Case Sore Throat

Table of Contents

• Objective Structured Clinical Examination
  • College of Medicine Almaarefa University
    • Information for Student
      • Upper Respiratory Tract Infection (Sore Throat)
    • Information for the Simulated Patient
      • Case-2: Sore Throat
    • Notes

Objective Structured Clinical Examination

Information for Student

Upper Respiratory Tract Infection (Sore Throat)

Patient Brief Record / Brief Scenario:

Information for student about the case

• Patient Name: Zainab
• Age: 31 years
• Marital Status: Married with 5 children
• Occupation: Teacher
• Medical History: Not known to have any chronic illness
• Vital Signs:
  • Blood Pressure: 120/78 mm Hg
  • BMI: 32
  • Temperature: 37.1 °C

Patient Presentation: Mr. Ahmad is a 31-year-old, presented today with the complaint of fever and sore throat.

TASK: (What is expected from a student?)

• Take a focused history from this patient to arrive at the most likely diagnosis.

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Information for the Simulated Patient

Case-2: Sore Throat

Patient Brief Record / Brief Scenario:

• Patient Name: Zainab
• Age: 31 years
• Occupation: Teacher
• Marital Status: Married, with 5 children between 2-14 years old (Currently taking COC pills)

Patient Presentation: You have a sore throat since 3 days; this is associated with mild fever, dry cough, headache, and generalized body aches.

Opening Scenario: Doctor, I have a painful throat (You will admit only this).

Tell your doctor about the following information only if specifically asked about:

• Symptoms:

  • Since three days, you have a sore throat, fever, cough, headache, and generalized body ache.
  • This is the 3rd episode during this year.
  • You also have sneezing and a running nose.
  • You tried Panadol tablets, taking 2 tablets every 12 hours with mild benefits.

• Ideas, Concerns, and Expectations:

  • Ideas: It is an infectious disease which should be treated with a strong antibiotic.
  • Concerns: That it will spread this problem to all your family members.
  • Expectations:
    • That your doctor will give you an antibiotic and more potent painkillers.
    • You want sick leave to get rest for 2-3 days.
    • You want to know whether tonsillectomy would be an appropriate option for you.

• Smoking Habits:

  • Smoker: 20 cigarettes/day; one pack (you smoke as soon as you get up, and even if you are tired or sick, you smoke).

Tell your doctor about these details only if specifically asked about:

• You have tried Panadol by yourself as an over-the-counter medication from a pharmacy store.

• This is the third episode this year.

• Asked your doctor about:

  • Antibiotic, insist as you tried last visit from another doctor.
  • Suitability of tonsillectomy.
  • Sick leave for 2-3 days.