This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a clinical scenario involving a 45-year-old woman presenting with a postoperative fever after a laparoscopic cholecystectomy. It functions as an instructional case for surgical interns, requiring them to assess the patient's condition and develop a diagnostic and management plan. The case emphasises that pulmonary atelectasis is the most common cause of early postoperative fever, although other serious complications like sepsis and deep vein thrombosis must be considered and ruled out. Ultimately, it highlights the importance of thorough patient evaluation and focused interventions like breathing exercises and chest physiotherapy for common postoperative issues, leading to an uneventful recovery.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #PostoperativeFever #PulmonaryAtelectasis #LaparoscopicCholecystectomy #ChestPhysiotherapy #SurgicalRecovery #Gallstones

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a clinical scenario involving a 50-year-old man who developed confusion and delirium two days after knee surgery. The candidate's immediate task is to assess the situation, formulate a management plan, and counsel the patient's wife regarding the cause of the problem. The case guides the candidate through a structured approach, emphasising the importance of ensuring patient safety, gathering a comprehensive history, performing a thorough physical examination, and considering various potential causes for the delirium, such as sepsis, metabolic abnormalities, or alcohol withdrawal. Ultimately, it reveals the patient's delirium was initially attributed to alcohol withdrawal but was later found to be caused by intra-abdominal sepsis and acute diverticulitis with peritonitis, highlighting the complexity of diagnosing postoperative confusion.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #PostOperativeDelirium #KneeReplacementRecovery #SurgicalComplications #AbdominalSepsis #MedicalDiagnosis #AlcoholWithdrawal #AgitatedPatient

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a clinical assessment scenario for a 38-year-old woman presenting with prominent leg veins and symptoms like aching and heaviness, consistent with varicose veins. The purpose is to evaluate a candidate's ability to perform a focused physical examination and assess the venous circulatory status of the lower limb, specifically identifying issues with the superficial and deep venous systems, including valvular incompetence and chronic venous insufficiency. The case provides detailed instructions for the examination, expectations for candidate performance, and background information on predisposing factors and diagnostic approaches, including the use of tourniquets and Doppler probes.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #VaricoseVeins #VenousInsufficiency #SaphenofemoralJunction #ProminentLegVeins #VeinHealth #DopplerProbe #PregnancyVaricoseVeins #PalpableVaricosities #GaiterAreaUlceration

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a medical case study concerning a 25-year-old man presenting with jaundice and symptoms like general malaise, fever, dark urine, and pale stools. It details the candidate's tasks as a medical professional, including gathering further history, arranging investigations, explaining the illness to the patient, and advising on immediate management. The case also provides expectations for candidate performance, emphasising the need to consider Hepatitis A as the most likely diagnosis given the symptoms, travel history to Thailand, and the importance of specific liver function tests and serology. Finally, it elaborates on Hepatitis A as a public health concern, its faecal-oral transmission, symptoms, and the necessary diagnostic and management approaches.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #JaundiceAwareness #HepatitisA #LiverHealth #TravelSickness #InfectionPrevention #PublicHealth

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a cognitive state assessment for a 50-year-old barman with a history of significant alcohol consumption and recent issues with forgetfulness and unreliability. The primary goal is to assess the candidate's ability to administer and interpret the Folstein Mini-Mental State Examination (MMSE), a screening tool for cognitive impairment. The case emphasises identifying a focal impairment of short-term memory, likely attributable to chronic alcohol abuse, and differentiating this from more diffuse brain conditions. Ultimately, the candidate must explain the findings, their significance, and the probable cause to the patient and the examiner.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #CognitiveAssessment #MemoryLoss #AlcoholAbuse #BrainHealth #MMSE #ShortTermMemory #WernickeKorsakoff #Neurology #CognitiveDecline #HazardousDrinking #PatientCare

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a medical case study involving a 50-year-old man experiencing visual difficulties, specifically trouble seeing approaching cars from the sides and bumping into objects. It details the candidate's tasks to assess the patient's vision, including acuity, eye movements, and visual fields, and to determine the most likely cause of any abnormality. The case emphasises the expectation of identifying bitemporal hemianopia, a specific visual field defect, and suspecting a pituitary origin, likely a tumour, as indicated by an X-ray showing an expanded pituitary fossa and an MRI confirming a pituitary tumour. The purpose is to evaluate a candidate's ability to diagnose and investigate such a visual impairment.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #BitemporalHemianopia #VisualDifficulties #PituitaryTumor #OpticChiasmaCompression #PeripheralVisionLoss #NeuroOphthalmology #EyeHealth #VisionChanges

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a simulated medical case for a 38-year-old woman, a primigravida or first-time pregnant individual, experiencing severe nausea and vomiting in her first trimester, specifically eight weeks into her pregnancy. The primary purpose of this case is to assess a medical candidate's ability to diagnose and manage hyperemesis gravidarum, a severe form of morning sickness, while also considering other important factors. The scenario emphasises the importance of a comprehensive patient history, clinical examination, and further investigations to rule out complications like Down syndrome, given the patient's age. It ultimately serves as a guide for evaluating a clinician's diagnostic accuracy, their proposed care plan, and their awareness of potential risks and counselling needs in such a complex obstetrical case.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #HyperemesisGravidarum #SevereMorningSickness #EarlyPregnancyNausea #FirstTrimesterVomiting #PregnancyComplications #AdvancedMaternalAge #GeneticCounseling #DownSyndromeRisk #MaternalHealth #Primigravida38+

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a medical case study concerning a 3-year-old boy, Robert, presenting with spontaneous bruising and nosebleeds following a recent cold. The primary goal is to assess a candidate intern's ability to diagnose and manage acute thrombocytopenia, a condition characterised by a critically low platelet count. The provided information includes Robert's symptoms, a physical examination revealing widespread bruising and petechiae, and a full blood examination report highlighting his severely reduced platelet count of 15 x 10^9/L. The case emphasises the importance of accurately interpreting blood test results and reassuring parents while considering the possibility of spontaneous remission and the need to rule out more serious underlying conditions.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #AcuteThrombocytopenia #ChildhoodBruising #NosebleedsKids #LowPlatelets #PediatricHealth #ViralInfection #SpontaneousRemission #ParentalConcerns

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a clinical case study focused on a 35-year-old man experiencing persistent heartburn, providing a framework for medical professionals to assess and manage the condition. It details the patient's symptoms, medical history, lifestyle factors, and initial diagnostic findings, including a hiatus hernia and reflux oesophagitis. The case emphasises the importance of understanding the causes and management of gastro-oesophageal reflux, particularly stressing lifestyle modifications like weight loss, reduced alcohol intake, and smoking cessation. It also explores potential complications, diagnostic procedures like endoscopy, and various treatment approaches, including proton pump inhibitors, while offering guidance on patient counselling and future management strategies.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #Heartburn #GERD #RefluxOesophagitis #HiatusHernia #WaterBrash #DryCough #LifestyleChanges #DietTips #WeightManagement #SmokingCessation #AlcoholReduction #ProtonPumpInhibitors #PPIs #DigestiveHealth

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website.

This episode outlines a simulated clinical scenario for a medical candidate involving the insertion of an intravenous cannula for antibiotic prophylaxis. The patient requires this procedure due to a prosthetic heart valve and an upcoming dental procedure, necessitating antibiotics to prevent endocarditis. Candidates are tasked with obtaining informed consent, selecting appropriate equipment, and demonstrating the technique of cannula insertion without actually puncturing the skin, emphasising proper procedure and patient safety. It also details the expectations for the candidate's performance, including knowledge of equipment, technique, and the ability to explain the procedure effectively, along with common critical errors to avoid.

#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #IVCannulation #AntibioticProphylaxis #EndocarditisPrevention #ProstheticHeartValve #DentalCare #HealthcareSkills #PatientSafety #MedicalTraining #Venipuncture