Day 5 Samson Academy PLAB 2 Updated and Complete Notes and Cases

SAMSON CLINICAL COURSES


PLAB 2 COURSE
DAY 5




Edited DECEMBER 2022



COMPLETE, CORRECTED AND UPDATED NOTES FROM THE 16-
DAY ACADEMY COURSE.


Check Last page for links to extra sources

, IMPORTANT NOTE


This is a complete, corrected and updated manual for the Samson
Academy/Genius Class 16-day course. It contains all the missing
information in the manuals that are usually given out as well as
updated information on the current scenarios.


At the end of the Notes are links to more than 300 free videos of
some of the most common PLAB 2 scenarios including Interpersonal
skills, all prescription scenarios, and the most recent scenarios.


DAY 5:

Paediatrics scenarios:
First go through approach to Paediatric History

1. Constipation in a child (254)
2. Nightmare in a child (243)
3. Pyloric stenosis (96)
4. Breast milk jaundice (160)
5. Bronchiolitis (148)
6. AOM in a child (135)
7. Febrile Convulsions (45)
8. Head injury in a child (35)
9. Intussusception (7)
10. Recurrent tonsillitis in a child (284)
11. Chlamydia eye infection in a child (271)
12. Fever in an infant – telephone conversation (228)
13. Eczema in a 15 year old (318)
14. Urticaria in a 5 year old (329)
15. Enuresis in a 4 year old (341)

Asthma in a child:
1. Asthma in a child (258)
2. Exacerbation of Asthma in a child (115)
3. Asthma in a child – telephone conversation (260)

Milestones:
1. Child Development – Scenario A (244)
2. Child development – Scenario B (288)
3. Child Development – Scenario C (337)

Autism:
st

,1. Autism 1 presentation (272)
2. Autism follow up (277)

Vaccination:
1. Vaccination in a 5 week old baby (299)
2. MMR Vaccination (52)
3. Influenza Vaccination in a child (176)

, DAY 5

PAEDIATRICS
The role of doctor in paediatrics
- Always assess the child’s psychosocial : How things at school ,Child’s self-esteem, who
else taking care of home
- Safeguarding


APPROACH TO PAEDIATRIC HISTORY:
- GRIPS, (in station you will not see the child, you will talk to the mother, nanny..)
Always validate the mother’s concern
- ODPARA
- DD: if you cannot think of any DD, think of systemic paediatric review DPAMGUU:
o Dehydration : less active, lethargic, when was the last time you change his
nappies
o Pneumonia
o A: AOM Acute otitis media : cries while pulling his ears, pain in ears
o Meningitis: fever rash photophobia high pitch inconsolable crying
o G: gastroenteritis: tummy upset or pain, how are the stool like, vomiting
o U: upper respiratory infection
o UTI: cries when he goes to pee, any smell or change in colour
- Paediatric history: PBIND
o Pregnancy: even when speaking to father
o Birth: how was the birth? Did the child require any assistance/ special delivery/
was he admitted into any special care setting/ when? How many weeks pregnant
were you when you delivered your child
o Immunization: Is the child up to date with his jabs
o Nutrition: is the child eating well
o Development: Are you happy with the way your child is developing?
- MAFTOSA: MAM (medical, allergy, medication), family history
- Assess the child psychosocial: who lives at home? Do you bring your child to baby
toddler groups (1 to 2 yeaold)? Nursery (3 and above)? How is the child at school? Ask
if the teacher has raised any concern at school? Ask about siblings: How are they?
- Assess the child’s self esteem in some stations (e.g skin station)
- ICE