Oncology · History + examination

Back pain, weak legs, cancer

Hard

15 min station · 2 min reading · Curtin Year 5

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N R B K

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

Instructions

You are a medical student on placement in the emergency department. Neville Kellerman, 71, has cancer that has spread to his bones. He has a week of worsening back pain, and now his legs feel heavy and he is struggling to pass urine.

  1. Take a focused history

  2. Examine the patient

  3. Outline to the examiner:

    • Your interpretation of the results
    • Your most likely diagnosis and differentials
    • Your management plan
  • You do not need to summarise your findings
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Investigations

Examination