OSCE Clinical Skills Discussion 5

Watch the following videos, then complete the required assignment. Review the document in Course Resources for instructions on accessing the videos.

Lab 1

OSCE Clinical Skills

Sore throat15:08

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan?

Lab 2

OSCE Clinical Skills

Cough 16:29

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan?

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You are going to observe and participate in the clinical encounter of a 17‐year‐old patient who comes to the office with a complaint of a sore throat.

As you observe the encounter, you will be asked to answer questions while the image on the screen freezes. These questions will allow you to practice history taking and physical examination skills as well your clinical reasoning as you develop your assessment or differential diagnosis, and your plan—that is, an appropriate diagnostic workup.

You will have time to record your findings and receive feedback.

Health History

Tell me your special concerns today.

I have had a sore throat for the past week. I feel achy and tired and I don’t feel like going to softball practice.

What are your diagnostic considerations at this point in this age group?

Strep throat.

Viral pharyngitis.

Infectious mononucleosis.

Have you had any fever or chills?

My mom checked my temperature yesterday, it was 100°F, but I haven’t felt any chills. OSCE Clinical Skills Discussion 5

Okay, how about swallowing?

Yeah, it’s been pretty hard to swallow. I can get down food but…drinking is a lot easier.

Any swollen glands?

The glands in my neck have felt pretty swollen for the past few days.

Okay, is anyone sick at home or at school?

Um…yeah my friend on my team, she had the same thing. She felt really tired for a couple of weeks. About two months ago my sister had a sore throat for a while and she felt really tired.

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What about earache or your sinuses?

My ears and sinuses are okay, I have a slight headache right in the front of my head.

How about cough?

No, I don’t really have a cough. Mostly my throat just hurts and um…I feel really tired.

Okay, any changes in your weight or your appetite?

I’m not really hungry but my weight seems about the same.

Have you tried anything to get yourself better?

Well, to be honest, I took some amoxicillin from our medicine cabinet for the past few days. My sister thought it would help, but I still feel the same.

Okay, how much amoxicillin did you take?

It was about two or three times a day.