MSK & orthopaedics · History + examination

Wrist pain after a fall on an outstretched hand - Emergency Department

EasyYear 4 · 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 medical student on placement in the Emergency Department of a Perth metropolitan hospital.

Tayla Mabuza, a 17-year-old student, was brought to the Emergency Department by her mother. She has pain in the wrist after a fall 45 minutes ago. Initial imaging has been done and the triage nurse has taken her observations. You have been asked to assess the injury.

Wrist X-rays (three standard views)

No break is visible on these views. The bones are normally aligned. No other bony abnormality detected.

Your tasks are to:

  1. Take a focused history.
  2. Perform a focused examination.
  3. Request any relevant investigations and interpret the results provided.
  4. Summarise your findings to the examiner with your most likely diagnosis, your differential diagnoses and your initial management plan.
  • Please verbalise your examination to the examiner; findings will be provided 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.