OSCE stations › Monitors and echo station: peaked T waves, a torn aorta, ST elevation off bypass
Full access · Monitors · The monitors and echo station: format and timing · 3 tasks · 12 min
Monitors and echo station: peaked T waves, a torn aorta, ST elevation off bypass
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Interpretation of monitors and echocardiograms. A facilitator will play three separate scenarios, each from a different patient, and read every question aloud. Each recording plays once, you cannot go back to an earlier scenario, and the facilitator gives no extra information.7
- Scenario 1, physiologic monitor only (about 2 minutes): what changed, and the most likely diagnosis.
- Scenario 2, TEE or POCUS only (about 1.5 minutes): the findings, the most likely diagnosis, and your management plan.
- Scenario 3, combined (about 2.5 minutes): a monitor recording first, then TEE or POCUS images from the same patient; describe both and give the most likely diagnosis.
You have about 60 seconds to answer each scenario. In this station the ECG changes shape rather than rhythm: look at the T wave, the ST segment and the QRS width.
Your task: answer each question in the order it is asked, and say what you see before you name the diagnosis.