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Class of 2023
Session Information

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Session Title:
Edema Case-based Discussion
Teaching Hours:
Teaching and Learning MethodsTotal Scheduled Hours = 1
Case-Based Instruction/Learning = 1
Independent learning/large group discussion session in The Patient - Chronic Conditions (Cardiology). Use the objectives to gain an understanding of the mechanisms by which edema occurs, and then apply that knowledge to the working through the case studies using the guideline supplied in objective 8910. There will be a one-hour class discussion moderated by the content facilitator. Please bring your questions.
Teaching and Learning Methods
Case-Based Instruction/Learning 1 hour(s)

Learning Objectives
Blueprint ID Learning Objectives
8905 Describe the mechanisms by which blood in the leg veins are returned to the heart.
8906 Describe the role of lymphatic’s in excess fluid drainage
8907 Describe the roles of physical inactivity, leg dependency systemic venous pressure, plasma oncotic pressure, capillary “leakage”, varicose veins, superficial vein removal and deep vein obstruction (DVT) in development of peripheral edema.
8908 List the commonly used situations/drugs that may promote peripheral edema via: (a) Nitric Oxide excess eg. Shock, (b) Salt and water retention, and (c) Increased capillary leakage
8909 Describe the consequences of severe leg edema: (a) decreased mobility, (b) increased risk of DVT, (c) water blisters/infections/septicemia, and (d) varicose exzema
8910 Provide a rationale for mechanistic diagnosis and treatment of the case scenarios provided from the list below: (i) Appropriate investigations, (ii) Dietary salt restriction, (iii) Changes in medications, (iv) Positioning of legs at rest, (v) Elastic stockings, (vi) Diuretics, what are the potential hazards of this therapy? When is it appropriate?, (vii) Anticoagulation acute/chronic, and (viii) Protein Infusions

Linked Course Goal(s) to Session
Blueprint ID Course Goals
7426 Identify a strategy for monitoring health problems over time
Linked Program Competencies
To This Course Goal:
me-4 me-5 cm-1 cm-2 cm-3 cm-4 cm-5 cm-6 co-1 co-2 co-3 co-4 ld-3 ha-1
7427 Identify the ongoing supports needed by patients with chronic disease
Linked Program Competencies
To This Course Goal:
me-4 me-5 cm-2 cm-4 cm-5 cm-6 co-1 co-2 co-3 co-4 ha-1 ha-2 ha-3
7443 Develop a patient care plan in cooperation with other health care providers
Linked Program Competencies
To This Course Goal:
cm-4 cm-5 co-1 co-2 co-3 co-4
7452 Identify available health care resources in the investigation, treatment and ongoing management of the patient
Linked Program Competencies
To This Course Goal:
me-4 me-5 co-2 ld-2 ld-3 ha-3
9893 Identify and diagnose key clinical problems
Linked Program Competencies
To This Course Goal:
me-1 me-2 me-3 me-4 me-5 me-6
Linked Program Competencies To Course Goal(s)
me-4 Medical Expert
Develop a differential diagnosis and key clinical problem list following assessment of a patient.
me-5 Medical Expert
Develop a management plan for key clinical problems following assessment of a patient.
cm-1 Communicator
Develop and maintain appropriate ethical and therapeutic relationships, rapport and trust with patients and their families.
cm-2 Communicator
Collect and synthesize accurate and relevant information, incorporating perspectives from patients and their families, colleagues and other health care professionals.
cm-3 Communicator
Discuss relevant health care information and management plans with patients and their families.
cm-4 Communicator
Develop a shared plan of care with patients, their families, and other health care professionals.
cm-5 Communicator
Demonstrate effective oral and written communication of information associated with a medical encounter.
cm-6 Communicator
Discuss effective strategies for communicating with third parties other than health care professionals.
co-1 Collaborator
Demonstrate effective collaboration skills within the health care system.
co-2 Collaborator
Demonstrate effective consultation with other health care professionals to provide care for individuals, communities, and populations.
co-3 Collaborator
Demonstrate respect for health care team members without bias (e.g., bias related to gender, ethnicity, cultural background or health care role).
co-4 Collaborator
Demonstrate effective strategies to promote understanding, manage differences and resolve conflicts through negotiation and collaboration.
ld-3 Leader
Describe the roles and responsibilities of physicians and governing bodies in the development and support of the health care system.
ha-1 Health Advocate
Identify the important determinants of health, risk factors for illness, interaction between the population and their physical, biological and social environment, and personal attributes.
ha-2 Health Advocate
Identify public policies and trends that affect health locally, nationally, and globally, and barriers to access for populations, including persons with disabilities, the underserved and the marginalized.
ha-3 Health Advocate
Assess and respond to issues in the Canadian health care system and advocate for patients at all levels.
ld-2 Leader
Apply evidence and management processes to effectively allocate health care resources.
me-1 Medical Expert
Perform a complete and accurate patient-centred history appropriate to the patient’s presentation.
me-2 Medical Expert
Perform a complete and accurate physical examination appropriate to the patient’s presentation.
me-3 Medical Expert
Formulate an initial plan of appropriate diagnostic and therapeutic procedures relevant to the patient’s presentation.
me-6 Medical Expert
Apply knowledge of the clinical, socio-behavioural, and fundamental biomedical sciences relevant to a clinical problem.

Linked MCC Medical Expert Objectives