Clinical Skills for Respiratory system

HI everyone!

 

This is a page where I accumulate all the study resources in one place especially for respiratory system, enjoy!

It includes:

1. Respiratory clinical skills checklist
2. Things to master for respiratory OSCE
3. Sample OSCE demonstration
4. Chest X-ray Quizzes
5. Sample Cases for practice
6. Peak flow meter and Inhaler techniques
7. Common used Malay terms for doctors in Malaysia
8. Further readings on management for common Respiratory diseases

Clinical skills checklist

Things to master for OSCE EXAM

Communication Skills 

1. Elicit a comprehensive occupational and social history from a patient.

2. Elicit a comprehensive past medical history from a patient. 

3. Give simple instructions to a patient. 

Clinical examination skills 

1. Carry out a fluent and structured examination of the respiratory system in a  simulated patient. 

2. Recognise normal breath sounds, wheeze and crepitations using the stethoscope

3. Recognise abnormal findings on percussion and auscultation and explain the  pathological processes that would produce these. 

4. “Putting All Together” to reinforce clinical reasoning and introduction to early  differential diagnosis. 

Practical skills 

1. Accurately perform a peak flow measurement. 

2. Demonstrate the correct use of an inhaler (with and without a spacer/aero chamber) to a patient. 

3. Identify the key features of a plain chest radiograph and recognise common  respiratory abnormalities. 

 

Sample OSCE for respiratory

Chest X-RAY study resources

• chest review
• Chest X-RAY quizzez

Sample cases for practice:

1. Mr. Y, is an 88-year-old gentleman who complains of progressive worsening  of breathlessness since 2 weeks ago. He also complains of a pain at the right  side of his chest. He used to work at the docks in the UK in his teens.  

a) Does the patient require urgent intervention? 

b) Is the shortness of breath acute or chronic? 

c) What additional questions would you ask to learn more about his  shortness of breath? 

d) What is the organ system involved in the patient's shortness of breath  (cardiac, pulmonary, hematologic, or psychiatric)?

2. A 55-year-old man presented with the history of cough for 4 weeks comes to  the GP clinic and is very concerned after having 2 episodes of prolonged  coughing that produced blood-streaked sputum. He also complaints of fever  for 7 days and cough productive of yellow sputum. This is the first time he  has experienced this symptom. 

a) What additional questions would you ask to learn more about his  hemoptysis? 

b) How would you classify his hemoptysis in terms of quantity? 

c) Can you make a definite diagnosis through an open-ended history  followed by focused questions? 

d) What are the alarm features when evaluating a patient with hemoptysis? 

Further readings on Peak flow meter and Inhaler techniques

https://www.asthma.org.uk/globalassets/health advice/resources/adults/your_peak_flow_diary.pdf

Useful Malay terms that can be used

Other readings:

1. Management of Asthma, Full article

2. Drug resistant TB management

3. Management for Tobacco Disorder

4. Tuberculosis management

5. COPD management

6. COVID-19 management

References:

1. IMU MBBS respiratory clinical skills module

2. https://www.moh.gov.my/index.php/pages/view/948

3. https://geekymedics.com/