OSCE
March 2012
A&E, PYNEH
Case 1
 A 68 year old gentle man present with low
back pain for 4 months. Initially the pain
was mechanical which increased pain on
moving and later it also occurred at rest.
What’s next
 Physical exam;
– Chest, abdomen and PR
 Investigation:
– CXR, XR of more region if appropriate
– Blood test: Ca, CK, PSA
Case 2
 A 4 year old girl fell from bed with head
injury 2 days ago.
 There was no loss of consciousness and no
vomiting.
 On physical examination, the girl was
actively playing with no neurological deficit.
Counseling
 CT scan
 Likelihood of neurosurgical intervention
(the child is already stable for 2 days)
 radiation
Case 3
 A 35 year old manual worker suffered an
electric
– History:
• Voltage
• LOC
– PE:
• Extend and depth of burn
• other exit wound
• circulation
– Investigation: CK, ECG
Case 4
 Anterior or posterior dislocation: need
scapular view
Hill-Sach lesion
Thank you