New Onset Abdominal Pain, Distension and Jaundice
Activity
Clinical Skills Sessions
Clinical Skills Sessions
Case Stem: You are working with a community family physician who works in their clinic and in a community hospital. You are early in your clerkship. 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 Sydney, a 55-year-old patient last seen more than 5 years ago. Sydney has not contacted the clinic, and their telephone was disconnected with inability to reach Sydney for follow-up appointments. Sydney’s friend, Logan, called into the clinic and asked if Sydney could be seen on an urgent basis for abdominal pain.
Curriculum Block
Transition to Clerkship / Week 2
- Indicates most relevant
Objectives
Activity Objectives
- To practice holding a goals of care discussion with a capable patient using the Serious Illness Conversation Guide framework.
- To practice communicating serious illness news to a substitute decision maker over the phone.
- To practice a detailed substance use history.
- To practice a focused history and exam for a patient presenting with abnormal vital signs, with a focus on infection.
- To discuss decompensating events in liver cirrhosis and their management.
- To discuss initial in-office management for a patient who is clinically unstable, including transfer to acute care.
- To practice the SBAR (Situation, Background, Assessment, Recommendation) tool for verbal handover of patient care.
- To practice the SOAP (Subjective, Objective, Assessment, Plan) tool for written handover of patient care.
- To discuss patient-centered care for patients who use drugs, including harm reduction principles.
Tags
Curriculum Block
Transition to Clerkship
Week 2
Curriculum Week
Transition to Clerkship
MCC Presentations
Abdominal Distension
Acute Abdominal Pain
Jaundice
McMaster Professional Competency
Clinical Skills
MeSH
Clinical Competence [I02.399.630.210]
