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Archive for the ‘FASM1’ Category

January 8th, 2024 by admin

A1 et A2 – recommandations; podcasts

Les revues médicales sont des sources d’informations fiables.  Voici quelques suggestions : BMJ, JAMA et BJSM (sports medicine)

Pour une présentation souvent humoristique des pathologies et leur histoire, je vous conseille “This Podcast Will Kill You

Si vous êtes intéressé par la nutrition, ZOE présente des interviews concernant la recherche dans ce domaine.

Microbe.tv provides specialised coverage of virology, immunology, microbiology, neuroscience etc.

January 8th, 2024 by admin

A1 : last scenario

La dernière séance portera sur le thème de la cardiologie.  Il aura lieu les 15 et 16 janvier pour les groupes A, et les 29 et 30 janvier pour les groupes B.

L’histoire concerne une personne souffrant de douleurs thoraciques, potentiellement liées à un problème cardiaque.

Il peut être utile de réviser les principaux problèmes cardiovasculaires, infarction, syndrome coronaire aigu, arrhythmie etc.   N’oubliez pas de regarder également les sites étiquetés “patient information” pour vous aider à savoir expliquer et simplifier les notions complexe ou le jargon médical.

November 6th, 2023 by admin

A1 – Scenario 3

Groupes série A : 13 et 14 novembre

Groupes série B : 8 et 9 janvier

Le scénario tourne autour d’un problème respiratoire.  Réviser le lexique concerné (difficulty breathing, pneumonia, wheeze, cough…) ainsi que la prononciation.

Il sera également utile de savoir expliquer la ventilation “CPAP”

October 17th, 2023 by admin

FASM1 – Scenario 2

The next OSCE scenario is about abdominal pain.

In preparation revise :

1) how to do an abdominal examination (for the liver, pancreas and bile duct).  Google “OSCE abdominal examination” for videos and web pages.

2) ERCP procedure : click here for a good explanation

September 25th, 2023 by admin

OSCE session 1

Today’s slides

Additional reading
History taking revisited (pdf) : an article published in 2021

Source for today’s handouts (abbreviations and tips) : David M. The Easy Guide to Focused History Taking for OSCEs. CRC Press.

Infographie pour la méthode ABCDE.

SOCRATES : pain assessment

SOCRATES

Maria, Sonja & Micalos, Peter & Ahern, Lauren. (2022). Recognising, assessing and managing chest pain. Journal of Paramedic Practice. 14. 16-24. 10.12968/jpar.2022.14.1.16.

November 7th, 2022 by admin

Case Reports FASM1

Pour les retardataires, voici le lien avec les case reports déjà réservés

Votre présentation doit durer de 3m30 à 4m30.  Il doit être compréhensible pour quelqu’un n’ayant aucune formation médicale.

Venez avec la présentation sur une clé USB (avec une version pdf en roue de secours) ou assurez-vous de pouvoir récupérer le fichier “in the cloud”.

Diapos du jour : Presenting your case report

 

October 4th, 2022 by admin

Case report – Simple English

Here is a simplified version of the document : McNeil, Julian. “Complete heart block in a Caucasian woman with Behçet’s disease: a case report.” Journal of medical case reports 10.1 (2016): 1.

This case concerns a 48 year old Caucasian woman who was hospitalized for lightheadedness, muscular weakness, blurred vision, feeling faint, and feeling sick, with an abnormal heartbeat. Doctors carried out an electrocardiogram to visualize the heartbeat which showed that the electrical signals were not being correctly transmitted between the chambers of the heart. This explained the woman’s symptoms, and because it can be fatal doctors fitted a pacemaker and the symptoms disappeared. They then checked the the levels of a protein called troponin were normal and this allowed them to conclude that there was no damage to the heart muscle.

The woman subsequently suffered from frequent watery diarrhea, and said that she had regularly had painful ulcers on her mouth and genitals over the previous 10 months, and sometimes complained of swollen and tender joints, as well as a period of redness in her eyes that lasted two weeks. She had been to hospital 3 weeks earlier for chest pain due to an inflammation of the heart muscle, and tests showed a normal heartbeat with signs of fluid around the heart. She had a swollen right knee, and ulcers inside her mouth and on her vulva. She was a relatively heavy smoker, and when pregnant with her second child she had suffered from a blood clot in her right leg.

Doctors found no signs of bowel disease, or of skin injuries that were resistant to healing, and all tests for diseases where the body’s immune system attacks healthy cells were negative. They then tested for certain substances in the blood and the stools which might cause an immune reaction. An internal examination of the digestive system uncovered an ulcer in a part of the intestine often associated with another disease, but which was not consistent with that disease. Further tests showed inflammation of the blood vessels, but enabled doctors to eliminate the disease. Based on the woman’s ulcers, inflammation of the membranes in her joints, the ulcer in the digestive tract and her episode of inflamed eyes, doctors diagnosed a disorder named Behçet’s disease (BD). She was prescribed a drug called predisnalone to treat the inflammation, gradually decreasing the dose, and another called sulfasalzine to treat her diarrhea. Symptoms had disappeared at her follow-up appointments one and three months later.

Doctors made their diagnosis of BD on the basis of the woman’s symptoms after eliminating other possible causes. Although they did not find any long standing skin injuries, a symptom associated with BD, its absence is not enough to rule out the diagnosis. This case is interesting for a number of reasons. First of all, BD is more often found in men than in women, and secondly it occurs more frequently in regions along the Silk Road. Thirdly, despite the fact that heart problems are known to occur in BD, and that problems with electrical signals in the heart, known as heart block have already been recorded in BD patients from a non-Caucasian background, this is the first time heart block and BD have been reported in a Caucasian woman.

The fact that the levels of the protein called troponin, were normal, and that the heart muscle was in good condition led the doctors to eliminate other possible causes of heart block, and this was confirmed by the normal electrocardiogram when she was first in hospital. Therefore the doctors concluded that the heart problems were likely caused by Behçet’s disease. This led them to recommend that when BD is diagnosed, heart-related problems should be considered, even when the treatment for other aspects of the disease seems to be working, since heart block can be fatal.

October 3rd, 2022 by admin

A1 – Document du jour

FASM1 Case Report