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Angry Patient (Arthroplasty)
Doctor Instruction: A patient requires an elective hip replacement under Mr Smith due to osteoarthritis. This has been cancelled twice before and now again due to an emergency case. As the surgical doctor working under Mr Smith, you have been asked to inform the patient about the cancellation. The patient works a post-man, and cannot work due to his hip pain. Key Tips:


Consent for Colonoscopy
Doctor Instruction: You have been asked by your consultant to consent Mr Smith, a 60-year-old male, for a colonoscopy. When you read the clinical notes, Mr Smith has suffered from PR bleeding and weight loss for the past 3 months. The patient is on aspirin and blood pressure medication. Key Tips:


Anxious Parent (Spleen)
Doctor Instruction: A young child is in theatre with a ruptured spleen requiring splenectomy. The father already approved the operation. The mother turns up and appears to be crying. She demands to speak to the consultant and find out what is going on. You are the only surgical doctor at the scene, please speak to the mother. Key Tips:


Consent for OGD
Doctor Instruction: A 59-year-old man with a history of smoking and alcohol consumption presents with dysphagia. When the consultant has gone off for a meeting, you have been asked to consent this patient for oesophagogastroduodenoscopy (OGD), biopsy, and dilatation under general anaesthesia. Barium swallow showed narrowing of the oesophagus. Key Tips:


Self-Discharge (DAMA)
Doctor Instruction: A patient with splenic hematoma was admitted and received observation for 24-48 hours. Planned by the consultant for further observation and if the hematoma ruptures, the patient will have a splenectomy. The patient would like to self-discharge due to an important interview tomorrow. He is facing financial difficulties and his wife has a new diagnosis of cancer. You are the only surgical doctor in the ward, you have been bleeped to see this patient. Key Ti


Referral for Endoscopy
Practice this case based on how you are assessed in your OSCEs, and use the relevant sections for general revision. 🤓 Doctor Instruction: You are currently a senior surgical doctor. Takashi Shimura is a 62-year-old male who has presented with dysphagia. Please take a brief history, discuss the potential diagnoses with the patient and the next steps to be taken. Examination is not required. Patient History: Takashi Shimura, 62-year-old retired male. You moved from Japan 10 ye


Breaking Bad News
Practice this case based on how you are assessed in your OSCEs, and use the relevant sections for general revision. 🤓 Doctor Instruction: You are currently a senior surgical doctor on call. Your next patient is called Adam Smith – a 66-year-old gentleman – who is coming in to discuss his recent colonoscopy + biopsy results which showed a malignant tumour affecting his descending colon. Please inform the patient about his results and address any questions or concerns he may h
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