TEALE FENNING Medical Education    FAQ   Search   Memberlist   Usergroups   Register   Profile   Log in to check your private messages   Log in  mrcog courses for doctors Structured viva: Sickle Cell Disease          TEALE FENNING Forum Index -> MRCOG Part 2: Objective Structured Clinical Examination - the OSCE View previous topic :: View next topic   Author Message Hadia Koomary Joined: 15 Sep 2008 Posts: 42 Posted: Sat Sep 27, 2008 7:29 am    Post subject: Quote: Station 1 [ with examiner] woman with sickle cell disease , what important points u would like to know from history what imp inv u would like to know? She comes with abdo pain and fever, what is ur differential diagnosis, what will be ur management She was found to have UTI which was treated , now at 38/40 spontaneous labour , what will be intrapartum and postpartum care? woman with sickle cell disease , what important points u would like to know from history what imp inv u would like to know? Hx: . severity . symptoms of abdominal pain, bone pain, haematuria . previous pregnancy / complications . previous surgical history / splenectomy . Invest.: . FBC . Rubella status . HIV / hepatitis . MSU analysis . dating US [ if she is pregnant ] She comes with abdo pain and fever, what is ur differential diagnosis, what will be ur management D.Dx: . sequestration crisis / splenic sequestration . thrombo-occlusive crises . abruption placenta Mx: . good analgesia . Re hydration . O2 . monitoring . CTG, US . manage accordingly She was found to have UTI which was treated , now at 38/40 spontaneous labour , what will be intrapartum and postpartum care Intrapartum : . avoid dehydration . adequate analgesia . antibiotic cover . vigilant monitoring . continuous CTG . Os on need PPMx: . MSU for C&S, Antibiotic accordingly . analgesia [ avoid reducing agent ] . care of perineum . haemoglubinopharesis for the baby / chromosomal analysis/ SCA is autosomal recessive disease . Back to top Nick Raine-Fenning Course Director Joined: 27 May 2006 Posts: 1852 Location: Nottingham Posted: Sun Sep 28, 2008 8:52 am    Post subject: Hi Hadia I split your post from the original so we could have a dedicated thread to this. Hope that is OK. N _________________ "Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997 Back to top Hadia Koomary Joined: 15 Sep 2008 Posts: 42 Posted: Mon Sep 29, 2008 3:48 pm    Post subject: its ok, THANKS. Back to top Display posts from previous: All Posts1 Day7 Days2 Weeks1 Month3 Months6 Months1 Year Oldest FirstNewest First         TEALE FENNING Forum Index -> MRCOG Part 2: Objective Structured Clinical Examination - the OSCE All times are GMT Page 1 of 1   Jump to: Select a forum Announcements----------------Forum AnnouncementsExam InformationCourse Announcements Examinations----------------MRCOG Part 1: EMCQsMRCOG Part 2: MCQ & Past Paper questionsMRCOG Part 2: EMQs - Extended Matching QuestionsMRCOG Part 2: Short Answer EssaysMRCOG Part 2: Objective Structured Clinical Examination - the OSCEDRCOG: the Diploma ExaminationMFFP: Membership of the Faculty of Family Planning and Reproductive Health Care of the RCOGPLAB: The Professional and Linguistic Assessment Board test General Discussion----------------Open ForumRCOG News & UpdatesThe Study Buddy SchemeKey Facts in O&GGuidelines & ProtocolsRecommended ReadingUseful WebsitesThe Market PlaceHow things work in the UKHow do you say that? Teale Fenning Courses----------------Our UK CoursesOur Overseas CoursesOur Correspondence CourseCourse AdministrationCourse FeedbackAccommodationOther Courses Training & Career Development----------------Basic Speciality Training in O&GSubspeciality Training & Special Skills ModulesAcademic TrainingResearch & AuditThe Curriculum Vitae or CVInterview SkillsMedical EducationPublication & Presentation SkillsTraining Courses, Conferences, & MeetingsThe Job MarketClinical Attachments  You cannot post new topics in this forum You cannot reply to topics in this forum You cannot edit your posts in this forum You cannot delete your posts in this forum You cannot vote in polls in this forum Powered by phpBB © 2001, 2005 phpBB Group