CVA – ED

Cerebrovascular Accident (CVA) Ischemic – thrombotic vs embolic, vasculitis, connective tissue disease, IVDU Hemorrhagic – intracerebral / SAH (majority of trauma) – 90% internal capsule, AVM (h/a and Sz if unruptured & coma/ICB if ruptured), mycotic (septic embolus) Epidural hematoma

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Seizures – ED

Seizures 1. Consider the possibility of a seizure in the differential diagnosis for a patient with an atypical presentation but without witnessed frank seizure movements (e.g., confused or altered level of consciousness, incontinence, fall/injury/accident, tics in children). Classifications Generalized tonic-clonic

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Eye: Red Eye/Loss of Vision – ED

Eye: Red Eye/Loss of Vision 1. In patients with red eye, do not make a diagnosis of conjunctivitis without having first ruled out more serious possibilities (e.g., glaucoma, iritis, keratitis, foreign body). Red Eye ddx: conjunctivitis, iritis, keratitis, acute glaucoma

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DVT / PE – ED

Deep Venous Thrombosis (DVT)/Pulmonary Embolus (PE) 1. In a patient whom you suspect may have a DVT/PE, include the specific elements in the history that will permit an accurate assessment of the patient’s baseline risk of the illness. History: dyspnea

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Ischemic Heart Disease – ED

Ischemic Heart Disease 1. Given a patient with potential acute coronary syndrome (ACS), initiate diagnostic testing without delay and plan ongoing testing until diagnostic resolution (e.g., early and serial ECG, early biomarker testing, chest pain protocols). 2. In patients with

Posted in CCFP EM, Uncategorized

Chest Pain – ED

Chest Pain 1. In a patient with undifferentiated chest pain, assess for life-threatening diagnoses first and promptly recognize clinical presentations that clearly suggest these diagnoses (e.g., ACS, PE, pneumothorax, aortic dissection). Potentially Life threatening chest pain ddx: Unstable angina /

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OSCE – General Review

Read the orientation file: http://publications.mcc.ca/qeii-candidate-orientation/ History Key Questions: Adult: OPQRSTAAA: Onset, Position/Location, Quality, Radiation, Severity, Timing, Aggravating factors, Alleviating/ Relieving factors, Associated symptoms Why is that a worry to you? What can’t you do now that you can do before?

Posted in OSCE

Last Minute study points

Read the SAMP instructions & do the practice exam (get to know the interface) http://www.cfpc.ca/uploadedFiles/Education/Certification_in_Family_Medicine_Examination/SAMPS%20instructions%20-%20Eng.pdf Four Principles of Family Medicine The family physician is a skilled clinician. Family medicine is a community-based discipline. The family physician is a resource to

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Chronic Disease

1 In a patient with a diagnosed chronic disease who presents with acute symptoms, diagnose: – acute complications of the chronic disease (e.g., diabetic ketoacidosis). Compression # in Osteoporosis – acute exacerbations of the disease (e.g., asthma exacerbation, acute arthritis).

Posted in 14 Chronic Disease

Chest Pain

1  Given a patient with undefined chest pain, take an adequate history to make a specific diagnosis (e.g., determine risk factors, whether the pain is pleuritic or sharp, pressure, etc.). Hx: OPQRSTAAA approach: Onset/duration: sudden vs gradual? Hours vs days?

Posted in 13 Chest Pain, 99 Priority Topics, Cancer, FM 99 priority topics
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CCFP ExamApril 30th, 2015
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