Eyes & ENT · History + examination

Painful red eye in a contact lens wearer - GP

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 a junior doctor working in a general practice in Perth.

Arjun Singh, a 24-year-old retail assistant, has booked an urgent appointment because his right eye has been painful, red and watering for two days and his vision in it is blurred. He wears contact lenses. A Snellen chart, pinhole, pen torch, fluorescein strips and a blue light are available. The practice does not have a slit lamp.

Your tasks are to:

  1. Take a focused history.
  2. Perform a focused examination.
  3. Explain your provisional diagnosis to the patient.
  4. Explain your initial management to the patient.
  • You do NOT need to summarise your findings to the examiner.
  • Please verbalise your examination to the examiner; findings will be provided on request.
  • You do not need to write a referral letter in this station.

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.