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JCM OSCE

JCM OSCE. QMH A&E Feb 2014. Case 1. F/32 LBP for one week No fever, no neurological deficits PE unremarkable Xray LS spine. Case 1. Question 1. What is the Xray finding? What could be the DDx?. Question 2. What could be causative organism?. Case 2. M/20

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JCM OSCE

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  1. JCM OSCE QMH A&E Feb 2014

  2. Case 1 • F/32 • LBP for one week • No fever, no neurological deficits • PE unremarkable • Xray LS spine

  3. Case 1

  4. Question 1 • What is the Xray finding? • What could be the DDx?

  5. Question 2 • What could be causative organism?

  6. Case 2 • M/20 • Complained of R sided chest pain for one day • No SOB • No history of trauma • PE showed decreased breath sound over R lung

  7. Questions • What are the findings? • How do you manage him? • What are the indications for surgical treatment?

  8. Case 3 • F/21 • PMH: Schizophrenia • Sudden onset of colicky generalised abdominal pain again since after lunch • Small amount BO • PE: abd distension

  9. AXR

  10. Questions • What are the findings? • Name a few differential diagnoses • What is the diagnosis?

  11. Case 4 • F/50 • Found collapsed in hospital canteen • On arrival GCS 14/15 • BP 160/70, P 60 • Tenderness and swelling over right face

  12. CT face

  13. Questions • Please describe the CT scan finding • What do you need to look for in physical examination? • If CT scan is not available, what Xray view will you order? Any pitfall in this view?

  14. Case 5 • M/77 • Trip and fell with head and neck injury • Brief LOC • PE: GCS 15/15 • Tenderness over R neck • RUL power 4/5, LUL 5/5

  15. CT brain + neck

  16. CT reconstruction

  17. Questions • What are the CT findings? • What do you need to look for in physical examination • What is the classification of this injury? • What are the possible long term complications in this injury? • Name 2 clinical prediction rules for predicting cervical injury requiring Xray

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