Jake Markel, a 43-year-old Male.
Jake has come to your clinic because of abdominal pain that started yesterday.
Imagine this is an OSCE station for an exam. Please take a detailed history and wherever required ask the examiner for the clinical findings and Investigation results to support your diagnosis. List out your Differential diagnoses, mention the Most Likely Diagnosis and outline the management.
Jake Markel is a virtual patient. You can talk to him using the microphone in the chat box or you can type in your questions. Take a focussed Consultation just as you would in a OSCE station at an examination centre. When you have finished, click on the “Finished Case” button.
Note: There is no time limit for this case.
You will see three different coloured Flag progress bars on top of the chat screen. The MEKSI team has repurposed the flags for the purpose of AFL (Assessment for Learning) method.
Green Flags are to assess your in-depth Knowledge of a specific medical condition.
Red Flags demonstrate the safety of the doctor. Shows you have tried to eliminate the life threatening or dangerous differentials.
Diff Dx (Purple bar) shows you have tried to eliminate the non-life-threatening differential conditions.
While asking questions to the patient, do not ask multiple questions in the same sentence e.g.,” do you have any nausea or vomiting”, instead ask them separately. Please do not use medical jargon while talking to the patient. Please take a focussed history following the Mnemonics “SOCRATES”, “FORDPAPP”, “VINDICATE”, etc.
Conduct a Physical examination while asking the examiner for clinical findings. You can ask the examiner in the following manner: e.g., ” May I have the findings of vital signs?”, ” What are the findings of abdominal palpation?” …. etc.
For Investigation results, ask the examiner for the specific lab results, such as “what are the ferritin levels?”, “serum electrolytes please?”, “What are the findings of FBC?”…. etc.
List out your Differential diagnoses and mention the Most Likely Diagnosis.
Outline your management plan to the patient.