Ward posting – the aim of being on the ward is to take a good history, do an examination and try and arrive at a diagnosis. During your posting at Trafford, you will have to try and go through this process and only after you make a differential diagnosis can you make a management plan.

  • Ward rounds
    • YOU can come into the wards on any day- no permissions are required
    • You can attend ward rounds on Ward 2, INRU , Ward 6, Stroke Rehab, and Elm unit.
    • Please join from 9 AM to 1 PM or 1 PM to 5 PM will have two ward sessions.
    • You can either join ward rounds or you can work up a case yourself.
    • You are essential staff and should have the same access to PPE and patients.
    • You can go to other wards even if you are not posted there

Which Wards

There are 4 wards for this posting

  1. AMU –
  2. Ward 4 – Stroke 1
  3. Stroke unit
  4. INRU ( Neuro Rehabilitation Unit)

Schedule

  • Please attend ward at 9 AM and try and sit in through handover.
  • Join ward rounds after that.
  • Ask for patients with good history or findings. Please take a history and examination and try and formulate 3 differential diagnoses.
  • Present the case to consultant or Doctor and ask for feedback.

Presentation format

History

  1. Presenting complaints.  What are the patients symptoms?
  2. History. What is the sequence of events that lead to the current set of symptoms, get the timeline, exacerbating factors, relieving factors, and patterns
  3. Family history- Any significant family history or genetic factors
  4. Past medical history
  5. Medication history What medications, what dose, what is each meditation for?
  6. social history – Smoking, alcohol

Examination

  1. General examination – start from head to the toes.
  2. System of interest Main system of relevance
  3. Other systems relevant to the history

Differential diagnosis

  1. Every case needs 3 differential diagnoses