Station - Instructions for candidate
You are an intern in the Emergency Department of Kalgoorlie Health Campus.
Bruno Zammit, a 74-year-old retired aged care worker, has been brought in by his daughter. He has been not himself for two days - muddled, off his food and complaining of a dull ache in his right side. A bedside urine test is on the notes in front of you.
Urinalysis
| Item | Value | Reference range |
|---|---|---|
| Leucocytes | 3+ | negative |
| Nitrites | Positive | negative |
| Blood | 1+ | negative |
| Protein | Trace | negative |
| Ketones | Negative | negative |
| Glucose | Negative | negative |
Your tasks are to:
- Take a focused history from the patient and his daughter.
- Perform a focused examination.
- Request any relevant investigations and interpret the results provided.
- Outline your immediate management plan to the examiner.
- Summarise your findings and differential diagnoses to the examiner.
- Please verbalise your examination to the examiner; findings will be provided on request.
- You are not required to perform a rectal, genital or full neurological examination in this station.
- You do not need to consent the patient for a procedure today.
This is a 15-minute station, with 2 minutes of reading time.