absolutely wonderful video as always, thank you very much for your hard work. i just would like to clarify, is there any particular reason meningitis is ruled out as a differential? since the patient mentioned that he did have some sort of sensation in tue neck area thank you!
6:23 Thank you sir for making this video, i just have one question you said “after a negative CT scan we should do a lumbar puncture to assess subarachnoid hemorrhage” , but doesn’t the negative CT scan rule out this, thank you again
Bleeding can be minor and invisible in CT scan , that's why we wait for 12 hours to do LP to check for Xanthochromia -yellow discoloration of CSF ( caused by breakdown of hemoglobin)
Good video but needs some improvement especially in interpersonal skills . Conversation looks scripted ,I wish if it could be more natural . otherwise patient very good actor !
Wow! Great patient.He deserves an Oscar.
Really brilliant channel, useful for all roles in healthcare, not just medics! Using this for my final year of pharmacy school
Great to hear that!
Excellent job guys. Simply the best ❤❤❤
Thanks!
great demonstration with history taking and rolling out differentials
I had my mouth on the floor when he said he was 40! looks way older 😲😲
its an actor...I had a 30 year old actor on my osce exam that played the role of a 80 year old...
Thanks❤
Thanks for the comment!
absolutely wonderful video as always, thank you very much for your hard work.
i just would like to clarify, is there any particular reason meningitis is ruled out as a differential? since the patient mentioned that he did have some sort of sensation in tue neck area
thank you!
Probably because the patient denied having photophobia, nausea, vomiting, fever, change in vision or hearing
Also denies neck stiffness. But on your PE you could do Brudzinsky or Kernig to support this.
Beautiful 😍
6:23 Thank you sir for making this video, i just have one question you said “after a negative CT scan we should do a lumbar puncture to assess subarachnoid hemorrhage” , but doesn’t the negative CT scan rule out this, thank you again
No, it doesn’t rule it out. That’s why there’s a need for LP to assess for Xanthochromia.
Bleeding can be minor and invisible in CT scan , that's why we wait for 12 hours to do LP to check for Xanthochromia -yellow discoloration of CSF ( caused by breakdown of hemoglobin)
Clean job
Shouldnt we ask if he is ok to continue? Like does he need some pain killers or not?
At what point do we offer pain relief? After the pain history where we learn its level?
Is stiffness of the neck is a sign or symptom?
A symptom which is highly linked to meningitis, i’d put meningitis in differential diagnosis instead of migraine
من مثلي جاي من تيم الاوسكي 😅😅
Good video but needs some improvement especially in interpersonal skills . Conversation looks scripted ,I wish if it could be more natural . otherwise patient very good actor !
Subarachnoid haemorrhage