MedSim Virtual Patient

 For Medical Students

 

Software Documentation

 

Version 1.0

 

 

 

 

 

Developed by Amrita CREATE, Amrita University

http://www.amrita.edu/create

 

 

 

 

 

 

 

 

 

 

 


 

 

 

 

 


 

 

 

Introduction

What is MedSim?

Getting started with MedSim Virtual Case

General Virtual Case Architecture

The User Interface

Anatomy of MedSim Virtual Patient Modules

History Taking

Physical Examination

General Appearance

Body Mass Index (BMI)

Vitals

Blood Pressure

Pulse

Temperature

Respiratory Rate

General Inspection

Pallor

Icterus

Clubbing

Cyanosis

Lymphadenopathy

Pedal Edema

Peripheral pulses

Jugular Venous Pressure

Brudzinski's Sign (Nuchal Rigidity)

Facial tenderness

Examination of the Eye

Conjunctiva

Sclera

Extra Ocular Movement

Fundus Examination

Pupils

Examination of Ear, Neck and Throat (ENT)

Ear-Tympanic Membranes

Teeth - Dentition

Nose - Septal Deviation

External Auditory Canal

Nasal Mucosa

Throat - Pharynx

Examination of Neck

Tracheal Position

Thyroid

Range of Motion

Systemic  Examination

Cranial Nerve Test I-VI

CN I -Olfactory Nerve

CN II - Visual Acuity

CN II - Visual Reflexes

CN II - Visual Field

CN II - Nystagmus

CN II - Colour Vision

CN III, IV and VI - Extraocular Movements

CN V- Trigeminal nerve - Sensory

CN V- Trigeminal nerve - Motor

CN V - Corneal Reflex

CN V - Jaw Jerk

Cranial Nerve Test VII-XII

CN VII - Facial Nerve

CN VIII - Rinne Test

CN VIII - Weber’s Test

CN IX - Gag Reflex

CN IX - Sternocleidomastoid

CN X- Vagus Nerves

CN XI- Trapezius

CN XII-Hypoglossal Nerve

Motor Function Test

Pronator Drift

Triceps Reflex

Biceps Reflex

Brachioradialis Reflex

Finger Jerk

Knee Jerk

Ankle Jerk

Plantar Reflex

Coordination Test

Gait Assessment

Finger-to-Nose Test

Heel-to-Toe  (Tandem Gait)

Rapid Alternating Finger Movements

Rapid Alternating Hand Movements

Rebound Effect

Graphesthesia

Heel-to-Shin Test

Sensation Test

Light Touch

Pain

Vibratory Sense

Temperature

Double Simultaneous Stimulation

Stereognosis

Tactile Movement

Two point discrimination

Other Test

Speech Assessment

Mental Status Examination

Respiratory System

Palpation -Chest Expansion

Palpation- Supraclavicular node

Thorax

Palpation-Tactile Fremitus

Respiratory System - Chest Palpation

Percussion

Diaphragmatic Excursion

Auscultation - Breath Sounds

Auscultation - Bronchophony

Auscultation - Egophony

Auscultation-Whispered Pectoriloquy

Cardiovascular System

Cardiovascular System- Inspection

Cardiovascular System - Palpation

Cardiovascular System- Percussion

Cardiovascular System- Auscultation

Abdomen Examination

Abdomen Examination- Inspection

Abdomen Examination- Palpation

Abdomen Examination- Percussion

Abdomen Examination - Auscultation

Lab Investigation

Blood Test

Complete Blood Count

Electrolytes

Renal Function Tests

Random Blood Sugar

Arterial Blood Gas Analysis

Cardiac Enzymes

Lactate Dehydrogenase

Uric Acid

Blood Coagulation Test

C-reactive Protein

Fasting lipid profile

Urine Test

Urine-Physical

Urine-Chemical

Urine - Microscopic

Specific Investigation

Electroencephalogram (EEG)

Echocardiogram (ECHO)

Electrocardiography (ECG)

Treadmill Test (TMT)

Chest X-Ray

Spirometry

Clinical laboratory (Optional)

Urine Routine

Differential Diagnosis

Symptoms and Findings

Differential Diagnosis

Final Diagnosis

Treatment Module

The signs, symptoms and findings

Drug Selection

Prescribing Multiple Drugs

Solving the Drug-Drug Interactions

Drug Prescription

Result

Case Review

Reports

Analysis Report - > Path taken for diagnosis

Assessment report -> Formative assessment