clinical skill analysis and conclusion -...

ScorePunt

Clinical skillKliniese vaardigheid

Professionalism Analysis andsynthesis

Conclusion

*25o/oTechnique unacceptably poor. Cannotfind any clinical features even whenprompted.

Give no attention toprofessionalism

No effort to analyzefindings

UnacceptablyWeak

*32r/o

J*38o/o

!_f

*42o/o

J*4go

Misses important clinical featuresunless prompted. Omits large parts ofthe clinical assessment. Techniquegenerally poor.

Give little attention toprofessionalism.


Very weak

Mistakes and inadequate detail inclinical examination. Needs promptingto find clinical features.

Give little attention toprofessionalism


Weak

*520k

J*58o/o

Adequate level of clinical skill. Findsmost of the important clinical features.

Satisfactory level ofprofessionalism


Satisfactory

*620/0

J*680/o

Can give a reasonable completeassessment of the clinical state; Findall the important clinical signs.Technique used in examination iscorrect.

Professional in approach topatient

Trying to analyzefindings.

Good

\ri,"780

Presents a nearly complete clinicalassessment of the patient. Techniqueused in examination is very good

High levelofprofessionalism,

Good approach toanalyzes of clinicalsigns

Very good

*95Makes no mistakes and do not omitany part of clinical examination.

High levelofprofessionalism,appropriately confident.

High levelofintegration,analyzes, clinicalreasoning andknowledge.

Outstanding

. The score should be given as a percentage, within the different categories

FACULTY OF

SCHOOL OF MEDIGINEDEPARTMENT OF PAEDIATRIGS

"&wffi uNtvERstrEtr vAN pREToRtAffi

H EALTH SCTEN CES/ FA KtJ LT E tT G ES O N D H E r DS- rr r*r* -SKOOL VTR GENEESKUNDE

DEPARTEMEN T T N DERG ENEESKI'NDE

GNK 481 - (Btock {O}

oscE

Growth Assessment

StationTime Allowed: l0 minutes

The age or date of birth of the patient must be given.weigh and measure this child. Plot the values on an appropriate centile chart and interpret the growth.

Examiner to ask: "what is your conclusion about this child,s anthropometry?

lishes rapport with patient and puts patient at ease

orrectly weigh the patient (undress the chitd appropriately)orrectly measure the chitd (supine length if < 2years of aj6y

measure the head circumference

the appropriate centile chE

Examiner's comments please turnover (to be available as feedback to student)

.&wffi uFrvERsrTErT vAN FREToRW uNrvERsrTY oF PREToR

*ffi YUNtBEStTI-t I y&.FRFToLAAA

SCHOOL OF MEDICINE

DEPARTM ENT OF PAEDIATRICS

FACU LTY OF H EALTH SCt ENCES/ FAKU LTETT G ESO N DH E t DSW ETE N SKApp E

trdo, vtR GENEEsKuNDE

DEPARTEM ENT KI N DERG EN EESKU NDE

GNK481 (Block 10) (Blok 10)OSCE / OSKE

Station _/ Stosie_

Vision and the eye examinationI (including fundoscopy) rime alowed: 10 minutes

lnstructions: Thomas Bheki is 10 years old. Examine his vision.

1 I ntroduction and orientation'"2. Usino Snellen chart, tests visUal acuitv in each eve3. Usinq fine print, test visual aat;ity in each eye4. Remember to correct fartefhclive errors for 2 and 35. lnspects pupils6. Tests direct and consensual pupillarv reflexes7. Tests accommodation reflex8. lnspects for a squint9. Performs cover test or indicates need to do so10. Examine eve movements11. Tests for nystaomus12. Darkens room13. Asks oatient to fixate on a distant obiect14. lndicates that patient should have had her pupils dilated15. Usino fundoscope, tests for red reflex16. Usino fundoscope, examines retinae

Examiner's comments

STUDENT NAME STUDENT NUMBER

EXAMINER DATE

PRETORPRETORPRETOR

FACULTY OF HEATTH SCtENCES/

SKOOLVIR GENEESKUNDE

D E PART EM E NT KI N DE RG E N E ESKU N D E

GNK 481(Block 10) (Blok 10)oscE/ osKE

Station_ / Stasie_

Motor system of the lower limbs examinationTime ailowed: 10 minutes

lnstructions: Ashley Bannerman is 4 years old. Examine the motor system of the lowerlimbs.

AAA

SCHOOL OF MEDICINE

DEPARTMENT OF PAEDIATRICS

1. lntroduction and orientation (checks identity, explain task, asksfor consent)

2. Positions and exposes patient aporopriatelv3. Ensures that patient is not in any pain lthere is no tenderness4. lnspects for abnormal posturinq and deformities5. lnspects for size, shape, and svmmetrv of muscles6. lnspects for fasciculation7. Tests tone on both sidesB, Tests power on both sides for: hip flexion and extension9. Hip abduction and adduction10. Knee flexion and extension1 1. Plantar flexion and extensionl2.lnversion and eversion of forefoot13. Elicits knee ierk on both sides14. Elicits ankle jerk on both sides1 5. Uses reinforcement appropriately16.Tests for clonus1 7. Tests for Babinsky siqn18. Observes qait

Examiner to ask: "Please summarise and offer a differential19. Summarises findi20. Offers an a e differential diaonosis

Examiner's comments

Total marks possible:

DATE

STUDENT NAME

EXAMINER

UNIVERSITEIT VANUNIVERSITY OFYUNIBESITHI YA

FACU rTy O F H EALTH SCI E N C ES/ F AKU LT E tT G ESO N D H Et DSW ET E N SKAq p E

SKOOLVIR GENEESKUNDE

DEPARTE M ENT KI NDERG EN EESKU N DE

GNK 481(Block 10) (Blok 10)oscE/ osKE

&(*$

s,

Station_ /Stasie_ Time allowed: 10 minutes

Sensory system of the lower limbs examination

lnstructions: Edward Kent is 8 years old. Examine the sensory system of the lower limbs.

Comments

AAA

PRETORPRETORPRETOR

SCHOOL OF MEDICINE


1. lntroduction and orientation (checks identity, explains task, asksfor consent)

2. Positions and exposes patient appropriatelv3. Ensures that patient is not in anv pain lthere is no tenderness4. lnspects legs5. Tests for light touch, comparing both sides as he qoes alonq6. Tests for pain, comparing both sides as he qoes alonq7. Has good knowledge of distribution of dermatomes8. Selects appropriate tunino fork9. Tests for vibration, comparinq both sides as he qoes alono10. Tests for proprioception in both feet11. Performs Romberg's test12.Asks to carry out full neuroloqical examination

Examination to ask:" Please summarise13. Summarises kev findinqs14. Offers an a d ifferential d iaq nosis

MARKS Unacceptablyweak

Very weak Weak Satisfactory Good Very good Outstanding

2s% 32 -38% 42- 48% 52 - 58o/o 62 - 68% 72-78% 8s%

STUDENT NAME- STUDENT NUMBER

EXAMINER- DATE

IJNIVER$ITEIT VAN PRETORIAUNIVERSITY OF PRETORIAYUNIBE$ITHI YA PRETORIA

FACULTY OF HEALTH SCIENCES/ FAKULTEIT GESONDHEIDSWETENSKAPPE

SKOOL VIR 6ENEESKUNDEDEPARTEM ENT KI N DE R6 EN EESKU N DE

GNK 481 (Block 10) (Blok 10)oscE / osKE

Granial nerve examinatiOn Time alowed: lominutes

lnstructions: Boitumelo is 7 years old. Examine cranial nerves.

Examiner to ask: " Please summarise and offer a differential

tuwffiWffiSCHOOL OF MEDICINEDEPARTMENT OF PAEDIATRICS

Station _/ Stasie _

1. lntroduction and orientation ( checks identity, explain task, asksfor consent)

2. Asks patient whether she has noticed any change in her senseof smell

3. Tests visual acuity on Snellen chart4. Tests near vision5. Tests visual fields by confrontation6. Offers to examine the eyes by direct fundoscopv7. lnspect pupils8. Tests direct and consensual papillarv reflexes9. Performs cover test10. Examine eye movements1 1 .Tests accommodation reflex12.Tests light touch in all three branches of trigeminal nerve13. lndicates that he or she could test corneal reflex14.Tests muscles of mastication15.Tests jaw jerk16.Tests for N Vll[.Tests muscles of facial expression18.Tests N Vlll; hearing, vestibular19.Teqts for N lX; X; XII20.Tests gag reflex21 . Tests tongue movements22.Tests N lX Neck and shoulder movements

23. Summarises key findi24. Offers an ate differential diaqnosis

Examiner's comments

STUDENT NAME

EXAMINER

STUDENT NUMBER-

DATE.-

I

UNIVER$ITEIT VAN PRETORIAUNIVER$ITY Of PRETORIAYUNIgE$ITHI YA FRETORIA

FACULTY OF

SKOOLVIR 6ENEESKUNDE

DEPARTEM ENT KINDE RG EN EESKU N DE


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S& YYNIBE$lrHl YA F$JTo$l'HEATTH SCIENCES/ FAKULTEIT GESONDHEIDSWETENSKAPPE

SCHOOL OF MEDICINE


Station _/ Stosie- Time allowed: 10 minutes

Gait, co-ordination, and cerebellar function examination

lnstructions: Michelle Neethling is g years old. Examine cerebellar function.

Examiner to " Please summarise and offer a differential

1. lntroduction and orientation (checks identity, explains tasks,asks for consent)

2. lnspects oosture with oatient in standino oosition3. Observes oait and arm swinq4. Performs heelto toe test5. Performs Romberq's test6. Tests for resting tremor7. Tests for orientation tremor8. Tests tone in elbows and wrists, comparinq both sides9. Tests for dvsdiadochokinesis on both sides10. Performs finqer- to - nose test on both sides11.Tests fine finger movements on both sides12. Pedorms heel- to- shin- test on both sides13.Tests eve movements for nvstaomus14.Asks patient to repeat "baby hippopotamus"

1. Summarises kev findinos2. Offers an differential diaqnosis

Examiner's comments

STUDENT NAME

EXAMINER

STUDENT NUMBER

DATE

UNIVERSITEIT VAN PRETORIAUNIVER$ITY OF PRETORIAYUNIBE$ITHI YA FRETORIA

FACU LTY OF H EALTH sct EN CES/ F AKIJ LT EtT c E5 O N D H E I DSW ETE NsKAp p E

e.w

ffiSCHOOL OF MEDICINE


Station _/ Stosie_

GNK 481 (Block 10) (BlokoscE / osKE

SKOOL VIR GENEESKUNDE

DEPARTEM ENT KI NDER6 EN E ESKU N DE

10)

Time allowed: 10 minutes

Sensory system of the upper limbs examination

lnstructions: Keneilwe Raborifi 8 years old. Examine the sensory of the upper limbs.

Examiner to ask: "Please summarise and offer a differential

1. lntroduction and orientation (checks identity, explain task, asks forconsent)

2. Ensures that patient is not in any pain / there is no tenderness3. lnspects arms4. Tests for liqht touch, comparinq both sides as she qoes alonq5. Tests for pain, comparinq both sides as she ooes alono6. Has qood knowledoe of distribution of dermatomes7. Selects appropriate tuninq fork8. Tests for vibration, comparing both sides as she qoes alono9. Tests for proprioception in both hands10.lndicates need to carry out full neurolooical examination

1 1. Summarise kev findi12. Offers an differential OSIS

Examiner's comments


EXAMINER DATE

SCHOOI OF MEDICINE

DEPARTMENT OF PAEDIATRICS

&W uNtvERstrEtr vAN pREToRtAw uNlvERstTY 0F PRETOnIeE

Q&' YUNIBESITHI YA PRETORIA

FACUTW OF HEATTH SCIENCES/ F4 KULTEIT GESONDHEIDSWETENSKAPPE

orro*r,*if ll,l,Yl!*Z';:,ff;,i;:,iE


station _/ stosie_ Paediatric historylnstructions: The mother of 10-year old Thomas Moore has some concerns about health.Take a history from the mother.


Examiner's comments please turnover (to be available as feedback to student))

lntroduction and orientation 'ROFESSIONALISM3egins with open questions I/IAIN COMPLAINTstablishes presenting complaint

\sks about assoqiated symptomsAssesses effect of symptoms on child's daily routine3arries out brief system reviewrast medical history, key aspects:amily history, key aspeitsSocial history, key aspects\ddresses parent's concerrJs



25o/o 32 -38% 42- 48% 52- 58% 62 - 68% 72-78% 85%


EXAMINER DATE

FACULTY OF

f;*$e$rffi uNtvERStTEtT vAN pREToRtAffi UNIVERSITY OF PRETORIAqffib Lq_ry tB F riiu*i._r_u:lsl$

H EALTH SCIENCES/ F AKU LTEIT G ESO ND H EI DSW ETEN' KAP P E

SCHOOL OF MEDICINEDEPARTMENT OF PAEDIATRICS

Station ._ / Stasie _

SKOOLVIR GENEESKUNDED E PARTEM E NT KI NDE RG E N E ESKU N D E

GNK481 (Block 10) (Btok 10)oscE I osKE

Motor system of the upper limbs Time allowed: 10 minutes

_,3, -llgpgsls_ lgl-aplg_fn aL p_q_sllLus _:.---{-.__|1g pg qtg Ipf s !ae_, r h apg, an o i V m mEiit o i m u a c t'e s_ L llqpj-c_lqlol qbnormat movements

6. Tests tonG on b-oTri iioes"Z_ lgqlgfggglqnQo!!r ardes foi: sh'o;iGr abductibn

*8 Elbow flexion and extensionn llr--:-r tt ' ------;-----:-------:.-I Wrist flexion and extension

Examiner's comments

STUDENT NAME

EXAMINER

STUDENT NUMBER

lnstructions: Khanya is 6 years old. Examine the motor system of the upper limbs.

I __l Q.-Qarries outLingffibffi-[lz$lq191gy9p[;o o crr o rin e iG ;" n

"ti;'*At :-- * -. . -

Examilrer to ask: "please summarise and offer a differentiat1 8. Summarises kev findi19.Offers an iate differential diaqnosis

DATE

N PRETORIAFRETORIAPRETORIA

SCHOOT OF MEDICINEDEPARTM ENT OF PAEDIATRICS

Station_ / Stasie_

SKOOL VIR GENEESKUNDEDE PARTEM E NT K I N D E RG E N EESKIJ N D E

GNK 481(Block 10) (Btok 10)oscE/ osKE

Urine sample testing and interpretation

lnstructions: Talk through the various steps involved in urine sample testing,


Comments

lndicates need to ir{qgluce settcimen is fresh

ndicates need to ensure that urine spe

I 'rpyur.b uutuur anq appearance oi unne

Stirs urine botlle

Jilnily liltilterses (JtpsucK lnlo unne

-

lotO strip nv.1il.5 rwu rillltules Io tnlerprel results

rurIsuuy llt(Jeilultes lguKocylgs ++vulluuLl! lUetltllles nllflles + ^--^^rt., :J ^rtlrt cr/uy tutil il.iltUli uluuu+JuggesrsailKetyuillndicates neendicates neeO:iscard dipstic

STUDENT NAME

EXAMINER

STUDENT NUMBER

DATE

#eIWffiWffiffi

IJT{IVgRSITEI? VAN PRETORU'$!VTRSIYY OF FRETORYI.J NIBC$ITI-II YA FRgTOR

AAA


Station _/ Stasie_

FACU LTY OF H EALTH SCI EN CEs/ F AKU LT E IT G ESO N D H E I DSWETE NSKA P P E

SKOOL VIR GENEESKUNDEDE PART EM ENT K' N DERG EN EESKIJ N DE


NeOnatal examinatiOn Time altowed: -10 minutes

lnstructions: Carry out neonatal examination . The baby's mother: Mrs Buthelezi, is theroom,

Comments


ntroduction and orientationIakes a brief history from the motherndicates need to wash handslarries out general inspectionralpates anterior and posterior fontanellesVleasures head circumferencenspects face for dysmorphological featureslhecks patency of ears and nostrilsfests red reflex and papillary reflexesndicates need to test eye movementsnspects for cleft palatefests for radiofemoral delay\uscultates heart\uscultates lungsnspects sacral pitlhecks position and patency of anusnspects abdomen and umbilical cordralpates abdomen for spleen, liver and kidneys:eels for femoral pulses=eels for undescended testeslarries out Orlolani testeslarries out Ortolani testnspects arms and handsIests range of movement in feetndicates need to test posture and reflexes, e.g head lag, grasp reflex\ddresses mother's concerns

EXAMINER DATE

tuw@

WtlAA

UNIvERSITEIT VAl\I PRETORUT'IIVERSITY OF PRETORYUNIBTSI?HI YA PRETOR


Station _/ Stosie _

FACU LTY OF H EALTH SCI ENCES/ F AK U LT E IT G ESO N DH EI DSW ETE NSKAP P E

SKOOL VIR GENEESKUNDE

DEPARTEM ENT KI ND ERG EN EESKU N D E

cNK 481 (Block 10) (Blok 10)oscE / osKE

Abdominal examination

Time allowed: 10 minutes.

3ummarises key findinqsfffers an appropriate differential diagnosis

Comment

ntroduction and orientationxposes patient appropriately

rositions patient appropriately and ensures that he is comfortablenspects general appearancenspects abdomennspects and examines handsnspects sclera and conjunctivaenspects mouth)alpates neck for lymphadenopathynspects upper body\bdomen: light palpation\bdomen: deep palpationralpates for liver edqe)alpates for tenderness over qallbladder reoion)alpates for enlarged spleen3allots each kidney in turnralpates descendino aoftafests for ascitis)ercusses liver arearercusses suprapubic area\uscultates for abdominal sounds\uscultates for aorta and renal arlery bruitsSugqests examininq the qroin and qenitals

iuooests carrvinq out a diqital rectal examinationExamination to ask: " Please summarise your findings and offer a differential diagnosis."


EXAMINER DATE

UIIIVERSITEIT VAN PRETORIAUNIVERSITY OF PRETORIAYUNIBESITHI YA PRETORiA

SCHOOL OF MEDICINE SKAOL VIR GENEESKUNDEDEPARTMENT OF PAEDIATRICS DEPARTEMENT KINDERGENEESKUNDE

GNK 4s1(Block 10) (Btok t0)oscE/ osKE

Station_ / Stosie_ Hand washing

lnstructions: You are about to examine a patient. wash your hands.

Time allowed; L0 minutes

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ffi YuNlBEslrHl Y

FACU LTY OF HEALTH SCI EN CES/ FA KIJ LTE IT G ES O N DH EI D^W ET E N S KAPP E

I r rur uu6llty weLS nanos wlln warm watgr\pplies tiquia svv<r5ne5 nctilus ustng Ayilretecntntque: palm to palmRight palm over left dorsum and vice versaPalm to palm with fingers interlacedBack of fingers to opposing palms with fingers interlockedtight thumb clasped in left palm and vice versa:ingers of right hand clasped in left palm and vice versa#ash for L minute

r5es ildno rnorougnty ano appropnatelvl-urns taps off with elbows)ries hands with paper towel>ispos"r of pipel to*etippropriate[

STUDENT NAME

EXAMINER

STUDENT NUMBER

DATE


Station _/ Stasie

Hearing and the

lnstructions: Phindile

FACULTY OF

GNK 481 (Block 10)oscE / osKE

UNIVERSITEIT VAN PRETORIAUNIVERSITY OF PRETORIAYUNIBESITHI YA PRETORIA

SKOOL VIR 6ENEESKUNDED E PARTE M E NT K I N D ER G E N E ESKIJ N D E

(Btok 10)

&@@ u il',uuT*'l'ii'i Jt

-r?ir,'ffli*

HEALTH SCIENCES/ FAKULTEIT GESONDHEIDSWETENSKAPPE

ear examination

Mazibuko is 8 years old.


Examine her hearing.

L 1. lntroduction and orien

| 3. Asks about and assessest' fests n5. Carries out Binne test0. CarZ. tnspg. tnspn h-l--^r- - ,y. f_d!Fr.1r.uu auilcutar tympn nooes On DOtn Stdes1 0. Using auroscope, ins

both sides

Exqminer to ask: "please summarise and offer a differential1 1 . Accurately describe loss of hea

interprets Rinne test13. Correctly int Weber test14. Offers riate differential diaqnosis

Examiner's comments


EXAMINER--- DATF

PRETORPRETORPRETOR

FACULW OF HEALTH SCTENCES/

DE,ARTEM:[lf :N';:-"":#EI:;|]];1,8cNl( 481(Block rc) @bk 10)

oscEl osKE


AAA


Station _/ Stasie_Motor system

lnstructions: Examine the motor system of the child.Remember the

Examiner to ask: "Please summarise and offer a differentiat di


examination is and realisfic mret ha caf the examiner.1.

T.

lntroduction and orientation (checks iffifor consent)Ensure that b

_ _ _9",_!!pe_g!qlel a0! gltng1p_o st u ri n s4. lnspects for size, shape, and symmetrt af nnusde;c ln tor abnormal movements: fasciculation6. Tesls tone on both sides armg anO legi; test clonus

_ J,_"!*!S_pgy-eron both sidesfor; shoulde@8. Eibot iieiion ilq_ tifensionfifiee**-9. lnversion and eversion of the forefoot1 0. Wrist flexion and extension; plantai iffi11. Finger flexion and extension1?.Thumb abduction and opposition13. Elicits biceps reflex on both sides; t<nee ;ert< Uottr siOes14. Elicits supinator reflex on both sides; anKe ie* on bottr rioes15. Elicits triceps reflex on both sides16. Uses reinforcement when apprqpriatel:_Cgfrfe"s _g_U"!Jing_er:lg*11qqe test on both sidest e. rests foi Ovs_OiaOociio"tinesi#n l;oth-sia;T-19. Test for Babinski sion

21.Other: Headhearino ect.

22. Summarises key findi23. Offers an differential d iaqnosis



25% 32 - 38% 42- 48% 52- 58% 62 - 68% 72-78% 8s%

EXAMINER- DATE



Station _ / Stasie

&wW uNtvERStTEtT vAN pREToRtAw uNtvERstTY 0F pRETORtAwlr#,

FACUTTY OF HEATTH SCIENCES/ FAKULTEIT GESONDHEIDSWETENSKAPPE

,rrorrr*iffff lr'J!*2':r!:{r:,ir:,i

GNK 481 (Block 10) (Btok t A)oscE / osKE

Examination of a superficiar mass and lymph nodeslnstructions: colin is 8 years old. please examine the lump on his arm.


Examiner to ask: " Please summarize yoiSummarizes key findingsfffers an appropriate differential diagnosis

ntroduction and orientation

Itrf rsures pauenrs camlgrt, aqKs about pain

I

lNumber

Size

Shape

Surface

lonsistency i

I

vlobility I

fran illuminates lump\ssesses whether lump is pulsatilendicates need to elqrnlng proximal lymph nodes

STUDENT NAME

EXAMINER DATE


Station / Stasie

.tuwW uNtvERstrEtr vAN pREToRtAw uNtvERstTY 0F PRETORIA

ffi YUNlBEslrHl YA PREioRIAFACUITY OF HEALTH SCIENCES/ FAKULTEIT GESONDHEIDSWETENSKAPPE

SKOOL VIR GENEESKUNDEDEPARTEM ENT K' N DERG EN EESKU N DE

cNK 481 (Block 10) (Blok 10)oscE / osKE

Cardiovascular examination

Examine the cardiovascular system. Time allowed: 10 minutes

The sequence / order of the examination vary according to circumstances, especially in the young child wherecooperation cannot be expected. If an item is not applicable to the patient being examined this item can beignored and the total possible marks can be adjusted.)

Examiner to ask: " Please summarize your findings and offer a Aifteren[At d'ngnos'ts:

fhe nature of the lesion, clinical pathological diagnosisDossible etioloaV (congenital, acquired, ext))resence of complications (pulmonary hypertension, heaft failure,:neumonia, ext)fffers appropriate differential diaqnosiscomments

ntroduction and orieniation (to patient and lor parent if appropriate)!stablishes rapporl with patient)ositions and exposes patien! (this depends on age and circumstances)nspects general appearance (acute / chronic, signs of dyspnoea, tachypnoea,>ount respiratory rate, use of oxygen, intravenous medication ext )

/ital signsSigns of anemia, central cyanosis, polycythaemia, clubbing,ympiadenopathyfedema (Peripheral, peri-orbital, sacral if appropriate)Palpate peripheral pulsqsxamine feet and legs, hands and arms.

=xamine Joinis (if appropriate)fetermines rate, rhythm, and character of radial pulse\ssesses character jugular venous pressure (it age appropriate)\ssesses character of carotid pulsenspects precordiumDetermines location and character of apex beatRight para-sternal heave

-isten at all auscultation points

=5efflines the lungs

Ixamines the abdomenfffers to record blood pressure


EXAMINER DATE

UNIVER$ITEIT VAN PRETORIAUNIVERSITY OI PRFTORIAY(JNIEE$ITHI YA PRETORIA

FACU LTY O F H EATTH SCIE NCES/ F AKU LT EIT 6 ES O N D H E I DSW ET ENS KAP P E

SCHOOL OF MEDICINE SKOOLVIR GENEESKUNDEDEPARTMENT OF PAEDIATRICS DEPARTEMENT KINDERGENEESKUNDE

cNK4B1 (Block 10) (Blok 10)oscE / osKE

station _/ stasie_ Blood pressure measurement

Record the blood pressure of this child.


Examiner to ask: "What investigation would you carry out in a case of suspectedhypertension"

Suqoests confirminq hvpertensionSuqqests assessinq for a possible secondary causeiuqqests assessing for end-organ damage


&wW

ntroduction and orientation ,ROFESSIALISM

stablishes rapport with patient and puts patient at easeSorrectly positions patient's right arm3orrectlv oositions vertical columnSuccessfullv locates brachial arterySelects and aoolies appropriatelv sized cuffnflates cuff to appropriate levelSorrectlv position stethoscopeReduces pressure in cuff at appropriate rate\ccuratelv reports patient's blood pressure

\ccuratelv interprets the blood pressure reading for patient



2s% 32 -38% 42- 48% 52- 58% 62 - 68% 72-78% 8s%

STUDENT NAME

EXAMINER

STUDENT NUMBER

DATE

&wW ilNtvERstrEtr vAN FREToRIAw uNtvERstTY OF FRET0RtA#

FACULTY OF HEALTH SCIENCES/ FAKULTEIT 6ESONDHEIDSWETENSKAPPE


SKOOLVIR GENEESK'JNDEDEPARTEM ENT KI NDE RG EN E ESKUN DE

cNK 481 (Btock 10) (Btok t 0)

station -/ stosie- Respiratorroltilr:il,",."rination rimeanowed: 10 min

Busisiwe skosana is 4 YEARS ord. Examine his respiratory system

Examiner to ask: "Please summarizediagnosis. (senior student)"

your findings fiunior student) and offer a Oitterentiat

ntroduction and orientationsitions and ient (depending on age and circumstancei;

t's comfortnspects patient's general appearancO (acute, chronic, anxiety, restlessness, drooling,

rtion, anemia, ext.)

r".sw", o*lrgen saturation)ign of respiratory distress (Respiratory rate, breathing patro; , fl"ring,;cession'esence and character of couoh. wheezino stridor onrntino vnico)omment on seve of respiratory distress

retation of;eaturesofallergicfacies(Longface,openmouth,shiners,D;masal crease nasal discharoe)

and examines hands (clubbi

bnot*uliti"s of shap" of chest (uutging,ourr"t, H"iriror,rrt.*, t<ypr,osis, scotiosis;ormalities of move[e$ il g!er!t qymmetricat, Hoover sigrr paradoxes)

alpates for tracheal deviations cervical, supra-clavicular, infra-clavicular, and axittary ltrrnplr nodes

for cardiacocal fremitusercussion of chest ffiming of percussiont"penor @uscultation of chest (areas representing each lobe)

r, nose and throat examination

iummarize key findings :Which anatomical ffiWhat is the pathology?What is ihe cause of the disease?Degree of funciion compromised?Are there any complications?

?l!qry an appropriate differential diagnosis


EXAMINER DATE

clinical skill analysis and conclusion -...

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