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Case Recall
Candidate Name Rita Cruz
Date of clinical 03.11.2017 Clinical Area Cardio
exam (Neuro, Cardio-resp, Musc)
Hospital Name St. Vincents City & State Melbourne
Hospital Details & other information from Orientation:
(Access/transport to the hospital setting, details like acute Vs rehabilitation, inpatient Vs outpatient,
common type of patients seen there, location of the exam (ward Vs gym), equipment's available,
clinical records, do's and don'ts from specific local hospital policies etc)
St. Vincents has all sort of cases, medical and surgical, so you have to be ready for
everything. Orientation is the same day in the morning. Administrator, Liz, shows you the
ward and a typical room. You get to play with the beds, with the BP, the oxygen on the
wall. She also shows you the files in detail… and pay close attention, although when time
comes you might not be able to find anything and read the bloody handwrittings!... Keep
calm. Anyway, Liz is a lovely person, she really cares and she can rescue you if you’re
losing it, as you’ll see in my recall. I think you are lucky if your exam is in St. Vincents.
Information from history, charts & test reports:
(What did you have access to learn about the patient for e.g.files/digital investigation records,
observation chart, medications chart etc& What did you gather from that fore.g. Medical Hx,
Surgical Hx, Allied health assessment/ progress notes, premorbid mobility, social history, current
status of the patient etc - Please explain)
56 year old male, day 9 after L) VATS Pleurodesis
- HPC: Patient had come in on the 24th October with a Pneumothorax.
- PMx: COPD, HTN, anxiety. Had been in the hospital already in July, with a R)
Pneumothorax (he had then also been submitted to the same procedure: VATS
Pleurodesis of R) lung)
- Ex-Smoker, on nicotine patch at the moment and Diazapam
- Current notes: On 2L O2 via NS, saturation of 88-90%
- Physio notes of the previous day: Independent with nil aid, walked 40m with 2L O2
via NP. Plan: increase exercise tolerance and wean O2
- Investigations: X-ray’s report mentions bullar emphysema of the R) upper lobe
Haemoglobin was fine.
- Stability record for that morning (exam was at 11.30): borderlie fever I the
morning. Slight BP than his normal (130/90)
- Attachments: ICC and O2 NP
So… this is all I could gather. I was very organised whenever I did the recalls, and knew
exactly what to look for… but in an exam situation, with reports that you are not familiar