[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-316953-105":59,"doc-detail-316953-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","examination-of-nutritional-status-for-medical-student-finals-osces-and-mrcp-paces","Examination of nutritional status for medical student finals - OSCEs and MRCP PACES","","Guide for completing a nutrition-focused clinical assessment for medical student finals, OSCE stations, and MRCP PACES. Covers structured consent and introduction, then general inspection for wellbeing and approximate BMI, assessment of fluids in and out, and inspection of hands, nails, palms, pulse, and posture-related blood pressure changes. Includes head-and-neck signs (eyes, mouth, breath), chest and abdominal findings (including ascites and hypoalbuminaemia), and leg examination with oedema and rickets patterns. Ends with exam completion steps, history, observations, charts, BMI calculation, blood tests, and next investigations.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/examination-of-nutritional-status-for-medical-student-finals-osces-and-mrcp-paces/316953/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/examination-of-nutritional-status-for-medical-student-finals-osces-and-mrcp-paces/316953.png","ImageObject",300,407,{"name":92,"@type":93},"Jiven","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What preparation and consent steps are included before the nutritional exam?","Question",{"text":112,"@type":113},"Wash hands, introduce self, ask patient name and date of birth, explain the examination, and obtain consent.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which in/out items should be reviewed around the bed during general inspection?",{"text":117,"@type":113},"Check quantity of fluids in and out, including NG tube/TPN, IV fluids, nutritional supplements, food/drink/NBM notes; and look at catheter/stoma/NG tube, vomit or sputum, bowels, and related charts such as observations and fluid balance plus drug charts.",{"name":119,"@type":110,"acceptedAnswer":120},"How do you complete the exam and what investigations are recommended?",{"text":121,"@type":113},"Thank the patient, ask if they need help getting dressed, then state the next step for completing the nutritional status assessment. Take a full dietary and gastrointestinal history, review observations and food/fluid charts, calculate BMI, perform blood tests (FBC, U&E, LFT, CRP), and summarise with proposed further investigations and/or diagnosis.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},316953,1790181055,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24},1099513958607,"https://ap-avatar.wpscdn.com/avatar/100002390cf8733938c?x-image-process=image/resize,m_fixed,w_180,h_180&k=1778829742770036399","| Examination of nutritional status for medical student finals, OSCEs and MRCP PACES |\n| --- |\n| Introduction\u003Cbr>􀁸 Wash hands\u003Cbr>􀁸 Introduce self\u003Cbr>􀁸 Ask patients name and date of birth\u003Cbr>􀁸 Explain examination and get consent\u003Cbr>General Inspection\u003Cbr>􀁸 Patient\u003Cbr>o Well or unwell?\u003Cbr>o Approximate BMI\u003Cbr>􀁸 Around bed (if present look at quantity of fluids in/out)\u003Cbr>o In\u003Cbr>􀂃 NG tube/TPN, IV fluids, nutritional supplements, food/drink/NBM notes\u003Cbr>o Out\u003Cbr>􀂃 Catheter, stoma, NG tube, vomit/sputum bowels\u003Cbr>o Charts\u003Cbr>􀂃 Observations, fluid balance, drug chart (diuretics, TPN, supplements)\u003Cbr>Hands and arms\u003Cbr>􀁸 Nails\u003Cbr>o Clubbing (cirrhosis, IBD, coeliacs)\u003Cbr>o Leukonychia (hypoalbuminemia)\u003Cbr>o Koilonychia (iron deficiency anaemia, uncommon)\u003Cbr>􀁸 Palms\u003Cbr>o Temperature\u003Cbr>o Xanthomata (hypercholesterolaemia)\u003Cbr>􀁸 Pulse and blood pressure sitting and standing\u003Cbr>o Rapid pulse and postural BP drop suggest fluid depletion\u003Cbr>Head and Neck\u003Cbr>􀁸 Eyes\u003Cbr>o Sunken, corneal arcus/ xanthelasma (hypercholesterolaemia)\u003Cbr>o Conjunctival pallor (anaemia e.g. bleeding, malabsorption)\u003Cbr>􀁸 Mouth/ tongue\u003Cbr>o Glossitis/ stomatitis (iron/B12 deficiency anaemia)\u003Cbr>o Aphthous ulcers (IBD)\u003Cbr>o Breath odour (e.g. faeculent in obstruction; ketotic in ketoacidosis; alcohol)\u003Cbr>o Dry mucous membranes\u003Cbr>o Gingivitis (vitamin C deficiency)\u003Cbr>􀁸 Goitre (iodine deficiency)\u003Cbr>Chest\u003Cbr>􀁸 Sternum\u003Cbr>o Capillary refill, skin turgor\u003Cbr>Abdomen\u003Cbr>􀁸 Fat\u003Cbr>􀁸 Ascites\u003Cbr>o Hypoalbuminemia or abdominal disease\u003Cbr>􀁸 Loose skin (rapid weight loss) |\n\nLegs  \n􀁸 Peripheral oedema (hypoalbuminemia)  \n􀁸 Bowed legs (rickets/osteomalacia)  \nTo complete exam  \n􀁸 Thank patient, ask them if they need help getting dressed, turn to examiner with stethoscope behind back and say: “To complete my nutritional status assessment, I would like to…”  \no Take a full history, focusing on dietary intake and gastrointestinal symptoms  \no Look at the observations  \no Look at food and fluid balance charts  \no Calculate BMI  \no Do blood tests (FBC, U&E, LFT, CRP)  \no Summarise and suggest further investigations and/or diagnosis","cbCaidjsvFdyXS5U","https://ap.wps.com/l/cbCaidjsvFdyXS5U","pdf",266431,"English","# Introduction\n# General Inspection\n# Hands and Arms\n# Head and Neck\n# Chest\n# Abdomen\n# Legs\n# To Complete Exam","[{\"question\":\"What preparation and consent steps are included before the nutritional exam?\",\"answer\":\"Wash hands, introduce self, ask patient name and date of birth, explain the examination, and obtain consent.\"},{\"question\":\"Which in/out items should be reviewed around the bed during general inspection?\",\"answer\":\"Check quantity of fluids in and out, including NG tube/TPN, IV fluids, nutritional supplements, food/drink/NBM notes; and look at catheter/stoma/NG tube, vomit or sputum, bowels, and related charts such as observations and fluid balance plus drug charts.\"},{\"question\":\"How do you complete the exam and what investigations are recommended?\",\"answer\":\"Thank the patient, ask if they need help getting dressed, then state the next step for completing the nutritional status assessment. Take a full dietary and gastrointestinal history, review observations and food/fluid charts, calculate BMI, perform blood tests (FBC, U\\u0026E, LFT, CRP), and summarise with proposed further investigations and/or diagnosis.\"}]","Examination of nutritional status for medical student finals - OSCEs and MRCP PACES | PDF",1789926633]