Exam (elaborations)
Osce- chest pain
- Course
- Institution
A step by step detailed guide on answering OSCE station specific to a patient with chest pain.
[Show more]
1 review
By: hlubi • 7 year ago
Seller
Follow
Sri28
Reviews received
Content preview
Chest PainTake a history of someone with chest pain in A&E. Then given their ECG - was an
MI. Had to explain management to examiner then to the patient (also breaking the
news that they had had an MI).
DD of chest pain:
Angina, gastroesophageal reflux disease, chest infection, pleurisy, PE, musculoskeletal
complaint, panic attack
1. Appropriate introduction full name and role
2. Explains purpose of interview
3. Established previous history of similar chest pain
4. Establishes onset of current chest pain
5. Establishes character of pain
6. Established severity of pain
7. Timing of pain
8. Establishes site of radiation of the pain
a. Through the back
b. Down the left arm or into the jaw
c. Retrosternal, burning pain
9. Establishes relieving factors and exacerbating factors
a. Exercise, cold air, large meals, alcohol, movement
b. Taken anything for it? (GTN spray)
10. Establishes associated factors (palpitations, sweating, nausea, dyspnoea, vomiting, fainting,
dizziness, loss of consciousness)
a. Ask specifically about nausea and vomiting, SOB, dizziness, cough, and palpitations
11. Excludes any respiratory symptoms: couch, sputum, wheeze, haemoptysis
12. Establishes presence of peripheral oedema
13. Establishes presence of orthopnoea and episodes of paroxysmal nocturnal dyspnoea
14. PMH:
a. Current, past, childhood illness
b. In particular ask about coronary heart disease, MI, angina, rheumatic fever, stroke,
intermittent claudication, hypertension, hyperlipidaemia, diabetes, smoking, and
alcohol use
c. surgery
15. Establishes associated RF of ischemic disease:
a. Smoking
b. hypertension
c. diabetes
d. Hx of IHD, PVD, stroke
e. FH of IHD, stroke
f. Alcohol excess
g. Hyperlipidaemia
h. PVD
16. DH
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Sri28. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $3.91. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
62555 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now