Medicine · History + examination

Blood pressure still high and a change in kidney function - Outpatient clinic

HardYear 5 · Curtin style · 15 min + 2 min reading · 5 tasks

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

Station - Instructions for candidate

You are an intern in the general medicine outpatient clinic of a Perth teaching hospital.

Li Liu, a 38-year-old high-school teacher, has been referred by her GP about her blood pressure. Her GP started a new tablet two weeks ago, then rang her about a blood test and asked for her to be seen here. She is in the room; her mother is waiting outside.

Your tasks are to:

  1. Take a focused history from Ms Liu.
  2. Perform a focused examination.
  3. Request the investigations you need and interpret the results provided.
  4. Explain what the results show and your provisional diagnosis to Ms Liu.
  5. Discuss your initial management plan with Ms Liu.
  • Examination findings are given as you say what you are examining.
  • Investigations are available from the examiner when you ask for them.

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.