TEACHING TELEPHONE & Xp) BBN (simulator or telephone) ECG EpiPen DipStick Inguinal Swelling Speculum Autism Overweight / Obesity Headache (PMS / SAH & High BP / Sinusitis / GCA / Migraine and with Aura / transmale pt ) Heroin Addiction Pneumonia HTN Dementia & Memory problems Psychosis Polymyalgia rheumatica Euthanasia Transgender Cystic fibrosis, Post herpetic neuralgia Septicemia Chronic fatigue Meningitis prophylactics ICH (dad / husbandibrain Tu) Breast Cancer TIA Aortofemoral bypass Haemorthagic Gastroenteritis,ETHICS & ANGRY PTS EXAMINATION & PROCEDURES HIV Post-op bleeding Aneurysm Pregnancy Medical colleague (coming late / cocaine ) Disclose and not disclose information (Ca mother / daughter depression) Angry son/daughter (HF ttmt / levothyroxine dose / late Ca CXR dx ) Concerned relative (Confused dad / mother with son / dementia mum / premature son / baby not cared / child in NICU / epilepsy) Demanding treatment (OCP 6m prescription / Atbes / migraine wants CT / varicose vein Missing investigation (bx / Full blood / Foreign body Medical error (Pneumonia / Leg swelling / missed child fracture) Information governance (change note / FB post) Angry with colleague (post-MI with physiotherapist / change counsellor / GP could not complain) Abortion and Miscarriage Testicular examination (epididymitis / test. Mass / teaching J undescended testis / scrotal mass ) Ear pain / Otoscopy (ear wax / FB / cholesteatoma / loss of hearing ) Catheterisation Abdominal examination (alcoholic liver disease ) Antenatal examination Prostate examination (PSA result / demanding ) Pap Smear (Mild dyskaryosis / lesbian ) MMSE ABG Venepuncture (PCTM OD / blood culture )COUNSELLING SIMMAN PEDS Breast examination (lump ) Herbal medication (mother to child) 2 people policy CF Pre-natal Counselling ‘Smoking cessation (COPD ) Drug dependance Contraception Alcohol cessation Concerned about dx or treatment (Breast Ca chemo ) MRSA 16yo pregnant vomiting Unwell taking oxybutynyn (confused/nausealvomiting) Post op knee operation Sexual orientation and gender identity counselling Bullying (lesbian / workplace ) Acute Ashtma Attack Sepsis (Uro ) Anaphylaxis Confusion (infection / low Na / UTI / urinary retention / citalopram) AFib (& Pulmonary Oedema / & HF Acute limb ischaemia Hypoglycaemia Pulmonary Embolism (Hysterec ) Post- TURP Baby w/ rash (amoxi allergy / urticaria ) Enuresis Infection (UTI / Chlamydia Immunization (8w )HX BASED Gilbert syndrome Fall from height (NAI / Ol / Orthop) Viral encephalitis Seizure Febrile convulsion Sore throat (sinusitis) / tonsiltis (and tonsillectomy) Jaundice (physiological / neonatal Chicken pox (also in OBGYN) Neonatal conjunctivitis (Gonorrhea caused) Meconium premature baby Scabies Developmental Milestones (Speech / walking ) Impetigo Barrett Oesophagus Chest pain Vestibular Neuritis Allergic rhinitis Distended abdomen Pericarditis Fit (epilepsy ) Skin lesion (seborrheic kheratosis / melanoma / Rash & Cellulitis / wedding coming / scabies ) Ductal Carcinoma in situ Dizziness (BPPV / Menieres / Spells ) Gout Urinary incontinence Infection (UTI / Syphilis, Dysphagia HemangiomaMANAGEMENT Leukemia Tummy pain Diarrhea (Coeliac disease / IBS) Thalassemia Diabetic retinopathy Obstructive Sleep Apnoea Syndrome Back pain (Renal colic / sprain / MM ) Otitis Media (Acute Supurative) Facial palsy Eye Pain (Glaucoma / MS / Optic neuritis ) esophageal Cancer Prostate cancer Age-related macular degeneration Cataract Diabetic Ketoacidosis (DKA also in PED) Haematuria (painless ) Bell's Palsy Pulmonary Embolism (Trans ) Fall (Postural hypotension ) Palpitation COPD (& Tiredness Haematuria Erectile dysfunction (gay pt Raynaud's Syndrome Lump in neck Anaemia (vegan diet / iron def ) Insomnia (domestic violence / post partum depression ) Post Ml (HF / Lifestyle mods / not walk / SOB / drug side effects )OBGYN PSYCH Reluctant to be admitted / going to hospital (MI / DKA) Blood reports (Alcoholic hepatitis’ High WBC / PCO ) Stroke assessment Post-mortem ABG - refer to cardio Testosterone overdose Cannula (blocked / IV / post apendec ) Scopy (sigmoidosc colorectal polyp / Coeliac endosc ) Analgesia (nephropathy ) Meds side effects (tiredness & ED) Needlestick injury Lesbian cervical smear Pre-op assessment (screw removal) Post-op complication (cyst infection ) Review meds (hypothyroidism ) SC Heparin Denying treatment (breast Ca / PMR and steroids / HF) ‘Swab test: Gardnerella vaginalis +ve Antenatal clinic (Rubella -ve, smoker, alcoholic, breech) Polycystic Ovarian Syndrome Post-menopausal bleeding UTI in pregnant woman Pre-eclampsia (Ramipril pregnant lady ) Pelvic Inflammatory syndrome Vaginal discharge Pre-eclampsia Premature Ovarian Failure Mood swing, stopped Depo-provera Depressive lesbian after partner's miscarriageLow Mood (4, weight loss after husband left /5 / because of daughter ) Depression (not improving with CBT / suicidal ideation ) Behaviour problems in child (tantrum / conduct disorder ) Delusional disorder Psychotic episode4_5895574828374558914. pdf