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Bedside presentation




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A less formal type of case presentation can take place at a patient’s bed, for example during ward rounds, when the house officer presents a new patient to the consultant; or in a teaching ward round, when a medical student presents a case to the tutor. This type of presentation begins less formally:

 


 

 
 


Slides

In a formal presentation, the main points are usually summarized on slides.

Mr. Simpson 34, plumber c/o dyspnoea 1/12; ankle swelling 2/52 SHmarried with 1 son 25 cigs/day; 50 units alcohol/week PH nilrelevant FHfather d. 42 Ml; mother a&w OEobese P110/min reg. BP100/60 CXRenlarged heart and bilat. pleural effusions

 

Exercises:

1. Write the abbreviations in words. Look at A and C to help you.

c/o ……………………………

2/52 ……………………………

PH ……………………………

FH ……………………………

MI ……………………………

BP ……………………………

1/12 ……………………………

nil ……………………………

SH ……………………………

a&w ……………………………

OE ……………………………

CXR ……………………………

 

2. Put the sections of a short informal case presentation in the correct form. Look at A to help you.

1. Mr. Collins is a 60-year-old security guard.

2. There was no relevant previous medical history.

3. He smokes 20 cigarettes per day and drinks 15-20 units of alcohol each week.

4. On examination, there was marked tenderness around the lower legs above the ankles and knees. There was nothing else abnormal to find on examination.

5. He presented with a six-week history of pain in the legs.

6. Chest X-ray showed consolidation in the left lower lobe. Bronchoscopy and biopsy showed adenocarcinoma of the lung and computed tomography (CT) scan showed that this was not resectable.

7. Treatment with chemotherapy has resulted in temporary improvement in the chest X-ray but the leg pain has continued to prove difficult to control.

8. The pain, which was located around the ankles, had been increasing in intensity and was associated with local tenderness.

9. On routine questioning, he said that he had had a morning cough.

 

3. Read the representation below and make notes for a slide. Look at C to help you.

 

 



 


tenderness - болезненность

consolidation - уплотнение

apyrexia - отсутствие температуры

costal – реберный


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