Station - Instructions for candidate
You are a fourth-year medical student on placement at a general practice in Kalamunda.
Ben Hooper, a 40-year-old landscaper, has come in four days after a visit to the Emergency Department for a severe allergic reaction to a wasp sting. He was discharged with an adrenaline autoinjector and told to see his GP. He has brought the device and the discharge letter.
| Emergency Department discharge letter extract | Anaphylaxis to wasp sting (European wasp, left forearm): generalised urticaria, angioedema of lips and tongue, throat tightness, wheeze, presyncope within 10 minutes. Adrenaline 500 microgram IM by ambulance with good response; observed 12 hours; no biphasic reaction. Discharged with adrenaline autoinjector 300 microgram x 2 and an ASCIA action plan. GP: please review, reinforce device use and refer to allergy clinic. Observations today: HR 76, BP 128/80, SpO2 98% on room air. |
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Your tasks are to:
- Take a focused history.
- Counsel Mr Hooper about his adrenaline autoinjector.
- Discuss your management plan with Mr Hooper.
- A trainer autoinjector device is available for demonstration.
- You do NOT need to examine the patient.
- You do NOT need to summarise your findings to the examiner.
This is a 10-minute station, with 2 minutes of reading time.