Instructions
You are a medical student on placement in the colorectal clinic at Bunbury Regional Hospital. Your next patient is Lionel Dunstall, 72, referred by his GP with six months of bowel urgency, accidents and bleeding from the back passage.
Take a focused history
Perform a focused examination
Outline to the examiner:
- Your most likely diagnosis and differentials
- Next steps in management, including relevant investigations
- Please verbalise your examination; findings will be provided on request
- You do not need to summarise your findings to the examiner