AMC Clinical Deep Dive – Détails, épisodes et analyse

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AMC Clinical Deep Dive

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Fréquence : 1 épisode/2j. Total Éps: 225

This platform serves as an independent educational initiative. All content is synthesised from various academic sources and is not a direct reproduction of any official material. It is NOT affiliated with, endorsed by, or sponsored by the AMC or any official body. All trademarks or original content belong to their respective owners. We provide personal learning insights and clinical interpretations to support IMGs in developing their clinical reasoning skills. It may contain errors and does NOT constitute medical advice. For further exploration, please visit the official website.

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S3E13 - Resistance Guided Mycoplasma Genitalium Treatment

Saison 3 · Épisode 13

lundi 12 octobre 2026 • Durée 21:07

Welcome to Season 3 of AMC Clinical Deep Dive!

Driven by alarming macrolide resistance (>60% in Australia), Mycoplasma genitalium (M. gen.) management requires resistance-guided sequential therapy. This episode deconstructs the ASHM guidelines for OSCE success. Learn why routine asymptomatic screening is contraindicated and why Doxycycline (100mg BD for 7 days) must precede targeted treatment—either Azithromycin for susceptible strains or Moxifloxacin for resistant infections. We cover 14-day Moxifloxacin PID protocols, pregnancy safety traps, contact tracing for ongoing partners, and timing the mandatory 14–21 day Test of Cure.

#AMCClinicalExam #MycoplasmaGenitalium #OSCE #ResistanceGuidedTherapy #MoxifloxacinProtocol #MacrolideResistance #TestofCure #IMGAustralia #ASHMGuidelines #DoxycyclineSequentialTherapy

Pro Tip: In your OSCE, never prescribe single-dose Azithromycin or immediate Moxifloxacin alone! High-scoring candidates demonstrate safety by explicitly using resistance-guided sequential therapy: initiating Doxycycline 100mg BD for 7 days to reduce bacterial load before stepping up to Azithromycin (if susceptible) or Moxifloxacin 400mg daily (if resistant). Highlight key exam traps: routine asymptomatic screening is NOT recommended, Moxifloxacin is Category B3 and avoided in pregnancy (requiring specialist input/Pristinamycin), and a Test of Cure (TOC) by NAAT must be delayed until 14–21 days post-treatment to avoid false positives!

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S3E12 - LGV Management in Australian Clinical Exams

Saison 3 · Épisode 12

lundi 5 octobre 2026 • Durée 23:13

Welcome to Season 3 of AMC Clinical Deep Dive!

Caused by Chlamydia trachomatis serovars L1–L3, Lymphogranuloma Venereum (LGV) presents as proctitis, genital ulcers, or painful inguinal buboes. This episode deconstructs the ASHM guidelines for acing this complex OSCE scenario. Learn key diagnostic steps: ordering rectal Chlamydia NAAT with mandatory LGV genotyping, and empirically treating for gonorrhoea and HSV while awaiting typing results. We cover the non-negotiable 21-day Doxycycline regimen, 21 days of strict sexual abstinence, 3-to-6-month contact tracing, and a mandatory 6-week Test of Cure. Deliver a safe, high-scoring management plan today!

#AMCClinicalExam #LGV #LymphogranulomaVenereum #ChlamydiaSerovarsL1-L3 #Doxycycline21Days #ProctitisTreatment #IMGAustralia #ASHMGuidelines #TestofCure #ContactTracing

Pro Tip: In your OSCE, do not prescribe a standard 7-day chlamydia course for suspected LGV! High-scoring candidates win top safety marks by prescribing Doxycycline 100mg BD for a full 21 days, explaining that chlamydial DNA persists in rectal tissue for up to 16 days. Remember two crucial exam facts: first, perform a Test of Cure (TOC) at 6 weeks (3 weeks after finishing treatment); second, primary care clinicians do NOT need to notify health departments for LGV in Australia, but contact tracing is a high priority (tracing back 3 months for symptomatic cases)!

S3E11 - Australian HIV Management in Primary Care

Saison 3 · Épisode 11

lundi 28 septembre 2026 • Durée 22:08

Welcome to Season 3 of AMC Clinical Deep Dive!

From acute seroconversion illness to long-term primary care, managing HIV requires both clinical precision and compassionate communication. This episode breaks down the ASHM guidelines for acing this scenario. Learn the non-negotiable rule: immediate ART initiation regardless of CD4 count, and counselling patients on U=U (Undetectable = Untransmissible). We cover critical OSCE safety steps: screening HLA-B*5701 before Abacavir, offering PEP within 72 hours of potential exposure, navigating PrEP, executing mandatory contact tracing, and arranging s100 prescriber or specialist referral. Deliver a holistic, patient-centred plan today!

#AMCClinicalExam #HIVOSCE #U=UCounselling #ASHMGuidelines #Post-ExposureProphylaxis(PEP) #PrEPAustralia #IMGAustralia #HLA-B5701Screening #s100Prescriber #AntiretroviralTherapy

Pro Tip: In your OSCE, examiners closely assess your safety awareness and U=U counselling! Always emphasise that ART should be offered immediately regardless of CD4 count, and clearly explain U=U (Undetectable = Untransmissible) to empower the patient and reduce stigma. Remember the key safety check: never start Abacavir without testing for HLA-B*5701 to prevent life-threatening hypersensitivity reactions. Finally, if exposure occurred within 72 hours, explicitly offer PEP for contacts and document 100% commitment to contact tracing—this guarantees top marks for clinical safety!

🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, , and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

S3E10 - Hepatitis Management for Australian Clinical Exams

Saison 3 · Épisode 10

lundi 21 septembre 2026 • Durée 12:36

Welcome to Season 3 of AMC Clinical Deep Dive!

This episode deconstructs the ASHM guidelines for Hepatitis A, B, and C. Learn key diagnostic rules: why "no healthy carrier" exists in Hepatitis B, and why Hepatitis C antibody tests should never be repeated once positive (use HCV PCR instead). We cover high-yield protocols: Hepatitis A contact tracing across a 50-day window, 6-monthly hepatocellular carcinoma screening for chronic Hep B, and Direct-Acting Antiviral (DAA) cure pathways for Hep C. Differentiate acute versus chronic management, Australian vaccination rules, and essential post-exposure prophylaxis to ace your OSCE consult!

#AMCClinicalExam #ViralHepatitis #OSCE #HepatitisB #HepatitisC #HepAContactTracing #IMGAustralia #HCCScreening #HCVPCR #HBsAgManagement

Pro Tip: In your OSCE, examiners closely monitor your understanding of long-term safety and serology interpretation! Remember that no "healthy carrier" exists for Hepatitis B; all HBsAg-positive patients require ongoing monitoring and 6-monthly HCC screening if indicated. For Hepatitis C, never order a repeat antibody test if previously positive—always use HCV PCR to detect active infection or re-infection. Finally, emphasise that DAA therapy can cure Hep C, but past clearance provides zero immunity against future re-infection!

🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

S3E9 - Stopping the Silent Gonorrhoea

Saison 3 · Épisode 9

lundi 14 septembre 2026 • Durée 11:17

Welcome to Season 3 of AMC Clinical Deep Dive!

Caused by Neisseria gonorrhoeae, gonorrhoea is often asymptomatic at the pharyngeal, anorectal, and vaginal sites. This episode breaks down the ASHM guidelines for acing this OSCE scenario. Learn the non-negotiable diagnostic rule: always collect samples for gonococcal culture before starting antibiotics to monitor antimicrobial resistance. Master the first-line dual treatment protocol (Ceftriaxone 500 mg IM plus Azithromycin 1g PO) and higher dosing for pharyngeal sites. We cover essential OSCE safety steps: tracing partners back 2 months, enforcing 7 days of sexual abstinence, mandatory state health notification, conducting a 2-week Test of Cure, and scheduling a 3-month re-infection test.

#AMCClinicalExam #Gonorrhoea #ASHMGuidelines #Ceftriaxone #Azithromycin #GonococcalCulture #TestofCure #IMGAustralia #STIContactTracing #AntimicrobialResistance

Pro Tip: In your OSCE, the biggest trap candidates fall into is forgetting to collect a gonococcal culture before administering antibiotics! Even though NAAT is the primary diagnostic tool, collecting a culture swab before treatment is non-negotiable for antimicrobial susceptibility testing. Additionally, score top safety marks by explaining dual therapy (Ceftriaxone + Azithromycin) to combat emerging resistance, enforcing a 2-week Test of Cure (TOC) by NAAT, and booking a 3-month re-infection test. Mentioning these exact follow-up intervals demonstrates the rigorous, safety-focused clinical reasoning that examiners reward!

🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by , , , , and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

S3E8 - Australian HSV Clinical Management

Saison 3 · Épisode 8

lundi 7 septembre 2026 • Durée 24:52

Welcome to Season 3 of AMC Clinical Deep Dive!

Often highly stigmatised, genital herpes (HSV) requires both clinical and compassionate psychosocial management. This episode deconstructs the ASHM guidelines to elevate your OSCE performance. Learn key diagnostic rules (why we use ulcer NAAT and avoid asymptomatic serology) and master first-line treatment protocols (Valaciclovir for initial, episodic, and suppressive therapy). We cover critical pregnancy suppression starting from 36 weeks to prevent neonatal transmission, outline essential symptomatic relief advice, and highlight vital safety-netting for neuropathic bladder. Best of all: learn how to counsel patients confidently without recommending contact tracing.

#AMCClinicalExam #GenitalHerpes #OSCE #HSV #ValaciclovirProtocol #PregnancyHSVSuppression #IMGAustralia #ASHMGuidelines #PsychosocialCounselling #NeonatalHerpes #UrinaryRetention

Pro Tip: In your OSCE, the path to an "Excellent" grade lies in high-level clinical safety and empathy! First, never forget to screen for the rare but dangerous complication of neuropathic bladder—explicitly warning the patient that if they cannot pass urine, they must go to the emergency department for urgent catheterisation. Second, score major communication marks by using the "days or years" rule to reassure patients that a new outbreak does not automatically mean partner infidelity. Finally, clearly state that contact tracing is not recommended and HSV is not a notifiable disease in Australia, but offer the excellent patient resource website www.herpes.org.nz as part of your management plan!

🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by , , , , and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

S3E7 - Australian Scabies and Pubic Lice Management

Saison 3 · Épisode 7

lundi 31 août 2026 • Durée 16:01

Welcome to Season 3 of AMC Clinical Deep Dive!

This episode deconstructs the ASHM guidelines for managing scabies and pubic lice (crabs). Learn critical diagnostic signs, from nocturnal itching to identifying interdigital burrows. We cover first-line treatment protocols: topical permethrin 5% (overnight, repeated in one week) for scabies and pyrethrin foam for pubic lice. Master crucial OSCE counselling points: explaining why shaving pubic hair is not required for crabs, enforcing the 7-day sexual abstinence rule, and coordinating simultaneous treatment for all household contacts and sexual partners to prevent re-infestation.

#AMCClinicalExam #ScabiesTreatment #PubicLice #Crabs #OSCE #Permethrin #IMGAustralia #ASHMGuidelines #CrustedScabies #PartnerTreatment #SexualHealth

Pro Tip: In your OSCE, the absolute gold standard for safety is demonstrating simultaneous treatment! If you treat the patient but don't explicitly state that all household members (for the past month in scabies) and recent sexual partners must be treated at the same time, you risk failing the station due to re-infestation risk. Also, score major communication marks by reassuring the patient that shaving pubic hair is NOT required for pubic lice, and confirming that permethrin is fully safe in pregnancy and breastfeeding!

🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

S3E6 - Donovanosis Traps for Medical Exams

Saison 3 · Épisode 6

lundi 24 août 2026 • Durée 23:52

Welcome to Season 3 of AMC Clinical Deep Dive!

Caused by Klebsiella granulomatis, this chronic infection presents as painless, "beefy" genital ulcers. This episode deconstructs the ASHM guidelines, preparing IMGs for key diagnostic and management decisions. Learn why treatment with Azithromycin or Doxycycline must continue until lesions completely resolve—not just for a fixed duration. We unpack essential OSCE safety points: seeking specialist advice, enforcing 100% mandatory public health notification, conducting a 6-month contact-tracing window, and using biopsies to rule out neoplastic transformation in recurring lesions.

#AMCClinicalExam #Donovanosis #OSCE #Klebsiellagranulomatis #GenitalUlcer #AzithromycinProtocol #DonovanBodies #IMGAustralia #ASHMGuidelines #ContactTracing

Pro Tip: In your OSCE, do not treat Donovanosis like other common STIs! High-scoring candidates win major points by emphasising that first-line therapy (Azithromycin 500mg daily for 7 days OR 1g weekly for 4 weeks) must be continued until complete resolution of the lesions. Demonstrating safety awareness is key: explicitly state that you would seek specialist advice before starting treatment, notify the state/territory health department (100% mandatory), and order a punch biopsy if lesions recur to exclude neoplastic transformation. Mentioning these specific clinical safeguards is exactly what examiners look for to award a pass with distinction!

🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

S3E5 - Australian Chlamydia Guidelines for Exams

Saison 3 · Épisode 5

lundi 17 août 2026 • Durée 19:17

Welcome to Season 3 of AMC Clinical Deep Dive!

As Australia’s most reported communicable disease, chlamydia is frequently asymptomatic (85%–90%), making screening protocols a favourite examiner target. This episode breaks down the latest guidelines: prioritising doxycycline (100mg BD for 7 days) over azithromycin, selecting highly sensitive self-collected vaginal swabs over urine, and managing pregnant patients (who require azithromycin and a mandatory 4-week test of cure). We dive into tracing partners back 6 months, implementing Patient-Delivered Partner Therapy (PDPT), and scheduling the mandatory 3-month retest. Deliver a flawless, high-scoring clinical plan today!

#AMCClinicalExam #Chlamydia #OSCE #Doxycycline #Patient-DeliveredPartnerTherapy(PDPT) #TestofCure #IMGAustralia #ASHMGuidelines #SexualHealthHistory #NAAT

Pro Tip: In your OSCE, do not default to Azithromycin for everyone! Doxycycline (100 mg BD for 7 days) is now the first-line recommendation for uncomplicated chlamydia. If your patient is pregnant, remember two non-negotiable rules: first, treat with Azithromycin 1g stat; second, a Test of Cure (TOC) is mandatory and must be done by NAAT no earlier than 4 weeks after treatment is completed to avoid false-positive DNA results. Additionally, discussing Patient-Delivered Partner Therapy (PDPT) for eligible heterosexual partners demonstrates the state-of-the-art public health integration examiners love to reward!

🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, setting, and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

S3E4 - Anogenital Warts Management Brief

Saison 3 · Épisode 4

lundi 10 août 2026 • Durée 05:03

Welcome to Season 3 of AMC Clinical Deep Dive!

Caused primarily by HPV types 6 and 11, genital warts are diagnosed visually and often cause significant psychological distress. This episode deconstructs the ASHM guidelines, comparing patient-applied treatments like topically applied podophyllotoxin paint and imiquimod cream with clinician-initiated cryotherapy. Learn critical counselling pearls: explaining that treatment is cosmetic, not curative, recommending HPV vaccination, and advising patients to avoid shaving or waxing to prevent autoinoculation. We also demystify exam traps, including why contact tracing is not recommended and why normal vaginal delivery is safe during pregnancy.

AMCClinicalExam #GenitalWarts #ASHMGuidelines #Podophyllotoxin #Imiquimod #HPVVaccine #IMGAustralia #ContactTracingWarts #Cryotherapy #CondylomataLata

Pro Tip: In your OSCE, the two biggest traps are contact tracing and shaving! Remember to explicitly tell the examiner that contact tracing is not recommended for genital warts because most partners already have subclinical infection. Also, score major safety points by advising the patient to avoid shaving or waxing the pubic area to prevent autoinoculation of the virus. Reassure pregnant patients that vaginal delivery is perfectly safe as transmission risk to the baby is extremely low. Finally, always keep syphilis on your differential—mentioning the need to exclude condylomata lata demonstrates the stellar clinical reasoning examiners love to see!

🎧 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Episodes in ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Season 1⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ (150 clinical scenarios) have been indexed by topic, patient group, discipline, , and more to support targeted learning. Use the filters to locate discussions relevant to your study or clinical training.

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AMC Clinical Deep Dive – Détails, épisodes et analyse

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