Headache and Cough in a Pregnant Patient x 3 days
Activity
Clinical Skills Sessions
Clinical Skills Sessions
You are working with a community family physician who works in their clinic and the emergency department at an
academic centre in St. Catharines. You are early in your clerkship and haven’t completed your Obstetrics/Gynecology core
rotation yet. The clinic is able to do in-house ECGs and Urine dipsticks. They can send a requisition for bloodwork and chest x-ray, completed offsite. Your first patient is Vanessa, a 35 year-old G2P0 patient who is 28 weeks pregnant with exercise-induced asthma and normal prenatal course to date, last seen for prenatal care at 24-weeks where she was sent for a gestational diabetes screen that was normal. She is taking a prenatal vitamin with 1mg folic acid daily. Your clinic is following her for prenatal care within a shared care model for her pregnancy, with an obstetrician in St. Catharines following her with a plan to deliver at Niagara Health St. Catharines hospital. You were due to see her in follow-up later this week (for her 28-week visit) but she has been scheduled as an urgent visit today for headache and cough x 3 days.
Curriculum Block
Transition to Clerkship / Week 2
- Indicates most relevant
Objectives
Activity Objectives
- 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.
- Review routine prenatal care visits, including questions to ask at each visit in the 3rd trimester.
- Practice a focused history and exam for a patient presenting with abnormal vital signs, with a focus on infection.
- Review intermittent auscultation as an in-office assessment of fetal well-being, including normal vs. abnormal findings.
- To discuss initial in-office management for a patient who is clinically unstable, including transfer to acute care.
Tags
Curriculum Block
Transition to Clerkship
Week 2
Curriculum Week
Transition to Clerkship
Week 2
Discipline
Allergy and Immunology
Family medicine
Obstetrics and Gynecology
General MCC Objectives
History
MCC Presentations
Allergic Reactions and Atopy
Cough
Headache
Prenatal Care
McMaster Professional Competency
Clinical Skills
MeSH
Asthma [C20.543.480.680.095]
Clinical Competence [I02.399.630.210]
Fetal Monitoring [E01.370.378.230]
Medical History Taking [E01.370.510]
Pregnancy [G08.686.784.769]
Prenatal Care [E02.760.786]
Rhinitis, Allergic, Seasonal [C20.543.480.680.795]