P1

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1. Surgical pathology: Gangrene – 98/M with DM with gangrenous toe ?difference between wet/dry gangrene
2. Knee pain – no recent trauma – plate screw in knee. DDx-?organism causing knee pain ?Ix, ?name 2 crystal arthropathies commonly affecting knee
3. Critical Care: Perforated Viscus with AF–
   ~Unwell patient – septic. CXR, free air under diaphragm
   —DDx ?
   —How would you read an ECG
   —Treatment of AF
4. Anatomy – shoulder
   —Erb’s Palsy – ?nerve root C5/C6
   —Which dermatome is affected in Erb’s Palsy
   —Supraspinatus origin & insertion
   —Muscles that rotate the scapula
   —Skin affected by axillary nerve damage
   —Attachments to coracoid process
   —Nerve supply to biceps
   —Other muscles supplied by musculocutaneous nerve
5. Communication Skill – ITU registrar discussion
   ~74/ F, off legs, no Hx, prev smoker & on salbutamol Urgent review, abdominal pain, peritonitis, cons- laparotomy Bed post op (SBAR)
   —Asthmatic patient inbound- ?what to do
6. History – 45/F with epigastric pain, smoker, drinker, lanzoprazole (not taking) ?pancreatitis, perforated ulcer, cholecystitis.
   —How would you manage this patient? Pancreatitis -?
   —Scoring systems.
   —Management of this patient.
   —Why would you do CT scan.
7. Anatomy– Cervical spine:
   —Identify axis & parts. Dens/odontoid apical ligament & alar ligament.
   —Odontoid PEG view XR. Where is Hyoid bone. ?what level.
   —Cricoid. Cervical prominence,
   —Name of supraspinous lig.
   —What 2 things would be visible on C-spine x-ray
8. History –
   ~Pre-assessment for planned cholecystectomy-Breathless, Wheezing, 10 year hx of SOB;
   —D/D: COPD/ Pneumonia/ anxiety.
   —Management. ?bedside test; Anxiety management
9. ATLS on a manikin – unconcious trauma patient. Airway management.
10. Examination– Abdomen: Murphy’s positive. Ddx
11. Examination– Chest: 6/7 post left hemicolectomy; ?PE
12. Examination– Submandibular gland
13. Examination– Knee joint: D/D, Management (medial meniscus)
14. OT list order
15. Communication skill– self discharge patient of splenic haematoma
16. Critical Care– Burns management – Parklands & ARDS, Wallace rule of nine, Rule of palm, Lund + Browder chart
17. Thyroid – how thyroid hormones controlled – draw it out; Causes of hypothyroidism; pre-op optimisation; emergency surgery
18. Anatomy –
    ~Picture of cadaver at L1 level.
    —Name 5 organs you can see.
    —Surface anatomy of gallbladder. (Costal cartilage in mid axillary line.)
    —Origin of splenic artery.
    —Organs that touch the spleen.
    —Falciform ligament,
    —What peritoneal ligament (coronary & triangular)