By Kiran Somani
MCEM half C: one hundred ten OSCE Stations bargains an entire and useful abilities advisor for trainees getting ready for the MCEM OSCE examination. awarded in a transparent format, chapters are mapped to the examination circuit to supply dependent revision in the entire syllabus subject matters. that includes a wealth of perform stations, this booklet offers the fundamental scientific wisdom and functional abilities essential to reach the MCEM half C OSCE exam.
* one hundred ten perform stations, reflecting the breadth of talents and issues verified within the real exam
* offers concise summaries of all of the stations tested, together with background taking, communique talents and procedures
* Addresses each element of the examination, together with the circuit, content material and marking
* hugely illustrated to enhance figuring out of key concepts
* Edited through skilled advisor in Emergency medication, Nick Jenkins
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Additional resources for MCEM Part C: 110 OSCE Stations
Rosen’s Emergency Medicine: Concepts and Clinical Practice, 7th ed. Philadelphia: Mosby Elsevier, 2009. 7 Syncope Curriculum code: CC1, CC12, CAP5, CAP32, HAP5 Syncope is defined as a transient loss of consciousness due to global cerebral hypoperfusion that is characterised by a rapid onset, short duration and quick recovery leaving no sequelae. Therefore, it is important to clearly establish whether there was any loss of consciousness or not. 3. 1 Causes of syncope Reflex syncope Orthostatic hypotension (OH) syndromes Cardiovascular syncope Vasovagal episode Classical OH Arrhythmias Simple faint – emotional distress or orthostatic stress and associated typical prodrome.
Where did they stay and what did they do? Were they on holiday or visiting family? Or was it a business trip, or charity work? What was their accommodation like (hotel, family home, cruise ship, rural or urban)? Did the patient take part in any particularly risky activities (freshwater swimming, unprotected sex, injected drugs)? Next, enquire about food and drink. How careful were they about safe drinking water (did they use ice, or eat salads)? What did they eat? Did it include any uncooked or street food?
Particularly in infants the signs of meningitis are often subtle and a septic screen (FBC, U&Es, blood cultures, MSU +/- CXR and lumbar puncture) should be strongly considered before excluding meningitis. Children older than 18 months may be discharged with appropriate advice and safety net if they: •• Have fully recovered •• Are clinically well with no signs of meningitis •• Have an identified source for their fever •• A previous history of febrile seizures and a typical story for it. Parents should be given the following information: •• Febrile seizures happen in approximately 3% of children •• Almost 30% will have a recurrence, higher in younger children •• Approximately 1% of children who have a febrile convulsion will go on to develop epilepsy.