AMC Clinical Deep Dive

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

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 cognitive state assessment for a 50-year-old barman with a history of significant alcohol consumption and recent issues with forgetfulness and unreliability. The primary goal is to assess the candidate's ability to administer and interpret the Folstein Mini-Mental State Examination (MMSE), a screening tool for cognitive impairment. The case emphasises identifying a focal impairment of short-term memory, likely attributable to chronic alcohol abuse, and differentiating this from more diffuse brain conditions. Ultimately, the candidate must explain the findings, their significance, and the probable cause to the patient and the examiner.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #CognitiveAssessment #MemoryLoss #AlcoholAbuse #BrainHealth #MMSE #ShortTermMemory #WernickeKorsakoff #Neurology #CognitiveDecline #HazardousDrinking #PatientCare

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 involving a 50-year-old man experiencing visual difficulties, specifically trouble seeing approaching cars from the sides and bumping into objects. It details the candidate's tasks to assess the patient's vision, including acuity, eye movements, and visual fields, and to determine the most likely cause of any abnormality. The case emphasises the expectation of identifying bitemporal hemianopia, a specific visual field defect, and suspecting a pituitary origin, likely a tumour, as indicated by an X-ray showing an expanded pituitary fossa and an MRI confirming a pituitary tumour. The purpose is to evaluate a candidate's ability to diagnose and investigate such a visual impairment.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #BitemporalHemianopia #VisualDifficulties #PituitaryTumor #OpticChiasmaCompression #PeripheralVisionLoss #NeuroOphthalmology #EyeHealth #VisionChanges

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 simulated medical case for a 38-year-old woman, a primigravida or first-time pregnant individual, experiencing severe nausea and vomiting in her first trimester, specifically eight weeks into her pregnancy. The primary purpose of this case is to assess a medical candidate's ability to diagnose and manage hyperemesis gravidarum, a severe form of morning sickness, while also considering other important factors. The scenario emphasises the importance of a comprehensive patient history, clinical examination, and further investigations to rule out complications like Down syndrome, given the patient's age. It ultimately serves as a guide for evaluating a clinician's diagnostic accuracy, their proposed care plan, and their awareness of potential risks and counselling needs in such a complex obstetrical case.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #HyperemesisGravidarum #SevereMorningSickness #EarlyPregnancyNausea #FirstTrimesterVomiting #PregnancyComplications #AdvancedMaternalAge #GeneticCounseling #DownSyndromeRisk #MaternalHealth #Primigravida38+

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 3-year-old boy, Robert, presenting with spontaneous bruising and nosebleeds following a recent cold. The primary goal is to assess a candidate intern's ability to diagnose and manage acute thrombocytopenia, a condition characterised by a critically low platelet count. The provided information includes Robert's symptoms, a physical examination revealing widespread bruising and petechiae, and a full blood examination report highlighting his severely reduced platelet count of 15 x 10^9/L. The case emphasises the importance of accurately interpreting blood test results and reassuring parents while considering the possibility of spontaneous remission and the need to rule out more serious underlying conditions.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #AcuteThrombocytopenia #ChildhoodBruising #NosebleedsKids #LowPlatelets #PediatricHealth #ViralInfection #SpontaneousRemission #ParentalConcerns

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 case study focused on a 35-year-old man experiencing persistent heartburn, providing a framework for medical professionals to assess and manage the condition. It details the patient's symptoms, medical history, lifestyle factors, and initial diagnostic findings, including a hiatus hernia and reflux oesophagitis. The case emphasises the importance of understanding the causes and management of gastro-oesophageal reflux, particularly stressing lifestyle modifications like weight loss, reduced alcohol intake, and smoking cessation. It also explores potential complications, diagnostic procedures like endoscopy, and various treatment approaches, including proton pump inhibitors, while offering guidance on patient counselling and future management strategies.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #Heartburn #GERD #RefluxOesophagitis #HiatusHernia #WaterBrash #DryCough #LifestyleChanges #DietTips #WeightManagement #SmokingCessation #AlcoholReduction #ProtonPumpInhibitors #PPIs #DigestiveHealth

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 simulated clinical scenario for a medical candidate involving the insertion of an intravenous cannula for antibiotic prophylaxis. The patient requires this procedure due to a prosthetic heart valve and an upcoming dental procedure, necessitating antibiotics to prevent endocarditis. Candidates are tasked with obtaining informed consent, selecting appropriate equipment, and demonstrating the technique of cannula insertion without actually puncturing the skin, emphasising proper procedure and patient safety. It also details the expectations for the candidate's performance, including knowledge of equipment, technique, and the ability to explain the procedure effectively, along with common critical errors to avoid.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #IVCannulation #AntibioticProphylaxis #EndocarditisPrevention #ProstheticHeartValve #DentalCare #HealthcareSkills #PatientSafety #MedicalTraining #Venipuncture

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 case outlines a simulated medical scenario involving a 30-year-old woman presenting with symptoms strongly suggestive of acute appendicitis. The primary purpose of this exercise is to assess an intern's ability to manage this patient, specifically focusing on their skills in patient communication and preparation for surgery. The scenario provides detailed patient history and examination findings, along with a list of tasks for the intern, emphasising the importance of explaining the diagnosis, the need for surgery, its implications, and answering patient questions. It also highlights key expectations for the candidate's performance and potential critical errors, underscoring the necessity of clear, reassuring communication about the condition and proposed treatment.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #Appendicitis #AcuteAbdominalPain #Surgery #Appendicectomy #LaparoscopicSurgery #KeyholeSurgery #EmergencyMedicine #PatientCommunication #SurgicalRisks #Perforation #WomenHealth #HealthCrisis

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 the case of a 25-year-old man experiencing a sudden, severe asthma attack requiring intensive care, his worst episode yet. It emphasises the patient's history of mild, irregularly treated asthma and his occupation as an automotive spray painter, which could be a contributing factor. It details the medical management plan for his discharge, including specific medications like prednisolone and inhaled corticosteroids, and highlights the importance of patient education, self-monitoring with a peak flow meter, and a personalised asthma action plan to prevent future life-threatening attacks. The case also guides healthcare professionals on effectively communicating with the patient and addressing potential misunderstandings about asthma management.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #AsthmaAttack #AsthmaManagement #OccupationalAsthma #PeakFlowMeter #Inhaler #HealthTips #ChronicDisease #EmergencyCare

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 case outlines a clinical scenario for a medical examination, focusing on a 35-year-old schoolteacher experiencing nocturnal hand discomfort, primarily in her right arm and hand. The main objective for the candidate is to assess, diagnose, and propose treatment for carpal tunnel syndrome, which involves compression of the median nerve at the wrist. It details the patient's symptoms, a structured approach for history-taking and examination, expected diagnostic findings, and various treatment options ranging from splinting to surgical decompression. The overall purpose is to evaluate a candidate's ability to manage a common nerve entrapment syndrome through proper diagnosis and a suitable management plan.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #CarpalTunnelSyndrome #CTSAwareness #HandPain #NumbHands #TinglingFingers #NocturnalDiscomfort #WristSplint #TeacherHealth #SleepDisruption

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 details the case of a 28-year-old woman presenting with a breast lesion, outlining the diagnostic process and follow-up. Initial concerns arose from painful, cyclical breasts and a solitary abnormality found via ultrasound, prompting a fine needle aspiration cytology (FNAC). The FNAC report, a crucial component, found no evidence of malignancy, confirming the lesion was benign. It then presents a scenario for a medical candidate, asking them to interpret these findings, counsel the patient about future management, and address her concerns, particularly regarding her mother's history of breast cancer.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #BreastLump #BenignCyst #BreastHealth #FNAC #Ultrasound #CancerAnxiety #WomensHealth #FamilyHistory #FibrocysticChange

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 case study focusing on a 2-year-old boy, Alexander, presenting with fever, irritability, and ear discharge, indicative of acute otitis media with perforation of the eardrum. It outlines the candidate's tasks in diagnosing and managing the condition, as well as the examiner's expected responses for the parent who feels guilty over the situation. The case emphasises immediate and future management strategies, including preferred antibiotics, pain relief, and follow-up care, while also addressing key issues like parental anxiety and the generally positive prognosis for eardrum perforations. Ultimately, it serves as a comprehensive guide for assessing a medical student's ability to diagnose and manage a common pediatric ear infection, as well as effectively communicate with concerned parents.#AMC #OSCE #ClinicalReasoning #MedicalEducation #IMGs #AustralianMedicalCouncil #EarInfection #ChildHealth #OtitisMedia #FeverInKids #EarDischarge #PediatricCare #PerforatedEardrum #KidsHealth #Antibiotics