Thread by @Dr_Hempenstall

1/ Primary Care Case of the Week

#MedStudents clinical placements have halted due to the #COVID19 pandemic. So I’d like to share an interesting case each week to support #MedStudents clinical reasoning.

🧐All cases are factitious, but inspired by cases seen in #PrimaryCare

2/ Before we begin, what is clinical reasoning?

💡It’s an ability to integrate & apply different types of knowledge, to weigh evidence, critically think about arguments & to reflect upon the process used to arrive at a diagnosis

#MedEd #MedTwitter
nap.edu/read/21794/cha…

3/ Do you have a diagnostic strategy?

💡Make sure you structure your differential list & practice using it with every case!

📝Here’s Murtagh’s PROMPT:
P=Probable diagnoses
R=Red flags
O=Often missed
M=Masquerades
T=patient trying to Tell me something

4/ Primary Care Case Week 1

15yo M presents to a remote clinic in the #TorresStrait with a right foot wound. It’s been there for 1 month & he can’t remember any injuries.

💡What’s in your list of differential diagnoses?

💡What would you like to know on history & exam?

5/ #Yaws
🦶🏾#NTD Treponema pallidum subsp. pertenue
🦶🏼Identical morphology to syphilis
🦶🏿Transmitted through nonsexual contact with skin lesions
🦶🏽Painless erythematous papule that ulcerate
🦶🏾Diagnosed by darkfield microscopy/syphilis serology
🦶🏻Treat with benzathine penicillin G

6/ Check out more about this neglected tropical disease:

💻who.int/yaws/disease/e…

🎥

👉🏽Follow Yaws leading world expert @dr_michaelmarks

7/ Thanks to everyone who played along this week! I’ll post another next week 💁🏻‍♀️

👉🏽Here are additional great online resources for #MedStudents to aid your learning:

onthewards.org
dontforgetthebubbles.com
osmosis.org/library

@onthewardsorg @DFTBubbles @OsmosisMed