|
9 |
Role-play. Obstetric history APH. Take
& present the history |
|
10 |
Role-play. Woman attends for
pre-pregnancy counselling as she plans her 1st. pregnancy. Her sister
recently had a baby with Down’s syndrome. |
|
11 |
Role-play. Break bad news. Non-viable early pregnancy. |
Candidate’s instructions.
You are the SpR on call and are about to see Mary Smith who has been
admitted with APH. Your tasks are to take her history and present it with a
management plan to your consultant on the ward round which is due to start.
10. Role-play. Woman attends for
pre-pregnancy counselling as she plans her 1st. pregnancy. Her sister recently had a baby with Down’s syndrome.
You are the SpR in the gynaecology clinic. You have been
asked to see Jenny Williams, who has come for pre-pregnancy counselling.
Letter from the General
Practitioner.
5 High Street,
Deersworthy,
Kent.
DO9 1JY.
Re Mrs. J. Williams,
Manor Place,
Deersworthy.
Dear Dr.,
Please see this woman
who is planning pregnancy. I understand that her sister has had a baby with
Down’s syndrome. I have explained that this increases her risk of having a
similarly-affected baby to a significant degree.
Regards,
Dr. Jolly.
11. Role-play. Break bad news. Non-viable early pregnancy.
Candidate’s
instructions.
You are the SpR in the
ante-natal clinic. The consultant who was in clinic has been asked to assist
her consultant colleague in the labour ward theatre. She is unlikely to return
for some time as the case is one of massive PPH and hysterectomy may be
necessary.
One of the midwives asks
you to see Jane Brown, who has just had a scan in the early pregnancy unit. She is primigravid and the gestation is 8
weeks. She has had some bleeding.
Ultrasound scan report: “Intra-uterine
pregnancy. Single pregnancy. CRL = 12 mm.
No fetal heart activity. No adnexal
masses”.
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