Long cases in clinical medicine pdf


 

This is my pleasure and great honor to write a few words about Long Cases in Clinical Medicine. Professor Abdullah has written an excellent “made easy” book . Jaypee Brothers Medical Publishers, p. This book, Long Cases in Clinical Medicine, deals with clinical cases in great detail. Long Cases in. Clinical. si. Medicine. an te ss dV. terney.info G. ta hi vi r9 p 9.p -U er ni si te an dV ss terney.info G. Long Cases in. Clinical Medicine. G R (Concerned with.

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Long Cases In Clinical Medicine Pdf

Long Cases in Clinical Medicine presents trainees with detailed clinical cases for numerous diseases and disorders. Divided into twelve. Long Cases in Clinical Medicine 1st edition Presents trainees with detailed clinical cases for numerous diseases and disorders covering various body. After long discussions with academic teachers of numerous clinical subjects in our “the case” and abilities that are useful for communicating with the patient.

Corresponding author. Abstract Background The oral presentation of the clinical long case is commonly an implied knowledge. Objectives To highlight the different opinions and misconceptions of trainers as the basis for improving our understanding and assessment of oral presentation of the clinical long case. Methodology Questionnaire was administered during the West African College of Surgeons fellowship clinical examinations and at their workplaces. Eligibility criteria included being a surgeon, a trainer and responding to all questions. The 36 respondents were from 14 centers in Nigeria and Ghana. Eight Eleven Seventeen This highlights the need for standardization and consensus of what is expected at a formal oral presentation during the clinical long case examination in order to avoid subjectivity and bias. Keywords: Oral presentation, Compartmentalized presentation method, 5Cs-Method, Consensus required Introduction Clerking a patient and oral presentation of the patient are both arts that are learnt by constant practice early in the medical career. Clerking a patient is the process of extracting the history of the illness from the patient and examining the patient in detail, while oral presentation is recounting of the overall summary of the history and objective findings to superior colleagues, examiners or a panel of clinicians who would assess the quality of the clerking and proceed with questions on management and outcome. The process of clerking a patient is easier than the art of oral presentation, because in clerking a patient, the sections that should be addressed are well documented and the norms of interaction with the patient are clearly understood, uniformly accepted and explicitly communicated to trainees right from inception 1 , 2 , 3. On the contrary, aside from listening to the presenter and refuting or accepting the presentation as a whole or in part, the art of oral presentation is not usually explicitly addressed neither are the various methods of oral presentation for various occasions clearly communicated 4 , 5. This is so for several reasons: first the art of formal communication is inherently difficult; second, it is easy to assume that the oral presentation for formal discussion should be reported along the structures employed in the written report 4 , 6 , 7 ; third, the types of presentation, structure and the specific content are usually implied, tacit and not clearly defined.

Nasolabial fold less pronounced. YY Motor tests: 1. Ask the patient to look at the ceiling, keeping the head fixed and see any wrinkling of forehead, either unilateral or bilateral frontal belly of occipitofrontalis 2.

Ask the patient to close the eyes tightly and not to let you open it orbicularis oculi. If failure to close, look for Bells phenomenon 3. Ask to whistle orbicularis oris 21 Proforma of a Long Case 1.

Long Cases in Clinical Medicine () [PDF] | Free Medical Books

To examine right eye, ask the patient, cover your left eye with left hand gently, look steadily at my left eye. You should cover your right eye.

No one should move the eye and should look each others tip of the nose. Hold your index finger midway and from periphery, bring toward the center until you see it. Ask the patient do you see my finger? Tell me when you see it. If patient fails to see, continue to bring the finger and ask him, tell me when you can see. In this way, see in horizontal, upper and lower quadrant temporal field.

Then, see nasal field in the same way. Change your hand and repeat in other eye in the same manner. YY Test of central scotomause a red headed pin, move it from temporal side to nasal side in the midway. Ask the patient, Do you see it? Tell me, when it disappears. YY Fundoscopy should be done at the end. Ask the patient, Look at my finger.

Long Cases in Clinical Medicine

Follow it with your eyes with head fixed 2. See movements in horizontal and vertical directions like the pattern H 3.

See nystagmus. At extreme gaze, ask, do you see one or two fingers diplopia?

YY Pupils: size, shape, light reflex both, direct and consensualput light directly on one eye and see in other eye YY Accommodation reflex Ask the patient to look at a distant object. Then put your finger in front of his or her eyes. Now ask, Look at my finger.

See the movement of the eyeball and also pupil. Ask the patient to puff cheeks out buccinator. If paralysis, air is escaped easily on the affected side 5. Ask to show the teeth and to smile levator anguli oris and risorius.

If paralysis present, face is drawn to the healthy side. Also, test for hyperacusis nerve to the stapedius muscle. YY For cochlear division: 1. Look at the external ear and meatus wax, rash 2.

Rub hair or put the watch near the ear and ask the patient, whether he can hear or not 3.

Abdullah ABM (ed.) Long Cases in Clinical Medicine

Rinnes test and Webers test may be necessary in some cases. Normally, air conduction is more than the bone conduction. Glossopharyngeal and Vagus nerves: YY While talking with the patient, observe any nasal voice or hoarseness. Presence of hoarseness indicates bilateral paralysis of superior laryngeal branch of vagus.

If it is unilateral, usually the patient is asymptomatic YY Ask about nasal regurgitation YY Movement of the palate: ask the patient, open your mouth and say, aah. If one side remains flat and immobile, indicates paralysis of that side soft palate is pulled to the normal side YY Ask the patient to cough. Feel sternocleidomastoid test on both sides. If small and spastic unable to protrude 2. Deviation toward the weak side.

YY Ask the patient to waggle the tongue side to side. Feel the weak side. How to approach a long case 23 Practicing long case trains a physician to be a good clinician Vital parts of long cases include the following points: Detailed history taking YY Physical examination general and systemic YY Provisional diagnosis. Lecture Notes : Psychiatry 11th Ed. Lecture Notes : Urology 7th Ed.

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Long Cases in Clinical Medicine

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