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
There are 4 wards for this posting
- AMU –
- Ward 4 – Stroke 1
- Stroke unit
- INRU ( Neuro Rehabilitation Unit)
- 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.
- Presenting complaints. What are the patients symptoms?
- History. What is the sequence of events that lead to the current set of symptoms, get the timeline, exacerbating factors, relieving factors, and patterns
- Family history- Any significant family history or genetic factors
- Past medical history
- Medication history What medications, what dose, what is each meditation for?
- social history – Smoking, alcohol
- General examination – start from head to the toes.
- System of interest Main system of relevance
- Other systems relevant to the history
- Every case needs 3 differential diagnoses