Website.
Contact us.
https://soundcloud.com/drtmcf/24-october-2013
Tonight we did a theatre admissions prioritisation station.
Then a viva on child sexual abuse.
Then a role-play about androgen insensitivity.
Waiting List
Prioritisation.
Your
consultant is away.
The
waiting-list manager comes to see you.
The following
patients have been listed by junior staff.
The
waiting-list manager wants you to:
confirm
the appropriateness of the proposed treatment,
decide
the degree of urgency,
confirm
the appropriateness of the proposed venue,
decide
any special requirement(s) for each patient.
|
Name
|
Age
|
Clinical Problem
|
Proposed operation
|
Venue
|
Special Needs
|
Urgency
|
|
JK
|
5
|
chronic
discharge.
?
foreign body
|
EUA
|
Main
theatre
|
|
|
|
JM
|
32
|
1ry.
infertility
|
Laparoscopy
+ tubal patency tests
|
Main
theatre
|
|
|
|
GN
|
77
|
Vulval
cancer. Coronary thrombosis x 2. Unstable angina.
|
Radical
vulvectomy agreed at MDT.
|
Main
theatre
|
|
|
|
RU
|
55
|
PMB
x1. Weight 20 stones. (127 kg.)
1
kg. = 2.2 lb.
1
stone = 14 lb.
|
D&C.
|
DCU.
|
|
|
|
LD
|
32
|
Menorrhagia.
Fibroids. Anaemia.
|
Vaginal
hysterectomy.
|
Main
theatre.
|
|
|
|
DT
|
22
|
Does
not want children.
|
Lap.
Steril.
|
DCU
|
|
|
|
HB
|
14
|
Unwanted
pregnancy at 10/52.
|
TOP
|
DCU. TOP list.
|
.
|
|
|
JY
|
44
|
GSI.
|
Anterior
colporrhaphy.
|
Main
theatre.
|
|
|
|
JS
|
23
|
Vaginal
discharge. Cervical ectropion.
|
Diathermy to cervix.
|
DCU
|
|
|
|
DT
|
55
|
3
cm. ovarian mass.
|
Laparoscopy ? proceed to Hyst + BSO.
|
Main
theatre.
|
|
|
|
EV
|
32
|
CIN3.
|
Cone biopsy.
|
DCU
|
|
|
|
UW
|
34
|
Endometriosis
|
Laparoscopic ablation
|
DCU
|
|
|
|
HT
|
88
|
Cystocoele/
rectocoele/ 2nd. degree uterine prolapse
|
Manchester
Repair.
|
Main
theatre.
|
|
|
|
KN
|
58
|
Haematuria
|
Cystoscopy
|
DCU
|
|
|
|
JW
|
18
|
Menorrhagia
& copes badly with menstrual hygiene. Has Down’s syndrome. Sexually
active.
|
Hysterectomy
|
Main
theatre
|
|
|
|
TB
|
30
|
Menorrhagia.
2nd. degree uterine descent. Been sterilised. Jehovah’s witness.
|
Vaginal hysterectomy and repair.
|
Main
theatre.
|
|
|
|
BM
|
55
|
Stage
Ib cancer cervix. Been discussed at MDT. For Wertheim’s hysterectomy. Factor
V Leiden. VTE on Pill. On warfarin.
|
Wertheim’s hysterectomy.
|
Main
theatre.
|
|
|
|
NU
|
60
|
Recurrent
rectocoele.
|
Posterior colporrhaphy.
|
Main
theatre.
|
|
|
Viva.
Candidate's Instructions.
This is a viva station.
The examiner will ask you 7 questions.
Roleplay.
Candidate's Instructions.
This is a role-play station.
The patient is Euphemia Johnstone. She is 17 years old.
She attended the gynaecology clinic 1 month ago with primary amenorrhoea.
Clinical examination showed an apparently normal young
woman with normal breast development but absent pubic and axillary hair. The
external genitalia appeared normal. Vaginal examination was not attempted.
She has come today for the results of the ultrasound scan
and blood results.
The scan has shown absence of the uterus. There are no
ovaries in the pelvis. There are bilateral groin masses that could be gonads.
The blood tests which were done are reported as:
Karyotype.
46XY.
Your tasks are to explain the results and answer her
questions.
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