• Can we do GPE of GIT, if patient is lie flat or should we do it in 45 degrees?? ...... For Abdomen lie flat with pillow...Respo, CVS at 45 degree. For neuro you can either do it in 45 degree or lie flat.
• Don't tell baseline investigations... Only tell Specific investigations..

I will try to expose you for the examination and will try to maintain your dignity. (if after exposure, if still you wanna expose anything further**), I am going to lift it, if thats ok.**

Confidence matters a lot. They will assess you on your body language. If you seem anxious, they will write this in response.

Always ask for chaperone.

Always try to complete the short case in 4-5 mins, so that you can reconfirm your main finding and consolidate your findings.

Practise all the 4 systems daily in the last month. so that while during the examination, you are adding and subtracting the findings while not focusing on the method you are doing.

In Respiratory, Always start from the BACK OF CHEST, so that:

• You can differentiate between scar and non scar case.
• Most common conditions: Bronchiectasis, ILD, COPD will be picked up from behind.

Dont do Both Vocal fremitus and Vocal resonance.. Do only one thing.

There are 2 stations in which SURROUNDINGS are very important:

• Respiratory : Look for Inhalers, sputum pot, OXYGEN BAG OR CYLINDER, Temperature chart.
• Neurology: Crutches, orthosis, frame, stick.

Most of the murmurs we see in UK are Aortic stenosis and Mitral regurgitation. Aortic regurgitation may come.

Most important Gastro short cases are HEMACHROMATOSIS, CLD, Transplant, ADPKD, Felty. ALWAYS LOOK FOR PORTA CATH.

What if Normal GIT examination with no Liver or kidney transplant scar:

1. ALWAYS LOOK FOR AV fistula in Antecubital fossa.
2. Below clavicle scars for Permcath.