Station Progress:

Candidate Brief

Station 5: BRIEF CLINICAL CONSULTATION

Patient details: Lauren Fieldson aged 23-years

Your role: You are the medical doctor in the Emergency Department

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).

Referral

Clinical problem: this young lady has been referred in my her GP due to a fever and has she has recently had some foreign travel, the GP is concerned about a tropical disease and that the patient needs urgent in-patient treatment.

Baseline observations:

  • Respiratory rate / minute 18
  • Pulse rate / minute 86
  • Systolic blood pressure (mmHg) 136
  • Diastolic blood pressure (mmHg) 70
  • Oxygen saturations (%) 98
  • Temperature (॰C) 38.8

Your task is to:

  • Make an assessment of the patient’s referring problem via a focused clinical history and associated focused clinical examination. You do not need to finish the history prior to your physical examination
  • Make a diagnosis or differential diagnosis and explain this to the patient as well as your investigative and management plan
  • Address any queries or concerns the patient may have.

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.