2 01 1pl a b2p ap e r s … 20t hj an 1. ant enat almani k i n. . . . . 2. s ut ur e . . . . 3. paedi at r i ccpr . 4. c vsex am. . . t as ks ai dhear tf ai l ur es i gns 5 . me ni n gi t i se x am.t a sks ai dex a mi mi n et h eh ea da chpa t i e nt 6 . s ec on da r ys ur v e y . 7. mi mi ment alexam. m. 8 . d r y c o u g h . . . . 9. depr es i on. . . . 1 0. h otfl us he s. 1 1. APHp l a c e nt a 1 2. n ep hr e ct o myc my ou se l i n gt oh us ba nd. . . . . 13. goutc ouns el l i ng. . . . . 14. mul t i pl es cl er os i s . 15. t el ephoni ccon ver s t ai on. mot hy erwor i dc hi l dntr es pondi ngt oant i bi ot i c s, 16. c hi l dwi t he x ce ss i v ec r yt as ks ai d. . . . t ak ehi s t or yf r o m mo t hert henas kf orfi nd i ngsf r om e x amni eranddi s c us di agnsi sandma managemn mnt . 2 ndf e b l y mphor mp e t i c ul ars y st em Re s pi r a t o r ySy s t e m Un co nc i o usPa t i e nt MMSE Hi pe x ami n at i o n PapSme mear ABGs Gs 7mo mont hol dc hi l dwi t hf r ac t ur edf emur ,t al kt ot hemot her c hi l dha sme meni ng oc oc c al s ep t i c emi a,t al kt omo mo t her c hi l dwi t hf or ei nbodyt al kt omot her f emal edi agnos edwi t hgi antc el l ar t er i t i s ,t al kt oher mal ewi t ht es t i c ul arl ump,t al kt ohi m f e ma ma l ed uef o rh y s t e r e c t o my my , p r eo pa s s es s me me nt Che stpai n. .i t hi n kdi ag nos i swasPE di ar r hea. .i di dntgett her i ghtdi agnos i s ,ppl s ayi twaspar as i t i c . . .hehadhi s t or yof1mnt hol ddi ar r hea r edey e. .ac ut ec onges t i v egl auc oma. .buthadt ot el l onl ydi ffer ent i al s 10t hf eb
1.i ns ul i ndos ec al c ul at i on 2 .b ima nu al e x ami n at i o n 3 .s e c on da r ys u r v e y 4.v i s ual fi el dex ami nat i on 5 .s e x ua lh i s t o r ya n dma na ge me nt 6 .a l c h oh ol h i s t o r ya n dma ng eme nt 7.wei ghtl os shi s t or y 8.ur i nar yi nc ont i nenc ehi s t or y 9.needl es t i c ki nj ur ychi l d 10.appendi c i t i sc hi l dc ouns el i ng 1 1.r h eu ma t o i da r t h r i t i s p ai nma na ge me nt 12.l ef thear tf ai l u r e t al kt ohi m ont h eman agement 13.s ut ur i ng 1 4.o t o sc op y 15. mms e 1 6.e pi l e ps yco un se l i n gn onc omp l i a nc eo fd r u g 2 4f e b Br e as tEx a mi n at i o n Di pl opi ae x ami na t i on Mul t i pl eSc l er os i sCouns el l i ng Pr e HI Vt es ta dv i c e Re c t a lb l e ed i n gi nac hi l dHxa ndDD Bl oodSampl e unconci ouspxex am wi t hGCS Needl est i c ki nj ur yi nachi l dt al kt omum UTIsecondar yt oBPHt al kaboutmanagement Abdomi nalpai ni nawomanDxEct opi cpr egnancyandDDs Al c ohol c ouns el l i ng KneeExami nat i on Po s t n at a lPs y c ho si s Ch e s tPa i nHxa n dDi a gn os i s h ypogl y c aemi cfi ti nac hi l doni ns ul i n r es ts t a t i on 1 s tma r c h Ches tPai n. . . Chi l dwi t hf b Ec l a mp s i at a l kt oh us b an d Ey ep ai n Sut ur i ng Br e as tEx a mi n at i o n Wh i p l a s h Un co ns c i o usc h i l d
Dr yCough MMSe Al c ohol i cf oot Ph on ec on v er s at i o ns t r a nghe r n i a RespExami nat i on Di abet i cChi l d Adul tCPR Ol dag ep r o s t a t i cCA,p ai nma na ge me ntl a dd er 2ndmar ch MRSAul c er . . .Hor r i bl es t at i on pvex am i vc anul a os t eop or os i sa dv i c e c hi l dwi t hv i r al di ar r hoea c hi l dwi t hur t i anx i o usmum anor e xi cgi r l wi t hdepr es si on bl oodt r ans f us i onadv i c e s ec on da r ys u r v e yf r a ct u r ef e mu r b r e ak i n gb adn e wsme s o t h el i o ma dys menor heamanagementadvi ce r uqpai nhi s t or y c v se x a mi n at i o n al c ohol i cc ouns el l i ng. . . Pa r a c et a mo lp oi s o ni n ge x p l a i nma na ge me ntt opa t i e nt 3r dmar ch 1.PI Ddi s c us scons equ enc esofi nf ec t i onwi t hp at i ent 2.Di abe t i cf oo te x am 3.Upperabdomi nalexam 4 .MRSAp os tC/ S,d i s c u s smg twi t hpa t i e nt 5 .Kn eee x ami n at i o n 6 .Ve ne pu nc t u r e 7 .Pa ed i a t r i cCPR 8 .Sp ac e r 9.Al c ohol i c ,t ak er el e vanthi s t or yanddi s cus swi t hpt 10.Ane ami a(pr i ort oher ni or r ha ph y) 1 1.Co ug ha nds pu t u mf o r3mo nt h s ,t a k eh xan dd i s c u s sd xwi t he x a mi n er 12.Di pl opi a 13.Pal pi t at i onhxandp os s i bl edx 1 4.CNrVI I Ie x ami n at i o n 15.Chi l dwi t hf emor a lf r ac t u r eands pl eni cr up t ur eff gRT A,t al kt ot hemo t her 16mar ch
GCSa ndne ur o l o g ye v a l u at i o n c v se x a mi n at i o n d i p l o pi ae x am kn eeex am dr ugabuseh pr eecl amph 5/ 12ki dv omi th dr ycoughh needl ei nj c f e bc o nvc c a t h et e rma n sut ur eman f al l i nel der l yh her ni ar e pai rope nc Po s tMId r u gsc ou ns el l i n g s e x ua lh 17t hmar ch 1 .Fu do sc op y . 2.ABG. 3.Br eas te x ami nat i on . 4.Res pi r t or ye x ami nat i on. 5.Di abet i cf oote xami nat i on. 6.Mi ni ment al s t at eex ami nat i on. 7.Ches tpai n( hi s t or y ) 8.Wi egtl os s(h i s t or y ) . 9.I nf ant i l ec ol i c . 10.T el epho nec on v er s at i o n.c hi l dha v edi ar r h oea. 1 1.PEFR+e x pl a na t i o no ft h ec ha r t . 12.Chr o ni cr e nal f ai l ur e(h i s t or y+c ounc i l l i ngont hemanagemento pt i on s) 13.Sev erdy s kar y os i s(c o unc i l l i ng) 14.War f ar i nedi s char geper s cr i pt i on. 1 5.p ai nma na ge me nti nt e r mi n al p at i e nt . 29t hmar ch 1. hi s t or yt ak i ngf orpani cat t ac ks 2. I / vcannul at i on 3 .s pa ce rd ev i c e. .t e l l mu ma ndas khe rt ode mo ns t a r t e 4. pai nl i f. . . hi s t or yt ak i ng. . ( bt wt hes i mul at orwast hel adywhoc omesi nt hepl ab2gui danc ev i deo. . . i not i c edi t .aqm no ts ur edi dan y oneel s eno t i c edorno t ) 5. Mul t i pl es cl er os i scouns el l i ng 6 . r e sp i r a t or ys y s t e me x am . . . d on otd oc v se xa m 7 . b r e as te x a m
8.Chi l dc pr . . . nei ghbo urhast o l duhi sc hi l dhasgoneunc ons c i ous 9.el der l yc ons t i pat i on. . hi s t or yandd/ d 1 0.mu mo fac hi l dwh oh asb r o u gh th i ss onwi t hea r a ch e.uha v ee x ami n edt h ec hi l dan di t sa nu pp err e sp i r a t o r yt r a ct i nf ec t i on.t el l mum hedoes ntneedant i bi ot i c s. 11. hi s t or yofbr eat hl es s ne ssandd/ d. . . ( s i mul at orwasver yc oo per a t i v ea ndt ol dhes mok es ,unhea l t h ydi e t , s wel l i ngi n hi sf ee t ,dy s pnoeaatni g ht , onwal k i ng, anddaddi edofhea r tat t ac k . ) 12. r es ts t a t i on 13. h ypot her mi ai nel der l y . 14. di a be t i cf oo te x am 15wr i s te x am. . . xr a ywa sal ost her e 1 6. d i p l o pi ae x ami n at i o na nddi a gn os i s . . . ( e x am s a yas s umeuha v ech ec k edac qu i t ya nddo ntd or e dr e fle x ) 1 7. . . we l l t h i swa sac o nf u s i n go ne .al a dyha dp v da ndwa ss t o pp edo c pb yt h eg p.s h eh asc omet ou.d i s s c u s s al t er nat ec ont r ac ep t i o nmet h odswi t hher . 3 1s tma r c h 1.Bi manu al pal pat i on( a nt er i o rmas s ) 2.Adul tCPR 3.KneeExam 4.CVS( Si gnsofhear tf ai l ur e-pat i entwasl y i ngonapi l l ow) 5.Vi s ual fi el ds( t unnel v i s i on) 6.Pos t St r ok ec ouns el l i ng( Fami l yhi s t or y ,s mok i nganddi etpos i t i v e) 7.Gonor r hoeaandpar t ne rn ot i fi c at i on( Couns el Pat i ent ) 8.Nor mal Obs t e t r i chi s t or y+Ho tfl us hes( Pr emat ur eo v ar i anf ai l ur e) 9 .Op i o da bu se( T ak eh i s t o r y ) 1 0.He mi c o l e c t o my+Co l o s t o my( Wa swo r r i e dab ou tc o l o s t o my ) 11.Loc al anaes t hes i af orher ni or r haph y( Waswor r i edabou tl oc al anaes t hes i a) 1 2.URTI ,Mo t h erwo r r i e d( Sh ewa swo r r i e da bo utme ni n gi t i s ) 1 3.Ce l i a cd i s ea se( Wa swo r r i e da bo utf o odt oe ata ndt h os en ott oe at ) 14.I ns ul i ndos ec al c ul at i on( a ns werwas10uni t st hi st i me) 15.Chi l dwi t hmul t i pl ebr ui s es( I TP) ,Di ffer ent i al s :HSP ,Al l er gy ,NAI ,Meni ngi t i s . 16.Womanwi t hr e pe at edhi s t or yoff al l s( Duet omedi c at i onf orh yper t ens i o n) 17.Res ts t at i on 5t hapr i l c hi l dc pr pos tmi l i f es t y l emodi fi cat i ons el bowex m p sy c ho si s ur i c at het er i z at i on pae dsf r ac t ur ef emu rns pl eeni cr up t ur e p ae dsc ol e i cdi s ea se c hr oni cf at i gu es y ndr omehi s t r y el der l yf al l shi s t r y ec t opi cpr egnanc y , c on vi nc egi r l t os t a yi nhos pi t al
hi vhi s t or y b r e as te x ami n at n abnor mal l f t s u nc o n s c i o u sp te x a m di abet i cf ootex am gi antc el l ar t er i t i sc ons el l i ngs t a t i on 7t hapr i l Febr i l econ vul s i on Ap pe nd i c e c t o myc hi l d Pa r a c et a mo lp oi s o ni n g De l a y e dwa l k i n g St er i l i z at i on Cv sex am Vi s u al fi e l dex a m Al c ohol i cf oot Wr i s te x a m H/ oanemi a H/ osob,wheeze,cough I n s o mn i a An t e na t a le x a m Adul tc pr ABG 13apr i l 1MMSE 2GCACx 3t e s t i c u l a rp ai nHx +MNG 4Br eastEX 5Unconci ousptGCS+Neur ol ogi cal EX 6Chest pai nHX+DD 7Menor r agi aHX 8s uc i dal r i s kas s 9I nf ant i l ec ol i cHXC 1 0f o r e i g nb o dyCX 1 1ANk l ef r a c t u r ec h i l dDM HX 1 2s ut u r e 1 3bl o ods a mp l i n g 1 4h er n i ao pe r a t i o n+ an ae mi aHXC 15LNEX 1 6a bd omi a nl p ai nal l i n vno r ma lCX 5may
1 . Vi s ua lfi el dex a m 2.Abdomi nalExam 3.Al c ho l i cf oo tEx am 4 .Bi ma nu al 5.s ut ur i ng 6 .Sp ac e r 7.I Vc anul at i on 8.War f ar i ncouns el l i ng 9.NAIf r ac t ur ef emur8mont hol dchi l d 1 0.Ch es tPa i nHx 1 1.Ur i n ar yI n co nt i n en ceHx 1 2.Pr o du c t i v eCo u ghHx 1 3.Hy p ot h er mi aHx +c o un s el l i n g 14.Fr ac t u r ef emurandsp l eenr u pt ur e6y ear sc hi l d 1 5.Su c i d al r s ka s s es s me nt 10t hmay 1 ) c h es tp ai nwa shx ,d i a gn os i sa ndma na ge me ntwi t he x ami n er . 2) Unc ons c i ouspt . . . pr i ands ecs ur v e ydone,nec ki nj us r yr u l edout ,we ar i ngc ol l ar ,pl zdog csandneur ol ogi c al e x am. 3) c er v i c al s mear . 4 ) MSc o un s el l i n g 5 ) Me ni n go c oc c e mi a . . . . BBN 6) Hxoff al l i n9mont hc hi l d. . . t ak ehxanddi s cus sr xwi t hmot her . 7) p twi t hdr yc ough33y rol dmal e. . . t ak ehx 8 ) p twi t hc hr o ni cb ac kp ai n ,x r a ydo nes ho wsd eg en er a t i v ec ha ng es .t a l ka btp ai nma na ge me nt . 9) br eas te xam. . . . . onel umpi nr i ghtupperout erquadr ant , . . . . andonei nax i l l a 10) ABG 1 1)SHOUL DERe x a mp twi t hs l i n gg gg . . . . 12) di abe t i cf o ote x am 13 ) MMSE 14) ol dl adyhi s t or yoff al l . . . . . hxandt hendi s cus sddandi n vwi t he xami ner 1 5) a bd omi n al p ai nh x. . . d i a gwi t he x ami n er 1 6)h emi c ol e ct o myf o rc a ec al c a. . . a dd r e ssc on ce r n s 11t hmay s u t u r e PR CVSex am s t r ok er i s kf ac t orh x a s t h mad i s c h a r g e t h y r o i de x am s ui c i dal r i s kp th ascut sonhandnt ookoc ps . . t ak er el e v anthx nur s et al k i nt ouabtpat i enth av ebac ki nj ur yandonc od ei net ak eh x wr i s te x a m
e ct o pi cp r e gt e l l ma na ge me nt p r ea ne s t h es i aa s s es me nt NAIhx v i s ua lfi el dex a m n ep hr e c t o myc o u ns e l i n g CPRchi l d di abe t i cf oo te x am. 17 may c a t h e t e r emer gencyendoscopy f o odp oi s on i n g hear t f ai l ur es i gns i vc annul a s e c on da r ys u r v e y d el a y e dwa l k i n gh o headacheho a s t h madi s c h ar g eme di c a t i o ns fi t s . . . . . . not cl ear . . . . . . meni ngi t i s ? f u nd os c o p y b r e as te x a m f e v er +c he s t p ai n +c ou gh twi t hgr e en i s hs pu t u m.h i s t o r y , d i a gn os i sa ndma na ge me nt i n so mni aHi s t or y , c ouns el a ndd i ff er ent i al s h y po t h er mi ae l d er l y -c ou ns el 18 may PREx am Bi manualExam ( PV) CPRadul t Bl o ods a mp l i n g SOB+coughhi st or y He ad ac h eh i s t o r y +di a gn os i s +ma na ge me ntwi t hp at i e nt . Ey epa i nh i s t o r y(g l a uc oma ) Meni n gi oc oc c al Sp t i c aemi a(c ouns el l i ng) Frf emuri nchi l d(nonac ci nj ur y ) Co el i a cdi s ea sec ou ns el PI Dt a l ka bo utt h ec o ns e qu en c e Po s tMIc o un s el Kneee x am upperabdExam Di a be t i cf o otEx a m fl u ox e t i n ec o un s el
24t hmay 1 .k n e ee x a m 2 .c v se x am 3.t hy r o i de xam 4.s ut ur i ng 5.GCSandneur ol ogy 6.c hi l dur t i mom s us pec t smeni ng i t i s 7 .Ma nwi t hp r e v i o usmi g r a i n ess us p ec t sbr a i nt u mo ra ndev e nc twa sd on ee ar l i e rwh i c hwa sno r ma l . 8 .L owe ra bdpa i ni ny ou ngf e ma l ePI D 9.di pl opi ahi s t or y 1 0.Pa i nma na ge mn tt e r mi n al l yi l l 1 1.s e v e r eDe pr e s s i o n+ PT SDa dmi tp at i e nt 12.I ns ul i nd os age 13.I nt us s us s ec pt i onba bys c r eami ngwi t hr e ds t ool s 1 4.T el e ph on ec on v er s at i o nwi t hs ur g i c al c on su l a t a ntp os to pp at i e nth add i s t e ns i o na ndp ai ni na bd ome n. 1 5.An or e x i ane r v o s a 1 6.Br e as te x am 25may Ma ni k i n Ca nn ul a t i o n Bi manual Ca t h et e r Hx Dysphagi a Menor hagi Di ar hoeai nc hi l d f ebr i l econv ul s i on Cou ns el l i n g Ms Me s o t h el i o ma Fr a ct ur edhi ps pl een f ebr i l ec onv ul s i ons Exam Dm f oot Abdo men Hi p
Psycho Al c ohol i c De pr e s s i o n
