Patient details: James Stanford aged 46-years
Your role: You are the doctor in the General Medical clinic
You have 10-minutes to assess each patient. You will receive a 6-minute warning and you will stopped at 8-minutes. In the final 2-minutes, you will be asked by an Examiner to explain any abnormalities in the focused clinical history and clinical signs you may have found, along with a diagnosis or differential diagnoses and to provide a management plan (if this was not apparent from your consultation).
Clinical problem: this gentleman was referred by his GP after arranging for an echocardiogram after finding a murmur on cardiac auscultation. The echo demonstrates mitral valve prolapse with trivial mitral valve incompetence. The aortic root was mildly dilated at 30mm with no current evidence of aortic valve incompetence. The rest of the echocardiogram was unremarkable.
Baseline observations:
Your task is to:
Any notes you make prior to entering the examination can be taken with you, but these have to be given to the Examiner prior to leaving the Station.