Present to senior
Every case ends with a microphone. Finish the case, then give the presentation you would give at the board; the grader checks it against what the case showed and tells you what a senior would still want to hear.
The shape
- 1Identify. Age, gravidity and parity, gestational age (or postmenopausal status), and the one-line reason she is here.
- 2The story. Onset, course, the pertinent positives and negatives, the obstetric history that matters to this presentation.
- 3Examination. Maternal vital signs, the abdomen and fundal height, the cervix if examined, and the fetal status: heart rate, monitoring category, movements.
- 4Investigations. Only the results that change the assessment, with their frameworks named when the number depends on one.
- 5Assessment. Commit to a working diagnosis with the reasoning, and the two or three differentials you have not yet excluded.
- 6Plan. By problem, including what has been done, what is pending, and who has been called.
Choose a patient
- A first pregnancy, from eight weeks to the postpartum ward31 y, G1P0, 8+2 · 9 steps, then present
- Headache and swollen hands at thirty-two weeks24 y, G1P0, 32+3 · 5 steps, then present
- Painless bleeding at thirty-three weeks34 y, G2P1, 33+1 · 4 steps, then present
- A gush of fluid at thirty-one weeks26 y, G2P1, 31+2 · 4 steps, then present
- Left-sided pain and a positive test28 y, G2P0, 6+1 · 4 steps, then present
- A first labour that slows at seven centimetres30 y, G1P0, 40+3 · 6 steps, then present
- Second stage, and the strip changes33 y, G3P2, 39+4 · 4 steps, then present
- Fever on the third day after a caesarean29 y, G1P1 · 3 steps, then present
- Heavy periods at forty-five45 y, G3P3 · 4 steps, then present
- Sudden right-sided pain and vomiting19 y, G0P0 · 3 steps, then present
- Periods every few months and hair she does not want17 y, G0P0 · 3 steps, then present
- She would like the pill26 y, G0P0 · 3 steps, then present