APPLIED ENGLISH FOR INTEGRATIVE MEDICAL CASES

DIAGNOSTIC EVALUATION

Members:

·       Armas Fátima

·       Cadena Nicole

·       Cáliz Diana

·       Gutiérrez Carlos

·       Llerena Sheyla

·       Vásquez Gissela

Curse: 10th “A”

Clinical Skills Assessment

• Objective Structured Clinical Examination (OSCE):
  • Phases: Set up multiple stations focusing on key clinical skills such as:

PATIENT HISTORY TAKING: MEDICAL INTERVIEW

QUESTIONS:

1)    Describe the key components of an effective medical interview. What specific skills are essential for establishing rapport with the patient and ensuring accurate information gathering

An effective medical interview must begin with an appropriate greeting and a clear purpose a clear purpose. Building trust requires empathy. Data collection involves open-ended questions and paying attention to nonverbal cues. Build trust through active listening and a non-violent attitude and a non-violent attitude. A critical attitude is essential. Accuracy is ensured by clarifying and clarifying and summarizing information. The interview concludes with a summary of the key points and next steps, allowing the patient to ask questions with the physician, and thus provide us with sufficient information

2)    Consider a scenario where a patient is reluctant to share personal health information. What strategies would you employ during the interview to encourage openness and facilitate effective communication?

When a patient is reluctant to share personal health information, building trust is essential. Start by creating a comfortable environment with a friendly greeting and active listening, showing empathy and understanding. Explain that all information is confidential and will only be used to improve their care. Use open-ended questions to encourage dialogue and avoid judgmental reactions, reassuring the patient that your role is to help. Give the patient control over the pace of the conversation, allowing pauses if needed. Summarize key points to show you’re attentive and ensure understanding. If the patient remains reserved, offer a follow-up appointment to gradually build trust.

PHYSICAL EXAMINATION

QUESTIONS:

3)    Describe the significance of auscultation during a physical examination. What specific techniques should be used when auscultating the heart and lungs, and what key findings would you listen for?

Auscultation is an essential technique in the physical examination, allowing the body's internal sounds, such as those of the heart and lungs, to be heard in order to assess their function. Using a stethoscope, abnormal sounds that indicate disease can be detected. When auscultating the heart, one should listen to different areas: aortic, pulmonic, tricuspid, and mitral, paying attention to normal sounds (S1, S2) and abnormal sounds such as murmurs or extraneous sounds (S3, S4). In the lungs, one listens to the front and back of the chest, looking for normal (vesicular) sounds and abnormal sounds such as wheezing, rales, or snoring, which could indicate conditions such as asthma, pneumonia, or bronchitis.

4)    Explain the importance of inspecting the skin during a physical examination. What specific signs or abnormalities should you look for, and how might these findings guide your differential diagnosis?

The importance of inspecting the skin during a physical examination lies in its ability to reveal early signs of systemic or dermatological diseases. The skin is the most visible organ and often reflects overall health status. For signs should be looked for such as rashes, color changes (pallor, jaundice, cyanosis), lesions, ulcers, suspicious moles, or texture changes on the skin. These findings can guide the differential diagnosis toward conditions like anemia, liver failure, heart failure, infections, or skin cancer. Detecting these signs early can aid in timely intervention and disease management.