Emergency · History + examination

Worsening breathlessness and cough over three days - Emergency Department

MediumYear 5 · Curtin style · 15 min + 2 min reading · 4 tasks

2 min reading · 15 min station · reminders at 2 min

Station - Instructions for candidate

You are an intern in the Emergency Department of a Perth metropolitan hospital.

Salvatore Rossi, a 64-year-old truck driver, presents to the Emergency Department with three days of worsening breathlessness and cough. The triage nurse has recorded his observations and a brief history. You are asked to assess him.

Your tasks are to:

  1. Take a focused history.
  2. Perform a focused examination.
  3. Request any relevant investigations and interpret the results provided.
  4. Discuss your diagnosis and initial management plan with the examiner.
  • Please verbalise your examination to the examiner; findings will be provided on request.

This is a 15-minute station, with 2 minutes of reading time.

Ask the examiner

Say what you would examine or request, the way you would in the station. Nothing is named until you ask for it.

Whatever the examiner recognises is revealed below. Or pick a numbered item to reveal it blind.

Investigations

Ask for a category the way you would in the station: “Can I have the obs and a set of bloods?”

Examination

Say what you would examine and how; the examiner reports what you would find.