Complex stable patient OSCE
- CP1. Chest pain scenario 1
- CP2. Breathlessness station 1
- CP3. Palpitations
- CP4. Transient Loss of Consciousness
- RP1. Chest pain
- RP2. Breathlessness scenario 2
- RP3. Haemoptysis
- RP4. Cough
- Breathlessness scenario 3
- MuP1. Acute back pain scenario
- MuP2. Limb pain and swelling
- MuP3. Neck pain scenario
- MuP4. Joint swelling
- MuP5. Acute hot swollen joint → see Knee examination scenario
- UP1. Dysuria scenario
- UP2. Injury to bladder, urethra, testes or penis
- UP3. urinary retention
- UP4. Testicular pain/swelling
- UP5. Loin pain
- UP6. Haematuria scenario
- HP1. anaemia
- HP2. Bruising and spontaneous bleeding
- HP3. Massive haemorrhage scenario
- NeuP1. Acute Confusion - see acutely confused patient scenario
- NeuP2. acute severe headache scenario
- NeuP3. Seizures/Status epilepticus scenario
- NeuP4. Speech disturbance
- NeuP5. Hemiparesis/hemiplegia, NeuP7. Visual disturbance - see stroke in the ED scenario
- NeuP6. Gait abnormality - Atraumatic limp OSCE scenario, ??
- NeuP8. Weakness/paralysis
- NeuP9. Dizziness and vertigo
- Sore throat
- Hoarseness - red flag H&N cancer
- Acute vision loss scenario
- Red eye
- Orbital cellulitis
- OncP1. Acute presentations of undiagnosed cancer (weight loss, dysphagia, pain etc) - Dysphagia scenario
- OncC1. Complications related to local tumour progression e.g. acute cord compression, upper airway obstruction, pericardial and pleural effusions, Sup vena cava obstruction, raised ICP
- OncC2. Complications relating to cancer treatment including – Neutropenic sepsis, anaemia and thrombocytopenia and immunotherapy
- OncC3. Biochemical complications of malignancy - hypercalcaemia, SIADH, adrenal insufficiency
- GP1. Abdominal pain scenario
- GP2. Abdominal swelling or mass
- GP3. Ascites
- GP4. Constipation and Constipation in children scenario
- GP5. Diarrhoea scenario
- GP6. Haematemesis/melaena/Upper GI bleed
- GP7. Jaundice
- GP8. Anal pain and rectal bleeding
- GP9. Nausea and vomiting
- GP10. Dysphagia scenario
- ObP1. Pelvic pain scenario
- ObP2. Vaginal bleeding
- ObP3. Pregnancy
- ObP4. Genital injury/Sexual Assault scenario
- ObP5. abnormal vaginal discharge
- ObP6. Foreign bodies
- ObP7. Patient in labour
- Vomiting in pregnancy
misc
- Stoma examination scenario
- Long lines - vascath, portacath, PICC line
- Weight loss history scenario
- Cancer red flag history
- Alcohol excess history/recreational drugs history
- Thyroid history
- Vascular history and peripheral vascular examination
- EnP1. Addisonian Crisis/Adrenal insufficiency (see Hypotensive patient scenario 2)
- EnP2. Hyperglycaemia
- EnP3. Hypoglycaemia
physical examinations OSCE page
- Resp
- Cardio
- MSK + history?
- Shoulder examination scenario
- Elbow examination
- Hand examination
- Knee examination scenario
- Ankle/Foot examination
- Thyroid
- Peripheral vascular
- Cranial nerves - full o/e for 8 mins
- Peripheral nerves
- Eye examination (https://geekymedics.com/anterior-segment-examination-osce-guide/); see also Red eye
- Washes hands, introduces self
- Confirms patient identity
- Checks patient comfort before starting
- Appropriate management plan
- Explains differentials
- Invites questions
- Address patient concerns
- Thanks patient
- Global mark examiner
- Global mark patient