Instructions
You are a medical student on placement in general practice. Your next patient is Imogen Pascoe, 16, a ballet student, presenting with about a year of aching in her joints and muscles.
Examine the patient
Outline to the examiner:
- Your findings
- Your most likely diagnosis and differentials
- You do not need to take a further history; any questions belong within the examination
- Please verbalise your examination; findings will be provided on request
- The examiner will ask you one question at the end
History taken by the GP
A year of aching knees, ankles, hips, thighs and calves after class. Three ankle sprains this year. Knees click; right kneecap once slipped and went back. Brief morning stiffness. No joint swelling, fevers, rashes or weight loss. Periods regular. No sudden death or early heart disease in the family.