Notesale: Turn your study into money

Document Preview

Extracts from the notes are below, to see the PDF you'll receive please use the links above

---

INTRODUCTION
PLAB II-UKMLA CAPSULES
Conquer All 16, Score a Perfect 12!

Dr
...
Ahmed Ezzat

UKMLA INTRODUCTION

UKMLA
DOMAINS

FOCUSSED
DATA
GATHERING

SOLID
MANAGEMENT

PROFESSIONAL
IPS

DATA GATHERING

Data Gathering
❖ INTRO
(Hello Am …
...
Could You Confirm Your Name For Me? Nice To Meet You…
...

A: Associated symptoms: Other than the pain, is there anything else bothering you ?

Data Gathering
❖ MAIN COMPLAINT :- (SOCRATES / FODPARA / TRAC / Specific Complaints)
FODPARA
F: Frequency : is it the first time for this to happen ?
O: Onset : did it start suddenly or gradually ?
D: Duration : for how long you've been experiencing this symptom? If > 2 wks : is there any particular reason why you came
today and not earlier ?
P: Progression : is it getting better or worse ?
A: Aggravating Factors : Anything makes it worse ?
R: reliving Factors : Any thing makes it better ?
A: Ass symptoms : any thing else bothering you with the pain ?
TRAC
T: Timing : When did it start ? (If vomiting , How many times ? When was the last time ? )
R: Relation : Could you related to any thing/Triggers ?
A: Amount : is it profuse or scanty ?
C : Color & consistency ? What is the color ? Any blood ?
❖

OTHER COMPLAINTS
Apart From That Do You Have Any Other Complaints ?

❖

RED FLAGS
(According To Every Chapter)
❖

DIFFERENTIAL DIAGNOSIS
N
...
Do Not Waste A Lot Of Time In D
...
G
...
Do You Use Any Kind Of Contraception ?
Pap Smear …
...
So How Is Your Mood ?

❖

SUPPORT

Is There Anyone Around To Support You?
❖

LIFESYLE (DESA)

Going To Your Lifestyle Habits, Do You Smoke ? Do You Drink alcohol ? By Any Chance, Have You Used Any Recreational Drugs ?
Could you walk me through your diet? What do you do for living?
❖

End Of History Taking / Examination

Thank You So Much For Answering My Questions
...
Would That Be Okay With You?

MANAGEMENT

Management
❖

DIAGNOSIS
Positive Findings: From The History & Examination, As You Have Mentioned The Fact That You Had…
...

Sort Your Diagnosis: Self Limited – Serious – Manageable – Curable

So How Does That Sound To You? Do You Have Any Concerns At All?

❖

INVESTIGATIONS

❖

TREATMENT
1- Symptomatic Treatment
2- Definitive Treatment ( Referral Or Admission Or Give Treatment )
3- Advices
4- Safety Netting

5- Follow Up & Leaflets

IPS

Main Point In IPS
INTRO

SYMPATHY AND EMPATHY
Idea, Concerns & Expectations (ICE)
IMPACT

SUPPORT

Fixed Rules In IPS
Sign Posting:

Regarding Your General Health… Going To Your Lifestyle Habits…

Acknowledgement Of Concerns / Feelings
...




TYPES OF THE CONSULTATIONS:

Face-to-face Consultation
“Hello Am [Your Name], One Of The Doctors Working Here
...
Well, Nice To Meet You
...
Could You Confirm
Your Age As Well ? Alright, So How Can I Help You Today ? ( Use the info in the task ) "
Phone/ Video Consultation:

Hello, Am I Talking To Ms
...
So the reason I’m calling you is
...
Is it good time to talk ?Alright, So Before
We Begin, I need to confirm few data to make sure I am talking to the right person , Could you please
confirm your DOB & first line of address please ? (IF Video : Can You See And Hear Me Clearly ? )
Alright, So How Can I Help You Today?
"AFTER THE PATIENT SAYS THE COMPLAIN:
“Oh, I Am Really Sorry For What You Have Been Through, This Must Been Difficult For You
...
How Is He Doing Now?



If He Passed Away: I Am Truly Sorry For Your Loss, My Deepest Condolences To You
...
Are you alright ?



1st Step: Assurance: You know that I Am Here To Help And Support You, but in order for me to
do so , I need to know what's going on with you ?



Or: I Understand That Talking With A Stranger Can Sometimes Be Difficult But Am Here To
Help And Support You
...


"Thank You So Much For Opening Up With Me And Being The First Person To Talk To Him
...
"
❖

EXPRESSING ANGER: I AM VERY ANGRY
...
But May I Ask You Why?"

❖

PLANNING FOR PREGNANCY: I AM PLANNING TO GET PREGNANT
...
"
❖

WEDDING PARTY ANNOUNCEMENT: MY WEDDING PARTY IS NEXT WEEK
...
"

❖

QUITTING SMOKING: DECIDED TO CUT OFF SMOKING
...
I Will
Do My Best To Support And Help You
...

"I Can See You Are Feeling Low; And Am Really Sorry For That But May I Ask You Why?"

❖

EXPRESSING WORRY: I AM WORRIED
...

“Well, We Do Respect All Religions And Rituals; However, We Have Rules In The Hospital
...
"

❖

JEHOVAH'S WITNESS CONCERNS: I AM A JEHOVAH'S WITNESS
...
So, What Do You Think If We Give You Fluids Instead ? Would That Be Okay With You? We
Can Also Take Your Blood Before The Operation And Give It Back To You
...
Let Me Reassure You That We Are Going To Do Our Best To Help And Support You
...
ABOUT HUMAN WELL-BEING AND THE IMPORTANCE OF REGULAR CHECKUP SO WE
DECIDED TO COME
...
You Made The Right Decision By Coming Here & We Will Do Our Best To Take Care Of You
...


Thank You So Much For Being So Caring, I Appreciate What You Have Done
...

❖

I HAVE HTN 2 YEARS AGO (> TWO WEEKS)
Oh, It Is A Quiet Long Period
...


Of course we can help you with that but would you mind me asking you few Qs to be able to help you properly?
Show A Lot Of Empathy And Support
...

❖

I Apologize If I Am Asking Too Many Questions, But I Just Wanted To Make Sure I am not Missing Anything
Serious
...


AFTER YOU FINISH THE HISTORY AND BEFORE THE EXAMINATION AND OBSERVATION
STEP
...
Now, I Would Like To Check Your Observations And
Examine You
...


ADMISSION


Well, It Would Be Helpful /its highly advisable If You Stayed With Us For A While And Be Admitted So We
Can Run More Tests And Administer Some Medications
...
So, What Do You Think? Is That Okay With You?
IF HE AGREED: Thank You For Agreeing
...



Do You Have Any Concern At All?

IF HE ASK ABOUT TREATMENT Then Start Your Treatment Plan
...
I can see this is a lot to absorb at the moment
...
Would you like me to bring some water for you or call someone to be
with you ? Do you have any concerns you would like me to address ?

I BROUGHT MY SON, DAUGHTER, DAD, OR MOM AS HE/SHE HAS CHEST PAIN
...


ICE
❖ IDEA
(At The End Of The Data Gathering Or Before The Diagnosis)
Do You Have Any Idea What Might Be Going On ?

❖ CONCERN
(At The End Of The Data Gathering, After Explaining The Diagnosis & Once More In The Management Or At The
End)
▪
▪
▪
▪

Is There Anything That Is Worrying You The Most ?
Well, I Appreciate Your Concern, But May I Ask You Why You Are Concerned About That ?
...

Coming Back To Your Concern……

❖ EXPECTATIONS
(At The End Of The Consultation But Preferably With The Concern)
Do You Expect Anything From Today’s Visit That We Did Not Do So Far ?
Or: Is There Anything That You’re Expecting From Me Today ?

IMPACT
Ask In Any Chronic Condition or complaint more than 2 weeks – I Can See That …3 Months Of Tiredness Is Quite
A Long Period,
So How Are You Coping With That ? How does it affect your Day To Day Activities (Sleep – Appetite – Job)? And
How Is Your Mood ?

SUPPORT SYSTEM
Is There Anyone Around To Support You ?
OR
Do You Have Any Kind Of Support Around You ?


If Yes: Well, I Am Glad That Your Husband/Wife Is Supporting You
...




If An Old Age And Needs Help: Would You Like Me To Discuss With My Senior To Offer A Care Giver To
You

---