AMC Clinical Deep Dive

Welcome to Season 2 of AMC Clinical Deep Dive! While electrolyte solutions (ORS) are traditional, NHMRC Level II evidence suggests that dilute apple juice is a superior alternative for children aged 6 months to 5 years with mild dehydration. This episode breaks down why "taste matters"—the better flavour leads to higher intake and fewer IV failures compared to ORS.... Learn the exact 50:50 dilution mix and 5mL dosing protocol to impress examiners. Crucially, we cover critical safety errors: excluding children with moderate-to-severe dehydration (capillary refill >2s), bloody diarrhea, or acute abdomen....#AMCClinicalExam #PediatricGastroenteritis #DiluteAppleJuiceRehydration #MildDehydration #OSCE #IMGAustralia #ORSIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100462

Welcome to Season 2 of AMC Clinical Deep Dive! Ace the high-yield hypertension station with the DASH (Dietary Approaches to Stop Hypertension) diet. This episode breaks down the NHMRC Level 2 evidence behind this powerhouse "American Mediterranean diet". Learn how to counsel patients on reducing sodium and boosting potassium, calcium, and magnesium to lower blood pressure by up to 6/3 mmHg in just 2–4 weeks. We cover exact serving sizes for fruits, vegetables, and low-fat dairy, plus the crucial 13% CVD risk reduction statistics you need to impress examiners. Master the referral pathway to dietitians to demonstrate safe, multidisciplinary care.#DASHDiet #HypertensionManagement #AMCClinicalExam #OSCE #BloodPressureControl #MediterraneanDietComparison #GPManagement #ChronicDiseaseTriageIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100459

Welcome to Season 2 of AMC Clinical Deep Dive! When pain persists, Cognitive Behavioural Therapy (CBT) becomes a high-yield, mind-body intervention. This episode equips IMGs to explain how thoughts, moods, and behaviours interact with pain and how to identify fear-avoidance cycles—such as stopping lifting due to worry. Learn to structure a GP Management Plan to provide Medicare rebates for up to five allied health sessions. Master the evidence: CBT is a safe and effective treatment that typically involves 5–20 sessions, helping patients return to important activities by reframing unhelpful beliefs. #AMCClinicalExam #ChronicLowBackPain #CBTforPain #OSCE #GPManagementPlan #FearAvoidance #IMGAustralia #MindBodyTreatment #MedicareRebatesIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100437Also visit: https://open.spotify.com/episode/5uHGbN0GHdVleH0Qtd7kM0?si=rrQKN3sDTiuTCWm3bln7QQ

Welcome to Season 2 of AMC Clinical Deep Dive! Obstructive Sleep Apnoea is a high-yield topic linked to daytime sleepiness, impaired cognitive function, and motor vehicle crashes. This episode explores CPAP, the primary treatment for improving quality of life and lowering blood pressure. We break down the GP referral criteria for Medicare-funded sleep studies: an ESS score ≥ 8 plus OSA50 (≥5) or STOP-Bang (≥3). Learn to troubleshoot common side effects like nasal dryness and address the 4-hour adherence threshold. Mention alternatives like mandibular advancement devices to demonstrate a comprehensive, patient-centred plan.#AMCClinicalExam #ObstructiveSleepApnoea #CPAPTherapy #ESSScore #OSCE #IMGAustralia #SleepStudyReferral #MandibularAdvancementDevice #STOP-BangIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100436

Welcome to Season 2 of AMC Clinical Deep Dive! Venous leg ulcer (VLU) is the most common skin ulcer, often presenting with varicose veins and brown haemosiderin staining. This episode explores the NHMRC Level 1 evidence supporting multicomponent compression systems, which significantly improve healing compared to single-component versions. We highlight the critical safety check: you must exclude peripheral artery disease before applying therapy to avoid serious complications. Discover why walking is essential for the "calf muscle pump" and how to address the 60-70% non-compliance rate through better patient education and therapeutic relationships.#AMCClinicalExam #VenousLegUlcers #ABPIIndex #CompressionTherapy #MulticomponentBandages #OSCEManagement #ChronicVenousInsufficiency #IMGAustralia #HaemosiderinStainingIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100419

Welcome to Season 2 of AMC Clinical Deep Dive! This episode explores CBT-i, a Level 1 evidence-based treatment for chronic insomnia, as recommended by the NHMRC. We break down the five essential components every IMG must know: Cognitive Therapy, Stimulus Control, Sleep Restriction, Sleep Hygiene, and Relaxation. Learn why CBT-i is as effective as hypnotics but offers better long-term results without the risk of tolerance. We explain how to teach patients to leave the bedroom if they have been awake for 20 minutes and recommend digital tools like CBT-I Coach. #AMCClinicalExam #CBTforInsomnia #ChronicInsomniaTreatment #OSCEMentalHealth #StimulusControl #SleepRestriction #IMGAustraliaIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100418

Welcome to Season 2 of AMC Clinical Deep Dive! Kidney stones are common, especially in men aged 40–60, and have high recurrence rates. This episode reveals the NHMRC Level 1 evidence for citrate salts, which can prevent approximately three-quarters of new stones from forming. We discuss the practicalities of potassium citrate dosing and the popular "real lemonade" alternative (30mL lemon juice/190mL water). Most importantly, we cover the critical safety domain: screening for contraindications like kidney impairment (GFR <45), active UTIs, or pregnancy to avoid exam-failing errors.#AMCClinicalExam #KidneyStonePrevention #CitrateSalts #PotassiumCitrate #OSCE #IMGAustralia #RealLemonadeRemedy #HypocitraturiaIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100384

Welcome to Season 2 of AMC Clinical Deep Dive! Affecting 10% of GP patients1, this high-yield topic requires an NHMRC Level 1 evidence-based approach. This episode breaks down Cognitive Behavioural Therapy (CBT), the recommended first-line therapy. Learn to explain symptoms like racing hearts and "jelly legs" via the "fight or flight" adrenaline response. We dive into interoceptive exposure (inducing symptoms via hyperventilation to teach mastery) and in vivo exposure. With a powerful NNT of 3, learn how to guide patients toward clinician-supported online tools like MindSpot to demonstrate safe, structured care.#AMCClinicalExam #PanicDisorderCBT #FightorFlightResponse #OSCEMentalHealth #IMGAustralia #InteroceptiveExposureIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100382

Welcome to Season 2 of AMC Clinical Deep Dive! This episode breaks down Brief Behavioural Therapy for Insomnia (BBTI)—the high-yield, NHMRC Level 2 evidence-based approach examiners prioritise. Learn to counsel patients on sleep hygiene, stimulus control (bed is for sleep and sex only!), and the essential 2-week sleep diary. We explain the "Sleep Restriction" formula: average sleep time plus 30 minutes. Crucially, master the safety screening to avoid critical errors: ruling out bipolar disorder (to prevent mania), OSA, and advising drivers about initial sleep deprivation. #AMCClinicalExam #InsomniaBBTI #SleepRestrictionTechnique #StimulusControl #MentalHealth #IMGAustralia #RACGP #Non-DrugSleepTherapyIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100362

Welcome to Season 2 of AMC Clinical Deep Dive! Bibliotherapy (guided self-help) is an NHMRC Level 1 evidence-based option for mild-to-moderate depression. This episode provides the consultation blueprint: from performing a mandatory suicide risk assessment to prevent critical errors, to explaining CBT-based books as "physiotherapy for the mind"... Learn to set a planned 2-week review, use the PHQ-9 for monitoring, and avoid the "rejection trap" through shared decision-making... Master these high-impact strategies to demonstrate the safe, stepped-care approach examiners love.#AMCClinicalExam #BibliotherapyforDepression #OSCEMentalHealth #IMGAustralia #RACGPGuidelines #GuidedSelf-HelpCBT #PHQ-9 #Stepped-CareModelIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100356

Welcome to Season 2 of AMC Clinical Deep Dive! Nocturnal enuresis (bedwetting) is a classic, high-stress AMC clinical scenario affecting many children. This episode guides IMGs through the essential bio-psycho-social approach. We emphasise enuresis alarm therapy as the most effective long-term treatment for motivated children aged ≥6−7 years. Learn the evidence (two-thirds achieve dryness) and the non-punitive, collaborative counselling framework. Crucially, master the safety domain: screen meticulously for red flags (daytime wetting, constipation, diabetes symptoms, UTI). Missing these or prescribing drugs first-line without discussing alarms constitutes a critical error. Normalise the condition and set realistic expectations to ace this station.Keywords: #AMCClinicalExam #NocturnalEnuresis #BedwettingAlarm # RedFlags #OSCEPaediatrics #IMGAustralia # AlarmTherapyEvidence # Non-PunitiveManagementIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100285

Welcome to Season 2 of AMC Clinical Deep Dive! Infant sleep problems are common (30–50% of Australian parents) and strongly linked to maternal depression and anxiety. This crucial AMC Clinical episode guides IMGs through the primary care approach for babies aged 6–12 months. We break down the evidence-based options: controlled comforting (graduated extinction) and camping out. Learn to validate distress, explain learned sleep associations, and offer techniques proven to improve sleep and maternal mood. Crucially, master the safety screening: exclude medical red flags (illness, growth issues) and confidently state that follow-up studies show no long-term harm to attachment. Avoid the critical error of minimising parental distress.Keywords: #AMCClinicalExam #InfantSleep #ControlledCrying #CampingOut #MaternalDepression #OSCE #IMGAustralia #BehaviouralSleepInterventionIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100282

Welcome to Season 2 of AMC Clinical Deep Dive! Osteoarthritis (OA) counselling is a high-yield AMC station where exercise is the core treatment regardless of age or pain level. This episode equips IMGs to discuss aquatic exercise/hydrotherapy—an excellent, low-impact option when pain or obesity limits land-based activity. We break down the Level 1 evidence showing it delivers small but meaningful short-term improvements in pain and function over about 3 months. Master the crucial counselling framework to emphasise staying active in a supportive, warm environment. Crucially, learn how to safely screen for and avoid critical errors like suggesting hydrotherapy without checking for contraindications (e.g., open wounds, unstable heart disease). Ace this station by providing a safe, patient-centred option.#AMCClinicalExam #OsteoarthritisCoreTreatment #AquaticExercise #Hydrotherapy #OSCECounselling #RACGPGuidelines #ChronicPainManagement #IMGAustraliaIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: ⁠⁠https://apwix.com/100273

Welcome to Season 2 of AMC Clinical Deep Dive! Antenatal perineal massage is a sensitive topic in the clinical scenario, demanding evidence-based, woman-centred care. This episode equips IMGs with the Level 1 evidence needed: studies show regular gentle massage reduces the chance of episiotomy and perineal pain for nulliparous women. Learn the crucial counselling framework (What–Why–How–Safety–Choice) and the appropriate, non-graphic technique to teach women starting around 34 weeks. Most importantly, we detail how to screen for and avoid critical errors like ignoring contraindications (placenta praevia, active infection) or overselling the benefits. Master this low-risk option to ace your station!#AMC Clinical Exam, #Antenatal Perineal Massage, #OSCE, #Perineal Trauma Reduction, #Nulliparous Women, #Episiotomy Prevention, #IMGs, #Woman-Centred CareIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: ⁠https://apwix.com/100252

Welcome to Season 2 of AMC Clinical Deep Dive! Acute low back pain (LBP) is a common condition, demanding safe triage and guideline-consistent care. Most acute LBP is non-specific and resolves spontaneously. This episode breaks down the critical exam message: Australian guidelines strongly advise against prolonged bed rest and routine imaging, emphasising advice to stay active instead. We review the evidence that active management improves recovery and function. Learn the exact What-Why-How counselling structure and, crucially, how to screen for and avoid the critical error of missing red flags (e.g., Cauda Equina or malignancy) before recommending activity.... Pass your station by applying the low-risk, evidence-based primary care approach.Keywords: #AMC Clinical Exam, #Acute Low Back Pain, #Stay Active Advice, #OSCE Critical Errors, #Guideline-Consistent Care, #IMG Australia, #Non-Specific Back Pain, #Avoiding Bed RestIf this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100249

Welcome to Season 2 of AMC Clinical Deep Dive! Otitis Media with Effusion (OME), or glue ear, is a frequent presentation in Australian General Practice. Parents often seek low-cost, non-surgical options during the standard 3-month watchful waiting period. This must-listen episode for IMGs and AMC Clinical candidates tackles nasal balloon autoinflation. We reveal the evidence — it may slightly reduce persistent OME — and provide the plain English explanation required for the OSCE. Learn the practical, step-by-step teaching technique and, crucially, how to avoid critical errors like ignoring contraindications (acute otitis media, perforation) and over-promising results. Pass your station with confidence!Keywords: AMC Clinical Exam, Glue Ear Treatment, Autoinflation Technique, OSCE, IMG Australia, Otitis Media with Effusion, Low-Cost Home Remedy, Watchful Waiting.If this AMC-related topic interests you, visit the full webpage for extended notes and additional exam-oriented resources: https://apwix.com/100236

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website. This episode outlines a clinical scenario involving a 45-year-old woman presenting with a postoperative fever after a laparoscopic cholecystectomy. It functions as an instructional case for surgical interns, requiring them to assess the patient's condition and develop a diagnostic and management plan. The case emphasises that pulmonary atelectasis is the most common cause of early postoperative fever, although other serious complications like sepsis and deep vein thrombosis must be considered and ruled out. Ultimately, it highlights the importance of thorough patient evaluation and focused interventions like breathing exercises and chest physiotherapy for common postoperative issues, leading to an uneventful recovery.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #PostoperativeFever #PulmonaryAtelectasis #LaparoscopicCholecystectomy #ChestPhysiotherapy #SurgicalRecovery #Gallstones

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website. This episode outlines a clinical scenario involving a 50-year-old man who developed confusion and delirium two days after knee surgery. The candidate's immediate task is to assess the situation, formulate a management plan, and counsel the patient's wife regarding the cause of the problem. The case guides the candidate through a structured approach, emphasising the importance of ensuring patient safety, gathering a comprehensive history, performing a thorough physical examination, and considering various potential causes for the delirium, such as sepsis, metabolic abnormalities, or alcohol withdrawal. Ultimately, it reveals the patient's delirium was initially attributed to alcohol withdrawal but was later found to be caused by intra-abdominal sepsis and acute diverticulitis with peritonitis, highlighting the complexity of diagnosing postoperative confusion.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #PostOperativeDelirium #KneeReplacementRecovery #SurgicalComplications #AbdominalSepsis #MedicalDiagnosis #AlcoholWithdrawal #AgitatedPatient

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website. This episode outlines a clinical assessment scenario for a 38-year-old woman presenting with prominent leg veins and symptoms like aching and heaviness, consistent with varicose veins. The purpose is to evaluate a candidate's ability to perform a focused physical examination and assess the venous circulatory status of the lower limb, specifically identifying issues with the superficial and deep venous systems, including valvular incompetence and chronic venous insufficiency. The case provides detailed instructions for the examination, expectations for candidate performance, and background information on predisposing factors and diagnostic approaches, including the use of tourniquets and Doppler probes.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #VaricoseVeins #VenousInsufficiency #SaphenofemoralJunction #ProminentLegVeins #VeinHealth #DopplerProbe #PregnancyVaricoseVeins #PalpableVaricosities #GaiterAreaUlceration

This podcast is based on clinical scenarios from the official AMC Handbook of Clinical Assessment published by the Australian Medical Council. All cases are used solely for study and discussion. We provide personal learning insights and clinical interpretations to support AMC candidates in developing their clinical reasoning skills. The AMC Handbook is the intellectual property of the Australian Medical Council. To access the official material, please visit the AMC website. This episode outlines a medical case study concerning a 25-year-old man presenting with jaundice and symptoms like general malaise, fever, dark urine, and pale stools. It details the candidate's tasks as a medical professional, including gathering further history, arranging investigations, explaining the illness to the patient, and advising on immediate management. The case also provides expectations for candidate performance, emphasising the need to consider Hepatitis A as the most likely diagnosis given the symptoms, travel history to Thailand, and the importance of specific liver function tests and serology. Finally, it elaborates on Hepatitis A as a public health concern, its faecal-oral transmission, symptoms, and the necessary diagnostic and management approaches.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #JaundiceAwareness #HepatitisA #LiverHealth #TravelSickness #InfectionPrevention #PublicHealth