Comprendre des présentations de cas cliniques en anglais
Fiche de révision · Anglais médical · P2
L'essentiel du cours
Chapitre 1 : Why learn clinical English?
A clinical case presentation follows a logical order: CC, HPI, PMH, PE, A/P.
Chapitre 2 : Describing symptoms and history
Use OPQRST for pain: Onset, Provocation, Quality, Radiation, Severity, Time.
Chapitre 3 : Physical exam and vital signs
Vital signs are always given in the same order: BP, HR, RR, T, SpO2.
Chapitre 4 : Assessment and plan
The assessment states the most likely diagnosis; the plan lists next steps.
Teste-toi · 8 questions
1.What does 'chief complaint' mean?
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Réponse : The main symptom the patient reports
The chief complaint is the primary symptom or problem that the patient describes, usually in their own words.
2.In a case presentation, what comes first?
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Réponse : Chief complaint
The standard order starts with the chief complaint, then history, exam, and finally assessment and plan.
3.What does 'HPI' stand for?
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Réponse : History of Present Illness
HPI means History of Present Illness, the detailed story of the current problem.
4.A patient says 'I have had a fever for three days.' Which question asks about duration?
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Réponse : How long have you had the fever?
Duration refers to how long a symptom has been present, so 'How long...' is the correct question.
5.Vital sign 'HR 88' means:
- A.Respiratory rate 88 breaths/min
- B.Blood pressure 88 mmHg
- C.Temperature 88°F
- D.Heart rate 88 beats per minute
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Réponse D : Heart rate 88 beats per minute
HR stands for heart rate, measured in beats per minute (bpm).
6.'The pain radiates to the left arm.' What does 'radiates' mean?
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Réponse : Spreads to another area
To radiate means the pain spreads from its original location to another part of the body.
7.Which abbreviation means 'twice a day'?
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Réponse : bid
bid comes from Latin 'bis in die' and means twice a day. qd = once daily, tid = three times daily, qid = four times daily.
8.In the assessment, the doctor says 'The most likely diagnosis is pneumonia.' This is an example of:
- A.A differential diagnosis
- B.A final diagnosis
- C.A chief complaint
- D.A plan
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Réponse B : A final diagnosis
Stating the most likely diagnosis is giving a final or working diagnosis, not a list of possibilities.