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 |