College Examination
No aliases
Topic aliases are alternate phrasings for a particular topic.
Cardiovascular presentation
General introduction (I was asked to see Mr X who is a 64yr old gentleman presenting with increasing SOBOE on a background of IHD and heavy smoking)
History
Murmur? - describe
Evidence of LHF? (creps, hypoxia)
Evidence of RHF (elevated JVP, peripheral oedema)
Evidence of Pulm HT? (loud P2, RV heave)
Signs of Infectious endocarditis? (fever, new murmur, splinter haemorhages, oslers nodes)
Hints as to Aetiology?
Diagnosis
Severity (AS is severe if syncope, MR is severe if failure)
- Wording -
" I was asked to examine "
Summary
She was a well looking lady
No more than 5 points
My detailed findings were
General
No evidence of respiratory failure
No evidence of pulm HT or right heart failure
Aetiology
Maligancy
Dynamic manouvres
End expiration - Aortic stenosis louder
Inspiration - tricuspid murmur louder (other right sided murmurs)
Valsalva - HOCM louder
Left lateral - mitral stenosis
General introduction (I was asked to see Mr X who is a 64yr old gentleman presenting with increasing SOBOE on a background of IHD and heavy smoking)
History
Murmur? - describe
Evidence of LHF? (creps, hypoxia)
Evidence of RHF (elevated JVP, peripheral oedema)
Evidence of Pulm HT? (loud P2, RV heave)
Signs of Infectious endocarditis? (fever, new murmur, splinter haemorhages, oslers nodes)
Hints as to Aetiology?
Diagnosis
Severity (AS is severe if syncope, MR is severe if failure)
- Wording -
" I was asked to examine "
Summary
She was a well looking lady
No more than 5 points
My detailed findings were
General
No evidence of respiratory failure
No evidence of pulm HT or right heart failure
Aetiology
Maligancy
Dynamic manouvres
End expiration - Aortic stenosis louder
Inspiration - tricuspid murmur louder (other right sided murmurs)
Valsalva - HOCM louder
Left lateral - mitral stenosis
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Practising and using a framework for presenting the case and findings for each system will help provide some much needed structure to aid your anxiety and your examiner's patience.
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