Emergency · History

Vomiting every morning, and hot showers help - 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 in the Emergency Department of a Perth teaching hospital.

Tyler Brennan, a 26-year-old apprentice electrician, has presented with two days of vomiting. This is his third presentation this year with the same problem. His observations are on your sheet.

Your tasks are to:

  1. Take a focused history.
  2. State your most likely diagnosis and differential diagnoses to the examiner.
  3. Request any relevant investigations and interpret the results provided.
  4. Outline your initial management plan to the examiner.
  • You do NOT need to examine the patient; the examination findings are available from the examiner on request.

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.