Medicine · History

Fever, cough and myalgia in a traveller - 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.

Carmela Rossi, a 52-year-old retired postal worker, presented this morning with three days of fever and cough. The nurse has recorded her observations and asked you to see her.

Your tasks are to:

  1. Take a focused history.
  2. Request any relevant investigations and interpret the results provided.
  3. Summarise your findings to the examiner with your most likely diagnosis and differential diagnoses.
  4. Outline your initial management plan to the examiner.
  • You do not need to perform an examination of the patient in this station; findings will be provided to you.

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.