Clinical Overview

4 bays of 15 minutes each + 5 minutes to mark and document by the examiners

2 examiners per bay who will examine for approximately the same lenght of time (7.5 minutes per examiner)

	*Superficial Lesions*	*Abdomen & Trunk*	*Musculoskeletal & Neurology*	*Circulation & Lymphatics*
History	Lumps & Ulcers Thyroid history	Dysphagia	Orthopaedic history taking	Peripheral vascular system
Examination	Lumps & Ulcers Neck examination Thyroid examination	Abdominal examination Examination of the scrotum Breast examination	Examination of the shoulder Gait	Peripheral vascular system examination
Cases	Lipoma Sebaceous cysts Ganglion Cervical lymphadenopathy Sternocleidomastoid pseudotumour Thyroid nodule / multinodular goitre / thyroid enlargement Hypertrophic keloid scars Squamous cell carcinoma / malignant melanoma / basal cell carcinoma Pressure sores Grafts & Flaps Ptosis Facial nerve palsy Salivary gland swellings Karatoacanthoma Neurofibroma Pyogenic granuloma Seborrheic keratosis Solar keratosis Digital clubbing Branchial cyst Dermoid cyst Thyroglossal cyst Radiotherapy marks Dermatofibroma Hiadradenitis suppurativa Kaposi's sarcoma Pharyngeal pouch Cystic hygroma Chemodectoma Furuncles Pyoderma gangrenosum Vascular malformations	Inguinal hernia Surgical jaundice Stoma Hepatomegaly Incisional hernia Umbilical hernia Splenomegaly Inflammatory bowel disease Hydrocoele Epididymal cyst Varicocele Right iliac fossa mass Transplanted kidney Ascities Epigastric mass Pleural effusion Enlarged kidney Common surgical scars Breast lump Post-mastectomy breast Breast reconstruction Gynaecomastia Post-lobectomy/pneumonectomy chest Median sternotomy Testicular tumour Enterocutaneous fistula Mouth signs in abdominal disease Epigastric hernia Femoral hernia	Osteoarthritis of the hip Osteoarthritis of the knee Dupuytren's contracture Carpal tunnel syndrome Rheumatoid hands Osteoarthritis of the hands Ulnar nerve lesions Hallux valgus Hammer toes / Claw toes Mallet finger Trigger finger Ingrowing toenail Radial nerve lesions Osteochondroma Popliteal fossa swellings Hallux rigidus Casts Simulation reduction of fractures Lumbar disc herniation Brachial pleux lesion Ivory osteoma Chondroma Charcot's joints Winging of the scapula External fixators Intramedullary nails Paget's disease of bone Achondroplasia	Varicose veins Venous ulcer Diabetic foot Amputations Abdominal aortic aneurysm Carotid artery disease Popliteal aneurysm Ischaemic ulcer Post-phlebitic limb Gangrene Raynauld's syndrome Neuropathic ulcer Rarer leg ulcers Lymphoedema Hyperhidrosis False aneurysm Thoracic outlet obstruction Thromboangiitis obliterans (Buerger's disease) Superior vena cava obstruction Carotid artery aneurysm and dilated common carotid artery Lymphangioma Arteriovenous fistulae Coarctation of the aorta Atrial fibrillation

Communication skills

Explain to a relative
- Patient has to have emergency surgery
- Patient had a complication of surgery
- Anxiety about a diagnosis / operation / failed care
Consent patient
- For elective operation
- For emergency operation
- Addressing specific concern
Breaking bad news
Investigate presenting complaint
Dealing with a complaint

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