UKMLA CPSA PLAB Chest Pain History - OSCE Guide

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[@kholasabeeh9776]

Very important missed and that is recent travel history forgot to ask about leg swellings or rash etc

[@luluevans5401]

what about perforated peptic ulcer? she has GERD and takes ibuprofen daily

[@musaghumman2034]

why not Gastric reflux? she is already using NSAIDS for rheumatoid arthritis

[@davidverma2588]

because gastric reflux won’t cause pain on pressing , and she don’t have any other heartburn symptoms or gastric discomfort

[@davidverma2588]

and she is on NSAID, as well as Omeprazole

[@SkinLectures]

@@davidverma2588 moreover she has pain on movement

[@mzSte]

Thanks Doctors

[@quesmedqbank]

Thanks!

[@MuhammadAli-ml9bt]

how can u put pneumonia CZ fever go hand in hand with pneumonia , costochondritis still no tenderness ?, secondary pneumothorax(possibly of less than 2cm ) pericarditis no mention of positional effect, cant be acs (UA ,NSTEMI, STEM)I ( GENERALIZED SWEATING THROW UP RADIATION FEELING OF IMPENDING DOOM ( ASK ABOUT DOCTOR INTERVENTION IN FORM OF MEDICATION UNLESS DOCTOR INTERVENES ACS DOESNOT GO AWAY, IN YOUR CASE DIFFERENTIAL BASED ON HISTORY IS IHD PRESENTING AS STABLE ANGIA IF U DO P/E MAY BE COSTOCHONDRITIS PERICARDITIS OR BIG PNEUMOTHORAX, RATHER THAN ASKING ABOUT GENERAL SYMPTOMS OF OTHER HUMAN SYSTEMS CAUSING CHEST PAIN ASK ABOUT SPECIFIC SYMPTOMS OF OTHER DIFFERENTIAL DISEASES TO BECOME SPECIFIC ABOUT CHEST PAIN ORIGIN FOR INSTANCE GERD ESOPHAGITIS ( ACID WATER BRASH RELATION WITH SPICY FOOD) ETC, I WOULD SUGGEST PATIENT CAME WITH CHEST PAIN ASK ABOUT EVENT/EPISODE HISTORY( CHAIN OF EVENTS OF THE EPISODE ( LIKE WHAT WAS THE PATIENT DOING WHAT SHE DID ASKED FOR HELP OR NOT ETC..) SO THAT U CAN PICTURE THE EVENT THEN SOCRATES TO BECOME SPECIFIC ABOUT THE PAIN THEN ASK ABOUT SPECIFIC/CHARACTERISTIC/FLAG FEATURES OF OTHER DIFFERENTIAL DISEASES AND THEN REQUIRED INVESTIGATIONS THANKS REGARDS DR JASEEM

[@mm-qg6oq]

Good

[@Beingblisss]

Really Helpful

[@quesmedqbank]

Great to hear that! Thanks for the comment

[@CuddlesgaloreCats]

Recent travel or period of immobility or surgery? (PE risks)

[@osazeeeragbon8633]

Is this video helpful for plab2 exam?