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OSCE

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OSCE
Station 1: History Taking
1. Preliminaries
Self-introduction:
full name
__ year medical student from Monash University
Explain what you are going to do: take medical history will involve asking some questions about your current illness, past illness, lifestyle etc. all information obtained will be kept confidential and only be revealed to the GP
Obtain consent
Obtain patient’s biodata:
Full name
Age
Occupation
Marital status
2. History of Presenting Complaint – WWQQAA + B + ICE
“What brings you here today?” / “How can I help you today?”
Where
When
Circumstances: Is the condition different from when it first started?
Quality
Temporal factors: How did the condition change over time?
Quantity
Aggravating and alleviating factors
Associated symptoms
Beliefs
Impact
Concerns
Expectations
3. Systems Review + Risk Factors
SYSTEMS REVIEW
MSK
PNS
CVS
Pain
Swelling
Joint stiffness (morning/after activity)
Loss of motion
Loss of function
Deformity
Weakness
Instability
Fever
Weight loss
Fatigue
Seizures or Fits
Fainting
Dizziness
Vertigo
Headache
Paraesthesia/Anaesthesia
Weakness (One/Both sides)
Gait or Movement Problems
Visual, Hearing, Smelling disturbance
Neck stiffness
Disturbance of sphincter control (bowel, bladder)
Head injury with loss of consciousness
Chest pain/heaviness
Exertional dyspnoea
Paroxysmal nocturnal dyspnoea
Orthopnoea
Ankle swelling
Palpitations
Intermittent claudication
Syncope
Fatigue

RISK FACTORS
MSK
PNS
CVS
Age >50
Gender
Obesity
Occupation and Sport
Family history
Infections
Medication (eg. corticosteroids >2 months)
Overseas travel
Poor diet (inadequate dietary calcium and vit D)
Smoking
Excess alcohol
PH of musculoskeletal injury or other conditions
Past history of cancer

Smoking
Diabetes
Alcohol
Diet (eg. vit B12 deficiency)
Malabsorption
Infections (Shingles, Meningitis)
Cancer
Drug use and abuse
Injuries
Hypertension
PH of CVD (eg. MI,
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