Ortho in PGH

Monday

11am: Meet Ms Vasanthie at C13

Tuesday

Prepare ONE LONG CASE as a group

Choose between SHOULDER, BACK, HIP or PERIPHERAL NERVES. Use a KNEE case only if you cant find the
others.
2 ppl History taking
Please present as per how she taught us last semester
2 / 3 ppl Physical examination
Need to know the examinations in detail, why and what exactly you are examining.
Ie: Relate examination to anatomy.
2 / 3 ppl Investigations + Management
You may refer to the patients files to get an idea of what investigations and
management is suitable.
Read all X-rays / MRIs and present as per how you would in an exam
Read all blood test results and note any significant findings.
10am: Meet Ms Vasanthie at C13

Wednesday

Prepare FOUR SHORT CASES. Ie: Clerk HISTORY and present INVESTIGATIONS and MANAGEMENT. Do PE
only if have time.
2 ppl Infection: OM / Diabetic foot / Abscess
2 ppl Trauma
2 ppl Tumour / Lumps / Bumps
2 ppl Choose back / shoulder / hip - Depends on what you have presented and learnt the day
before. Discuss with Ms Vasanthie.
8-9am : Physiotherapy Module Physiotherapy Centre (By: Mr. Rajpal / Pn Rotsini - Just go to the counter)
11-12pm : POP Module Orthopaedics Clinic (By: MA Adam)
*Prof Alif is only able to make it from 8-9am. Because the Physio module takes priority, for now Prof Alif holds
a combined session on Friday. The timing may be altered so group leaders please check with Ms Vasanthie.

Thursday
Friday

8.00am - Ortho Clinic with Dato Zul

8-10 am: Meet Prof Alif at C13 (tentative. KIV any changes to the Physio Module time allocation)
Everyone should have a case (Hx, PE, Ix and Mx). If you can, learn one new examination with him. Usually, he
would be able to cover at least 2 cases.
10am: Wound module (By: Staff Nurse Puspalailawati)

Notes for group leaders:

Please phone Ms Vasanthie on the Sunday before your rotation.
Please confirm the timing for the Physio Module again.
Contact Prof Alif to inform him should 8am on Wednesdays still be occupied by the Physio module.
General notes for everyone:
Know anatomy well for X-rays
Read up on principles of POP for POP module
Read up on wounds: classifications and types of wounds for the Wound module
Prepare for the physical examinations well.
Choose the right patient for your group presentation on Monday. Preferably pre-op for physical examination and
one with a good history.
Should certain examinations not be covered in PGH, please cover it in Seberang Jaya.
Ms Vasanthie encourages revision on the knee examination but only if the other topics have been covered.
EOB OSCE:
Any of the following topics may appear.
Spine / back
Knee
Hip
Shoulder
Examine a lump
Examine an ulcer
Neurological assessment