MedSim Virtual Patient
For
Medical Students
Software
Documentation
Version 1.0
Developed
by Amrita CREATE, Amrita University
http://www.amrita.edu/create
Version
History
Version 0.1 |
Parvathy GD, Sreejith
SR, Rathish G |
March 2015 |
First Draft |
Version 0.2 |
Mithu Jose, Anisha
SL, Sreejesh K |
June 2015 |
Second Draft |
Version 0.3 |
Parvathy GD, Romita
Shine, Rathish G, Amrita Jayakumar |
June 2015 |
Third Draft |
Version 1.0 |
Rathish G, Parvathy
GD |
June 2015 |
Final |
Version 1.1 |
Mithu Jose |
Feb 2017 |
Updated Simulation
Steps |
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