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Table 2 Correct steps to perform in the acute abdominal pain station and the points awarded for each step

From: Effect of phone call distraction on the performance of medical students in an OSCE

Step Correct Partial
Medical History
 Pain (where, how, when, why) 1.0 0.5
 Vegetative Symptoms (nausea, vomiting, fever, bowel movements) 1.0 0.5
 Prior medical history (prior illnesses, prior operations) 1.0 0.5
 Medications and allergies 1.0 0.5
Physical Examination
 Correct positioning of the patient 0.8  
 Inspection (verbalizing the results) 0.8  
 Auscultation of the abdomen in all four quadrants 0.8  
 Percussion of the abdomen 0.8  
 Palpation of the abdomen (starting in a non-painful region) 0.4  
Signs (depending on the scenario) 0.4  
 Diverticulitis: rebound tenderness   
 Cholecystitis: Murphy’s sign   
 Appendicitis: Blumberg’s sign   
Diagnosis
 Naming the correct diagnosis and further diagnostic steps 1.0 0.5
Communication
 Communication with the patient (professional behavior, clear communication, showing empathy, hygiene) 1.0 0.5