Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

Checklist

MP

Checklist

MP

Use of non-verbal cues, e.g. good eye contact,


nodding head and good body posture
Systematic approach
Explores and responds to ICE:
Ideas
Concerns
Expectations
Shows empathy
Non-verbal skills
Allergies

Avoids technical jargon

Social history:
Alcohol intake
Recent foreign travel/foreign contacts:
Jaundice in other members of the travelling
party
Water consumed (mineral water, tap water,
boiled water)
Diet:
Recent changes
Takeaways
Barbecues
Smoking
Intravenous drug abuse (as above)

Devises holistic management plan and addresses


psychosocial issues as well as medical problems
Summarises
Offers to answer any questions
Thanks patient

Summary of common conditions seen in OSCEs


Underlying
mechanism

Condition

Prehepatic

Bilirubin in blood

Bilirubin
in urine

Liver function
tests

Haemoglobin

Nil

Nil

(AST>ALP)

(ALP>AST)

Unconjugated

Conjugated

Haemolysis
Thalassaemia
Haematological malignancies
Gilberts syndrome

Hepatic

Any liver causes (see Chapter 3


on abdominal examination)

Obstructive

Gallstones
Cholangitis
Primary sclerosing cholangitis
Biliary atresia
Lymphadenopathy around
inferior aspect of liver
Benign cyst
Cholangiocarcinoma
Pancreatic cancer
Duodenal cancer

You might also like