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"The stations you provide are strikingly similar to those I came across during my medical school finals (some even verbatim!), and I have tried many other exam platforms. I'm truly grateful for your priceless support throughout my final couple of years at medical school!"
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"It has absolutely everything for medical school, so many histories with detailed differential diagnoses, how to approach emergencies, commonly prescribed drugs..every kind go examination youβll ever need in osces"
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"OSCEstop distinguishes itself from many other platform banks by offering a wealth of questions that mimic the demanding and complex aspects of our finals. This platform played a crucial role in ensuring I was ready for the level of difficulty that awaited me in my final exams."
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2. Stations π₯: 10 years of past medical school stations. Includes: heart murmurs, ECGs, ABGs, CXR
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4. Conditions π«: all conditions mapped to MLA, progress tracking
The reviews are in
★★★★★
6,893 users
Don't take our word for it
"The stations you provide are strikingly similar to those I came across during my medical school finals (some even verbatim!), and I have tried many other exam platforms. I'm truly grateful for your priceless support throughout my final couple of years at medical school!"
Raza Q π¬π§
"It has absolutely everything for medical school, so many histories with detailed differential diagnoses, how to approach emergencies, commonly prescribed drugs..every kind go examination youβll ever need in osces"
John R π¬π§
"Thank you SO MUCH for the amazing educational resource. Iβve tried lots of platforms and books with mock OSCE stations and yours is by far and away the best Iβve tried"
Ed M π³πΏ
"Get this right away. So helpful for OSCEs but also general clinical learning and understanding. Wish I had brought it sooner"
Emma W π¬π§
"Without a doubt, your platform outshines all other OSCE resources currently available. In all honesty, I can confidently attribute my success in securing a distinction in my finals to OSCEstop."
Harish K π¬π§
"OSCEstop distinguishes itself from many other platform banks by offering a wealth of questions that mimic the demanding and complex aspects of our finals. This platform played a crucial role in ensuring I was ready for the level of difficulty that awaited me in my final exams."
Cancer-related pain: Often due to tumor infiltration, bone metastases, or nerve compression
Non-cancer pain: May include conditions like chronic arthritis, ischemic pain, or neuropathy
Treatment-related pain: Side effects from radiotherapy, chemotherapy, or surgical interventions
Psychosomatic pain: Exacerbated by anxiety, depression, or existential distress
Dyspnea
Respiratory causes: Includes conditions such as lung cancer, COPD, or pulmonary fibrosis
Cardiac causes: Congestive heart failure, cardiomyopathy, or pericardial effusion
Anemia: Common in terminal illness due to bone marrow infiltration, chronic disease, or bleeding
Anxiety: Can exacerbate the sensation of breathlessness
Pleural effusion: Often seen in advanced cancer, leading to compression of the lung
Nausea and Vomiting
Gastrointestinal causes: Bowel obstruction, constipation, or gastroparesis, often related to malignancy
Chemotherapy-induced: Common side effect of many chemotherapy agents
Increased intracranial pressure: From brain metastases or primary brain tumors
Metabolic causes: Hypercalcemia, uremia, or liver failure leading to toxin accumulation
Medication side effects: Opioids, antibiotics, or other medications used in palliative care
Psychological causes: Anxiety or anticipatory nausea in response to treatment
Fatigue
Cancer-related fatigue: Due to the cancer itself, often exacerbated by treatments like chemotherapy or radiotherapy
Anemia: Common in terminally ill patients, contributing to profound fatigue
Metabolic disturbances: Electrolyte imbalances, renal failure, or liver dysfunction
Chronic disease: Fatigue associated with chronic conditions like heart failure, COPD, or renal failure
Psychological factors: Depression, anxiety, or sleep disturbances
Constipation
Opioid-induced: Common in patients receiving opioid analgesia for pain management
Dehydration: Reduced fluid intake leading to hard stools and constipation
Hypercalcemia: Can cause decreased bowel motility
Immobility: Reduced physical activity contributing to decreased gastrointestinal motility
Gastrointestinal obstruction: May be partial or complete, often due to tumor burden
Dietary factors: Low dietary fiber intake, often due to reduced appetite or intake
Key Points in History π₯Ό
Symptom Onset and Duration
Rapid vs gradual onset: Rapid onset may suggest acute complications like bowel obstruction or infection, while gradual onset may be more indicative of disease progression
Duration: Chronic symptoms may indicate ongoing management issues, while acute changes may necessitate immediate intervention
Triggers: Identifying factors that exacerbate symptoms can help tailor palliative interventions
Impact on quality of life: Understanding how symptoms affect daily living can guide holistic care planning
Background
Past medical history: Includes the primary diagnosis (e.g., cancer, COPD, heart failure) and comorbidities
Medication history: Review current and previous treatments, focusing on those that may contribute to symptom burden
Family history: Consider hereditary factors in diseases like cancer or neurodegenerative disorders
Social history: Living situation, availability of carers, and support systems are crucial in planning end-of-life care
Psychosocial factors: Assess for anxiety, depression, and existential distress that may worsen symptoms
Possible Investigations π‘οΈ
Laboratory Tests
Full blood count: To assess for anemia, infection, or bone marrow suppression
Electrolytes: Monitor for imbalances like hypercalcemia, hyponatremia, or renal dysfunction
Liver function tests: Important in patients with hepatic metastases or liver failure
Renal function tests: To assess for renal impairment, especially in patients with dehydration or on nephrotoxic drugs
Calcium levels: Hypercalcemia is a common issue in patients with bone metastases or certain cancers
CRP/ESR: May help assess the presence of infection or inflammation, though often less useful in terminal stages
Blood cultures: If infection is suspected, particularly in febrile patients
Glucose levels: Particularly important in diabetic patients or those on corticosteroids
Imaging and Specialist Tests
Chest X-ray: To assess for pneumonia, pleural effusion, or lung metastases if symptomatic
Abdominal ultrasound/CT: May be indicated in cases of suspected bowel obstruction or liver metastases
CT/MRI brain: To evaluate for brain metastases or increased intracranial pressure if neurological symptoms are present
ECG: To assess for arrhythmias or ischemia, particularly in patients with chest pain or dyspnea
Echocardiography: Useful in assessing cardiac function if heart failure is a concern
Bone scan: May be indicated if bone metastases are suspected and causing significant pain
Paracentesis: Diagnostic and therapeutic for patients with symptomatic ascites
Endoscopy: Consider in patients with intractable nausea/vomiting where obstruction or malignancy is suspected