OSCE1/11/2017

AEDUCH

Case1

•  A28year-oldmandrivingaprivatecarhitontoatruck.Hiscarwasonfire.Hehadshortnessofbreath.Hehadhypotension,tachycardia,andSpO291%onhighflowoxygen.FASTwasnegaPve.ThefollowingshowstheX-raysandCTscanofhim:

Case1

1.  NamefourX-rayabnormaliPes.

Case1

2.NameoneabnormalityintheX-rayandwhatisdevice‘a’?

Case1

3.Name2abnormaliPesshowninCTscan.

Case1

4.  Name4importanttreatmentsinAED:

Case2

•  A82year-oldladypresentedtoAccidentandEmergencyDepartmentwithcentralchestpainandhypotension,thefollowingtwoultrasoundimagesshowedtheconsecuPvecapturesofthesametransthoracicfocusedcardiacview:

Case2

1.NamestructuresAtoD.

Case2 2.WhatisstructureE.Whatistheabnormality?

Case2 3.Whatisabnormalitya.andb.andhowcouldyoudifferenPateonefromanother?

Case2

4.Name2importanttreatmentsforthepaPentintheAED

Case3

•  AjuniortraineeshowedanX-raytoyou,andaskedyoutohelphimtoreducethepatellafora30year-oldmanwhosufferedfromale\kneeinjuryduringabasketballgame.

Case3

Case3

1.  WhatistheX-rayfinding?

2.  Whatisthelikelydiagnosis?

3.  Whataretheexpectedphysicalfindings?

4.  WhatisthedefiniPvemanagement?

Case4

•  A52year-oldmanaccidentallyhithisle\eyeonthecornerofthewall.

•  Hecomplainedofle\eyepainandvisionloss.•  Hisle\visualacuitywaslightpercepPononly.•  Therewashyphema,subconjunPvalhemorrhage,conjunPvallaceraPonandirregulardilatedpupilofle\eye.

•  Hehadnootherassociatedinjurybesideshisle\eye.

Case4

1.  WhatisthemostworryingclinicalcondiPonwhichhemaysufferfrom?Whataretheemergencymanagement?

Case4

2.CTorbitwasdone,whatarethefindings?

Case4

Case4

Case4 1.  WhatisthemostworryingclinicalcondiPonwhichhemaysufferfrom?Whataretheemergencymanagement?

2.  CTorbitwasdone,whatarethefindings?

3. Whatisthediagnosis?

4. WhatisthedefiniPvemanagement?