Thursday, February 25, 2010

Clinical Skills

So this is what I've learnt so far from going to The Canberra Hospital (TCH) sessions each Thursday.

Clinical skills part 1:
Communication, always something thats handy to have between a patient and doctor.

To cure sometimes, relieve often, comfort always!

Clinical skills part 2:
Someone presenting with chest pains means they have a pulmonary embolism. This is, for lack of a better word, bad, bad, bad, very very bad. Make sure they don't leave the clinic without seeing a proper doctor, ie. someone other than me!

Wash hands ALWAYS! Before seeing a patient, wash, greeting patient and thinking about doing anything related with physical contact, wash, make the physical contact, wash, before leaving the patients room, wash, writing up the patient notes, wash, contemplating about seeing another patient, wash, and the cycle continues.

3 comments:

  1. Haha.. yes, washing hands.. the painstakingly obvious yet hard to remember to do..!

    Chest pains = pulmonary embolism.. hmmm i'm not sure about that one.. lol.. but yes, will keep that in mind too!

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  2. oh pls correct me if I'm wrong. What other differential diagnoses would you suggest!? lol

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  3. You're probably right about your case tho.. it's just that our first PBL case presented with chest pains but it was angina.. so that's been stuck in my head for a while.. just a demonstration that chest pain can be many things.. lol and according to one guy in my PBL, everything leads back to radiation poisoning.. HAHA.. as it turns out (from clinical skills when my tutor pretended to present with chest pain) it can just be musculoskeletal injuries sustained from going to the gym! LOL

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