A hybrid teaching session focusing on cardio-respiratory and gastrointestinal examinations, participants will explore the structured approach to conducting thorough assessments. The session will cover key components of each examination, including vital signs, auscultation techniques, and inspection of abdominal contours. Emphasis will be placed on identifying critical findings, such as abnormal heart sounds, respiratory patterns, and signs of gastrointestinal distress. The integration of both in-person and online learning will facilitate interactive discussions and allow for demonstration of examination techniques via video. Participants will also have access to case studies to enhance understanding. The session will conclude with a summary of best practices and an opportunity for questions.
Cardio and respiratory examinations in person session
Summary
Dr. Ronan Fitzgerald, an FY2 at WMH, is leading a clinical examination skills training session. It is complemented by other ISCE101 faculty members and instructional videos by Geeky Medics, to be watched prior to the session. The teaching session focuses on cardiovascular, respiratory, and gastrointestinal examinations. Key takeaways will be understanding the primary components of these examinations and recognizing common diagnoses from clinical findings. By leveraging pre-session videos and interactive teaching methods, attendees will get to practice their examination skills with colleagues and learn to detect specific clinical conditions. A thorough review of examination techniques, such as palpation, auscultation, and percussion, will be provided. This session is a great opportunity for medical professionals looking to hone their clinical examination skills.
Description
Learning objectives
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By the end of the session, participants should be able to understand the key components of cardiovascular, respiratory and gastrointestinal examinations, including their purpose, techniques used, and how to interpret findings.
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Participants should be able to practice and perform these examinations correctly and efficiently on a colleague, including obtaining informed consent and maintaining patient comfort.
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Participants will recognize common clinical findings from these examinations and understand their potential implications, allowing for accurate spot diagnoses.
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By applying knowledge from pre-session resources (Geeky Medics videos), participants should be able to build upon their understanding during the session, further enhancing their examination skills.
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Attendees should understand how to prioritize patient safety and comfort during the examinations, maintaining professionalism and adhering to appropriate clinical guidelines.
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Computer generated transcript
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Clinical Examination Skills: Cardio, Respiratory, and GI By Dr Ronan Fitzgerald (FY2 at WMH) Accompanied by other ISCE101 faculty for in person teaching. Videos that we sent for you to have watched prior to the teaching session: Geeky medics CARDIOVASCULAR EXAMINATION: RESPIRATORY EXAM: GASTROINTESTINAL EXAM: HTTPS://YOUTU.BE/XU_XEUMJ3ZC?SI=CATPYN HTTPS://YOUTU.BE/GRWSYQATWQQ?SI=VZBD- HTTPS://YOUTU.BE/PYANF6GJY2I?SI=CYEKKY WHZ6NF6NZJ LH25M2LFUGU GR9W52FU7ZLearning Objectives Understand the key components of Practice examinations with a cardiovascular, respiratory, colleague. and gastrointestinal examinations. Recognize common spot This session will build on the diagnoses from clinical geeky medic videos you have findings. seen prior to this session.Before starting every exam 1 2 3 4 5 6 Introduce yourself Explain the Consent patient Offer chaperone Wash hands Ask patient if in any examination you will be carefulstate relief)er them painCardiovascular Examination Overview General Palpation Auscultation inspection Inspect and auscultate Inspect hands Chest inspection posterior chest wall Palpation of hands Face Sacral oedema Pulses Neck Pedal oedemaTo complete exam • BP of both arms • Respiratory examination • 12-lead ECG • +/-Peripheral vascular examination • +/-Dipstick of urine • Other investigations depend on clinical caseDemonstrationSpot diagnosisHow to test for clubbingOsler’s nodes • ‘Ow’lers nodes: People say ‘ow’ because their painful • They are ‘P’ainful and often on the ‘P’ulps of the fingers • Infective endocarditisWhat does this video show? https://youtu.be/9m_0RAQDFHM?si=V8cQFQvb97ld4iBNMalar flush CausesSpot diagnoses: conditions they could actually bring on the day • Remember if a patient does have signs it has to be plausible on the day • They wouldn’t bring in someone who is cyanotic and has patient with a murmur e.g. ejection systolic murmur-aorticin a stenosis • Hyperlipidaemia • Stable murmur • Aids indicating a diagnosis e.g. cigarettes, GTN spray e.t.c.Any questions before moving on to respiratory exams (2-3 min break)Respiratory Examination Overview General Palpation Percussion inspection Auscultation Inspect hands Chest inspection (repeat on back percussion and auscultation) Palpation of hands Face Lymph nodes Pulses and resp Neck Legs rateTo complete exam • Cardiovascular examination • Sputum • Peak flow • Oxygen sats • Temp • X-rayDemonstrationSpot diagnosis Causes of Horner syndrome 4S’s: Central lesions 4T’s 4C’s • Stroke • Tumours • Cavernous sinus • Syringomyelia • Trauma thrombosis • Multiple Sclerosis • Thyroidectomy • Carotid artery dissection • Swelling (tumours) • Top rib • Carotid aneurysm • Cluster headacheSpot diagnoses: conditions they could actually bring on the day • COPD patient • Asthma patient (not an acute asthma attack) • Patient with lung cancer who has specific features to them • Patient with CT disorder or MSK malformations that could affect breathingPair up and practiceFeedback please :) https://forms.gle/f5Y8Cr8F1yjkzvgJA • Bevor Sie zu YouTube weitergehen [Internet]; [cited 2024 Nov 8]. Available from: https://www.youtube.com/@geekymedics • Discover Clinical Medicine - MedSchool [Internet]. The Cardiovascular Exam; [cited 2024 Nov 8]. Available from: https://medschool.co/exam/cardio • Mansbridge C. The OSCE Revision Guide for Medical Students. [place unknown]: OSCEstop LTD; 2018. 376 p. • Bevor Sie zu YouTube weitergehen [Internet]; REFERENCES [cited 2024 Nov 8]. Available from: https://www.youtube.com/@medzcool • [cited 2024 Nov 8]. Available from: https://zerotofinals.com/. • Oxford Handbook of Clinical Medicine (Oxford Medical Handbooks). [place unknown]: Oxford University Press; 2017. 928 p. Peer reviewed by Dr. Risma Remsudeen, Surgical SHO (YGC) on 10th November 2024