DEAR OUR CHEST GROUP;
Tropical round exam---à 10marks
5 stations/ question:
1. 1 picture of spot diagnosis
2. 2 stations fo clinical skills eg: LL ex,palpation,percussion(eg: ascitis),auscultation(liver)
3. 2 written clinical skills eg: cause of splenomegally,cause of large tender liver
COMMON Q
For clinical skil
-Inspection of abdomen
-Palpation of spleen
-percussion of abdomen
-shifting dullness
-examine both LL
-examine both UL
-examine for complexion
Written
-GIT cause for clubbing
-premature ascitis
-cause of enlarged tender liver
-cause of hepatomegaly/ cause of huge splenomegally
-cause of post operative jaundice
-cause of LL edema( unilateral,bilateral)
-surface anatomy of liver
-value of abdominal examination
Eg of Q:
1. How to palpate splenomegaly?
Ask the patient to take a deep breath.Palpation with ulnar border of the hand till the level of below costal margin... comment on:
-Size of enlargement( by fingers; enlarged by 1,2,3 fingers)
-consistency; firm ,tender
-pulsating or not
2. LL examination; Edema, comment on:
Edema; comment on:
-unilateral or bilateral
-pitting or not
-extent/grade-àgrade1: localized at the middle maleolus, 2:calf area, 3:skin of the thigh, 4: abdomen
-pulsation(dorsalis pedis artery) felt btwn 1st & 2nd metacarpal bones
-LN enlargement
-clubbing
-petechiae,chemosis,scar,ulcer etc..
3. UL examination
-shape of the hand( deformity,trauma)
-tremor(fine or coarse)
-cyanosis/pallor
-ms wasting
-nails( color,shape,atrophic change)
-LN enlargement( epitrochlear,axillary)
-radial pulse
-petechiae,chemosis………
* gmbr untuk spot diagnosis write protected..dr x bagi ambik..tp ade je kwn2 yg dpt tangkap sebahagian gmbr2 tue..maybe akan diupload( insyaAllah)
Yg attend kuliah da tgk gmbr tue 2 kali.. ingat kot..tp xtau la lps raye haji ni camne..
Chest examination-à 20MARKS
-5 stations
-1 or 2 xray: what is the pathology or the lesion,what is the cause related to the lesion
-3 or 4 cases( patient)..the question will be related to the clinical case or examination
Eg: patient with clubbing of finger. question that maybe asked:
-grade of clubbing
-2 chest causes of clubbing
Clinical skill l: percussion,auscultation..
