Summary of Common Conditions Seen in OSCEs
Condition | Key issues to consider and discuss |
Cancer | Stage and grade Any metastasis Chemotherapy, radiotherapy, surgery Macmillan team input |
Diabetes | Insulin or not insulin Follow-up in primary or secondary care Detecting and preventing complications Can lead a completely normal life – there are many successful sportsmen with diabetes |
Multiple sclerosis | Variability of prognosis Different types – relapsing/remitting, progressive |
Leukaemia | Recent improvements in therapy and prognosis |
HIV | See Chapter 51 on HIV There have been recent huge advances in treatment If adhere to HAART, could potentially have a normal lifestyle and life expectancy |
Rheumatoid arthritis | Early treatment can prevent deformity and reduce or minimise debilitation |
Emergency hysterectomy | Reasons for doing this as emergency – immediate threat to life |