by Tim Milligan | Nov 16, 2015 | Urology
You are seeing Bill Byrd, a 40 year old man in your outpatient clinic because he recently noticed a testicular mass. Perform a full genital examination. Physical Examination Scrotum Inspects scrotum for asymmetry and skin lesions Palpates testicles bilaterally...
by Tim Milligan | Nov 16, 2015 | Urology
You are seeing Mr. Ali, a 72 year old male, in your outpatient clinic today for ‘bloody urine.’ Take a focused history of his complaint. History Onset and duration of hematuria Progression or worsening of hematuria Clarifies color of urine (bright red blood) Urinary...
by Tim Milligan | Nov 16, 2015 | Urology
You are seeing Mrs. Singh, a 72 year old female, in your outpatient clinic today. She tells you that she has discomfort during urination and has difficulty controlling her urine. Take a focused history of his complaint. History Clarifies symptom of dysuria Onset of...
by Tim Milligan | Nov 16, 2015 | Respirology
You are seeing Mrs. Muller, a 45 year old female, in the ER for a new pneumonia. Please examine the patient and comment on his chest X-ray. Physical Examination Inspection Comments on presence of central/peripheral cyanosis (frenulum, lips, fingernails) Inspects for...
by Tim Milligan | Nov 16, 2015 | Respirology
You are about to see Mr. Singal in your outpatient clinic. He tells your nurse that he has recently noticed blood in his sputum. Take a focused history concerning his complaint. History Onset, duration, frequency of hemoptysis Quality of hemoptysis Volume of...
by Tim Milligan | Nov 16, 2015 | Respirology
You are seeing Mrs. Clark, a 30 year old woman, in the Emergency Department today shortness of breath. Take a focused history of his complaint. History Onset and duration of shortness of breath Alleviating factors, including any use of puffers Aggravating factors,...
by Tim Milligan | Nov 16, 2015 | Respirology
You are seeing Mr. Smith, a 60 year old man, in your outpatient clinic today for a worsening productive cough. Take a focused history of his complaint. History Onset of cough Worsening cough Sputum production and volume Change in sputum color Presence of blood in...
by Tim Milligan | Nov 16, 2015 | Psychiatry
You are seeing Mr. Ozuka, a patient undergoing chemotherapy for advanced prostate cancer. You have recently performed tests which show that his tumor has progressed to an incurable stage. You estimate his life expectancy to be approximately 6 months. You have called...
by Tim Milligan | Nov 16, 2015 | Psychiatry
You are seeing Mr. Simmons, a patient of yours and the father of one your female patients, aged 16, from your general practice. He states that he recently found an empty pregnancy test container in his daughter’s trash can and wants speak to you about it. Take a...
by Tim Milligan | Nov 16, 2015 | Psychiatry
You are about to see Mrs. Chambers, a 71 year old woman, in your outpatient clinic. She was brought in today by her husband who is concerned that she’s becoming increasingly forgetful. Take a focused history related to her husband’s complaint and perform the MMSE on...
