Case 3 – Arm Pain Spousal Abuse

You are seeing Mrs. McNeil, a 31 year old female in your general practice clinic. She states that she recently injured her arm while cleaning her home. Take a focused history of her complaint. History Inquires about circumstances in which injury occurred Timing of...

Case 2 – Hip Pain

You are seeing Mrs. Goldberg, a 76 year old female from a nursing home who has been well until today. She presents to the Emergency Department after being found on the floor of her room in her nursing home. She was alert and oriented when she was found, and has felt...

Case 1 – Knee Injury

You are seeing Sarah Tseng, a 21 year old female in the Emergency Department. She comes in complaining of severe left knee pain after she fell while running. Perform a focused physical examination. Physical Examination Inspection Examines both knee joints for SEADS...

Case 4 – Diabetes

You are seeing Mrs. Rajwal, a 69 year old woman, who feels concerned about her health. She heard that her sister was recently diagnosed with diabetes and wonders if she is at risk of developing the disease as well. Take a focused history, addressing Mrs. Thompson’s...

Case 3 – Sleep Problems

You are seeing Mr. Le, an 83 year old man, because of recent sleep problems. He says he hasn’t had a full night’s sleep in over a week. He currently lives alone. Please take a focused history. History Onset and duration of insomnia Amount of sleep per night Quality of...

Case 2 – Uncontrolled Blood Pressure and Elder Abuse

You are seeing Mr. Sampson, a 71 year old man, for the first time in 3 years. He says he hasn’t had his blood pressure checked recently and would like you to assess it today. He wanted to come sooner but says he couldn’t. Please take a focused history. History...

Case 1 – Feeling Slow

You are seeing Mrs. Rostov, a 61 year old woman, because she feels slow. Take a focused history, and perform a physical exam pertinent to her complaint. History Clarifies patient’s recent symptoms of fatigue Onset and duration of symptoms Asks about sleep habits Cold...

General OSCE Tips

History Tips The following are essential for a complete history: All the features of the chief complaint (onset, duration, alleviating and aggravating factors, frequency, etc.) Past medical history Smoking/Alcohol use, as well as illicit drug use Allergies Current...

Case 5 – Jaundice

You are seeing Mr. Jamison, a 45 year old known alcoholic, in the ER because he states that his skin color has recently changed. Please perform a focused physical examination. Physical Examination Inspection Comments on overall appearance Comments on proximal and...

Case 4 – Recurrent Abdominal Pain

You are seeing Mrs. Park, a 62 year old female, in the ER for recurring abdominal pain that has recently worsened. She would like to know what’s been causing this pain and comes to you for investigations. Please take a focused history and perform a focused physical...