OSCE case studies assignment#

ASSIGNED OSCE CASE STUDIES:

1. Students will develop and complete My Checklist and Patient Notes of assigned case scenarios per week using the templates for My Checklist and Patient Note which will be submitted in the Blackboard under Assignment Tab with heading OSCE case studies.

2. The completed My checklist and Patient Notes for all weekly-assigned case scenarios will be submitted on or before the given deadline.

3. All assigned case scenarios can be retrieved from Mastering the USM LE Step 2 CS Clinical Examination: Retequiz (2013) 3rd edition, ISBN -13:978-0071443340, thecourse supplemental reference material.

4. The grading for My Checklist (2.5%) and Patient Note (2.5% per case scenario) of weekly-assigned 5 case scenarios will be equivalent to a total of five (5%) of the total total grade.  See rubric for grading of assignments and late assignments will follow late assignment submission policy.

5 case scenarios (5 pts) 1. 65 year old woman complaining of hearing loss 2. 65 year old man with difficulty of swallowing 3. 41-year old man with blurred vision 4. 25-year old man complaining of sore throat 5. 25-year old pregnant woman for prenatal visit auscultation, the examiner evaluates pertinent systems associated with the subjective complaint including applicable systems which may be causing the problem, or which will manifest or may potentially manifest complications and records positive and pertinent negative findings.

b. Performs appropriate diagnostic studies if equipment is available.
c. Records results of pertinent, previously obtained diagnostic studies. d. Use Handout Guidelines to Physical Examination.

3. Assessment (2 points)

a. Diagnosis/es with pathophysiology is (are) derived from the subjective and objective data

b. Differential diagnoses with pathophysiology are prioritized — (minimum of 2) c. Diagnosis/es come(s) from the medical domain d. Assessment includes health risks/needs assessment

4. Plan (2 points)
a. Appropriate diagnostic studies with rationale
b. Therapeutic treatment plan with rationale

c. Was this patient appropriate for a nurse practitioner as a provider? Is consultation or collaboration with another health care provider required?

d. Health promotion/disease prevention carried out or planned: education, discussion, handouts given, evidence of patient’s understanding.

e. What community resources are available in the provision of care for this client?

f. Referrals initiated (including to whom the patient is referred to and the purpose)

g. Target dates for re-evaluating the results of the plan and follow up.

Recapitulation of OSCE Case studies Assignments:

1.Subjective (4 points)
State the patient’s chief complaint, reason for visit and/or the problem for which the patient sought consultation.

  • a. History of Present Illness: All symptoms related to the problem are described using the following cue descriptive categories:

1) Precipitating/alleviating factors (including prescribed and/or self-remedies and their effect on the problem).

2) Associated symptoms

3) Quality of all reported symptoms including the effect on the patient’s lifestyle

4) Temporal factors (date of onset, frequency, duration, sequence of events)

5) Location (localized or generalized? does it radiate?)

6) Sequelae (complications, impact on patient and/or significant others

7) Severity of the symptoms

  • b. Past Medical History including immunizations, allergies, accidents, illnesses, operations, hospitalizations.
  • c. Family History includes family members’ health history.
  • d. Social history to include habits, residence, financial situation, outside assistance, family inter-relationships.
  • e. Review of Systems relevant to the chief complaint/presenting problem is included.

Charles R. Drew University of Medicine and Charles R. Drew University of Medicine and Science Mervyn M. Dymally School of Nursing NUR620: Advanced Physical Assessment and Clinical Diagnosis Course Syllabus Fall 2022 August 27 — November 13, 2022

Include pertinent positives and negatives.