Medicine · History

Collapsed and shook at work, now recovered - Emergency Department

MediumYear 5 · Curtin style · 10 min + 2 min reading · 4 tasks

2 min reading · 10 min station · reminders at 2 min

Station - Instructions for candidate

You are an intern working in the Emergency Department of a metropolitan hospital in Perth. It is 1 pm.

Linh Tran, 26, was brought in by ambulance at 10.30 am after collapsing and shaking in the restaurant kitchen where she works. She was confused on arrival but is now fully recovered and wants to go home. A colleague who saw the event has given a description to the nurse, which the examiner can provide.

Your tasks are to:

  1. Take a focused history.
  2. Request any relevant investigations and interpret the results provided.
  3. Explain your provisional diagnosis to Linh.
  4. Outline your management plan to Linh.
  • You do NOT need to examine the patient; the examiner will give you the examination findings if you ask.

This is a 10-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.

After treatment

Once you have acted, ask how the patient has responded.