Wards and case presentations

On Wednesday PM/ Tuesday AM, you will have case presentation. You will be expected to present a history and do an examination and make a presentation

We have a different blend of cases compared to acute units. Please do not expect to see extremely unwell patients. However if you wish to see a true spectrum of care required in the 21st century, you will get this at Trafford

Conditions you will encounter

    • Frailty
    • Osteoporosis
    • Stroke
    • Brain injury and rehabilitation
    • Falls
    • Dementia
    • Infections

Ward rounds

    • YOU can come into the wards on any day- no permissions are required
    • 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
    • AMU –
    • Ward 4 – Stroke 1
    • Stroke unit
    • 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