Day 3 Samson Academy PLAB 2 Updated and Complete Notes and Cases

SAMSON CLINICAL COURSES


PLAB 2 COURSE
DAY 3




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 3
History Taking Part 2


1. Falls in elderly:
• Falls in elderly (253)
• Postural hypotension (99)
• Collapse with hip fracture (142)
• Fall on the ward (355)

2. Tiredness:
• Chronic fatigue syndrome (76)

3. GERD (172)

4. Hyperparathyroidism (266)

5. Loss of vision:
• Age related macular degeneration (286)
• Cataract (293)

6. Head injury in adult (5)

7. UTI with confusion (145)

8. Hyponatremia
• Confusion – due to hyponatremia (166)
• Tiredness secondary to Citalopram (194)
• Hyponatremia in COPD (233)



PSYCHIATRY STATIONS

Depression:
First go through approach to “Psychiatric History” then go through “A Depression
Talk”
• Depression scenario A (255)

, • Depression scenario B (269)
• Low mood in a 37 year old (313)
• Depression follow up (314)
• Depression in a young man (317)

Cognitive Impairement
• Schizophrenia (59)
• MMSE (39)
• Concerns about dementia in a 65 year old (335)

First go through approach to “Suicide Risk Assessment”
1. OCP overdose in a young woman (28)
2. Paracetamol overdose in a young man - (126)

,3. Drug dependence-heroin (64)
4. Anorexia nervosa
• Anorexia nervosa scenario A (140)
• Anorexia nervosa scenario B (292)


INSOMNIA
First go through Insomnia Talk
• Insomnia scenario A (12)
• Insomnia scenario B (273)
• Insomnia scenario C (261)

, DAY 3

1. COLLAPSE


Nature of collapse (before - during - after)
Can you describe what happened?

Falls in elderly

Need to ask before/ during/ after questions

DD: neurological/ cardiac/ respiratory/ others


Before Collapse:
● How did you feel just before the collapse?
● Did you experience any warning symptoms prior to the collapse?
● Did you experience any nausea or abdominal pain?
● Did you experience any light-headedness?
● Any blurred vision?
● Did you experience any strange sensation just before the collapse?
● Did you experience any headache?
● Any chest pain, any shortness of breath or any palpitations before the episode?


Precipitants:
● What were you doing just before the collapse?
● Is there anything that triggers the episode?
● Did you change your posture from sitting or lying to standing? (Postural hypotension)
● Were you standing for a long period of time? (Vasovagal)
● Was the environment very hot before you collapsed? (Vasovagal)
● Were you coughing or sneezing? (Situational syncope)
● Were you drinking alcohol?


During Collapse:
● Did you lose consciousness?
● Do you remember falling to the floor?
● Do you remember what happened during the collapse?
● How long did you lose consciousness for?