Phys · Clinical Cases
22 units across 8 domains — DCE long-case and short-case clinical station preparation.
Domain
DCE long-case station: post-anaphylaxis review of a young woman with two reactions in eight months — history reconstruction, examination for triggers and comorbidity, and a management plan covering device, plan, referral and cofactor control, with presentation template and probing questions.
DCE long-case station: unprovoked pulmonary embolism leading to a new cancer diagnosis — occult malignancy workup, anticoagulant choice and duration, and management of the anticoagulated patient through cancer therapy.
DCE short-case station: the irregular pulse — examination technique, the AF workup discussion, anticoagulation and rate/rhythm reasoning, with presentation template and probing questions.
DCE short-case station: the cardiovascular risk-factor examination — xanthelasma, corneal arcus, tendon xanthomata, blood pressure technique, adiposity measures and peripheral pulses — with presentation template and probing questions on the findings that change management.
DCE short-case station: 'Examine this patient for signs of infective endocarditis' — a systematic examination routine for peripheral stigmata and the precordium, with presentation template and discussion.
DCE short-case station: examination of the patient with suspected meningeal irritation and altered cognition — systematic routine, presentation template, and discussion.
DCE short-case station: respiratory examination of a patient with chronic apical changes after tuberculosis — apical crackles, bronchial breathing and volume loss, with a presentation template, the active-versus-inactive discrimination, and examiner questions.
DCE short-case station: examine this patient's abdomen — the chronic liver disease and portal hypertension examination in a patient with chronic viral hepatitis, a presentation template, and the surveillance-focused discussion that follows.
DCE long-case station: granulomatosis with polyangiitis presenting as pulmonary-renal syndrome — the systemic vasculitis examination (purpura, nasal bridge, crackles, urine dipstick), presentation template and probing questions on induction, plasma exchange and maintenance.
DCE short-case station: respiratory examination in suspected lung cancer — clubbing, supraclavicular node and lobar collapse signs — with presentation template, differentials and probing questions.
DCE short-case station: respiratory examination of the breathless patient — work of breathing, cyanosis, CO2 retention signs, hyperinflation and cor pulmonale — with presentation template and probing questions.
DCE short-case data station: integrated interpretation of spirometry, flow-volume loop, lung volumes and DLCO in a patient with progressive dyspnoea — the read, the synthesis and the probing discussion.
DCE data-interpretation station: a CT report describing an incidental pulmonary nodule plus a brief history — structured reading, risk stratification, framework selection and the plan, with differentials and probing questions.
DCE short-case station: examination for tetany and latent hypocalcaemia — Chvostek and Trousseau technique with honest sensitivity, the calcium-focused history, presentation template and discussion.
DCE short-case station: the hypertension examination with renovascular detection built in — correct measurement, fundi, bruits, kidneys and peripheral pulses — with presentation template and probing questions.
DCE short-case station: the abdominal examination in ADPKD — bilateral ballotable renal masses, cystic hepatomegaly, hernias, blood pressure and hypertensive fundi — with presentation template and probing questions.
DCE short-case station: examination of the dialysis patient — the arteriovenous fistula (thrill, bruit, aneurysm, steal signs), the PD catheter exit site, and the volume and cardiovascular survey that complete the dialysis examination — with presentation template and probing questions.
DCE data station with long-case framing: urine microscopy and medication-chart reasoning in suspected drug-induced acute interstitial nephritis — interpretation, presentation template, management and probing questions.
DCE short-case station: examine this patient for signs of iron deficiency anaemia — a systematic routine from hands to mouth to cause-hunt, the signs that matter, a presentation template, and the discussion that follows.
DCE long-case station: major gastrointestinal haemorrhage on apixaban — resuscitation, massive transfusion reasoning, reversal and anticoagulation resumption, with presentation template and probing questions.
DCE long-case station: progressive dysphagia with weight loss — the discriminating history, the epigastric and general examination, staging logic and the presentation of a suspected oesophageal malignancy.
DCE long-case and short-case clinical station: comprehensive patient assessment, structured presentation, and discussion for chronic viral hepatitis examination preparation, covering HBV management, HCV DAA therapy, and cirrhosis surveillance.