Exertional Nausea and Dyspnea x 2 weeks
Activity
Clinical Skills Sessions
Clinical Skills Sessions
You are on a family medicine clerkship rotation at a clinic in Stoney Creek. The clinic has access to interdisciplinary
supports (e.g. social work, dietitian, physiotherapy, nursing), bedside 12-lead Electrocardiogram (ECG) and Oxygen by Nasal
Prongs, an AED (Automated External Defibrillator), X-Ray and bloodwork next door. Your nearest tertiary care hospital is <30
minutes away. Your first patient is Casey Brady, a 60 year-old from home alone in a townhouse in Stoney Creek. Casey’s reason
for visit is listed as “new onset exertional nausea and dyspnea x 2 weeks”.
Curriculum Block
Transition to Clerkship / Week 1
- Indicates most relevant
Objectives
Activity Objectives
- Practice a focused history and physical exam for a patient presenting with chest pain, dyspnea and nausea/vomiting, with a focus on the cardiac, respiratory and abdominal exam.
- Review the “can’t miss” diagnoses of chest pain.
- Practice 12-lead Electrocardiogram (ECG) Interpretation.
- Discuss initial in-office management for a patient with concern for a patient presenting with acute ST-Elevation Myocardial Infarction (STEMI) prior to transfer to hospital.
- Learn and practice the SBAR (Situation, Background, Assessment, Recommendation) tool for verbal handover of patient care.
- Learn and to practice the SOAP (Subjective, Objective, Assessment, Plan) tool for written handover of patient care.
- Practice holding a goals of care discussion with a capable patient using the Serious Illness Conversation Guide framework.
- Practice communicating serious illness news to a substitute decision maker over the phone.
Tags
Curriculum Block
Transition to Clerkship
Week 1
Curriculum Week
Transition to Clerkship
Week 1
Discipline
Cardiology
Family medicine
MCC Presentations
Chest Pain
Dyspnea
Vomiting and/or Nausea
McMaster Professional Competency
Clinical Skills
MeSH
Heart Function Tests [E01.370.370.380]
Chest Pain [C23.888.646.215]
Clinical Competence [I02.399.630.210]
Diagnostic Techniques, Cardiovascular [E01.370.370]
Dyspnea [C08.618.326]
Dyspnea [C23.888.852.371]
Electrocardiography [E01.370.370.380.240]
Electrocardiography [E01.370.405.240]
Medical History Taking [E01.370.510]
Myocardial Infarction [C14.280.647.500]
Nausea [C23.888.821.712]
Patient Handoff [E02.760.400.615]