Management OSCE Flashcards by scarlett wood

differentials of Appendicitis

gastroenteritis
PID
Ectopic pregnancy
kidney stones

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management of Pancreatitis

analgesia
anti-emetic
Iv fluid as needed
conveyance

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additional examinations for Pancreatitis

Greys turner - bruising around flank
cullens - bruising around belly button

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differentials to PE

bronchitis
asthma
pneumothorax
ACS
heart failure

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differentials of Sepsis

alcohol withdrawal
DKA
heart failure
hypovolemia

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differential of Endocarditis

autoimmune
pneumonia
sepsis
heart failure

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differential of cocaine toxicity

subarachnoid hemorrhage
tumour
hypoxia
drug withdrawal

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differential of pericarditis

MI
pleural effusion
angina

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differential of heart failure

valvular heart disease
renal failure
coronary artery disease

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angina management

history take
ECG
pain relief
GTN
any improvment

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management of heart failure

history
O2 as needed
ECG
assess if there is any pulmonary oedema, respiratory distress or cardiogenic shock

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differentials of MI

unstable angina
pericarditis
pulmonary embolism
aortic dissection

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differentials of COPD

asthma
heart failure
lung disease

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differential of Seizure

syncope
TIA
panic attack
sleep disorder

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features of life threatening asthma

altered conscioursness
exhaustion
cyanosis
silent chest
poor resp effort
SpO2 < 92 %
hypotension

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differentials to pneumonia

bronchitis
LRT infection
pneumonitis
heart failure

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differential to pancreatitis

gallstones
alcohol abuse
peptic ulcer
bowel obstruction
ACS
gastritis

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management of meningitis

assess for rash
benzylpenicillin if indicated
rapid transfer

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addition assessment of assessment of meningitis

brudzinski sign - move neck up causes flexation of knees
Kernig’s sign - patient supine, knee cant be fully extended into the air

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mild asthma management

assess ABCDE
move to a calm environment
use own inhaler
- 2 puff every 2 min up tp 10 puffs
-1 puff every min up to 6 long lasting

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signs of cocaine toxicity

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hypertension
irregular hr
psychosis
nausea
agitiation

management of cocaine toxicity

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diazapam
- IV over 2 min
- titrate to effect
- repeat dose after 5 min
-consider respiratory distress

moderate asthma management

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15L O2
nebulised salbutamol 6-8L per min

features of mild asthma

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below best level of functioning due to wheeze
PEFR > 75%

management of cardiogenic shock in heart failure

assess for sTEMI urgent transfer consider oxygen

management of tonic clonic seizure

keep to individuals treatment plan 5 min or more- diazapam

management of psychogenic seizure

follow individuals treatment plan

differentials of asthma

COPD bronchilitis

differentials of angina

MI pericarditis muscle pain panic attack

management of tension pneumothorax

manage ABCs apply O2 needle decompression consider pain relief convey to ED urgently

management of simple pneumothorax

manage ABCs consider O2 if needed consider pain relief convey to ED

management of PE

if non time critical : - assess - oxygen -position -ECG -transfer

management of headache

SOCRATES assess red flags analgesia assess transfer

management of severe hypoglycemia

IV glucose to affect - 100ml at a time through 3 way tap give IM glucagon if IV not available reassess

management of mild hypoglycaemia

if capable give oral sugars give IV or IM if not possible

severe asthma management

assess ABCDE 15L Oxygen salbutamol ipatropium bromide hydrocortisone IM continuous salbutamol every 5 min

life threatening asthma management

adrenaline IM if continuous to deterirate assess for bilateral tension pneumothorax

management of pulmonary oedema and resp distress in heart failure

GTN consider IV furosemide consider CPAP consider oxygen

differential of headache

seizure meningitis subdural hematoma brain tumour

differential of stroke

seizure migraine brain tumour infection

differential of hypoglycemia

alcohol sepsis adreanal insufficiency

features of moderate asthma

able to speak in sentences PEF 50-75% no features of severe asthma

STEMI management

ECG o2 sats pain score GTN anaglesia asprin repeat pain score defib pads

management of stroke

ABCDE BEFAST ECG BM Pain onset time transfer/ pre alert

management of sepsis

ABCDE oxygen therapy fluid therapy pain relief rapid transfer

differential of Croup

epiglottitis foreign body aspiration allergic reaction

differentials of bowel obstruction

adhesions hernias tumours IBS

managment and assessment of appendicitis

McBurneys obturators psoas rosling's pain relief and transfer

differential of meningitis

brain abscess subarachnoid haemorrhage encephalitis

features of severe asthma

PEF 33-50% inability to complete sentences in 1 breath pulse over 110 in adults and resps over 25

A DETOUR

allergies drug expiry time options units record

six questions to ECG interpretation

1- PATIENT. 2. Rate? 3. Regularity? 4. Atrial Activity? 5. QRS Width? 6. Relationship? * Extra Beats?

Management OSCE Flashcards

(52 cards)