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    Pediatrics OSCE, 6th Year, 2008, by Ghanem Al-Basha

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    Mobin Ur Rehman Khan
    This document summarizes a pediatric OSCE (objective structured clinical examination). It describes 4 stations: 1) abdominal pain history taking, 2) skin rash history taking, 3) examination of a child with infective endocarditis, and 4) an ECG reading and history of recurrent vomiting. It also lists topics covered in a slide show portion, including syndactyly, Prader-Willi syndrome, pedigree charts, kwashiorkor, duodenal atresia, chest X-rays, Turner syndrome, anal atresia, vaccinations, and age of child standing on a trolley. The document was created by www.icareunit.com and gives thanks to a colleague who wrote the

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    Pediatrics OSCE, 6th Year, 2008, by Ghanem Al-Basha

    Uploaded by

    Mobin Ur Rehman Khan
    236 views2 pages
    This document summarizes a pediatric OSCE (objective structured clinical examination). It describes 4 stations: 1) abdominal pain history taking, 2) skin rash history taking, 3) examination of a child with infective endocarditis, and 4) an ECG reading and history of recurrent vomiting. It also lists topics covered in a slide show portion, including syndactyly, Prader-Willi syndrome, pedigree charts, kwashiorkor, duodenal atresia, chest X-rays, Turner syndrome, anal atresia, vaccinations, and age of child standing on a trolley. The document was created by www.icareunit.com and gives thanks to a colleague who wrote the

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    Pediatrics OSCE, 6th Year, 2008, By Ghanem Al-Basha

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    This document summarizes a pediatric OSCE (objective structured clinical examination). It describes 4 stations: 1) abdominal pain history taking, 2) skin rash history taking, 3) examination of a child with infective endocarditis, and 4) an ECG reading and history of recurrent vomiting. It also lists topics covered in a slide show portion, including syndactyly, Prader-Willi syndrome, pedigree charts, kwashiorkor, duodenal atresia, chest X-rays, Turner syndrome, anal atresia, vaccinations, and age of child standing on a trolley. The document was created by www.icareunit.com and gives thanks to a colleague who wrote the

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    236 views2 pages

    Pediatrics OSCE, 6th Year, 2008, by Ghanem Al-Basha

    Uploaded by

    Mobin Ur Rehman Khan
    This document summarizes a pediatric OSCE (objective structured clinical examination). It describes 4 stations: 1) abdominal pain history taking, 2) skin rash history taking, 3) examination of a child with infective endocarditis, and 4) an ECG reading and history of recurrent vomiting. It also lists topics covered in a slide show portion, including syndactyly, Prader-Willi syndrome, pedigree charts, kwashiorkor, duodenal atresia, chest X-rays, Turner syndrome, anal atresia, vaccinations, and age of child standing on a trolley. The document was created by www.icareunit.com and gives thanks to a colleague who wrote the

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Pediatric OSCE

    6th year (Group D), August 2008


    Brought to you by:
    www.icareunit.com

    Stations:
    Station 1: History taking for a case of abd. Pain?
    it was a functional abd. Pain
    Station 2: History taking for a case of skin rash?
    I think it was HSP (there was hematuria)
    Station 3: Examination of a child with infective endocarditis?
    General look, Vital signs
    Eyes: Roths spot, subconjuctival hemorrhage
    Oral cavity: Dental caries, mucous membrane bleeding
    Hands: clubbing, splinter hemorrhage, oslers nodule
    Chest: Inspection: .
    Palpation: tenderness, apex beat, tracheal deviation & TVF
    Percussion (pulm. Edema)
    Auscultation: S1 & S2 , murmurs. air entry, breathing type, addes
    sounds, basal crackles.
    Abdominal for hepatosplenomegaly
    Lower limbs for petichial hemorrhage & pulses (emboli)
    Neurological exams (cerebral emboli)
    Station 4:
    A) ECG of SVT:
    Q1: what is the HR?
    It was 300b/min (there was only 1 large square between each RR)
    Q2: Give two modalities of treatment?
    1- carotid massage
    2- medical with adenosine
    B) A history with recurrent vomiting & give u an ABG with electrolytes results
    Q1) what is the ABG finding?
    Partially compensated metabolic alkalosis
    Q2) what is the electrolyte abnormality? & explain it?
    Hypokalemic hypochloremic; ..

    Slide show:
    -

    Syndactyly & if it happen in normal variants (answer yes).


    Prader willi syndrome
    Pedigree for an X-Linked dominant
    Kwashiorker
    Duodenal atresia (double bubble sign)
    CXR: Rt Pleural effusion or teratology of fallot (boat shaped heart). I dont know
    Turner syndrome (coarctation of aorta)
    Anal atresia, single investigation is pelvic X-ray to show level of obstruction.
    Vaccination (remember that Pertussis is contraindicated >3years)
    Age of a child standing on a Baby Trolley? 10 months.

    Special thanks for our colleague who wrote this exam; Ghanem
    Albasha

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