Focus: Preclins

Of late I've been posting a lot of Clinically oriented scenarios and the like. So today, we're dialling back: it's all about you Preclins!

Let's dissect some sample pbl cases and then look at relevant (high yield) anatomy:

Sian is a 10-month-old breast-feeding baby. She has 24 hours of diarrhoea and vomiting.She tries to feed but "falls off" the breast after 2–3 minutes. She is easily rousable butappears disinterested.

Mr. K is a handy man. One afternoon, while cleaning windows, he has a fall and hisright arm strikes and breaks a window. On initial examination, Mr. K has a 5cmtransverse laceration to the flexor aspect of his right wrist.

Ben, aged 20, is playing football. He is a known diabetic, taking twice daily insulin.Last night he had a "big" night with his mates and got quite drunk. Today's game istougher than he expected. At half time Ben feels tired, but puts it down to the game andlast night's beer! About ten minutes into the second half his team mates notice that Benseems to have lost concentration. Five minutes later he begins to stagger and falls to theground.

How does pbl do it? For each of the above cases, let's select salient points- Issues, Hypotheses and learning points. So ideally differentials, causes and management. Examples- Case 1 Why is baby behaving this way? How to assess her hydration status? How to remedy the problem? Case 2 What happened to him? How do we treat him? Case 3 What caused this episode? How to prevent future episodes?