Bleeding gums and bruises

Instructions

You are a medical student on placement in general practice in Bunbury. Your next patient is Graham Tulloch, 61, a retired truck driver with six weeks of bleeding gums and spots and bruises on his legs.

1. 1

   Take a focused history

2. 2

   Examine the patient

3. 3

   Outline to the examiner:

   • Your most likely diagnosis and differentials
   • Next steps in management, including relevant investigations

• You do not need to summarise your findings to the examiner
• Please verbalise your examination to the examiner; findings will be provided on request.