In this episode of OSCE Talk, Matthew and Peter walk through a full example of how to take a chest pain history — putting into practice the frameworks and skills discussed in earlier episodes.
We show how to structure questions, explore symptoms, and think through different causes while keeping communication clear and patient-centred. This episode is designed to help you visualise what an organised, effective OSCE history sounds like.
Key Takeways
Follow a clear, logical structure when approaching chest pain.
Use open questions early to let patients describe their symptoms.
Always ask about associated and relieving factors.
Remember family history and modifiable risks.
ECG and troponins are key early investigations.
Summarise and explain your plan in plain language.
Practise aloud — hearing the flow builds real confidence.
00:00 – Introduction to Chest Pain History Taking
06:10 – Conducting a Patient Interview
09:01 – Differential Diagnosis and Investigations
10:07 – Conclusion and Next Steps
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