fcc
oh dear god! it's tomorrow
nervousness has given way to pure fear...
preparing my notes for the returning patient...
wish i'd chosen one that was slightly less complicated: 29yo, visual disturbances caused by atypical migraines (he has positive phenomena, but no headaches)
complicated further by his right sided heart failure last year due to a bicuspid aoritc valve, which was replaced with artificial.
but he was my best patient.. i did so much, and he got better.. them going away entirely at one point.
but i have to make sure i'm completely aware of all heart problems, valve replacements, drugs, migraines, headaches.. and more
...revision doesn't stop till it starts probably...
also apparently, we may be short of consults... not my problem.. but another terrifying prospect.. if we don't get one.. what will the examiners do!?
yack... back to work..
nervousness has given way to pure fear...
preparing my notes for the returning patient...
wish i'd chosen one that was slightly less complicated: 29yo, visual disturbances caused by atypical migraines (he has positive phenomena, but no headaches)
complicated further by his right sided heart failure last year due to a bicuspid aoritc valve, which was replaced with artificial.
but he was my best patient.. i did so much, and he got better.. them going away entirely at one point.
but i have to make sure i'm completely aware of all heart problems, valve replacements, drugs, migraines, headaches.. and more
...revision doesn't stop till it starts probably...
also apparently, we may be short of consults... not my problem.. but another terrifying prospect.. if we don't get one.. what will the examiners do!?
yack... back to work..
2 Comments
-
Comment by Daniel Burne on June 6, 2008 at 12:59am - made this a lot easier and made a new thread: http://www.sacralmusings.com/forum/topic/show?id=921165%3ATopic%3A21043
Add a Comment
You need to be a member of Sacral Musings to add comments!
Sign in
Quote of the moment
“If you can't explain it simply, you don't understand it well enough”
- Einstein
- Einstein
Groups
-
ESO
20 members
-
Sacral Musings Members Area
17 members
-
BSO
41 members
-
Procrastinator's Group
48 members
-
Down the rabbit hole
16 members
Got an iPhone?
Blogs posts
Osteopathy links
OsteopathyForAll
Yahoo! osteopathy group
Osteopathy 1000 is a project by Steve Sanet D.O to preserve the wisdom of our profession
Osteopathic Philosophy
Walter McKone's Philosophy of Osteopathy
Osteopaths Guide
Develop a free practice profile and submit case studies and articles for publication
American Manual Therapy manual
A collection of books and articles documenting the early years of manual therapy
Osteolib
Download old osteopathic books for free
Yahoo! osteopathy group
Osteopathy 1000 is a project by Steve Sanet D.O to preserve the wisdom of our profession
Osteopathic Philosophy
Walter McKone's Philosophy of Osteopathy
Osteopaths Guide
Develop a free practice profile and submit case studies and articles for publication
American Manual Therapy manual
A collection of books and articles documenting the early years of manual therapy
Osteolib
Download old osteopathic books for free
Disclaimer:
Sacral Musings is primarily intended for osteopaths and other health care professionals interested in osteopathy. All material on this website is provided for your information only and may not be construed as medical advice or instruction. No action or inaction should be taken based solely on the contents of this information.
Its an interesting case - not the easiest. As long as you know your stuff regarding this patient's conditions its all good. You'll be more knowledgeable than the examiners probably. One thing that can be a painful question in exams are DDs for that given patient. Something i'll definitively revise. e.g. "what are other causes of visual disturbances please Mrs Burne?" :-)
The heart stuff is definitively bonus tho, good one!
The first questions that come to me are:
How is he monitored (by you and outside)?
How does it affect your treatment?
Have you tried approaching his heart failure and how?
Considerations regarding his Valve - like does it needs to be replaced and when?
29 years old?! - Reasons for heart failure? (he must have the typical british diet hey? Fish & chips, pizza, kebab, Macdonalds, beans and cheese on toasts, brunch, lots of sandwiches ;-))
Best of luck man