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Communication module FOM KFMC on 7th July 2010 by Professor Omar Hasan Kasule Sr.
1.0 MEETING AND GREETING THE PATIENT FOR THE FIRST TIME
A patient with a bandaged left hand walks into the room
2.0 GIVING BAD NEWS
Meeting members of the family to tell them that their father has passed away
3.0 HEALTH EDUCATION -1
Prepare a 2-minute oral presentation on stopping smoking
4.0 HEALTH EDUCATION -2
Write 3-5 sentences for a poster against spitting on the road
5.0 HEALTH EDUCATION -3
Prepare a 2-minute presentation against hugging and kissing when greeting
6.0 EXPLAINING A LAB REPORT (Hematology) TO A PATIENT
Hemoglobin 14.5 g/dL (13.5 – 18.0)
Total RBC 5.6 10E12/L (4.7 – 6.1)
RDW 12.4% (11.6 -14.8)
PCV 46.8% (42.0 – 52.0)
MCV 83.1fl (80.0 – 100.0)
MCH 25.7 pg (27.0 – 33.0)
MCHC 31.0 g/dL (32.0 – 36.0)
Total WBC 7.2 10E9/L (4.0 – 11.0)
Neutrophils 49% (40 – 75)
Lymphocytes 35% (20 - 45)
Monocytes 10% (2 – 10)
Basinophils 5% (1 – 6)
Basophils 1% (0 – 1)
ESR 9 m/hr (2 – 10)
7.0 EXPLAINING A LAB REPORT (Renal profile) TO A PATIENT
Sodium 144 mmol/L (136 – 145)
Potassium 4.0 mmol/L (3.5 – 5.1)
Chloride 104 mmol/L (97 – 107)
Urea 5.7 mmol/L (2.5 – 6.4)
Serum creatinine 115 umol/L (71-115)
Calcium 2.28 mmol/L (2.12 – 2.52)
Corrected calcium 2.26 mmol/L
Phosphate 0.93 mmol/L (0.80 – 1.60)
Uric acid 423 umol/L (208 – 428)
8.0 EXPLAINING A LAB REPORT (Lipid profile) TO A PATIENT
Glucose 5.1 mmol/L (4.0 – 7.8)
Total cholesterol 5.6 mmol/L (<5.2 desirable)
(5.2 – 6.2 borderline)
(>6.2 high risk)
HDL Cholesterol 1.25 mmol/L >1.03 normal
LDL Cholesterol 3.73 mmol/L <2.58 normal
4.12 – 4.89 high >4.9 very high
Triglycerides 1.37 mmol/L <1.70 normal
Cholesterol / HDL ratio 4.48 <5.9
9.0 EXPLAINING A LAB REPORT (Liver profile) TO A PATIENT
Total protein 74 g/L (64-82)
Albumin 41 g/L (34-50)
Globulin 33 g/L (20-39)
A/G Ratio 1.2
Total bilirubin 7.0 umol/L (<17.1)
Alkaline phosphatase 96 IU/L (50-136)
SGPT/ALT 35 IU/L (30-55)
SGOT/AST 20 IU/L (15-37)
Gamma-GT 75 IU/L (15-85)
10.0 EXPLAINING A LAB REPORT (Urine microbiology) TO A PATIENT
Urine appearance Clear
Urine SG 1.015 (1.005 – 1.030)
Urine pH 6.0 (4.5 – 8.0)
Nitrate Negative
Protein Negative
Glucose Negative
Ketone Negative
Urobilinogen Normal
Bilirubin Negative
RBC/HB/Myoglobin Negative
11.0 EXPLAINING A LAB REPORT (Urine microscopy) TO A PATIENT
RBC Nil /uL (0-3)
WBC Nil /uL (0-6)
Epithelial cells Nil /uL
Cast Nil
Bacteria Occasional