Saturday, June 12, 2010

Exam 3

So....here's the third part of the story of what an epic journey of osce.

So after done the aortic stenosis patient, I moved on to another patient.

You know what the patients was doing?

She was blarding reading novel.

I think they all quite syok lo... bring a book, and wait for a random person to come and press press on you for 5 mins, and then enjoy seeing these poor souls being grilled by the consultants.

Examiner: I want you to...........neck lump. (again, acute deafness...)

Ang: All right. (Neck lump....erm....erm....water!) Can I have a glass of water pls?

Examiner: Yup (Full grin!)

(So i go on just doing the goitre examination, have no idea what is that, but coz its midline, just do lo....and already thinking what might other diagnosis of a lump in the neck...)

Examiner: Ok, so would you want to tell me your findings?

Ang: Yes. There is a lump at the neck...position, at the midline, move up with swallowing, and didnt move up with tongue protusion.

Examiner: Right....what do you think it might be?

Ang: I think, erm, it could be goitre.

Examiner: Ok.....what else could it be?

Ang: Erm, it could be a goitre............. caused by............. hyperthyroid or hypothyroidism...

Examiner: Yup, yup, but do you know of any other thing which can cause a lump at the neck?

Ang: Erm..thyroglossal cyst.................goitre..................hyperthyroidism goitre...............

Examiner: Ok ok. So if you think it is a goitre, which one do you think it is? Hyperthyroidism or hypothyroidism?

Ang: Erm.... would like to do a thyroid function test....

Examiner: Could you make anything out of the examination?

Ang: Erm...well...if I could examine the thyroid status, like pulse, tremor and etc, I would be able to tell.

Examiner: Allright then, shall we move on?

...................

Thats the first neck I examined for lump in 25 years apart from my own neck.

So basically, in this story, the moral is:

DO NOT KEEP QUIET EVEN THO YOU KNOW NO SHIT!

seriously, keep talking. keep talking. keep talking.

Examiner can prompt you for the correct answer, and if he cant, he will just move on.

If you couldnt examine, the examiner cannot help u much.

So practice your slickness...thats enough for you to pass.

As far as I am concerned! hahahha

Actually not much of funny stories after the first station. But I just want to post these stories to make sure the year after this will learn some lessons from these. Hahaha.

1 comment:

vickiekurt said...

這一生中有多少人擦肩而過?而朋友是多麼可貴啊! ............................................................