapturesofthesametransthoracicfocusedcardiacview:
Case3
• AjuniortraineeshowedanX-raytoyou,andaskedyoutohelphimtoreducethepatellafora30year-oldmanwhosufferedfromale\kneeinjuryduringabasketballgame.
Case3
1. WhatistheX-rayfinding?
2. Whatisthelikelydiagnosis?
3. Whataretheexpectedphysicalfindings?
4. WhatisthedefiniPvemanagement?
Case4
• A52year-oldmanaccidentallyhithisle\eyeonthecornerofthewall.
• Hecomplainedofle\eyepainandvisionloss.• Hisle\visualacuitywaslightpercepPononly.• Therewashyphema,subconjunPvalhemorrhage,conjunPvallaceraPonandirregulardilatedpupilofle\eye.
• Hehadnootherassociatedinjurybesideshisle\eye.